Oregon / Providence Milwaukie Hospital
CMS certification 380082 · Milwaukie, OR · 1 entry in CMS's price-transparency list
Providence Milwaukie Hospital: charges and Medicare payments
Providence Milwaukie Hospital reported 260 Medicare inpatient stays across 10 DRGs in 2024. Across them it charged 1.95 times what it was paid — among the lower ratios in Oregon, number 25 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: 86 stays at an average charge of $34,860, 61% below the national average. It also billed 341 outpatient services, charging 4.82 times what Medicare paid.
- 1Medicare inpatient stays 260
- 2Charge ÷ paid, inpatient 1.95×
- 3Rank in OR (highest ratio = 1) 25 of 26
- 4CMS price-transparency actions 1
Inpatient stays
For the 10 DRGs that can be compared with the national average, Providence Milwaukie Hospital 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 | 86 | $34,860 | -61% | $20,005 |
| 291 Heart Failure and Shock with MCC | 44 | $29,961 | -47% | $13,832 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 31 | $26,644 | -46% | $11,649 |
| 177 Respiratory Infections and Inflammations with MCC | 20 | $37,128 | -47% | $17,797 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 18 | $28,730 | -62% | $14,842 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 13 | $19,749 | -47% | $9,595 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 13 | $29,990 | -59% | $17,452 |
| 189 Pulmonary Edema and Respiratory Failure | 12 | $26,555 | -54% | $13,322 |
| 481 Hip and Femur Procedures except Major Joint with CC | 12 | $48,063 | -52% | $23,021 |
| 378 Gastrointestinal Hemorrhage with CC | 11 | $25,811 | -47% | $11,071 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 1 Intraocular Procedures | 159 | $10,745 | $2,421 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 30 | $6,473 | $1,701 |
| Level 5 Musculoskeletal Procedures | 30 | $37,146 | $13,786 |
| Comprehensive Observation Services | 20 | $15,271 | $2,758 |
| Level 2 Musculoskeletal Procedures | 19 | $9,124 | $1,687 |
| Level 1 Abdominal/Peritoneal/Biliary and Related Procedures | 16 | $15,950 | $3,631 |
| Level 1 Laparoscopy and Related Services | 16 | $26,463 | $6,054 |
| Level 1 Nerve Procedures | 14 | $9,880 | $2,026 |
| Level 3 Musculoskeletal Procedures | 13 | $17,518 | $3,397 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 12 | $13,138 | $2,982 |
| Level 4 Musculoskeletal Procedures | 12 | $33,495 | $7,507 |
Against the Oregon average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Providence Milwaukie Hospital charged $34,860 on average, 41% less than the Oregon average of $59,560, and was paid $20,005 against a state average of $19,972. For Heart Failure and Shock with MCC (DRG 291), Providence Milwaukie Hospital charged $29,961 on average, 26% less than the Oregon average of $40,542, and was paid $13,832 against a state average of $12,978. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Providence Milwaukie Hospital charged $26,644 on average, 20% less than the Oregon average of $33,395, and was paid $11,649 against a state average of $10,715. For Respiratory Infections and Inflammations with MCC (DRG 177), Providence Milwaukie Hospital charged $37,128 on average, 22% less than the Oregon average of $47,624, and was paid $17,797 against a state average of $16,735. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $10,745 was 17% above the state average of $9,194. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $6,473 was 20% below the state average of $8,100. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $37,146 was 29% below the state average of $52,209. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $15,271 was 10% below the state average of $16,975.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Providence Milwaukie Hospital in Milwaukie, OR, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2025-04-04 (CMS case 3610)
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.