Complx repair sal addl 5 cm/> 13122 at PORTLAND ADVENTIST MEDICAL CENTER
10123 Se Market St, Portland, OR · Adventisthealth · · NPI 1801887658
$241.60
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.
$755.00
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.
$54.65 with ODS - 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 |
|---|---|---|---|
| ODS - ALL PLANS | ODS - ALL PLANS | $54.65 | ↓ -77% |
| CARE OREGON - ALL PLANS | CARE OREGON - ALL PLANS | $58.06 | ↓ -76% |
| KAISER MCR ADV | KAISER MCR ADV | $68.31 | ↓ -72% |
| HUMANA MCR ADV HMO - ALL OTHER PLANS | HUMANA MCR ADV HMO - ALL OTHER PLANS | $69.68 | ↓ -71% |
| MODA MCR ADV | MODA MCR ADV | $72.41 | ↓ -70% |
| UHC MCR ADV | UHC MCR ADV | $72.41 | ↓ -70% |
| HUMANA MCR ADV PPO | HUMANA MCR ADV PPO | $72.41 | ↓ -70% |
| HEALTHNET MCR ADV | HEALTHNET MCR ADV | $78.56 | ↓ -67% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $122.96 | ↓ -49% |
| MODA CONN OEBB/SYN PEBB | MODA CONN OEBB/SYN PEBB | $136.62 | ↓ -43% |
| MODA AFFINITY - ALL OTHER PLANS | MODA AFFINITY - ALL OTHER PLANS | $157.11 | ↓ -35% |
| HEALTHCARE RESOURCES - ALL PLANS | HEALTHCARE RESOURCES - ALL PLANS | $169.65 | ↓ -30% |
| KAISER - ALL OTHER PLANS | KAISER - ALL OTHER PLANS | $178.15 | ↓ -26% |
| MODA SELECT | MODA SELECT | $213.81 | ↓ -12% |
| MODA CONNEXUS | MODA CONNEXUS | $241.82 | ↑ +0% |
| MODA SYNERGY | MODA SYNERGY | $255.82 | ↑ +6% |
| WORKERS COMP | WORKERS COMP | $261.23 | ↑ +8% |
| BC PREMERA FIRST - ALL PLANS | BC PREMERA FIRST - ALL PLANS | $377.50 | ↑ +56% |
| HEALTHNET HMO/POS - ALL OTHER PLANS | HEALTHNET HMO/POS - ALL OTHER PLANS | $429.60 | ↑ +78% |
| HEALTHNET EPO/POS/PPO | HEALTHNET EPO/POS/PPO | $433.37 | ↑ +79% |
| WORLDVENTURE - ALL PLANS | WORLDVENTURE - ALL PLANS | $453.00 | ↑ +88% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $453.00 | ↑ +88% |
| PACIFIC SOURCE COMM - ALL PLANS | PACIFIC SOURCE COMM - ALL PLANS | $474.90 | ↑ +97% |
| REGENCE - ALL OTHER PLANS | REGENCE - ALL OTHER PLANS | $494.15 | ↑ +105% |
| CIGNA - ALL PLANS | CIGNA - ALL PLANS | $509.63 | ↑ +111% |
| FIRST CHOICE - ALL PLANS | FIRST CHOICE - ALL PLANS | $523.22 | ↑ +117% |
| PHCS - ALL PLANS | PHCS - ALL PLANS | $566.25 | ↑ +134% |
| MULTIPLAN - ALL PLANS | MULTIPLAN - ALL PLANS | $566.25 | ↑ +134% |
| AETNA - ALL PLANS | AETNA - ALL PLANS | $590.33 | ↑ +144% |
| FIRST HEALTH-COVENTRY - ALL PLANS | FIRST HEALTH-COVENTRY - ALL PLANS | $604.00 | ↑ +150% |
| NATIONAL PROVIDER NETWORK - ALL PLANS | NATIONAL PROVIDER NETWORK - ALL PLANS | $664.40 | ↑ +175% |
| HEALTH PAYORS ORGANIZATION LTD- ALL PLANS | HEALTH PAYORS ORGANIZATION LTD- ALL PLANS | $679.50 | ↑ +181% |
| MODA OHSU PPO/EPO/HMC | MODA OHSU PPO/EPO/HMC | $1,359.00 | ↑ +463% |
| PROVIDENCE HP - ALL PLANS | PROVIDENCE HP - ALL PLANS | $1,775.00 | ↑ +635% |
| REGENCE MCR ADV | REGENCE MCR ADV | $7,365.00 | ↑ +2948% |
| REGENCE PREFERRED MCR ADV | REGENCE PREFERRED MCR ADV | $7,512.00 | ↑ +3009% |
Visitor-reported prices
Comments
Complx repair sal addl 5 cm/> 13122 at other Oregon hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence Portland Medical Center | Portland | $1,675.50 | $4,103.00 – $4,103.00 |
| Providence St Vincent Medical Center | Portland | $1,675.50 | $4,103.00 – $4,103.00 |
| Sunnyside Medical Center | CLACKAMAS | $336.60 | not published |
| Westside Medical Center | HILLSBORO | $336.60 | not published |
| Providence Hood River Memorial Hospital | Hood River | $1,014.75 | not published |
| Providence Medford Medical Center | Medford | $1,334.25 | not published |
| Providence Newberg Medical Center | Newberg | $1,675.50 | not published |
| Providence Seaside Hospital | Seaside | $1,293.75 | not published |