Oregon / Adventist Health Columbia Gorge
CMS certification 380001 · The Dalles, OR · 3 entries in CMS's price-transparency list
Adventist Health Columbia Gorge: charges and Medicare payments
Adventist Health Columbia Gorge reported 213 Medicare inpatient stays across 9 DRGs in 2024. Across them it charged 1.86 times what it was paid — among the lower ratios in Oregon, number 26 of 26 hospitals with at least 100 stays (state median 3.05×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 63 stays at an average charge of $37,596, 58% below the national average. It also billed 564 outpatient services, charging 4.59 times what Medicare paid.
- 1Medicare inpatient stays 213
- 2Charge ÷ paid, inpatient 1.86×
- 3Rank in OR (highest ratio = 1) 26 of 26
- 4CMS price-transparency actions 3
Inpatient stays
For the 9 DRGs that can be compared with the national average, Adventist Health Columbia Gorge charged more than the national average in 0 (0%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 63 | $37,596 | -58% | $23,074 |
| 291 Heart Failure and Shock with MCC | 32 | $27,899 | -51% | $13,710 |
| 189 Pulmonary Edema and Respiratory Failure | 29 | $25,950 | -55% | $13,016 |
| 193 Simple Pneumonia and Pleurisy with MCC | 18 | $22,070 | -63% | $14,086 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 17 | $20,847 | -57% | $10,960 |
| 177 Respiratory Infections and Inflammations with MCC | 16 | $40,304 | -43% | $17,637 |
| 378 Gastrointestinal Hemorrhage with CC | 14 | $22,932 | -53% | $10,465 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 13 | $30,835 | -45% | $10,708 |
| 377 Gastrointestinal Hemorrhage with MCC | 11 | $31,727 | -63% | $18,841 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 98 | $13,595 | $2,981 |
| Level 5 Urology and Related Services | 92 | $20,755 | $5,654 |
| Level 4 Urology and Related Services | 72 | $13,951 | $3,876 |
| Level 1 Laparoscopy and Related Services | 31 | $24,957 | $6,416 |
| Level 2 Urology and Related Services | 30 | $2,439 | $760 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 26 | $7,808 | $1,803 |
| Level 4 Musculoskeletal Procedures | 26 | $27,285 | $7,955 |
| Level 5 Musculoskeletal Procedures | 26 | $41,355 | $14,607 |
| Level 3 Vascular Procedures | 25 | $18,644 | $3,544 |
| Level 2 Musculoskeletal Procedures | 24 | $6,849 | $1,787 |
| Level 2 Laparoscopy and Related Services | 20 | $51,052 | $11,432 |
| Level 3 Musculoskeletal Procedures | 19 | $9,031 | $3,297 |
| Level 3 Urology and Related Services | 19 | $9,026 | $2,170 |
| Level 2 Breast/Lymphatic Surgery and Related Procedures | 18 | $26,329 | $7,251 |
| Level 2 Pacemaker and Similar Procedures | 13 | $30,858 | $9,441 |
| Level 1 Nerve Procedures | 13 | $5,144 | $2,147 |
| Level 1 Abdominal/Peritoneal/Biliary and Related Procedures | 12 | $17,603 | $3,847 |
Against the Oregon average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Adventist Health Columbia Gorge charged $37,596 on average, 37% less than the Oregon average of $59,560, and was paid $23,074 against a state average of $19,972. For Heart Failure and Shock with MCC (DRG 291), Adventist Health Columbia Gorge charged $27,899 on average, 31% less than the Oregon average of $40,542, and was paid $13,710 against a state average of $12,978. For Pulmonary Edema and Respiratory Failure (DRG 189), Adventist Health Columbia Gorge charged $25,950 on average, 39% less than the Oregon average of $42,760, and was paid $13,016 against a state average of $12,368. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Adventist Health Columbia Gorge charged $22,070 on average, 42% less than the Oregon average of $38,212, and was paid $14,086 against a state average of $13,346. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $13,595 was 20% below the state average of $16,975. For Level 5 Urology and Related Services (outpatient APC 5375), its average charge of $20,755 was 17% below the state average of $25,079. For Level 4 Urology and Related Services (outpatient APC 5374), its average charge of $13,951 was 26% below the state average of $18,927. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $24,957 was 25% below the state average of $33,402.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Adventist Health Columbia Gorge in The Dalles, OR, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- CAP Request — 2025-02-11 (CMS case 3000)
- CAP Request — 2025-04-02 (CMS case 3000)
- Closure Notice — 2025-05-20 (CMS case 3000)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.