Oregon / Legacy Emanuel Medical Center
CMS certification 380007 · Portland, OR · 1 entry in CMS's price-transparency list
Legacy Emanuel Medical Center: charges and Medicare payments
Legacy Emanuel Medical Center reported 990 Medicare inpatient stays across 47 DRGs in 2024. Across them it charged 3.13 times what it was paid — mid-range in Oregon, number 11 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: 89 stays at an average charge of $69,222, 23% below the national average. It also billed 730 outpatient services, charging 5.4 times what Medicare paid.
- 1Medicare inpatient stays 990
- 2Charge ÷ paid, inpatient 3.13×
- 3Rank in OR (highest ratio = 1) 11 of 26
- 4CMS price-transparency actions 1
Inpatient stays
For the 47 DRGs that can be compared with the national average, Legacy Emanuel Medical Center charged more than the national average in 5 (11%). 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 | 89 | $69,222 | -23% | $20,280 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 82 | $76,623 | -51% | $31,439 |
| 481 Hip and Femur Procedures except Major Joint with CC | 46 | $66,708 | -34% | $20,796 |
| 291 Heart Failure and Shock with MCC | 44 | $57,115 | +1% | $16,842 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 34 | $128,534 | -42% | $46,994 |
| 025 Craniotomy and Endovascular Intracranial Procedures with MCC | 31 | $185,843 | -20% | $51,855 |
| 189 Pulmonary Edema and Respiratory Failure | 31 | $58,714 | +2% | $17,460 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 27 | $63,162 | -37% | $22,116 |
| 552 Medical Back Problems without MCC | 27 | $45,625 | -7% | $11,549 |
| 266 Endovascular Cardiac Valve Replacement and Supplement... | 25 | $180,936 | -36% | $63,287 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 25 | $59,367 | -22% | $16,521 |
| 177 Respiratory Infections and Inflammations with MCC | 24 | $57,311 | -19% | $18,094 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 24 | $25,524 | -29% | $8,929 |
| 603 Cellulitis without MCC | 24 | $35,456 | -5% | $11,236 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 22 | $200,652 | -12% | $68,336 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 20 | $88,083 | -37% | $28,961 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 19 | $29,691 | -39% | $11,560 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 18 | $54,479 | -10% | $15,462 |
| 928 Full Thickness Burn with Skin Graft or Inhalation Injury... | 18 | $203,168 | -41% | $75,835 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 17 | $28,845 | -48% | $11,666 |
| 082 Traumatic Stupor and Coma >1 Hour with MCC | 17 | $103,137 | -11% | $28,008 |
| 193 Simple Pneumonia and Pleurisy with MCC | 17 | $40,016 | -33% | $13,921 |
| 236 Coronary Bypass without Cardiac Catheterization without MCC | 17 | $159,511 | -24% | $39,524 |
| 493 Lower Extremity and Humerus Procedures except Hip, Foot and... | 16 | $99,477 | -16% | $24,997 |
| 003 ECMO or Tracheostomy with MV >96 Hours or Principal... | 15 | $514,494 | -51% | $195,149 |
| 083 Traumatic Stupor and Coma >1 Hour with CC | 14 | $48,170 | -34% | $15,075 |
| 252 Other Vascular Procedures with MCC | 13 | $115,272 | -33% | $39,411 |
| 312 Syncope and Collapse | 13 | $41,069 | -10% | $10,150 |
| 377 Gastrointestinal Hemorrhage with MCC | 13 | $66,998 | -22% | $18,225 |
| 378 Gastrointestinal Hemorrhage with CC | 13 | $48,425 | 0% | $12,263 |
| 917 Poisoning and Toxic Effects of Drugs with MCC | 13 | $64,224 | -14% | $16,713 |
| 086 Traumatic Stupor and Coma <1 Hour with CC | 12 | $69,297 | +1% | $16,498 |
| 100 Seizures with MCC | 12 | $90,796 | -4% | $28,031 |
| 235 Coronary Bypass without Cardiac Catheterization with MCC | 12 | $217,948 | -26% | $66,536 |
| 467 Revision of Hip or Knee Replacement with CC | 12 | $94,272 | -40% | $33,563 |
| 482 Hip and Femur Procedures except Major Joint without CC/MCC | 12 | $66,188 | -15% | $16,945 |
| 551 Medical Back Problems with MCC | 12 | $88,014 | +12% | $26,322 |
| 091 Other Disorders of Nervous System with MCC | 11 | $76,685 | -7% | $23,533 |
| 219 Cardiac Valve and Other Major Cardiothoracic Procedures... | 11 | $285,241 | -28% | $97,269 |
| 273 Percutaneous and Other Intracardiac Procedures with MCC | 11 | $118,644 | -45% | $42,200 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 11 | $79,302 | -31% | $20,144 |
| 466 Revision of Hip or Knee Replacement with MCC | 11 | $174,141 | -28% | $62,448 |
| 494 Lower Extremity and Humerus Procedures except Hip, Foot and... | 11 | $61,731 | -35% | $20,117 |
| 563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,... | 11 | $37,035 | -13% | $12,117 |
| 682 Renal Failure with MCC | 11 | $53,718 | -19% | $17,202 |
| 907 Other O.R. Procedures for Injuries with MCC | 11 | $344,785 | +88% | $62,368 |
| 963 Other Multiple Significant Trauma with MCC | 11 | $114,947 | -17% | $33,015 |
Outpatient services
Against the Oregon average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Legacy Emanuel Medical Center charged $69,222 on average, 16% more than the Oregon average of $59,560, and was paid $20,280 against a state average of $19,972. For Percutaneous and Other Intracardiac Procedures without MCC (DRG 274), Legacy Emanuel Medical Center charged $76,623 on average, 24% less than the Oregon average of $100,929, and was paid $31,439 against a state average of $32,466. For Hip and Femur Procedures except Major Joint with CC (DRG 481), Legacy Emanuel Medical Center charged $66,708 on average, 9% less than the Oregon average of $73,385, and was paid $20,796 against a state average of $20,570. For Heart Failure and Shock with MCC (DRG 291), Legacy Emanuel Medical Center charged $57,115 on average, 41% more than the Oregon average of $40,542, and was paid $16,842 against a state average of $12,978. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $18,466 was 9% above the state average of $16,975. For Level 3 Electrophysiologic Procedures (outpatient APC 5213), its average charge of $118,208 was 2% above the state average of $115,356. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $39,659 was 18% above the state average of $33,567. For Level 5 ENT Procedures (outpatient APC 5165), its average charge of $20,878 was 35% below the state average of $32,103.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Legacy Emanuel Medical Center 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 — 2023-04-28 (CMS case 763)
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.