Biopsy skin incisional single lesion at PORTLAND ADVENTIST MEDICAL CENTER
10123 Se Market St, Portland, OR · Adventisthealth · · NPI 1801887658
$776.64
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.
$2,427.00
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.
$545.35 with HEALTHCARE RESOURCES - ALL PLANS vs $7,512.00 with REGENCE PREFERRED MCR ADV — 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 | $545.35 | ↓ -30% |
| ODS - ALL PLANS | ODS - ALL PLANS | $657.20 | ↓ -15% |
| CARE OREGON - ALL PLANS | CARE OREGON - ALL PLANS | $698.27 | ↓ -10% |
| KAISER MCR ADV | KAISER MCR ADV | $821.50 | ↑ +6% |
| HUMANA MCR ADV HMO - ALL OTHER PLANS | HUMANA MCR ADV HMO - ALL OTHER PLANS | $837.93 | ↑ +8% |
| WORKERS COMP | WORKERS COMP | $839.74 | ↑ +8% |
| UHC MCR ADV | UHC MCR ADV | $870.79 | ↑ +12% |
| MODA MCR ADV | MODA MCR ADV | $870.79 | ↑ +12% |
| HUMANA MCR ADV PPO | HUMANA MCR ADV PPO | $870.79 | ↑ +12% |
| HEALTHNET MCR ADV | HEALTHNET MCR ADV | $944.72 | ↑ +22% |
| BC PREMERA FIRST - ALL PLANS | BC PREMERA FIRST - ALL PLANS | $1,213.50 | ↑ +56% |
| HEALTHNET HMO/POS - ALL OTHER PLANS | HEALTHNET HMO/POS - ALL OTHER PLANS | $1,380.96 | ↑ +78% |
| HEALTHNET EPO/POS/PPO | HEALTHNET EPO/POS/PPO | $1,393.10 | ↑ +79% |
| REGENCE - ALL OTHER PLANS | REGENCE - ALL OTHER PLANS | $1,400.58 | ↑ +80% |
| WORLDVENTURE - ALL PLANS | WORLDVENTURE - ALL PLANS | $1,456.20 | ↑ +88% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $1,456.20 | ↑ +88% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $1,478.69 | ↑ +90% |
| PROVIDENCE HP - ALL PLANS | PROVIDENCE HP - ALL PLANS | $1,577.55 | ↑ +103% |
| PACIFIC SOURCE COMM - ALL PLANS | PACIFIC SOURCE COMM - ALL PLANS | $1,601.82 | ↑ +106% |
| MODA CONN OEBB/SYN PEBB | MODA CONN OEBB/SYN PEBB | $1,642.99 | ↑ +112% |
| FIRST CHOICE - ALL PLANS | FIRST CHOICE - ALL PLANS | $1,681.91 | ↑ +117% |
| PHCS - ALL PLANS | PHCS - ALL PLANS | $1,820.25 | ↑ +134% |
| MULTIPLAN - ALL PLANS | MULTIPLAN - ALL PLANS | $1,820.25 | ↑ +134% |
| MODA AFFINITY - ALL OTHER PLANS | MODA AFFINITY - ALL OTHER PLANS | $1,889.44 | ↑ +143% |
| AETNA - ALL PLANS | AETNA - ALL PLANS | $1,897.67 | ↑ +144% |
| FIRST HEALTH-COVENTRY - ALL PLANS | FIRST HEALTH-COVENTRY - ALL PLANS | $1,941.60 | ↑ +150% |
| NATIONAL PROVIDER NETWORK - ALL PLANS | NATIONAL PROVIDER NETWORK - ALL PLANS | $2,135.76 | ↑ +175% |
| KAISER - ALL OTHER PLANS | KAISER - ALL OTHER PLANS | $2,142.46 | ↑ +176% |
| HEALTH PAYORS ORGANIZATION LTD- ALL PLANS | HEALTH PAYORS ORGANIZATION LTD- ALL PLANS | $2,184.30 | ↑ +181% |
| MODA SELECT | MODA SELECT | $2,571.29 | ↑ +231% |
| MODA CONNEXUS | MODA CONNEXUS | $2,908.10 | ↑ +274% |
| MODA SYNERGY | MODA SYNERGY | $3,076.51 | ↑ +296% |
| MODA OHSU PPO/EPO/HMC | MODA OHSU PPO/EPO/HMC | $4,368.60 | ↑ +463% |
| CIGNA - ALL PLANS | CIGNA - ALL PLANS | $6,065.00 | ↑ +681% |
| REGENCE MCR ADV | REGENCE MCR ADV | $7,365.00 | ↑ +848% |
| REGENCE PREFERRED MCR ADV | REGENCE PREFERRED MCR ADV | $7,512.00 | ↑ +867% |
Visitor-reported prices
Comments
Biopsy skin incisional single lesion at other Oregon hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence Portland Medical Center | Portland | $1,419.75 | $808.35 – $9,178.00 |
| Providence St Vincent Medical Center | Portland | $1,419.75 | $808.35 – $9,178.00 |
| Sunnyside Medical Center | CLACKAMAS | $1,758.65 | not published |
| Westside Medical Center | HILLSBORO | $1,758.65 | not published |
| Providence Hood River Memorial Hospital | Hood River | $1,365.75 | not published |
| Providence Medford Medical Center | Medford | $1,543.50 | $749.00 – $1,872.51 |
| Providence Newberg Medical Center | Newberg | $1,419.75 | $808.35 – $1,503.34 |
| Providence Seaside Hospital | Seaside | $1,440.00 | not published |