PORTLAND ADVENTIST MEDICAL CENTER
10123 Se Market St, Portland, OR · Adventisthealth · · NPI 1801887658
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | $44.16 | $138.00 | $23.42 – $248.40 | 25 |
| 17-hydroxypregnenolone CPT 84143 | $35.20 | $110.00 | $18.25 – $198.00 | 25 |
| 17-ketosteroids CPT 83586 | $47.57 | $148.65 | $10.24 – $267.57 | 25 |
| 2nd order venous cath CPT 36012 | $1,224.32 | $3,826.00 | $121.80 – $6,886.80 | 16 |
| 3d ech img cgen car anomal CPT 93319 | $216.64 | $677.00 | $16.77 – $1,218.60 | 16 |
| 3-d radiotherapy plan CPT 77295 | $4,271.68 | $13,349.00 | $670.01 – $24,028.20 | 22 |
| 3d recon without postprocess indpndt CPT 76376 | $182.08 | $569.00 | $21.86 – $1,024.20 | 20 |
| 5' nucleotidase - sendout CPT 83915 | $16.96 | $53.00 | $5.91 – $95.40 | 25 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $51.52 | $161.00 | $45.52 – $289.80 | 21 |
| 99381 initial comp preventive med less than 1 year new CPT 99381 | $46.72 | $146.00 | $262.80 – $356.28 | 2 |
| 99382 initial comp preventive med 1 to 4 years new CPT 99382 | $50.56 | $158.00 | $284.40 – $371.76 | 2 |
| 99383 initial comp preventive med 5 to 11 years new CPT 99383 | $50.56 | $158.00 | $284.40 – $386.15 | 2 |
| 99391 periodic comp preventive med less than 1 year est CPT 99391 | $39.36 | $123.00 | $221.40 – $319.75 | 2 |
| 99392 periodic comp preventive med 1 to 4 years est CPT 99392 | $43.84 | $137.00 | $246.60 – $341.89 | 2 |
| 99393 periodic comp preventive med 5 to 11 years est CPT 99393 | $43.52 | $136.00 | $244.80 – $340.78 | 2 |
| 99394 periodic comp preventive med 12 to 17 years est CPT 99394 | $52.16 | $163.00 | $219.60 – $372.87 | 2 |
| 99397 periodic comp preventive med 65+ years est CPT 99397 | $64.32 | $201.00 | $361.80 – $434.83 | 2 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $20.80 | $65.00 | $7.81 – $117.00 | 25 |
| Abd aorta w/runoff s&i CPT 75630 | $2,949.44 | $9,217.00 | $264.66 – $16,590.60 | 23 |
| Abd/low ext cath 1st CPT 36245 | $1,765.76 | $5,518.00 | $164.13 – $9,932.40 | 16 |
| Abd/low ext cath 2nd CPT 36246 | $1,638.08 | $5,119.00 | $174.11 – $9,214.20 | 16 |
| Abd/low ext cath 3rd CPT 36247 | $1,936.96 | $6,053.00 | $205.42 – $10,895.40 | 16 |
| Abd/low ext cath addl CPT 36248 | $1,168.96 | $3,653.00 | $33.14 – $6,575.40 | 16 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $1,195.84 | $3,737.00 | $155.97 – $6,726.60 | 23 |
| Abdominal CT scan (with contrast) CPT 74160 | $968.96 | $3,028.00 | $155.97 – $5,450.40 | 23 |
| Abdominal CT scan (without contrast) CPT 74150 | $791.36 | $2,473.00 | $92.96 – $4,451.40 | 23 |
| Abdominal MRI (with and without contrast) CPT 74183 | $2,075.52 | $6,486.00 | $298.56 – $11,674.80 | 23 |
| Abdominal MRI (without contrast) CPT 74181 | $1,224.32 | $3,826.00 | $195.85 – $6,886.80 | 23 |
| Abdominal paracentesis w/image guidance CPT 49083 | $1,394.88 | $4,359.00 | $806.51 – $6,035.40 | 18 |
| Abdominal Ultrasound (complete) CPT 76700 | $283.84 | $887.00 | $92.96 – $1,596.60 | 23 |
| Abdominal Ultrasound (limited) CPT 76705 | $345.28 | $1,079.00 | $80.71 – $1,494.00 | 23 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $1,394.88 | $4,359.00 | $806.51 – $6,035.40 | 18 |
