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Providence Willamette Falls Medical Center: what a joint replacement costs

Oregon City, OR 97045 · CMS Certification Number 380038. What Medicare pays this hospital for knee, hip and shoulder replacement, what it lists, how it compares, and what a surgery center nearby is paid.

Surgery center nearby
$10,168
Sunnybrook Ambulatory Surgery Center, 6.7 mi
Outpatient here
$13,624
Medicare allowed amount, 75 cases, APC 5115
Inpatient here
$17,407
Avg total payment (incl. patient share), 19 Medicare stays, MS-DRG 470

Medicare prices at Providence Willamette Falls Medical Center

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$17,407$49,1582.8×$13,624
Shoulder replacement———$19,508
Hip replacement after a fracture (DRG 522)$18,476$60,7153.3×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$49,0952.8×$45,481–$61,6015
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Cigna$61,6013.5×1
Moda$59,1513.4×1
UnitedHealthcare$49,0952.8×1
Regence BlueShield$47,9602.8×1
Providence Health Plan$45,4812.6×1

From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.

Quality

Complications after hip or knee replacement: 5.4% (no different from the national rate). Readmissions: 5.8%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 143 beds

Oregon has a certificate-of-need program that does not cover surgery centers.

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Questions

How much does Medicare pay Providence Willamette Falls Medical Center for a knee or hip replacement?

In 2024 the average total payment to Providence Willamette Falls Medical Center for an inpatient hip or knee replacement stay was $17,407 (MS-DRG 470, 19 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $13,624 per outpatient case (APC 5115, 75 cases).

What is Providence Willamette Falls Medical Center's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $49,158, 2.8× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.

Is a knee replacement cheaper at a surgery center near Providence Willamette Falls Medical Center?

Yes for Medicare facility payments. Sunnybrook Ambulatory Surgery Center, an orthopedic surgery center 6.7 mi away, is paid about $10,168 by Medicare for a knee replacement (CPT 27447), $7,239 less than an inpatient stay at Providence Willamette Falls Medical Center. Not every patient is a surgery-center candidate.

How does Providence Willamette Falls Medical Center compare with other Oregon hospitals?

Providence Willamette Falls Medical Center's average total payment per Medicare stay is lower than 69% of the 13 Oregon hospitals that report inpatient hip or knee replacement.

What do commercial insurers pay Providence Willamette Falls Medical Center for a hip or knee replacement?

From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $49,095 across 5 insurers, ranging from $45,481 to $61,601.