X-ray acromioclavicular joints without or w/weighted distraction bilateral at PORTLAND ADVENTIST MEDICAL CENTER
10123 Se Market St, Portland, OR · Adventisthealth · · NPI 1801887658
$159.04
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.
$497.00
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.
$27.74 with PACIFIC SOURCE COMM - ALL PLANS vs $894.60 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 | $27.74 | ↓ -83% |
| ODS - ALL PLANS | ODS - ALL PLANS | $77.38 | ↓ -51% |
| CARE OREGON - ALL PLANS | CARE OREGON - ALL PLANS | $82.22 | ↓ -48% |
| PROVIDENCE HP - ALL PLANS | PROVIDENCE HP - ALL PLANS | $92.40 | ↓ -42% |
| KAISER MCR ADV | KAISER MCR ADV | $96.73 | ↓ -39% |
| HUMANA MCR ADV HMO - ALL OTHER PLANS | HUMANA MCR ADV HMO - ALL OTHER PLANS | $98.67 | ↓ -38% |
| HUMANA MCR ADV PPO | HUMANA MCR ADV PPO | $102.53 | ↓ -36% |
| UHC MCR ADV | UHC MCR ADV | $102.53 | ↓ -36% |
| MODA MCR ADV | MODA MCR ADV | $102.53 | ↓ -36% |
| HEALTHNET MCR ADV | HEALTHNET MCR ADV | $111.24 | ↓ -30% |
| HEALTHCARE RESOURCES - ALL PLANS | HEALTHCARE RESOURCES - ALL PLANS | $111.68 | ↓ -30% |
| REGENCE PREFERRED MCR ADV | REGENCE PREFERRED MCR ADV | $126.54 | ↓ -20% |
| REGENCE MCR ADV | REGENCE MCR ADV | $159.93 | ↑ +1% |
| WORKERS COMP | WORKERS COMP | $171.96 | ↑ +8% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $174.11 | ↑ +9% |
| REGENCE OHSU PLUS | REGENCE OHSU PLUS | $193.38 | ↑ +22% |
| MODA CONN OEBB/SYN PEBB | MODA CONN OEBB/SYN PEBB | $193.46 | ↑ +22% |
| REGENCE - ALL OTHER PLANS | REGENCE - ALL OTHER PLANS | $214.86 | ↑ +35% |
| MODA AFFINITY - ALL OTHER PLANS | MODA AFFINITY - ALL OTHER PLANS | $222.48 | ↑ +40% |
| CIGNA - ALL PLANS | CIGNA - ALL PLANS | $225.73 | ↑ +42% |
| BC PREMERA FIRST - ALL PLANS | BC PREMERA FIRST - ALL PLANS | $248.50 | ↑ +56% |
| KAISER - ALL OTHER PLANS | KAISER - ALL OTHER PLANS | $252.27 | ↑ +59% |
| WORLDVENTURE - ALL PLANS | WORLDVENTURE - ALL PLANS | $298.20 | ↑ +88% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $298.20 | ↑ +88% |
| MODA SELECT | MODA SELECT | $302.77 | ↑ +90% |
| MODA CONNEXUS | MODA CONNEXUS | $342.43 | ↑ +115% |
| FIRST CHOICE - ALL PLANS | FIRST CHOICE - ALL PLANS | $344.42 | ↑ +117% |
| MODA SYNERGY | MODA SYNERGY | $362.26 | ↑ +128% |
| MULTIPLAN - ALL PLANS | MULTIPLAN - ALL PLANS | $372.75 | ↑ +134% |
| PHCS - ALL PLANS | PHCS - ALL PLANS | $372.75 | ↑ +134% |
| AETNA - ALL PLANS | AETNA - ALL PLANS | $388.60 | ↑ +144% |
| FIRST HEALTH-COVENTRY - ALL PLANS | FIRST HEALTH-COVENTRY - ALL PLANS | $397.60 | ↑ +150% |
| NATIONAL PROVIDER NETWORK - ALL PLANS | NATIONAL PROVIDER NETWORK - ALL PLANS | $437.36 | ↑ +175% |
| HEALTH PAYORS ORGANIZATION LTD- ALL PLANS | HEALTH PAYORS ORGANIZATION LTD- ALL PLANS | $447.30 | ↑ +181% |
| MODA OHSU PPO/EPO/HMC | MODA OHSU PPO/EPO/HMC | $894.60 | ↑ +463% |
Visitor-reported prices
Comments
X-ray acromioclavicular joints without or w/weighted distraction bilateral at other Oregon hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence Portland Medical Center | Portland | $246.75 | $19.70 – $332.87 |
| Providence St Vincent Medical Center | Portland | $246.75 | $19.70 – $332.87 |
| Sunnyside Medical Center | CLACKAMAS | $406.30 | $146.00 – $146.00 |
| Westside Medical Center | HILLSBORO | $406.30 | $146.00 – $146.00 |
| Providence Hood River Memorial Hospital | Hood River | $252.00 | not published |
| Providence Medford Medical Center | Medford | $456.75 | $88.19 – $220.49 |
| Providence Newberg Medical Center | Newberg | $246.75 | $22.22 – $177.02 |
| Providence Seaside Hospital | Seaside | $275.25 | not published |