| Ablate arrhythmia add on CPT 93655 | $17,602.56 | $55,008.00 | $205.79 – $99,014.40 | 16 |
| Ablate heart dysrhythm focus CPT 93650 | $5,366.08 | $16,769.00 | $6,935.62 – $32,467.35 | 18 |
| Ablation cardiac vagal inputs atrium CPT 93799 | $4,018.88 | $12,559.00 | $114.42 – $8,069.40 | 18 |
| Ablation cryo adrenal tumor CPT 60699 | $6,629.44 | $20,717.00 | $5,375.80 – $37,290.60 | 18 |
| Ablation of upper extremity nerves rf CPT 64999 | $704.32 | $2,201.00 | $272.95 – $1,277.73 | 18 |
| Abscess drain retroperitoneal surg code CPT 49406 | $2,355.52 | $7,361.00 | $1,468.63 – $13,249.80 | 18 |
| Access & clsr pq fem art endogft dlvry w/img uni CPT 34713 | $444.80 | $1,390.00 | $85.89 – $2,502.00 | 16 |
| Acetaminophen 10 mg/ml soln 100 ml glass cont HCPCS J0131 | $84.05 | $262.66 | $0.12 – $251.18 | 11 |
| Acetaminophen level CPT 80143 | $113.28 | $354.00 | $14.91 – $637.20 | 25 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | $79.46 | $248.32 | $51.18 – $556.32 | 11 |
| Acetylcholine receptor modulating antibody CPT 86043 | $120.77 | $377.40 | $6.03 – $90.00 | 22 |
| Acetylcholinesterase assay CPT 82013 | $123.70 | $386.55 | $9.83 – $695.79 | 25 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | $154.23 | $481.96 | $0.74 – $1,156.70 | 11 |
| Acetylcysteine non-comp unit HCPCS J7608 | $27.75 | $86.72 | $16.92 – $56.76 | 11 |
| Acne surgery 10040 CPT 10040 | $227.52 | $711.00 | $178.41 – $1,279.80 | 17 |
| Aco cont gluc mnt phys/qhp eqp 95250aco CPT 95250 | $156.80 | $490.00 | $118.39 – $882.00 | 18 |
| Aco depression screen annual medicare g0444aco HCPCS G0444 | $38.72 | $121.00 | $33.32 – $217.80 | 18 |
| Acoustic immitance testing CPT 92570 | $150.72 | $471.00 | $114.42 – $847.80 | 18 |
| Acute hepatitis panel CPT 80074 | $136.32 | $426.00 | $38.10 – $766.80 | 25 |
| Acyclovir 400 mg tablet HCPCS J8499 | $274.34 | $857.30 | $69.94 – $167.86 | 10 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | $45.89 | $143.40 | $0.24 – $268.99 | 11 |
| #acylcarnitineprfl CPT 82017 | $60.22 | $188.20 | $13.50 – $338.76 | 25 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $455.80 | $1,424.38 | $1.06 – $265.61 | 11 |
| Adh-sendout CPT 84588 | $51.92 | $162.25 | $27.15 – $292.05 | 25 |
| Adj gastric band via subq port CPT 43999 | $373.76 | $1,168.00 | $806.51 – $3,775.48 | 17 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $110.04 | $343.87 | $0.54 – $134.45 | 11 |
| Admin ecg contrast agent CPT 93352 | $74.88 | $234.00 | $31.09 – $421.20 | 16 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $118.72 | $371.00 | $64.02 – $667.80 | 19 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $416.64 | $1,302.00 | $293.71 – $2,343.60 | 19 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $432.32 | $1,351.00 | $293.71 – $2,431.80 | 19 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $129.28 | $404.00 | $64.02 – $727.20 | 19 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $152.00 | $475.00 | $64.02 – $855.00 | 19 |
| Administration immunization 1 vaccine CPT 90471 | $37.44 | $117.00 | $64.02 – $299.71 | 19 |
| Administration immunization each additional component CPT 90461 | $10.88 | $34.00 | $7.16 – $68.00 | 17 |
| Administration immunization each additional vaccine CPT 90472 | $37.12 | $116.00 | $13.77 – $178.00 | 17 |
