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Providence Milwaukie Hospital: what a joint replacement costs

Milwaukie, OR 97222 · CMS Certification Number 380082. 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
East Portland Surgery Center, LLC, 4.3 mi
Outpatient here
$13,786
Medicare allowed amount, 30 cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at Providence Milwaukie Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement———$13,786
Shoulder replacement————

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$49,095—$47,844–$61,6015
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Cigna$61,601—1
Moda$61,514—1
UnitedHealthcare$49,095—1
Regence BlueShield$47,960—1
Providence Health Plan$47,844—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: 5.1% (no different from the national rate). Readmissions: 6%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 77 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 Milwaukie Hospital for a knee or hip replacement?

The Medicare allowed amount averaged $13,786 per outpatient hip or knee replacement case (APC 5115, 30 cases) in 2024. Inpatient stays were too few to report.

Is a knee replacement cheaper at a surgery center near Providence Milwaukie Hospital?

Yes for Medicare facility payments. East Portland Surgery Center, LLC, an orthopedic surgery center 4.3 mi away, is paid about $10,168 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.

What do commercial insurers pay Providence Milwaukie Hospital 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 $47,844 to $61,601.