Oregon / Adventist Health Portland
CMS certification 380060 · Portland, OR · 6 entries in CMS's price-transparency list
Adventist Health Portland: charges and Medicare payments
Adventist Health Portland reported 823 Medicare inpatient stays across 29 DRGs in 2024. Across them it charged 4.41 times what it was paid — among the higher ratios in Oregon, number 1 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: 187 stays at an average charge of $72,231, 20% below the national average. It also billed 1,286 outpatient services, charging 6.9 times what Medicare paid.
- 1Medicare inpatient stays 823
- 2Charge ÷ paid, inpatient 4.41×
- 3Rank in OR (highest ratio = 1) 1 of 26
- 4CMS price-transparency actions 6
Inpatient stays
For the 29 DRGs that can be compared with the national average, Adventist Health Portland charged more than the national average in 3 (10%). 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 | 187 | $72,231 | -20% | $16,547 |
| 291 Heart Failure and Shock with MCC | 103 | $49,650 | -12% | $11,013 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 43 | $50,459 | -33% | $13,385 |
| 177 Respiratory Infections and Inflammations with MCC | 34 | $40,615 | -42% | $13,872 |
| 189 Pulmonary Edema and Respiratory Failure | 33 | $50,529 | -12% | $10,655 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 33 | $34,240 | -30% | $8,885 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 29 | $136,054 | -41% | $37,493 |
| 193 Simple Pneumonia and Pleurisy with MCC | 26 | $49,057 | -18% | $11,358 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 25 | $175,717 | -21% | $39,791 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 25 | $51,314 | -30% | $12,765 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 23 | $43,048 | -29% | $11,305 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 19 | $121,322 | -26% | $23,843 |
| 220 Cardiac Valve and Other Major Cardiothoracic Procedures... | 18 | $297,624 | +8% | $44,447 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 18 | $131,559 | -16% | $26,514 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 17 | $40,930 | -19% | $8,618 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 17 | $83,207 | -27% | $15,384 |
| 682 Renal Failure with MCC | 17 | $51,148 | -22% | $12,327 |
| 377 Gastrointestinal Hemorrhage with MCC | 16 | $54,273 | -36% | $14,680 |
| 378 Gastrointestinal Hemorrhage with CC | 16 | $52,103 | +7% | $9,400 |
| 683 Renal Failure with CC | 15 | $32,909 | -19% | $7,916 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 14 | $110,036 | -19% | $22,444 |
| 271 Other Major Cardiovascular Procedures with CC | 13 | $109,332 | -37% | $29,275 |
| 207 Respiratory System Diagnosis with Ventilator Support >96... | 12 | $226,406 | -23% | $58,221 |
| 243 Permanent Cardiac Pacemaker Implant with CC | 12 | $79,911 | -28% | $19,004 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 12 | $96,803 | -14% | $19,048 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 12 | $61,074 | +8% | $10,342 |
| 689 Kidney and Urinary Tract Infections with MCC | 12 | $46,926 | -9% | $10,150 |
| 242 Permanent Cardiac Pacemaker Implant with MCC | 11 | $111,207 | -31% | $28,456 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 11 | $258,804 | -20% | $59,661 |
Outpatient services
Against the Oregon average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Adventist Health Portland charged $72,231 on average, 21% more than the Oregon average of $59,560, and was paid $16,547 against a state average of $19,972. For Heart Failure and Shock with MCC (DRG 291), Adventist Health Portland charged $49,650 on average, 22% more than the Oregon average of $40,542, and was paid $11,013 against a state average of $12,978. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), Adventist Health Portland charged $50,459 on average, 8% more than the Oregon average of $46,884, and was paid $13,385 against a state average of $15,969. For Respiratory Infections and Inflammations with MCC (DRG 177), Adventist Health Portland charged $40,615 on average, 15% less than the Oregon average of $47,624, and was paid $13,872 against a state average of $16,735. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $22,624 was 33% above the state average of $16,975. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $23,449 was 32% above the state average of $17,751. For Level 3 Electrophysiologic Procedures (outpatient APC 5213), its average charge of $160,640 was 39% above the state average of $115,356. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $11,035 was 36% above the state average of $8,100.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Adventist Health Portland in Portland, OR, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2023-01-18 (CMS case 1259)
- Warning Notice — 2024-04-11 (CMS case 2439)
- Closure Notice — 2024-08-28 (CMS case 2439)
- Met Requirements — 2025-08-25 (CMS case 6379)
- Warning Notice — 2026-04-17 (CMS case 7518)
- Closure Notice — 2026-07-21 (CMS case 7518)
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.