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Hip replacement in Oregon: what insurers pay

Posted commercial rates at 7 Oregon hospitals, each next to its own Medicare base rate.

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CPT 27130

HospitalMedian across insurers× MedicareInsurersFile date
Legacy Emanuel Medical Center Portland$26,1001.8×52026-04-01
Legacy Good Samaritan Medical Center Portland$26,1001.8×52026-04-01
Legacy Mount Hood Medical Center Gresham$26,1001.8×52026-04-01
Legacy Meridian Park Medical Center Tualatin$26,1001.8×52026-04-01
Providence St Vincent Medical Center Portland$40,8872.9×22026-04-01
Providence Portland Medical Center Portland$40,8872.9×22026-04-01
Providence Milwaukie Hospital Milwaukie$40,8872.9×22026-04-01

MS-DRG 470

HospitalMedian across insurers× MedicareInsurersFile date
Legacy Mount Hood Medical Center Gresham$40,5832.6×42026-04-01
Legacy Meridian Park Medical Center Tualatin$40,5832.6×42026-04-01
Legacy Good Samaritan Medical Center Portland$40,9362.7×42026-04-01
Legacy Emanuel Medical Center Portland$42,0062.7×42026-04-01
Providence St Vincent Medical Center Portland$49,0953.2×32026-04-01
Providence Portland Medical Center Portland$49,0953.2×32026-04-01
Providence Milwaukie Hospital Milwaukie$49,0953.2×32026-04-01

MS-DRG 469

HospitalMedian across insurers× MedicareInsurersFile date
Legacy Emanuel Medical Center Portland$66,8692.8×42026-04-01
Legacy Good Samaritan Medical Center Portland$66,8692.8×42026-04-01
Legacy Mount Hood Medical Center Gresham$66,8692.8×42026-04-01
Legacy Meridian Park Medical Center Tualatin$66,8692.8×42026-04-01
Providence St Vincent Medical Center Portland$85,1053.5×32026-04-01
Providence Portland Medical Center Portland$85,1053.5×32026-04-01
Providence Milwaukie Hospital Milwaukie$85,1053.5×32026-04-01

Questions

How much do insurers pay for hip replacement in Oregon?

7 Oregon hospitals post usable commercial rates for hip replacement in their federal price-transparency files. For CPT 27130, hospital outpatient, the median across 7 hospitals is $26,100, 1.8× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.