X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation 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

$368.32

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.

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

$1,151.00

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.

$73.22 with PACIFIC SOURCE COMM - ALL PLANS vs $2,071.80 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 →

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
PACIFIC SOURCE COMM - ALL PLANS PACIFIC SOURCE COMM - ALL PLANS $73.22 ↓ -80%
PROVIDENCE HP - ALL PLANS PROVIDENCE HP - ALL PLANS $218.40 ↓ -41%
HEALTHCARE RESOURCES - ALL PLANS HEALTHCARE RESOURCES - ALL PLANS $258.63 ↓ -30%
ODS - ALL PLANS ODS - ALL PLANS $310.23 ↓ -16%
CARE OREGON - ALL PLANS CARE OREGON - ALL PLANS $329.61 ↓ -11%
KAISER MCR ADV KAISER MCR ADV $387.78 ↑ +5%
HUMANA MCR ADV HMO - ALL OTHER PLANS HUMANA MCR ADV HMO - ALL OTHER PLANS $395.54 ↑ +7%
WORKERS COMP WORKERS COMP $398.25 ↑ +8%
UHC MCR ADV UHC MCR ADV $411.05 ↑ +12%
HUMANA MCR ADV PPO HUMANA MCR ADV PPO $411.05 ↑ +12%
MODA MCR ADV MODA MCR ADV $411.05 ↑ +12%
HEALTHNET MCR ADV HEALTHNET MCR ADV $445.95 ↑ +21%
BC PREMERA FIRST - ALL PLANS BC PREMERA FIRST - ALL PLANS $575.50 ↑ +56%
WORLDVENTURE - ALL PLANS WORLDVENTURE - ALL PLANS $690.60 ↑ +88%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $690.60 ↑ +88%
AH EMPLOYEE HEALTH PLAN - ALL PLANS AH EMPLOYEE HEALTH PLAN - ALL PLANS $698.01 ↑ +90%
REGENCE PREFERRED MCR ADV REGENCE PREFERRED MCR ADV $751.03 ↑ +104%
MODA CONN OEBB/SYN PEBB MODA CONN OEBB/SYN PEBB $775.56 ↑ +111%
FIRST CHOICE - ALL PLANS FIRST CHOICE - ALL PLANS $797.64 ↑ +117%
PHCS - ALL PLANS PHCS - ALL PLANS $863.25 ↑ +134%
MULTIPLAN - ALL PLANS MULTIPLAN - ALL PLANS $863.25 ↑ +134%
REGENCE MCR ADV REGENCE MCR ADV $874.76 ↑ +138%
REGENCE OHSU PLUS REGENCE OHSU PLUS $879.92 ↑ +139%
MODA AFFINITY - ALL OTHER PLANS MODA AFFINITY - ALL OTHER PLANS $891.90 ↑ +142%
AETNA - ALL PLANS AETNA - ALL PLANS $899.97 ↑ +144%
FIRST HEALTH-COVENTRY - ALL PLANS FIRST HEALTH-COVENTRY - ALL PLANS $920.80 ↑ +150%
REGENCE - ALL OTHER PLANS REGENCE - ALL OTHER PLANS $977.69 ↑ +165%
KAISER - ALL OTHER PLANS KAISER - ALL OTHER PLANS $1,011.33 ↑ +175%
NATIONAL PROVIDER NETWORK - ALL PLANS NATIONAL PROVIDER NETWORK - ALL PLANS $1,012.88 ↑ +175%
CIGNA - ALL PLANS CIGNA - ALL PLANS $1,027.15 ↑ +179%
HEALTH PAYORS ORGANIZATION LTD- ALL PLANS HEALTH PAYORS ORGANIZATION LTD- ALL PLANS $1,035.90 ↑ +181%
MODA SELECT MODA SELECT $1,213.76 ↑ +230%
MODA CONNEXUS MODA CONNEXUS $1,372.75 ↑ +273%
MODA SYNERGY MODA SYNERGY $1,452.24 ↑ +294%
MODA OHSU PPO/EPO/HMC MODA OHSU PPO/EPO/HMC $2,071.80 ↑ +463%

Visitor-reported prices

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X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation at other Oregon hospitals

Hospital City Cash price Negotiated range
Providence Portland Medical Center Portland $816.00 $53.42 – $1,515.42
Providence St Vincent Medical Center Portland $816.00 $53.42 – $1,515.42
Sunnyside Medical Center CLACKAMAS $1,727.20 $592.00 – $592.00
Westside Medical Center HILLSBORO $1,727.20 $592.00 – $592.00
Providence Hood River Memorial Hospital Hood River $769.50 not published
Providence Medford Medical Center Medford $825.00 $353.56 – $883.90
Providence Newberg Medical Center Newberg $816.00 $60.25 – $709.64
Providence Seaside Hospital Seaside $687.00 not published

All Oregon hospitals for this procedure →