68/100
#698 nationally
Legacy Salmon Creek Medical Center
2211 Ne 139Th Street, Vancouver, WA 98686 · (360) 487-1000
Charges moderately above what care is paid for
For every $1 of care Medicare actually paid for here, Legacy Salmon Creek Medical Center billed $3.69 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 3.7x
- volume-weighted across all its priced work
- Procedures priced
- 79
- inpatient and outpatient combined
- Rank in WA
- #4
- lower markup ranks higher
- CMS quality stars
- 4/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 59% of U.S. hospitals.
Better than 84% of U.S. hospitals.
Better than 61% of U.S. hospitals.
Better than 76% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
280 | $17,435 | $2,834 | -10% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
207 | $39,368 | $13,551 | -37% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
167 | $62,523 | $17,538 | -4% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
122 | $48,515 | $12,032 | +12% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
112 | $28,368 | $5,391 | +3% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
102 | $6,572 | $1,675 | -35% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
68 | $32,001 | $7,419 | -20% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
67 | $16,107 | $3,345 | -16% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
63 | $21,724 | $3,612 | +5% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
56 | $52,344 | $19,507 | -37% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$16,708 | $2,045 | +29% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
$72,152 | $15,072 | +18% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
$55,025 | $12,574 | +13% |
|
Level 3 Lower GI Procedures
APC 5313 · Hospital outpatient visit |
$18,640 | $2,790 | +12% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$48,515 | $12,032 | +12% |
|
Irregular Heartbeat (with complications)
MS-DRG 309 · Inpatient stay |
$33,748 | $7,382 | +10% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
$12,181 | $1,687 | +8% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
$21,724 | $3,612 | +5% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 4 Neurostimulator and Related Procedures
APC 5464 · Hospital outpatient visit |
$30,319 | $22,893 | -62% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
$9,307 | $2,917 | -47% |
|
Other Disorders of Nervous System with Major Complications
MS-DRG 091 · Inpatient stay |
$38,108 | $15,379 | -46% |
|
Hip or Thigh Bone Surgery (severe)
MS-DRG 480 · Inpatient stay |
$68,852 | $25,117 | -41% |
|
Hip Replacement with Principal Diagnosis of Hip Fracture with Major Complications
MS-DRG 521 · Inpatient stay |
$68,889 | $22,249 | -39% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$39,368 | $13,551 | -37% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
$52,344 | $19,507 | -37% |
|
Other Cerebrovascular Disorders with Major Complications
MS-DRG 070 · Inpatient stay |
$42,279 | $15,233 | -36% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.