Annual Physical, Established Patient (age 40-64) at PORTLAND ADVENTIST MEDICAL CENTER
10123 Se Market St, Portland, OR · Adventisthealth · · NPI 1801887658
$57.60
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$180.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$36.63 with HEALTHCARE RESOURCES - ALL PLANS vs $404.96 with REGENCE - ALL OTHER PLANS — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| HEALTHCARE RESOURCES - ALL PLANS | HEALTHCARE RESOURCES - ALL PLANS | $36.63 | ↓ -36% |
| WORKERS COMP | WORKERS COMP | $56.40 | ↓ -2% |
| BC PREMERA FIRST - ALL PLANS | BC PREMERA FIRST - ALL PLANS | $81.50 | ↑ +41% |
| HEALTHNET HMO/POS - ALL OTHER PLANS | HEALTHNET HMO/POS - ALL OTHER PLANS | $92.75 | ↑ +61% |
| HEALTHNET EPO/POS/PPO | HEALTHNET EPO/POS/PPO | $93.56 | ↑ +62% |
| WORLDVENTURE - ALL PLANS | WORLDVENTURE - ALL PLANS | $97.80 | ↑ +70% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $97.80 | ↑ +70% |
| PROVIDENCE HP - ALL PLANS | PROVIDENCE HP - ALL PLANS | $105.95 | ↑ +84% |
| REGENCE PREFERRED MCR ADV | REGENCE PREFERRED MCR ADV | $106.36 | ↑ +85% |
| PACIFIC SOURCE COMM - ALL PLANS | PACIFIC SOURCE COMM - ALL PLANS | $107.58 | ↑ +87% |
| CIGNA - ALL PLANS | CIGNA - ALL PLANS | $110.03 | ↑ +91% |
| FIRST CHOICE - ALL PLANS | FIRST CHOICE - ALL PLANS | $112.96 | ↑ +96% |
| PHCS - ALL PLANS | PHCS - ALL PLANS | $122.25 | ↑ +112% |
| MULTIPLAN - ALL PLANS | MULTIPLAN - ALL PLANS | $122.25 | ↑ +112% |
| REGENCE MCR ADV | REGENCE MCR ADV | $123.88 | ↑ +115% |
| AETNA - ALL PLANS | AETNA - ALL PLANS | $127.45 | ↑ +121% |
| FIRST HEALTH-COVENTRY - ALL PLANS | FIRST HEALTH-COVENTRY - ALL PLANS | $130.40 | ↑ +126% |
| NATIONAL PROVIDER NETWORK - ALL PLANS | NATIONAL PROVIDER NETWORK - ALL PLANS | $143.44 | ↑ +149% |
| HEALTH PAYORS ORGANIZATION LTD- ALL PLANS | HEALTH PAYORS ORGANIZATION LTD- ALL PLANS | $146.70 | ↑ +155% |
| MODA OHSU PPO/EPO/HMC | MODA OHSU PPO/EPO/HMC | $293.40 | ↑ +409% |
| REGENCE - ALL OTHER PLANS | REGENCE - ALL OTHER PLANS | $404.96 | ↑ +603% |
Visitor-reported prices
Comments
Annual Physical, Established Patient (age 40-64) at other Oregon hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence Hood River Memorial Hospital | Hood River | $267.00 | not published |
| Providence Seaside Hospital | Seaside | $267.00 | not published |
| MID-COLUMBIA MEDICAL CENTER | The Dalles | $158.88 | $133.44 – $331.00 |
| NORTHWEST MEDICAL FOUNDATION OF TILLAMOOK | Tillamook | $158.76 | $128.05 – $319.03 |