Legacy Health · Portland, OR
33
In-network payers
332
Disclosed rate categories
539
Beds
5
Care quality
Legacy Good Samaritan Hospital is a 539-bed voluntary non-profit - private hospital in Portland, OR, affiliated with Legacy Health. Below you'll find publicly disclosed negotiated rates and facility details, including 33 in-network payers and 332 disclosed rate categories.
CCN (Medicare provider number)
380017
NPI
1780608216
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Private
Beds
539
Care Quality
5
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
The 24 services Legacy Good Samaritan Hospital most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
Childbirth · Inpatient
MS-DRG 807
$5,915 - $18,541
from 4 insurers · median $11,997
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Childbirth · Inpatient
MS-DRG 788
$14,608 - $22,705
from 3 insurers · median $18,196
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Gynecology
CPT 58558
$2,779 - $10,273
from 4 insurers · median $9,178
37 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)
Medicine & Surgery
CPT 47562
$11,949 - $19,521
from 4 insurers · median $17,930
98 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery
CPT 66984
$8,500 - $11,949
from 4 insurers · median $10,067
427 Medicare claims in Level 1 Intraocular Procedures (CMS 2024)
Digestive procedures
CPT 45385
$3,962 - $6,042
from 4 insurers · median $5,446
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$14,901 - $33,976
from 4 insurers · median $17,930
58 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)
Childbirth · Inpatient
MS-DRG 807
$5,915 - $18,541
from 4 insurers · median $11,997
CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
CT imaging
CPT 74177
$564 - $1,542
from 4 insurers · median $957
Common here, based on CMS Medicare volume
Digestive procedures
CPT 49650
$8,885 - $19,970
from 4 insurers · median $15,050
98 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 45380
$1,128 - $6,042
from 4 insurers · median $4,814
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 216
$162,822 - $242,592
from 3 insurers · median $194,106
Hospital reports cardiac thoracic surgery services to CMS
Digestive procedures
CPT 43239
$981 - $6,042
from 4 insurers · median $4,337
Common here, based on CMS Medicare volume
Ear, nose and throat
CPT 30520
$8,500 - $14,470
from 4 insurers · median $10,032
23 Medicare claims in Level 4 ENT Procedures (CMS 2024)
Medicine & Surgery · Inpatient
MS-DRG 470
$9,420 - $53,045
from 4 insurers · median $34,842
16 Medicare discharges for this DRG in CMS hospital data
Mammography
CPT 77067
$180 - $256
from 4 insurers · median $226
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 55866
$9,144 - $33,976
from 4 insurers · median $19,953
58 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)
X-ray and bone density
CPT 71046
$74 - $322
from 4 insurers · median $231
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78815
$1,845 - $5,828
from 4 insurers · median $4,002
Common here, based on CMS Medicare volume
Ear, nose and throat
CPT 69436
$5,575 - $10,273
from 4 insurers · median $8,180
Typical for a hospital with this service line
Gynecology
CPT 58661
$10,369 - $24,513
from 4 insurers · median $14,319
Typical for a hospital with this service line
Nuclear imaging
CPT 78452
$934 - $5,138
from 4 insurers · median $2,763
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$237 - $453
from 4 insurers · median $293
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$564 - $952
from 4 insurers · median $655
Common here, based on CMS Medicare volume
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 24 | 335% | 7 | 10 |
| Insurer B* | 22 | 286% | 2 | 17 |
| Insurer C* | 24 | 253% | 7 | 13 |
| Insurer D* | 24 | 158% | 9 | 12 |
How we chose these services: 8 appear in this hospital's own Medicare claims, 10 are common here based on CMS Medicare volume, and 6 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Legacy Good Samaritan Hospital.
1015 Nw 22nd Avenue, Portland, OR 97210
(503) 413-7711
The nearest hospitals of similar type and size. Their rates are compared with Legacy Good Samaritan Hospital for the same insurers and services above.
Ohsu Hospital
Rates about the same as Legacy Good Samaritan Hospital (21 services)
Providence St. Vincent Medical Center
▲ Rates typically 36% higher than Legacy Good Samaritan Hospital (21 services)
Providence Portland Medical Center
▲ Rates typically 18% higher than Legacy Good Samaritan Hospital (21 services)
Adventist Health Portland
▼ Rates typically 7% lower than Legacy Good Samaritan Hospital (21 services)
Peacehealth Southwest Medical Center
▲ Rates typically 7% higher than Legacy Good Samaritan Hospital (21 services)
Peacehealth St John Medical Center
▲ Rates typically 89% higher than Legacy Good Samaritan Hospital (21 services)
Legacy Emanuel Hospital & Health Ctr
About Legacy Good Samaritan Hospital's rates and hospital price transparency.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Legacy Good Samaritan Hospital range from $564 to $1,542 across 4 insurers. Aetna's rate is $565. The median at nearby comparable hospitals is $1,149. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Legacy Good Samaritan Hospital range from $3,962 to $6,042 across 4 insurers. Regence BlueCross BlueShield's rate is $3,962. The median at nearby comparable hospitals is $4,740. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Legacy Good Samaritan Hospital range from $5,915 to $18,541 across 4 insurers. UnitedHealthcare's rate is $10,573. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Legacy Good Samaritan Hospital range from $180 to $256 across 4 insurers. UnitedHealthcare's rate is $180. The median at nearby comparable hospitals is $262. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Legacy Good Samaritan Hospital range from $9,420 to $53,045 across 4 insurers. Aetna's rate is $53,045. The median at nearby comparable hospitals is $44,190. What a patient pays depends on their plan's deductible, coinsurance and network status.
Legacy Good Samaritan Hospital has 539 beds. Facility type: Short Term Acute Care Hospital.
Legacy Good Samaritan Hospital is located at 1015 Nw 22nd Avenue, Portland, OR 97210. Its main phone number is (503) 413-7711.
Legacy Good Samaritan Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 380017.
The National Provider Identifier (NPI) on file for Legacy Good Samaritan Hospital is 1780608216.
Legacy Good Samaritan Hospital is affiliated with Legacy Health.
Legacy Good Samaritan Hospital lists 33 in-network payers, including Aetna, Aspirus Health Plan, Avera Health Plans, BCBS, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
332 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
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{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers