Transcatheter bx s&i at PORTLAND ADVENTIST MEDICAL CENTER
10123 Se Market St, Portland, OR · Adventisthealth · · NPI 1801887658
$1,270.40
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.
$3,970.00
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.
$107.28 with PACIFIC SOURCE COMM - ALL PLANS vs $7,146.00 with MODA OHSU PPO/EPO/HMC — 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 |
|---|---|---|---|
| PACIFIC SOURCE COMM - ALL PLANS | PACIFIC SOURCE COMM - ALL PLANS | $107.28 | ↓ -92% |
| HEALTHCARE RESOURCES - ALL PLANS | HEALTHCARE RESOURCES - ALL PLANS | $892.06 | ↓ -30% |
| WORKERS COMP | WORKERS COMP | $1,373.62 | ↑ +8% |
| BC PREMERA FIRST - ALL PLANS | BC PREMERA FIRST - ALL PLANS | $1,985.00 | ↑ +56% |
| WORLDVENTURE - ALL PLANS | WORLDVENTURE - ALL PLANS | $2,382.00 | ↑ +88% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $2,382.00 | ↑ +88% |
| PROVIDENCE HP - ALL PLANS | PROVIDENCE HP - ALL PLANS | $2,580.50 | ↑ +103% |
| REGENCE PREFERRED MCR ADV | REGENCE PREFERRED MCR ADV | $2,590.43 | ↑ +104% |
| REGENCE - ALL OTHER PLANS | REGENCE - ALL OTHER PLANS | $2,598.37 | ↑ +105% |
| CIGNA - ALL PLANS | CIGNA - ALL PLANS | $2,679.75 | ↑ +111% |
| FIRST CHOICE - ALL PLANS | FIRST CHOICE - ALL PLANS | $2,751.21 | ↑ +117% |
| PHCS - ALL PLANS | PHCS - ALL PLANS | $2,977.50 | ↑ +134% |
| MULTIPLAN - ALL PLANS | MULTIPLAN - ALL PLANS | $2,977.50 | ↑ +134% |
| REGENCE MCR ADV | REGENCE MCR ADV | $3,017.20 | ↑ +138% |
| AETNA - ALL PLANS | AETNA - ALL PLANS | $3,104.14 | ↑ +144% |
| FIRST HEALTH-COVENTRY - ALL PLANS | FIRST HEALTH-COVENTRY - ALL PLANS | $3,176.00 | ↑ +150% |
| NATIONAL PROVIDER NETWORK - ALL PLANS | NATIONAL PROVIDER NETWORK - ALL PLANS | $3,493.60 | ↑ +175% |
| HEALTH PAYORS ORGANIZATION LTD- ALL PLANS | HEALTH PAYORS ORGANIZATION LTD- ALL PLANS | $3,573.00 | ↑ +181% |
| MODA OHSU PPO/EPO/HMC | MODA OHSU PPO/EPO/HMC | $7,146.00 | ↑ +463% |
Visitor-reported prices
Comments
Transcatheter bx s&i at other Oregon hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence Portland Medical Center | Portland | $3,158.25 | $33.71 – $33.71 |
| Providence St Vincent Medical Center | Portland | $3,158.25 | $33.71 – $33.71 |
| Sunnyside Medical Center | CLACKAMAS | $4,017.10 | not published |
| Westside Medical Center | HILLSBORO | $4,017.10 | not published |
| Providence Medford Medical Center | Medford | $3,411.75 | not published |
| Providence Newberg Medical Center | Newberg | $3,158.25 | $38.02 – $38.02 |
| Providence Willamette Falls Medical Center | Oregon City | not published | $33.71 – $33.71 |
| Providence Milwaukie Hospital | Milwaukie | not published | $33.71 – $33.71 |