Oregon / Kaiser Sunnyside Medical Center
CMS certification 380091 · Clackamas, OR · 2 entries in CMS's price-transparency list
Kaiser Sunnyside Medical Center: charges and Medicare payments
Kaiser Sunnyside Medical Center reported 340 Medicare inpatient stays across 13 DRGs in 2024. Across them it charged 2.77 times what it was paid — mid-range in Oregon, number 17 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: 93 stays at an average charge of $46,173, 49% below the national average. It also billed 103 outpatient services, charging 5.83 times what Medicare paid.
- 1Medicare inpatient stays 340
- 2Charge ÷ paid, inpatient 2.77×
- 3Rank in OR (highest ratio = 1) 17 of 26
- 4CMS price-transparency actions 2
Inpatient stays
For the 13 DRGs that can be compared with the national average, Kaiser Sunnyside Medical Center 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 | 93 | $46,173 | -49% | $17,469 |
| 291 Heart Failure and Shock with MCC | 53 | $37,319 | -34% | $11,315 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 39 | $33,750 | -55% | $14,109 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 25 | $27,988 | -50% | $8,432 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 23 | $23,626 | -52% | $9,303 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 20 | $71,805 | -28% | $18,640 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 14 | $22,828 | -55% | $10,022 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 14 | $73,774 | -68% | $45,975 |
| 378 Gastrointestinal Hemorrhage with CC | 13 | $20,522 | -58% | $10,805 |
| 177 Respiratory Infections and Inflammations with MCC | 12 | $44,881 | -36% | $13,685 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 12 | $88,889 | -22% | $16,702 |
| 189 Pulmonary Edema and Respiratory Failure | 11 | $28,038 | -51% | $9,670 |
| 193 Simple Pneumonia and Pleurisy with MCC | 11 | $28,239 | -53% | $11,552 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 60 | $12,775 | $2,726 |
| Level 4 Vascular Procedures | 18 | $27,402 | $5,473 |
| Level 2 Endovascular Procedures | 13 | $20,781 | $5,692 |
| Level 2 Vascular Procedures | 12 | $8,665 | $1,422 |
Against the Oregon average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Kaiser Sunnyside Medical Center charged $46,173 on average, 22% less than the Oregon average of $59,560, and was paid $17,469 against a state average of $19,972. For Heart Failure and Shock with MCC (DRG 291), Kaiser Sunnyside Medical Center charged $37,319 on average, 8% less than the Oregon average of $40,542, and was paid $11,315 against a state average of $12,978. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), Kaiser Sunnyside Medical Center charged $33,750 on average, 28% less than the Oregon average of $46,884, and was paid $14,109 against a state average of $15,969. For Intracranial Hemorrhage or Cerebral Infarction with CC or Tpa in 24 Hours (DRG 065), Kaiser Sunnyside Medical Center charged $27,988 on average, 25% less than the Oregon average of $37,528, and was paid $8,432 against a state average of $10,546. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $12,775 was 25% below the state average of $16,975. For Level 4 Vascular Procedures (outpatient APC 5184), its average charge of $27,402 was 15% below the state average of $32,241. For Level 2 Endovascular Procedures (outpatient APC 5192), its average charge of $20,781 was 33% below the state average of $30,905. For Level 2 Vascular Procedures (outpatient APC 5182), its average charge of $8,665 was 26% above the state average of $6,860.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Kaiser Sunnyside Medical Center in Clackamas, OR, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2025-04-07 (CMS case 3618)
- Met Requirements — 2026-04-28 (CMS case 7639)
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.