Washington / Legacy Salmon Creek Medical Center
CMS certification 500150 · Vancouver, WA · 1 entry in CMS's price-transparency list
Legacy Salmon Creek Medical Center: charges and Medicare payments
Legacy Salmon Creek Medical Center reported 1,265 Medicare inpatient stays across 50 DRGs in 2024. Across them it charged 3.56 times what it was paid — among the lower ratios in Washington, number 37 of 43 hospitals with at least 100 stays (state median 4.37×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 167 stays at an average charge of $62,523, 31% below the national average. It also billed 1,466 outpatient services, charging 4.67 times what Medicare paid.
- 1Medicare inpatient stays 1,265
- 2Charge ÷ paid, inpatient 3.56×
- 3Rank in WA (highest ratio = 1) 37 of 43
- 4CMS price-transparency actions 1
Inpatient stays
For the 50 DRGs that can be compared with the national average, Legacy Salmon Creek 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 | 167 | $62,523 | -31% | $17,538 |
| 291 Heart Failure and Shock with MCC | 122 | $48,515 | -14% | $12,032 |
| 177 Respiratory Infections and Inflammations with MCC | 55 | $43,335 | -39% | $15,045 |
| 189 Pulmonary Edema and Respiratory Failure | 55 | $45,979 | -20% | $11,612 |
| 193 Simple Pneumonia and Pleurisy with MCC | 49 | $35,283 | -41% | $12,693 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 38 | $150,723 | -34% | $45,574 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 34 | $46,336 | -37% | $14,266 |
| 378 Gastrointestinal Hemorrhage with CC | 31 | $33,454 | -31% | $9,439 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 27 | $36,702 | -25% | $9,927 |
| 689 Kidney and Urinary Tract Infections with MCC | 26 | $37,444 | -27% | $10,528 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 25 | $37,738 | -32% | $9,519 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 25 | $44,278 | -22% | $11,302 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 25 | $28,796 | -28% | $8,314 |
| 682 Renal Failure with MCC | 25 | $50,678 | -23% | $12,478 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 22 | $72,152 | -5% | $15,072 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 22 | $55,025 | -9% | $12,574 |
| 312 Syncope and Collapse | 20 | $32,858 | -28% | $8,524 |
| 603 Cellulitis without MCC | 20 | $29,864 | -20% | $8,608 |
| 637 Diabetes with MCC | 20 | $53,139 | -20% | $14,863 |
| 683 Renal Failure with CC | 20 | $33,965 | -17% | $8,598 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 19 | $33,748 | -7% | $7,382 |
| 690 Kidney and Urinary Tract Infections without MCC | 19 | $31,206 | -17% | $7,881 |
| 070 Other Cerebrovascular Disorders with MCC | 18 | $42,279 | -44% | $15,233 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 18 | $86,575 | -24% | $18,392 |
| 389 Gastrointestinal Obstruction with CC | 18 | $31,782 | -18% | $7,786 |
| 481 Hip and Femur Procedures except Major Joint with CC | 18 | $63,702 | -37% | $18,600 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 18 | $26,726 | -28% | $9,075 |
| 643 Endocrine Disorders with MCC | 18 | $42,518 | -43% | $14,325 |
| 091 Other Disorders of Nervous System with MCC | 17 | $38,108 | -54% | $15,379 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 17 | $41,835 | -17% | $11,879 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 16 | $61,666 | -38% | $16,962 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 15 | $95,936 | -29% | $23,120 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 15 | $55,970 | -45% | $18,826 |
| 854 Infectious and Parasitic Diseases with O.R. Procedures with... | 15 | $53,850 | -45% | $19,401 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 14 | $79,178 | -29% | $20,734 |
| 329 Major Small and Large Bowel Procedures with MCC | 14 | $120,757 | -44% | $39,597 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 14 | $68,852 | -50% | $25,117 |
| 071 Other Cerebrovascular Disorders with CC | 13 | $36,378 | -28% | $10,498 |
| 330 Major Small and Large Bowel Procedures with CC | 13 | $89,537 | -25% | $21,609 |
| 393 Other Digestive System Diagnoses with MCC | 13 | $53,741 | -30% | $15,011 |
| 101 Seizures without MCC | 12 | $27,245 | -44% | $8,809 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 12 | $37,974 | -25% | $8,657 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 12 | $121,674 | -26% | $23,371 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 12 | $35,363 | -42% | $12,778 |
| 919 Complications of Treatment with MCC | 12 | $53,325 | -40% | $16,503 |
| 194 Simple Pneumonia and Pleurisy with CC | 11 | $26,421 | -31% | $7,697 |
| 314 Other Circulatory System Diagnoses with MCC | 11 | $71,938 | -24% | $17,778 |
| 521 Hip Replacement with Principal Diagnosis of Hip Fracture... | 11 | $68,889 | -49% | $22,249 |
| 543 Pathological Fractures and Musculoskeletal and Connective... | 11 | $30,081 | -39% | $9,731 |
| 811 Red Blood Cell Disorders with MCC | 11 | $50,958 | -25% | $13,081 |
Outpatient services
Against the Washington average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Legacy Salmon Creek Medical Center charged $62,523 on average, 21% less than the Washington average of $78,715, and was paid $17,538 against a state average of $18,304. For Heart Failure and Shock with MCC (DRG 291), Legacy Salmon Creek Medical Center charged $48,515 on average, 9% less than the Washington average of $53,424, and was paid $12,032 against a state average of $12,124. For Respiratory Infections and Inflammations with MCC (DRG 177), Legacy Salmon Creek Medical Center charged $43,335 on average, 34% less than the Washington average of $65,942, and was paid $15,045 against a state average of $15,782. For Pulmonary Edema and Respiratory Failure (DRG 189), Legacy Salmon Creek Medical Center charged $45,979 on average, 20% less than the Washington average of $57,551, and was paid $11,612 against a state average of $11,854. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $17,435 was 22% below the state average of $22,427. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $39,368 was 44% below the state average of $69,838. For Level 5 Urology and Related Services (outpatient APC 5375), its average charge of $28,368 was 12% below the state average of $32,230. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $6,572 was 32% below the state average of $9,672.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Legacy Salmon Creek Medical Center in Vancouver, WA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2025-04-25 (CMS case 4145)
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.