Price AtlasInteractive atlas · All states · techysurgeon.comProvidence 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.
Medicare prices at Providence Portland Medical Center
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $19,616 | $51,260 | 2.6× | $13,657 |
| Shoulder replacement | — | — | — | $19,507 |
| Hip replacement after a fracture (DRG 522) | $23,635 | $59,443 | 2.5× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $49,095 | 2.5× | $45,974–$61,601 | 5 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Cigna | $61,601 | 3.1× | 1 |
| Moda | $59,644 | 3.0× | 1 |
| UnitedHealthcare | $49,095 | 2.5× | 1 |
| Regence BlueShield | $47,960 | 2.4× | 1 |
| Providence Health Plan | $45,974 | 2.3× | 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: 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 the average total payment to Providence Portland Medical Center for an inpatient hip or knee replacement stay was $19,616 (MS-DRG 470, 18 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $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× 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 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?
Providence Portland Medical Center's average total payment per Medicare stay is lower than 54% of the 13 Oregon hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Providence Portland 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 $45,974 to $61,601.