Legacy Health · Gresham, OR
28
In-network payers
332
Disclosed rate categories
115
Beds
4
Care quality
Legacy Mount Hood Medical Center is a 115-bed voluntary non-profit - private hospital in Gresham, OR, affiliated with Legacy Health. Below you'll find publicly disclosed negotiated rates and facility details, including 28 in-network payers and 332 disclosed rate categories.
CCN (Medicare provider number)
380025
NPI
1255354700
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Private
Beds
115
Care Quality
4
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 Mount Hood Medical Center 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
$3,233 - $18,541
from 4 insurers · median $10,950
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
$8,651 - $26,367
from 4 insurers · median $16,616
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
Medicine & Surgery
CPT 47562
$10,369 - $19,071
from 4 insurers · median $17,930
65 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 49650
$10,833 - $19,521
from 4 insurers · median $15,050
65 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Gynecology
CPT 58571
$6,936 - $33,194
from 4 insurers · median $17,930
23 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 47563
$8,652 - $19,970
from 4 insurers · median $17,930
65 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
CT imaging
CPT 74177
$674 - $2,314
from 4 insurers · median $1,185
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$3,652 - $6,042
from 4 insurers · median $4,861
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$477 - $2,253
from 4 insurers · median $1,990
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$3,563 - $6,042
from 4 insurers · median $4,861
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 807
$3,233 - $18,541
from 4 insurers · median $10,950
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
Urology
CPT 50590
$11,138 - $17,691
from 4 insurers · median $13,770
50 Medicare claims in Level 4 Urology and Related Services (CMS 2024)
Medicine & Surgery
CPT 66984
$8,353 - $10,369
from 4 insurers · median $9,191
Typical for a hospital with this service line
Medicine & Surgery
CPT 55866
$11,949 - $33,976
from 4 insurers · median $19,953
23 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery
CPT 29881
$9,688 - $14,470
from 4 insurers · median $10,944
32 Medicare claims in Level 3 Musculoskeletal Procedures (CMS 2024)
Mammography
CPT 77067
$180 - $256
from 4 insurers · median $214
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$856 - $5,138
from 4 insurers · median $3,792
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$66 - $322
from 4 insurers · median $215
Common here, based on CMS Medicare volume
Ear, nose and throat
CPT 69436
$5,575 - $10,620
from 4 insurers · median $8,376
Typical for a hospital with this service line
Gynecology
CPT 58661
$8,652 - $24,513
from 4 insurers · median $14,319
Typical for a hospital with this service line
Gynecology
CPT 58558
$7,428 - $10,273
from 4 insurers · median $9,294
Typical for a hospital with this service line
Medicine & Surgery · Inpatient
MS-DRG 743
$10,661 - $34,119
from 4 insurers · median $21,819
Hospital reports inpatient surgical services to CMS
CT imaging
CPT 70450
$186 - $442
from 4 insurers · median $293
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$475 - $919
from 4 insurers · median $720
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 | 339% | 3 | 6 |
| Insurer B* | 24 | 292% | 14 | 5 |
| Insurer C* | 24 | 286% | 2 | 13 |
| Insurer D* | 24 | 182% | 7 | 10 |
How we chose these services: 7 appear in this hospital's own Medicare claims, 9 are common here based on CMS Medicare volume, and 8 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 Mount Hood Medical Center.
24800 Se Stark, Gresham, OR 97030
(503) 674-1122
The nearest hospitals of similar type and size. Their rates are compared with Legacy Mount Hood Medical Center for the same insurers and services above.
Providence Milwaukie Hospital
▲ Rates typically 15% higher than Legacy Mount Hood Medical Center (21 services)
Providence Willamette Falls Medical Center
▲ Rates typically 16% higher than Legacy Mount Hood Medical Center (21 services)
Tuality Healthcare
Rates about the same as Legacy Mount Hood Medical Center (21 services)
Willamette Valley Medical Center
▼ Rates typically 13% lower than Legacy Mount Hood Medical Center (21 services)
Samaritan Albany General Hospital
▼ Rates typically 23% lower than Legacy Mount Hood Medical Center (21 services)
Good Samaritan Regional Medical Center
▼ Rates typically 23% lower than Legacy Mount Hood Medical Center (21 services)
Legacy Meridian Park Hospital
Legacy Good Samaritan Hospital
Silverton Hospital
Legacy Emanuel Hospital & Health Ctr
About Legacy Mount Hood Medical Center's rates and hospital price transparency.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Legacy Mount Hood Medical Center range from $674 to $2,314 across 4 insurers. Aetna's rate is $674. The median at nearby comparable hospitals is $1,063. 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 Mount Hood Medical Center range from $3,652 to $6,042 across 4 insurers. Regence BlueCross BlueShield's rate is $4,149. The median at nearby comparable hospitals is $3,952. 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 Mount Hood Medical Center range from $3,233 to $18,541 across 4 insurers. Cigna's rate is $3,233. 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 Mount Hood Medical Center range from $180 to $256 across 4 insurers. UnitedHealthcare's rate is $180. The median at nearby comparable hospitals is $330. What a patient pays depends on their plan's deductible, coinsurance and network status.
Legacy Mount Hood Medical Center has 115 beds. Facility type: Short Term Acute Care Hospital.
Legacy Mount Hood Medical Center is located at 24800 Se Stark, Gresham, OR 97030. Its main phone number is (503) 674-1122.
Legacy Mount Hood Medical Center's CMS Certification Number (CCN), also called its Medicare provider number, is 380025.
The National Provider Identifier (NPI) on file for Legacy Mount Hood Medical Center is 1255354700.
Legacy Mount Hood Medical Center is affiliated with Legacy Health.
Legacy Mount Hood Medical Center lists 28 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