Oregon / Legacy Mount Hood Medical Center
CMS certification 380025 · Gresham, OR
Legacy Mount Hood Medical Center: charges and Medicare payments
Legacy Mount Hood Medical Center reported 259 Medicare inpatient stays across 9 DRGs in 2024. Across them it charged 2.97 times what it was paid — mid-range in Oregon, number 14 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 $47,884, 47% below the national average. It also billed 681 outpatient services, charging 5.32 times what Medicare paid.
- 1Medicare inpatient stays 259
- 2Charge ÷ paid, inpatient 2.97×
- 3Rank in OR (highest ratio = 1) 14 of 26
- 4CMS price-transparency actions 0
Inpatient stays
For the 9 DRGs that can be compared with the national average, Legacy Mount Hood 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 | 63 | $47,884 | -47% | $17,709 |
| 291 Heart Failure and Shock with MCC | 61 | $38,388 | -32% | $12,317 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 29 | $48,385 | -36% | $15,340 |
| 193 Simple Pneumonia and Pleurisy with MCC | 23 | $34,960 | -41% | $12,228 |
| 177 Respiratory Infections and Inflammations with MCC | 21 | $43,150 | -39% | $15,324 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 18 | $119,057 | -48% | $40,281 |
| 189 Pulmonary Edema and Respiratory Failure | 16 | $37,276 | -35% | $11,900 |
| 683 Renal Failure with CC | 15 | $31,609 | -22% | $9,129 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 13 | $36,037 | -10% | $9,174 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 134 | $15,959 | $2,872 |
| Level 5 Urology and Related Services | 69 | $23,540 | $5,304 |
| Level 1 Laparoscopy and Related Services | 65 | $32,490 | $5,906 |
| Level 5 Musculoskeletal Procedures | 51 | $32,586 | $13,786 |
| Level 4 Urology and Related Services | 50 | $18,339 | $3,658 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 42 | $6,298 | $1,669 |
| Level 1 Endovascular Procedures | 39 | $21,330 | $3,362 |
| Level 6 Urology and Related Services | 33 | $37,382 | $9,660 |
| Level 3 Musculoskeletal Procedures | 32 | $13,687 | $2,909 |
| Level 3 Urology and Related Services | 32 | $14,106 | $2,137 |
| Level 3 Vascular Procedures | 23 | $15,403 | $3,345 |
| Level 2 Laparoscopy and Related Services | 23 | $47,390 | $10,790 |
| Level 1 Nerve Procedures | 22 | $11,526 | $1,953 |
| Level 4 Musculoskeletal Procedures | 21 | $30,416 | $7,506 |
| Level 2 Upper GI Procedures | 16 | $7,905 | $1,996 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 15 | $11,371 | $2,823 |
| Level 2 Musculoskeletal Procedures | 14 | $10,790 | $1,686 |
Against the Oregon average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Legacy Mount Hood Medical Center charged $47,884 on average, 20% less than the Oregon average of $59,560, and was paid $17,709 against a state average of $19,972. For Heart Failure and Shock with MCC (DRG 291), Legacy Mount Hood Medical Center charged $38,388 on average, 5% less than the Oregon average of $40,542, and was paid $12,317 against a state average of $12,978. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), Legacy Mount Hood Medical Center charged $48,385 on average, 3% more than the Oregon average of $46,884, and was paid $15,340 against a state average of $15,969. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Legacy Mount Hood Medical Center charged $34,960 on average, 9% less than the Oregon average of $38,212, and was paid $12,228 against a state average of $13,346. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $15,959 was 6% below the state average of $16,975. For Level 5 Urology and Related Services (outpatient APC 5375), its average charge of $23,540 was 6% below the state average of $25,079. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $32,490 was 3% below the state average of $33,402. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $32,586 was 38% below the state average of $52,209.
Price-transparency record
No action in CMS's price-transparency enforcement list (July 2026) matches this hospital's exact name, city and state. That can mean CMS has not reviewed it, or that it is listed under a different name.
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.