Revasc lithotrip-stent-ather at PORTLAND ADVENTIST MEDICAL CENTER

10123 Se Market St, Portland, OR · Adventisthealth · · NPI 1801887658

Source: hospital's published price file ↗ · Published May 26, 2026 · Ingested Sep 16, 2026

$13,121.92

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$41,006.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$9,214.05 with HEALTHCARE RESOURCES - ALL PLANS vs $76,308.49 with MODA SYNERGY — 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 →

Payer
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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
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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 $9,214.05 ↓ -30%
WORKERS COMP WORKERS COMP $14,188.08 ↑ +8%
ODS - ALL PLANS ODS - ALL PLANS $16,300.88 ↑ +24%
CARE OREGON - ALL PLANS CARE OREGON - ALL PLANS $17,319.69 ↑ +32%
KAISER MCR ADV KAISER MCR ADV $20,376.10 ↑ +55%
BC PREMERA FIRST - ALL PLANS BC PREMERA FIRST - ALL PLANS $20,503.00 ↑ +56%
HUMANA MCR ADV HMO - ALL OTHER PLANS HUMANA MCR ADV HMO - ALL OTHER PLANS $20,783.62 ↑ +58%
MODA MCR ADV MODA MCR ADV $21,598.67 ↑ +65%
UHC MCR ADV UHC MCR ADV $21,598.67 ↑ +65%
HUMANA MCR ADV PPO HUMANA MCR ADV PPO $21,598.67 ↑ +65%
HEALTHNET HMO/POS - ALL OTHER PLANS HEALTHNET HMO/POS - ALL OTHER PLANS $23,332.41 ↑ +78%
HEALTHNET MCR ADV HEALTHNET MCR ADV $23,432.52 ↑ +79%
HEALTHNET EPO/POS/PPO HEALTHNET EPO/POS/PPO $23,537.44 ↑ +79%
WORLDVENTURE - ALL PLANS WORLDVENTURE - ALL PLANS $24,603.60 ↑ +88%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $24,603.60 ↑ +88%
PROVIDENCE HP - ALL PLANS PROVIDENCE HP - ALL PLANS $26,653.90 ↑ +103%
REGENCE PREFERRED MCR ADV REGENCE PREFERRED MCR ADV $26,756.42 ↑ +104%
PACIFIC SOURCE COMM - ALL PLANS PACIFIC SOURCE COMM - ALL PLANS $27,063.96 ↑ +106%
CIGNA - ALL PLANS CIGNA - ALL PLANS $27,679.05 ↑ +111%
FIRST CHOICE - ALL PLANS FIRST CHOICE - ALL PLANS $28,417.16 ↑ +117%
PHCS - ALL PLANS PHCS - ALL PLANS $30,754.50 ↑ +134%
MULTIPLAN - ALL PLANS MULTIPLAN - ALL PLANS $30,754.50 ↑ +134%
REGENCE MCR ADV REGENCE MCR ADV $31,164.56 ↑ +138%
AETNA - ALL PLANS AETNA - ALL PLANS $32,062.59 ↑ +144%
FIRST HEALTH-COVENTRY - ALL PLANS FIRST HEALTH-COVENTRY - ALL PLANS $32,804.80 ↑ +150%
NATIONAL PROVIDER NETWORK - ALL PLANS NATIONAL PROVIDER NETWORK - ALL PLANS $36,085.28 ↑ +175%
AH EMPLOYEE HEALTH PLAN - ALL PLANS AH EMPLOYEE HEALTH PLAN - ALL PLANS $36,676.98 ↑ +180%
HEALTH PAYORS ORGANIZATION LTD- ALL PLANS HEALTH PAYORS ORGANIZATION LTD- ALL PLANS $36,905.40 ↑ +181%
REGENCE OHSU PLUS REGENCE OHSU PLUS $38,630.71 ↑ +194%
MODA CONN OEBB/SYN PEBB MODA CONN OEBB/SYN PEBB $40,752.20 ↑ +211%
REGENCE - ALL OTHER PLANS REGENCE - ALL OTHER PLANS $42,923.01 ↑ +227%
MODA AFFINITY - ALL OTHER PLANS MODA AFFINITY - ALL OTHER PLANS $46,865.03 ↑ +257%
KAISER - ALL OTHER PLANS KAISER - ALL OTHER PLANS $53,140.78 ↑ +305%
MODA SELECT MODA SELECT $63,777.19 ↑ +386%
MODA CONNEXUS MODA CONNEXUS $72,131.39 ↑ +450%
MODA OHSU PPO/EPO/HMC MODA OHSU PPO/EPO/HMC $73,810.80 ↑ +463%
MODA SYNERGY MODA SYNERGY $76,308.49 ↑ +482%

Visitor-reported prices

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Revasc lithotrip-stent-ather at other Oregon hospitals

Hospital City Cash price Negotiated range
Providence Portland Medical Center Portland $40,724.25 $20,050.05 – $66,091.47
Providence St Vincent Medical Center Portland $40,724.25 $20,050.05 – $66,091.47
Providence Newberg Medical Center Newberg $40,724.25 not published
Sunnyside Medical Center CLACKAMAS not published not published
Westside Medical Center HILLSBORO not published not published
Providence Medford Medical Center Medford not published $18,577.96 – $46,444.90
Providence Willamette Falls Medical Center Oregon City not published $20,050.05 – $66,091.47
Providence Milwaukie Hospital Milwaukie not published $20,050.05 – $66,091.47

All Oregon hospitals for this procedure →