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.
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $17,407 | $49,158 | 2.8× | $13,624 |
| Shoulder replacement | — | — | — | $19,508 |
| Hip replacement after a fracture (DRG 522) | $18,476 | $60,715 | 3.3× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $49,095 | 2.8× | $45,481–$61,601 | 5 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Cigna | $61,601 | 3.5× | 1 |
| Moda | $59,151 | 3.4× | 1 |
| UnitedHealthcare | $49,095 | 2.8× | 1 |
| Regence BlueShield | $47,960 | 2.8× | 1 |
| Providence Health Plan | $45,481 | 2.6× | 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.
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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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).
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.
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.
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.
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.