Biopsy of nail unit 11755 at PORTLAND ADVENTIST MEDICAL CENTER
10123 Se Market St, Portland, OR · Adventisthealth · · NPI 1801887658
$280.64
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.
$877.00
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.
$197.06 with HEALTHCARE RESOURCES - ALL PLANS vs $10,058.65 with AETNA - ALL 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 | $197.06 | ↓ -30% |
| WORKERS COMP | WORKERS COMP | $303.44 | ↑ +8% |
| BC PREMERA FIRST - ALL PLANS | BC PREMERA FIRST - ALL PLANS | $438.50 | ↑ +56% |
| WORLDVENTURE - ALL PLANS | WORLDVENTURE - ALL PLANS | $526.20 | ↑ +88% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $526.20 | ↑ +88% |
| PACIFIC SOURCE COMM - ALL PLANS | PACIFIC SOURCE COMM - ALL PLANS | $538.48 | ↑ +92% |
| FIRST CHOICE - ALL PLANS | FIRST CHOICE - ALL PLANS | $607.76 | ↑ +117% |
| ODS - ALL PLANS | ODS - ALL PLANS | $629.68 | ↑ +124% |
| PROVIDENCE HP - ALL PLANS | PROVIDENCE HP - ALL PLANS | $631.44 | ↑ +125% |
| MULTIPLAN - ALL PLANS | MULTIPLAN - ALL PLANS | $657.75 | ↑ +134% |
| PHCS - ALL PLANS | PHCS - ALL PLANS | $657.75 | ↑ +134% |
| CARE OREGON - ALL PLANS | CARE OREGON - ALL PLANS | $669.04 | ↑ +138% |
| NATIONAL PROVIDER NETWORK - ALL PLANS | NATIONAL PROVIDER NETWORK - ALL PLANS | $771.76 | ↑ +175% |
| KAISER MCR ADV | KAISER MCR ADV | $787.11 | ↑ +180% |
| HEALTH PAYORS ORGANIZATION LTD- ALL PLANS | HEALTH PAYORS ORGANIZATION LTD- ALL PLANS | $789.30 | ↑ +181% |
| HUMANA MCR ADV HMO - ALL OTHER PLANS | HUMANA MCR ADV HMO - ALL OTHER PLANS | $802.85 | ↑ +186% |
| UHC MCR ADV | UHC MCR ADV | $834.33 | ↑ +197% |
| HUMANA MCR ADV PPO | HUMANA MCR ADV PPO | $834.33 | ↑ +197% |
| MODA MCR ADV | MODA MCR ADV | $834.33 | ↑ +197% |
| HEALTHNET MCR ADV | HEALTHNET MCR ADV | $905.17 | ↑ +223% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $1,416.79 | ↑ +405% |
| REGENCE OHSU PLUS | REGENCE OHSU PLUS | $1,495.71 | ↑ +433% |
| MODA CONN OEBB/SYN PEBB | MODA CONN OEBB/SYN PEBB | $1,574.21 | ↑ +461% |
| MODA OHSU PPO/EPO/HMC | MODA OHSU PPO/EPO/HMC | $1,578.60 | ↑ +463% |
| REGENCE - ALL OTHER PLANS | REGENCE - ALL OTHER PLANS | $1,661.90 | ↑ +492% |
| MODA AFFINITY - ALL OTHER PLANS | MODA AFFINITY - ALL OTHER PLANS | $1,810.34 | ↑ +545% |
| KAISER - ALL OTHER PLANS | KAISER - ALL OTHER PLANS | $2,052.77 | ↑ +631% |
| MODA SELECT | MODA SELECT | $2,463.64 | ↑ +778% |
| MODA CONNEXUS | MODA CONNEXUS | $2,786.36 | ↑ +893% |
| MODA SYNERGY | MODA SYNERGY | $2,947.71 | ↑ +950% |
| HEALTHNET HMO/POS - ALL OTHER PLANS | HEALTHNET HMO/POS - ALL OTHER PLANS | $5,476.00 | ↑ +1851% |
| HEALTHNET EPO/POS/PPO | HEALTHNET EPO/POS/PPO | $5,624.00 | ↑ +1904% |
| CIGNA - ALL PLANS | CIGNA - ALL PLANS | $6,065.00 | ↑ +2061% |
| REGENCE MCR ADV | REGENCE MCR ADV | $7,365.00 | ↑ +2524% |
| REGENCE PREFERRED MCR ADV | REGENCE PREFERRED MCR ADV | $7,512.00 | ↑ +2577% |
| FIRST HEALTH-COVENTRY - ALL PLANS | FIRST HEALTH-COVENTRY - ALL PLANS | $8,025.00 | ↑ +2760% |
| AETNA - ALL PLANS | AETNA - ALL PLANS | $10,058.65 | ↑ +3484% |
Visitor-reported prices
Comments
Biopsy of nail unit 11755 at other Oregon hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence Portland Medical Center | Portland | not published | $774.51 – $9,178.00 |
| Providence St Vincent Medical Center | Portland | not published | $774.51 – $9,178.00 |
| MID-COLUMBIA MEDICAL CENTER | The Dalles | $187.20 | $53.31 – $390.00 |
| NORTHWEST MEDICAL FOUNDATION OF TILLAMOOK | Tillamook | $255.96 | $298.49 – $319.03 |
| Sunnyside Medical Center | CLACKAMAS | not published | not published |
| Westside Medical Center | HILLSBORO | not published | not published |
| Providence Medford Medical Center | Medford | not published | $717.65 – $1,794.12 |
| Providence Newberg Medical Center | Newberg | not published | $774.51 – $1,440.40 |