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Providence Portland Medical Center: what a joint replacement costs

Portland, OR 97213 · CMS Certification Number 380061. 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
Plaza Ambulatory Surgery Center, LLC, same ZIP
Outpatient here
$13,657
94 Medicare cases, APC 5115
Inpatient here
$19,616
18 Medicare stays, MS-DRG 470

Medicare prices at Providence Portland Medical Center

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$19,616$51,2602.6×$13,657
Shoulder replacement———$19,507
Hip replacement after a fracture (DRG 522)$23,635$59,4432.5×—

Quality

Complications after hip or knee replacement: 4.5% (no different from the national rate). Readmissions: 5.8%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 483 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 Portland Medical Center for a knee or hip replacement?

In 2024 Medicare paid Providence Portland Medical Center an average of $19,616 per inpatient hip or knee replacement stay (MS-DRG 470, 18 stays) and $13,657 per outpatient case (APC 5115, 94 cases).

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

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $51,260, 2.6× what Medicare paid. 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 Portland Medical Center?

Yes for Medicare facility payments. Plaza Ambulatory Surgery Center, LLC, an orthopedic surgery center same ZIP away, is paid about $10,168 by Medicare for a knee replacement (CPT 27447), $9,448 less than an inpatient stay at Providence Portland Medical Center. Not every patient is a surgery-center candidate.

How does Providence Portland Medical Center compare with other Oregon hospitals?

Medicare paid Providence Portland Medical Center less than 54% of the 13 Oregon hospitals that report inpatient hip or knee replacement.