| Administration immunization first component each vaccine CPT 90460 | $20.48 | $64.00 | $20.00 – $128.00 | 17 |
| Administration immunization intranasal/oral route 1 vaccine CPT 90473 | $28.48 | $89.00 | $64.02 – $299.71 | 19 |
| Administration immunization intranasal/oral route each additional vaccine CPT 90474 | $10.24 | $32.00 | $10.50 – $64.00 | 17 |
| Administration rsv monoclonal ab seasonal dose im w/counseling CPT 96380 | $8.64 | $27.00 | $25.81 – $120.81 | 16 |
| Administration vaccine hepatitis b HCPCS G0010 | $18.56 | $58.00 | $41.64 – $194.92 | 18 |
| Administration vaccine influenza virus HCPCS G0008 | $18.56 | $58.00 | $41.64 – $194.92 | 18 |
| Administration vaccine pneumococcal HCPCS G0009 | $18.56 | $58.00 | $41.64 – $194.92 | 18 |
| Adrenalin epinephrine inject HCPCS J0171 | $321.04 | $1,003.25 | $41.86 – $100.46 | 10 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $164.06 | $512.70 | $92.29 – $922.86 | 25 |
| Air conduction bilat CPT 92552 | $137.92 | $431.00 | $118.31 – $775.80 | 18 |
| Albumin body fluid quantitative each specimen CPT 82042 | $22.40 | $70.00 | $5.29 – $122.40 | 25 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $253.95 | $793.60 | $42.46 – $545.09 | 22 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | $130.66 | $408.30 | $42.46 – $660.50 | 22 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $29.12 | $91.00 | $4.62 – $163.80 | 25 |
| Albumin serum plasma or whole blood CPT 82040 | $12.16 | $38.00 | $1.73 – $63.00 | 25 |
| Albuterol ipratrop non-comp HCPCS J7620 | $7.28 | $22.74 | $0.40 – $53.02 | 11 |
| Albuterol non-comp con HCPCS J7611 | $7.07 | $22.09 | $0.52 – $53.02 | 11 |
| Albuterol non-comp unit HCPCS J7613 | $6.80 | $21.26 | $0.14 – $50.95 | 11 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | $34.88 | $109.00 | $13.82 – $196.20 | 25 |
| Alkaline phosphatase CPT 84075 | $20.80 | $65.00 | $3.37 – $117.00 | 25 |
| Allergen alpha lactalbumin ige CPT 86008 | $46.06 | $143.95 | $14.34 – $172.80 | 25 |
| Allergen egg white ige CPT 86003 | $13.42 | $41.93 | $0.98 – $33.75 | 25 |
| Allergen specific ige qual multi scrn ea CPT 86005 | $10.02 | $31.30 | $2.49 – $56.34 | 25 |
| Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 | $202.56 | $633.00 | $113.10 – $513.60 | 21 |
| Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm HCPCS Q4187 | $413.12 | $1,291.00 | $113.10 – $1,488.00 | 21 |
| Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution HCPCS J0256 | $1,004.23 | $3,138.21 | $4.11 – $7,531.70 | 24 |
| Alpha-fetoprotein tumor marker CPT 82105 | $44.80 | $140.00 | $13.42 – $252.00 | 25 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $12,393.46 | $38,729.57 | $76.07 – $2,025.98 | 24 |
| Alt/sgpt CPT 84460 | $18.05 | $56.40 | $2.92 – $99.00 | 25 |
| Aluminum - quest CPT 82108 | $16.45 | $51.40 | $13.10 – $95.42 | 25 |
| Aminolevulinic acid delta CPT 82135 | $46.08 | $144.00 | $13.16 – $259.20 | 25 |
| Aminophylline 25 mg/ml intravenous solution (wrapper) HCPCS J0280 | $45.06 | $140.82 | $20.82 – $337.97 | 11 |
| Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV HCPCS J0283 | $72.56 | $226.74 | $5.06 – $544.18 | 11 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.