Oregon / Hillsboro Medical Center
CMS certification 380021 · Hillsboro, OR · 2 entries in CMS's price-transparency list
Hillsboro Medical Center: charges and Medicare payments
Hillsboro Medical Center reported 454 Medicare inpatient stays across 20 DRGs in 2024. Across them it charged 3.64 times what it was paid — among the higher ratios in Oregon, number 7 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: 117 stays at an average charge of $78,095, 14% below the national average. It also billed 1,155 outpatient services, charging 5.05 times what Medicare paid.
- 1Medicare inpatient stays 454
- 2Charge ÷ paid, inpatient 3.64×
- 3Rank in OR (highest ratio = 1) 7 of 26
- 4CMS price-transparency actions 2
Inpatient stays
For the 20 DRGs that can be compared with the national average, Hillsboro Medical Center charged more than the national average in 3 (15%). 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 | 117 | $78,095 | -14% | $21,277 |
| 291 Heart Failure and Shock with MCC | 49 | $67,862 | +20% | $16,468 |
| 193 Simple Pneumonia and Pleurisy with MCC | 28 | $49,221 | -18% | $13,968 |
| 177 Respiratory Infections and Inflammations with MCC | 24 | $88,607 | +26% | $23,357 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 22 | $44,558 | -9% | $11,998 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 19 | $49,746 | -11% | $12,604 |
| 637 Diabetes with MCC | 19 | $54,137 | -19% | $14,974 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 17 | $58,812 | -22% | $16,318 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 15 | $26,525 | -27% | $8,592 |
| 377 Gastrointestinal Hemorrhage with MCC | 14 | $126,900 | +49% | $35,945 |
| 378 Gastrointestinal Hemorrhage with CC | 14 | $33,705 | -31% | $11,195 |
| 682 Renal Failure with MCC | 14 | $50,152 | -24% | $16,193 |
| 683 Renal Failure with CC | 14 | $39,620 | -3% | $10,583 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 14 | $51,203 | -30% | $17,387 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 13 | $30,443 | -18% | $10,262 |
| 689 Kidney and Urinary Tract Infections with MCC | 13 | $45,001 | -12% | $13,167 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 13 | $212,549 | -7% | $57,143 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 12 | $46,424 | -8% | $12,402 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 12 | $55,321 | -8% | $14,501 |
| 854 Infectious and Parasitic Diseases with O.R. Procedures with... | 11 | $75,634 | -23% | $21,265 |
Outpatient services
Against the Oregon average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Hillsboro Medical Center charged $78,095 on average, 31% more than the Oregon average of $59,560, and was paid $21,277 against a state average of $19,972. For Heart Failure and Shock with MCC (DRG 291), Hillsboro Medical Center charged $67,862 on average, 67% more than the Oregon average of $40,542, and was paid $16,468 against a state average of $12,978. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Hillsboro Medical Center charged $49,221 on average, 29% more than the Oregon average of $38,212, and was paid $13,968 against a state average of $13,346. For Respiratory Infections and Inflammations with MCC (DRG 177), Hillsboro Medical Center charged $88,607 on average, 86% more than the Oregon average of $47,624, and was paid $23,357 against a state average of $16,735. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $5,658 was 38% below the state average of $9,194. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $19,641 was 16% above the state average of $16,975. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $1,753 was 10% below the state average of $1,954. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $43,417 was 17% below the state average of $52,209.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Hillsboro Medical Center in Hillsboro, OR, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2026-03-13 (CMS case 7251)
- Closure Notice — 2026-06-17 (CMS case 7251)
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.