Oregon / Providence Willamette Falls Medical Center
CMS certification 380038 · Oregon City, OR · 2 entries in CMS's price-transparency list
Providence Willamette Falls Medical Center: charges and Medicare payments
Providence Willamette Falls Medical Center reported 397 Medicare inpatient stays across 19 DRGs in 2024. Across them it charged 2.39 times what it was paid — among the lower ratios in Oregon, number 23 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: 95 stays at an average charge of $38,776, 57% below the national average. It also billed 347 outpatient services, charging 4 times what Medicare paid.
- 1Medicare inpatient stays 397
- 2Charge ÷ paid, inpatient 2.39×
- 3Rank in OR (highest ratio = 1) 23 of 26
- 4CMS price-transparency actions 2
Inpatient stays
For the 19 DRGs that can be compared with the national average, Providence Willamette Falls 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 | 95 | $38,776 | -57% | $18,508 |
| 291 Heart Failure and Shock with MCC | 54 | $28,806 | -49% | $12,055 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 26 | $26,362 | -46% | $9,844 |
| 177 Respiratory Infections and Inflammations with MCC | 24 | $37,742 | -47% | $14,900 |
| 193 Simple Pneumonia and Pleurisy with MCC | 22 | $30,016 | -50% | $12,417 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 19 | $49,158 | -47% | $17,407 |
| 468 Revision of Hip or Knee Replacement without CC/MCC | 15 | $77,225 | -38% | $28,929 |
| 377 Gastrointestinal Hemorrhage with MCC | 14 | $43,284 | -49% | $14,840 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 14 | $60,715 | -41% | $18,476 |
| 378 Gastrointestinal Hemorrhage with CC | 12 | $27,042 | -44% | $10,408 |
| 543 Pathological Fractures and Musculoskeletal and Connective... | 12 | $19,256 | -61% | $9,994 |
| 690 Kidney and Urinary Tract Infections without MCC | 12 | $28,383 | -25% | $7,761 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 12 | $33,804 | -54% | $17,245 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 11 | $23,136 | -58% | $10,071 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 11 | $24,346 | -52% | $11,738 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 11 | $19,138 | -75% | $10,451 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 11 | $19,913 | -45% | $7,477 |
| 603 Cellulitis without MCC | 11 | $14,800 | -60% | $8,076 |
| 682 Renal Failure with MCC | 11 | $23,778 | -64% | $12,815 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 5 Musculoskeletal Procedures | 75 | $40,025 | $13,624 |
| Level 4 Musculoskeletal Procedures | 39 | $28,374 | $7,507 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 32 | $6,136 | $1,701 |
| Level 4 Urology and Related Services | 26 | $14,839 | $3,658 |
| Level 3 Urology and Related Services | 25 | $11,791 | $2,137 |
| Level 1 Laparoscopy and Related Services | 24 | $24,813 | $6,054 |
| Level 5 Urology and Related Services | 24 | $17,887 | $5,429 |
| Comprehensive Observation Services | 24 | $12,163 | $2,872 |
| Level 3 Musculoskeletal Procedures | 23 | $15,915 | $3,396 |
| Level 6 Musculoskeletal Procedures | 20 | $60,318 | $19,508 |
| Level 2 Musculoskeletal Procedures | 19 | $9,303 | $1,686 |
| Level 2 Upper GI Procedures | 16 | $6,595 | $1,996 |
Against the Oregon average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Providence Willamette Falls Medical Center charged $38,776 on average, 35% less than the Oregon average of $59,560, and was paid $18,508 against a state average of $19,972. For Heart Failure and Shock with MCC (DRG 291), Providence Willamette Falls Medical Center charged $28,806 on average, 29% less than the Oregon average of $40,542, and was paid $12,055 against a state average of $12,978. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Providence Willamette Falls Medical Center charged $26,362 on average, 21% less than the Oregon average of $33,395, and was paid $9,844 against a state average of $10,715. For Respiratory Infections and Inflammations with MCC (DRG 177), Providence Willamette Falls Medical Center charged $37,742 on average, 21% less than the Oregon average of $47,624, and was paid $14,900 against a state average of $16,735. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $40,025 was 23% below the state average of $52,209. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $28,374 was 15% below the state average of $33,567. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $6,136 was 24% below the state average of $8,100. For Level 4 Urology and Related Services (outpatient APC 5374), its average charge of $14,839 was 22% below the state average of $18,927.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Providence Willamette Falls Medical Center in Oregon City, OR, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2023-04-19 (CMS case 1138)
- Met Requirements — 2025-04-04 (CMS case 3599)
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.