Oregon / Providence Portland Medical Center

CMS certification 380061 · Portland, OR · 2 entries in CMS's price-transparency list

Providence Portland Medical Center: charges and Medicare payments

Providence Portland Medical Center reported 2,413 Medicare inpatient stays across 84 DRGs in 2024. Across them it charged 2.53 times what it was paid — among the lower ratios in Oregon, number 22 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: 304 stays at an average charge of $47,383, 48% below the national average. It also billed 1,941 outpatient services, charging 5.15 times what Medicare paid.

1Medicare inpatient stays 2,413
2Charge ÷ paid, inpatient 2.53×
3Rank in OR (highest ratio = 1) 22 of 26
4CMS price-transparency actions 2

Average charge per stay at Providence Portland Medical Center, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 84 DRGs that can be compared with the national average, Providence Portland 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	304	$47,383	-48%	$20,366
291 Heart Failure and Shock with MCC	112	$34,081	-40%	$13,192
280 Acute Myocardial Infarction, Discharged Alive with MCC	110	$37,322	-51%	$15,828
853 Infectious and Parasitic Diseases with O.R. Procedures with...	81	$145,302	-37%	$53,637
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	64	$27,373	-44%	$13,042
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	59	$33,469	-44%	$12,153
330 Major Small and Large Bowel Procedures with CC	54	$82,834	-30%	$26,556
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	51	$49,975	-50%	$19,209
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	46	$29,144	-27%	$8,534
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	42	$27,621	-50%	$11,304
281 Acute Myocardial Infarction, Discharged Alive with CC	40	$25,700	-49%	$9,745
603 Cellulitis without MCC	40	$19,976	-46%	$8,797
378 Gastrointestinal Hemorrhage with CC	39	$27,326	-44%	$10,251
189 Pulmonary Edema and Respiratory Failure	37	$39,705	-31%	$12,135
682 Renal Failure with MCC	37	$38,868	-41%	$13,526
328 Stomach, Esophageal and Duodenal Procedures without CC/MCC	36	$57,488	-34%	$17,857
164 Major Chest Procedures with CC	35	$42,660	-67%	$24,913
165 Major Chest Procedures without CC/MCC	34	$39,093	-62%	$21,726
377 Gastrointestinal Hemorrhage with MCC	34	$39,633	-54%	$16,265
312 Syncope and Collapse	33	$34,714	-24%	$10,282
190 Chronic Obstructive Pulmonary Disease with MCC	30	$29,282	-42%	$11,680
698 Other Kidney and Urinary Tract Diagnoses with MCC	29	$42,462	-42%	$15,683
269 Aortic and Heart Assist Procedures except Pulsation Balloon...	28	$113,966	-41%	$41,228
177 Respiratory Infections and Inflammations with MCC	27	$38,996	-45%	$16,342
193 Simple Pneumonia and Pleurisy with MCC	27	$30,590	-49%	$12,723
683 Renal Failure with CC	27	$22,079	-46%	$9,776
689 Kidney and Urinary Tract Infections with MCC	27	$23,802	-54%	$11,463
308 Cardiac Arrhythmia and Conduction Disorders with MCC	26	$33,017	-42%	$12,164
327 Stomach, Esophageal and Duodenal Procedures with CC	26	$87,420	-31%	$33,942
331 Major Small and Large Bowel Procedures without CC/MCC	26	$55,334	-36%	$17,417
314 Other Circulatory System Diagnoses with MCC	24	$39,725	-58%	$17,709
393 Other Digestive System Diagnoses with MCC	24	$50,819	-34%	$25,015
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	23	$30,487	-18%	$8,170
309 Cardiac Arrhythmia and Conduction Disorders with CC	22	$18,133	-50%	$7,704
322 Percutaneous Cardiovascular Procedures with Intraluminal...	22	$62,750	-45%	$18,281
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	22	$34,777	-43%	$13,226
435 Malignancy of Hepatobiliary System or Pancreas with MCC	22	$64,705	-32%	$19,590
552 Medical Back Problems without MCC	22	$19,569	-60%	$9,820
690 Kidney and Urinary Tract Infections without MCC	22	$25,048	-34%	$9,513
057 Degenerative Nervous System Disorders without MCC	21	$27,077	-52%	$13,603
321 Percutaneous Cardiovascular Procedures with Intraluminal...	21	$113,541	-31%	$27,233
481 Hip and Femur Procedures except Major Joint with CC	21	$52,554	-48%	$18,939
854 Infectious and Parasitic Diseases with O.R. Procedures with...	21	$58,279	-41%	$28,620
919 Complications of Treatment with MCC	21	$46,160	-48%	$18,478
023 Craniotomy with Major Device Implant or Acute Complex Cns...	20	$135,703	-52%	$58,156
100 Seizures with MCC	20	$41,138	-56%	$19,525
070 Other Cerebrovascular Disorders with MCC	18	$53,503	-30%	$15,625
470 Major Hip and Knee Joint Replacement or Reattachment of...	18	$51,260	-45%	$19,616
036 Carotid Artery Stent Procedures without CC/MCC	17	$71,005	-20%	$16,655
286 Circulatory Disorders except AMI, with Cardiac...	17	$54,831	-51%	$22,125
163 Major Chest Procedures with MCC	16	$80,415	-62%	$42,619
208 Respiratory System Diagnosis with Ventilator Support <=96...	16	$75,742	-44%	$28,097
056 Degenerative Nervous System Disorders with MCC	15	$44,147	-54%	$22,348
092 Other Disorders of Nervous System with CC	15	$25,051	-51%	$13,176
460 Spinal Fusion except Cervical without MCC	15	$102,792	-40%	$33,247
480 Hip and Femur Procedures except Major Joint with MCC	15	$69,596	-50%	$26,768
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	15	$59,443	-42%	$23,635
638 Diabetes with CC	15	$20,022	-52%	$9,086
981 Extensive O.R. Procedures Unrelated To Principal Diagnosis...	14	$75,530	-65%	$45,855
066 Intracranial Hemorrhage or Cerebral Infarction without...	13	$20,216	-52%	$8,419

