Coos Bay, OR 97420 · CMS Certification Number 380090. 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 | $20,958 | $51,020 | 2.4× | $14,353 |
| Shoulder replacement | — | — | — | $20,311 |
| Hip replacement after a fracture (DRG 522) | $23,208 | $70,618 | 3.0× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $38,385 | 1.8× | — | 1 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Regence BlueShield | $38,385 | 1.8× | 1 |
From the hospital's price-transparency file (2026-02-23); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-02-23); commercial plans, dollar-amount contracts only.
Complications after hip or knee replacement: 6.7% (no different from the national rate). Readmissions: 9.2%. Overall Care Compare rating: 2 of 5 stars. Government · Acute · 172 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 Bay Area Hospital for an inpatient hip or knee replacement stay was $20,958 (MS-DRG 470, 44 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $14,353 per outpatient case (APC 5115, 42 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $51,020, 2.4× 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. North Bend Medical Center Ambulatory Surgery Center, an orthopedic surgery center same ZIP away, is paid about $9,143 by Medicare for a knee replacement (CPT 27447), $11,815 less than an inpatient stay at Bay Area Hospital. Not every patient is a surgery-center candidate.
Bay Area Hospital's average total payment per Medicare stay is higher than 85% 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 $38,385 across 1 insurer.