Tuality Healthcare · Hillsboro, OR
39
In-network payers
313
Disclosed rate categories
106
Beds
3
Care quality
Tuality Healthcare is a 106-bed voluntary non-profit - private hospital in Hillsboro, OR, affiliated with Tuality Healthcare. Below you'll find publicly disclosed negotiated rates and facility details, including 39 in-network payers and 313 disclosed rate categories.
CCN (Medicare provider number)
380021
NPI
1275591984
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Private
Beds
106
Care Quality
3
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 Tuality Healthcare 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
$11,144 - $15,317
from 4 insurers · median $12,201
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
$14,888 - $22,532
from 3 insurers · median $16,510
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 66984
$5,434 - $11,667
from 3 insurers · median $10,488
386 Medicare claims in Level 1 Intraocular Procedures (CMS 2024)
Gynecology
CPT 58558
$5,434 - $9,577
from 3 insurers · median $9,155
11 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)
CT imaging
CPT 74177
$415 - $1,306
from 4 insurers · median $1,146
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 216
$182,271 - $225,056
from 4 insurers · median $193,658
Hospital reports cardiac thoracic surgery services to CMS
Digestive procedures
CPT 45385
$3,506 - $5,090
from 4 insurers · median $4,085
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$1,629 - $2,228
from 4 insurers · median $1,933
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 470
$36,867 - $43,219
from 4 insurers · median $40,176
11 Medicare discharges for this DRG in CMS hospital data
Medicine & Surgery
CPT 47562
$11,667 - $16,877
from 3 insurers · median $16,124
28 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 45380
$3,506 - $5,090
from 4 insurers · median $4,085
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$14,987 - $24,703
from 2 insurers · median $19,845
Typical for a hospital with this service line
Mammography
CPT 77067
$146 - $398
from 4 insurers · median $337
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$2,314 - $5,090
from 4 insurers · median $3,034
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 807
$11,144 - $15,317
from 4 insurers · median $12,201
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
Medicine & Surgery · Inpatient
MS-DRG 460
$67,743 - $85,130
from 2 insurers · median $76,437
Hospital reports neurosurgical services to CMS
Nuclear imaging
CPT 78815
$2,466 - $6,963
from 4 insurers · median $5,087
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$125 - $326
from 4 insurers · median $277
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$1,680 - $4,846
from 4 insurers · median $4,155
Common here, based on CMS Medicare volume
Digestive procedures
CPT 49650
$9,620 - $16,877
from 3 insurers · median $10,612
28 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Ear, nose and throat
CPT 69436
$5,154 - $9,577
from 3 insurers · median $6,742
Typical for a hospital with this service line
Urology
CPT 52000
$574 - $4,805
from 4 insurers · median $2,317
134 Medicare claims in Level 2 Urology and Related Services (CMS 2024)
CT imaging
CPT 70450
$123 - $346
from 4 insurers · median $306
Common here, based on CMS Medicare volume
Orthopedics and pain
CPT 63030
$11,667 - $21,418
from 3 insurers · median $18,390
42 Medicare claims in Level 4 Musculoskeletal Procedures (CMS 2024)
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 | 350% | 17 | 3 |
| Insurer B* | 24 | 346% | 6 | 15 |
| Insurer C* | 16 | 302% | 5 | 8 |
| Insurer D* | 21 | 292% | 3 | 16 |
How we chose these services: 7 appear in this hospital's own Medicare claims, 10 are common here based on CMS Medicare volume, and 7 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 Tuality Healthcare.
335 Se Eighth Avenue, Hillsboro, OR 97123
(503) 681-1111
The nearest hospitals of similar type and size. Their rates are compared with Tuality Healthcare for the same insurers and services above.
Legacy Meridian Park Hospital
Rates about the same as Tuality Healthcare (21 services)
Providence Milwaukie Hospital
▲ Rates typically 21% higher than Tuality Healthcare (21 services)
Providence Willamette Falls Medical Center
▲ Rates typically 15% higher than Tuality Healthcare (21 services)
Willamette Valley Medical Center
▼ Rates typically 16% lower than Tuality Healthcare (21 services)
Legacy Mount Hood Medical Center
Rates about the same as Tuality Healthcare (21 services)
Samaritan Albany General Hospital
▼ Rates typically 17% lower than Tuality Healthcare (19 services)
Westside Medical Center
Legacy Good Samaritan Hospital
Salem Hospital
About Tuality Healthcare's rates and hospital price transparency.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Tuality Healthcare range from $415 to $1,306 across 4 insurers. Aetna's rate is $1,098. The median at nearby comparable hospitals is $1,095. 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 Tuality Healthcare range from $3,506 to $5,090 across 4 insurers. Regence BlueCross BlueShield's rate is $3,506. The median at nearby comparable hospitals is $4,569. 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 Tuality Healthcare range from $11,144 to $15,317 across 4 insurers. Cigna's rate is $11,144. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Tuality Healthcare range from $146 to $398 across 4 insurers. UnitedHealthcare's rate is $146. The median at nearby comparable hospitals is $273. 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 Tuality Healthcare range from $36,867 to $43,219 across 4 insurers. Aetna's rate is $43,219. The median at nearby comparable hospitals is $46,724. What a patient pays depends on their plan's deductible, coinsurance and network status.
Tuality Healthcare has 106 beds. Facility type: Short Term Acute Care Hospital.
Tuality Healthcare is located at 335 Se Eighth Avenue, Hillsboro, OR 97123. Its main phone number is (503) 681-1111.
Tuality Healthcare's CMS Certification Number (CCN), also called its Medicare provider number, is 380021.
The National Provider Identifier (NPI) on file for Tuality Healthcare is 1275591984.
Tuality Healthcare lists 39 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
313 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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The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"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