Showing the 60 most frequent of 84 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Level 2 Upper GI Procedures	193	$9,274	$1,997
Level 2 Excision/ Biopsy/ Incision and Drainage	168	$7,580	$1,701
Level 1 Endovascular Procedures	137	$10,794	$3,407
Level 3 Vascular Procedures	118	$15,330	$3,316
Level 1 Laparoscopy and Related Services	114	$30,291	$6,054
Comprehensive Observation Services	109	$11,433	$2,851
Level 5 Musculoskeletal Procedures	94	$39,520	$13,657
Level 2 Laparoscopy and Related Services	80	$54,631	$10,790
Level 3 Excision/ Biopsy/ Incision and Drainage	70	$13,186	$2,905
Level 3 Endovascular Procedures	62	$45,357	$11,529
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	58	$16,289	$3,630
Level 3 Urology and Related Services	58	$11,534	$2,137
Level 5 Urology and Related Services	57	$22,705	$5,353
Level 4 Vascular Procedures	56	$33,772	$5,684
Level 4 Musculoskeletal Procedures	52	$32,829	$7,392
Level 4 Urology and Related Services	37	$15,802	$3,658
Level 5 Airway Endoscopy	36	$28,273	$7,182
Level 4 Airway Endoscopy	33	$18,181	$3,929
Level 3 Pacemaker and Similar Procedures	31	$35,609	$11,191
Level 4 Gynecologic Procedures	28	$13,629	$3,281
Complex GI Procedures	27	$21,583	$5,980
Level 2 Breast/Lymphatic Surgery and Related Procedures	26	$32,799	$6,842
Level 5 ENT Procedures	26	$28,387	$6,145
Level 1 Nerve Procedures	26	$9,714	$2,026
Level 2 Vascular Procedures	25	$5,671	$1,573

Against the Oregon average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Providence Portland Medical Center charged $47,383 on average, 20% less than the Oregon average of $59,560, and was paid $20,366 against a state average of $19,972. For Heart Failure and Shock with MCC (DRG 291), Providence Portland Medical Center charged $34,081 on average, 16% less than the Oregon average of $40,542, and was paid $13,192 against a state average of $12,978. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), Providence Portland Medical Center charged $37,322 on average, 20% less than the Oregon average of $46,884, and was paid $15,828 against a state average of $15,969. For Infectious and Parasitic Diseases with O.R. Procedures with MCC (DRG 853), Providence Portland Medical Center charged $145,302 on average, 4% less than the Oregon average of $151,513, and was paid $53,637 against a state average of $53,522. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $9,274 was 1% above the state average of $9,198. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $7,580 was 6% below the state average of $8,100. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $10,794 was 39% below the state average of $17,751. For Level 3 Vascular Procedures (outpatient APC 5183), its average charge of $15,330 was 10% below the state average of $17,085.

Price-transparency record

CMS's enforcement list records these actions for a hospital named Providence Portland 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 — 2023-04-26 (CMS case 311)
Met Requirements — 2025-04-04 (CMS case 3606)

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.