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Providence Medford Medical Center: what a joint replacement costs

Medford, OR 97504 · CMS Certification Number 380075. 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
$9,426
Surgery Center of Southern Oregon, LLC, same ZIP
Outpatient here
$15,897
Medicare allowed amount, 225 cases, APC 5115
Inpatient here
$20,120
Avg total payment (incl. patient share), 41 Medicare stays, MS-DRG 470

Medicare prices at Providence Medford Medical Center

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$20,120$62,5453.1×$15,897
Shoulder replacement———$22,235
Hip replacement after a fracture (DRG 522)$21,348$73,7873.5×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$46,5212.3×$37,333–$47,3523
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Regence BlueShield$47,3522.4×1
Moda$46,5212.3×1
Providence Health Plan$37,3331.9×1

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: 5.3% (no different from the national rate). Readmissions: 6.5%. Overall Care Compare rating: 2 of 5 stars. Nonprofit · Acute · 168 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 Medford Medical Center for a knee or hip replacement?

In 2024 the average total payment to Providence Medford Medical Center for an inpatient hip or knee replacement stay was $20,120 (MS-DRG 470, 41 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $15,897 per outpatient case (APC 5115, 225 cases).

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

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $62,545, 3.1× 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 Medford Medical Center?

Yes for Medicare facility payments. Surgery Center of Southern Oregon, LLC, an orthopedic surgery center same ZIP away, is paid about $9,426 by Medicare for a knee replacement (CPT 27447), $10,694 less than an inpatient stay at Providence Medford Medical Center. Not every patient is a surgery-center candidate.

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

Providence Medford Medical Center's average total payment per Medicare stay is higher than 77% of the 13 Oregon hospitals that report inpatient hip or knee replacement.

What do commercial insurers pay Providence Medford 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 $46,521 across 3 insurers, ranging from $37,333 to $47,352.