Surgical pathology level 5 gross & microscopic examination at PORTLAND ADVENTIST MEDICAL CENTER
10123 Se Market St, Portland, OR · Adventisthealth · · NPI 1801887658
$364.48
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.
?
What you pay up front if you don't use insurance.
$1,139.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$197.63 with PACIFIC SOURCE COMM - ALL PLANS vs $2,050.20 with MODA OHSU PPO/EPO/HMC — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| PACIFIC SOURCE COMM - ALL PLANS | PACIFIC SOURCE COMM - ALL PLANS | $197.63 | ↓ -46% |
| HEALTHCARE RESOURCES - ALL PLANS | HEALTHCARE RESOURCES - ALL PLANS | $255.93 | ↓ -30% |
| ODS - ALL PLANS | ODS - ALL PLANS | $318.74 | ↓ -13% |
| CARE OREGON - ALL PLANS | CARE OREGON - ALL PLANS | $338.66 | ↓ -7% |
| WORKERS COMP | WORKERS COMP | $394.09 | ↑ +8% |
| KAISER MCR ADV | KAISER MCR ADV | $398.42 | ↑ +9% |
| HUMANA MCR ADV HMO - ALL OTHER PLANS | HUMANA MCR ADV HMO - ALL OTHER PLANS | $406.39 | ↑ +11% |
| HUMANA MCR ADV PPO | HUMANA MCR ADV PPO | $422.33 | ↑ +16% |
| UHC MCR ADV | UHC MCR ADV | $422.33 | ↑ +16% |
| MODA MCR ADV | MODA MCR ADV | $422.33 | ↑ +16% |
| HEALTHNET MCR ADV | HEALTHNET MCR ADV | $458.19 | ↑ +26% |
| CIGNA - ALL PLANS | CIGNA - ALL PLANS | $490.93 | ↑ +35% |
| BC PREMERA FIRST - ALL PLANS | BC PREMERA FIRST - ALL PLANS | $569.50 | ↑ +56% |
| HEALTHNET HMO/POS - ALL OTHER PLANS | HEALTHNET HMO/POS - ALL OTHER PLANS | $648.09 | ↑ +78% |
| HEALTHNET EPO/POS/PPO | HEALTHNET EPO/POS/PPO | $653.79 | ↑ +79% |
| WORLDVENTURE - ALL PLANS | WORLDVENTURE - ALL PLANS | $683.40 | ↑ +88% |
| REGENCE OHSU PLUS | REGENCE OHSU PLUS | $700.42 | ↑ +92% |
| REGENCE PREFERRED MCR ADV | REGENCE PREFERRED MCR ADV | $709.62 | ↑ +95% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $717.16 | ↑ +97% |
| PROVIDENCE HP - ALL PLANS | PROVIDENCE HP - ALL PLANS | $740.35 | ↑ +103% |
| REGENCE - ALL OTHER PLANS | REGENCE - ALL OTHER PLANS | $778.25 | ↑ +114% |
| FIRST CHOICE - ALL PLANS | FIRST CHOICE - ALL PLANS | $789.33 | ↑ +117% |
| REGENCE MCR ADV | REGENCE MCR ADV | $795.91 | ↑ +118% |
| MODA CONN OEBB/SYN PEBB | MODA CONN OEBB/SYN PEBB | $796.84 | ↑ +119% |
| MULTIPLAN - ALL PLANS | MULTIPLAN - ALL PLANS | $854.25 | ↑ +134% |
| PHCS - ALL PLANS | PHCS - ALL PLANS | $854.25 | ↑ +134% |
| AETNA - ALL PLANS | AETNA - ALL PLANS | $890.58 | ↑ +144% |
| FIRST HEALTH-COVENTRY - ALL PLANS | FIRST HEALTH-COVENTRY - ALL PLANS | $911.20 | ↑ +150% |
| MODA AFFINITY - ALL OTHER PLANS | MODA AFFINITY - ALL OTHER PLANS | $916.37 | ↑ +151% |
| NATIONAL PROVIDER NETWORK - ALL PLANS | NATIONAL PROVIDER NETWORK - ALL PLANS | $1,002.32 | ↑ +175% |
| HEALTH PAYORS ORGANIZATION LTD- ALL PLANS | HEALTH PAYORS ORGANIZATION LTD- ALL PLANS | $1,025.10 | ↑ +181% |
| KAISER - ALL OTHER PLANS | KAISER - ALL OTHER PLANS | $1,039.08 | ↑ +185% |
| MODA SELECT | MODA SELECT | $1,247.06 | ↑ +242% |
| MODA CONNEXUS | MODA CONNEXUS | $1,410.41 | ↑ +287% |
| MODA SYNERGY | MODA SYNERGY | $1,492.09 | ↑ +309% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $1,708.50 | ↑ +369% |
| MODA OHSU PPO/EPO/HMC | MODA OHSU PPO/EPO/HMC | $2,050.20 | ↑ +463% |
Visitor-reported prices
Comments
Surgical pathology level 5 gross & microscopic examination at other Oregon hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence Portland Medical Center | Portland | $825.75 | $206.75 – $1,198.55 |
| Providence St Vincent Medical Center | Portland | $825.75 | $206.75 – $1,198.55 |
| Sunnyside Medical Center | CLACKAMAS | $1,123.70 | $341.00 – $341.00 |
| Westside Medical Center | HILLSBORO | $1,123.70 | $341.00 – $341.00 |
| Providence Hood River Memorial Hospital | Hood River | $846.75 | not published |
| Providence Medford Medical Center | Medford | $599.25 | $363.26 – $908.16 |
| Providence Newberg Medical Center | Newberg | $825.75 | $233.18 – $729.11 |
| Providence Seaside Hospital | Seaside | $825.75 | not published |