PORTLAND ADVENTIST MEDICAL CENTER
10123 Se Market St, Portland, OR · Adventisthealth · · NPI 1801887658
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| #fecal-sodium CPT 84302 | $20.48 | $64.00 | $3.11 – $115.20 | 25 |
| Felbamate (felbatol(r)) - sendout CPT 80167 | $18.18 | $56.80 | $10.59 – $102.24 | 25 |
| Fem/popl revasc w/stent CPT 37226 | $10,865.60 | $33,955.00 | $24,151.26 – $61,119.00 | 3 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | $54.31 | $169.71 | $2.38 – $175.87 | 11 |
| Ferritin CPT 82728 | $40.00 | $125.00 | $10.90 – $225.00 | 25 |
| Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution HCPCS Q0138 | $1,627.20 | $5,085.01 | $0.18 – $12,204.02 | 23 |
| Fetal biophys profile w/nst 76818 CPT 76818 | $294.72 | $921.00 | $92.96 – $1,657.80 | 23 |
| Fetal fibronectin CPT 82731 | $107.52 | $336.00 | $51.53 – $604.80 | 25 |
| Fetal hemoglobin rosette CPT 85461 | $42.56 | $133.00 | $7.49 – $239.40 | 25 |
| Fetal non stress test CPT 59025 | $258.88 | $809.00 | $179.77 – $1,456.20 | 18 |
| #_fet/norfentcnfrmur CPT 80354 | $37.76 | $118.00 | $177.00 – $234.82 | 3 |
| Fibrin degradation d dimer quantitative CPT 85379 | $86.40 | $270.00 | $8.14 – $486.00 | 25 |
| Fibrin degradation products CPT 85362 | $9.92 | $31.00 | $2.14 – $55.80 | 25 |
| Fibrinogen activity CPT 85384 | $75.20 | $235.00 | $7.78 – $423.00 | 25 |
| Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe HCPCS Q5110 | $473.97 | $1,481.17 | $0.23 – $2,255.78 | 24 |
| Filgrastim-sndz 300 mcg/0.5 ml injection syringe HCPCS Q5101 | $608.43 | $1,901.34 | $0.28 – $2,901.82 | 24 |
| Filter spider fx 3mmx320cm HCPCS C1884 | $3,811.20 | $11,910.00 | $5,815.80 – $5,815.80 | 1 |
| Filter vena cava fem denali HCPCS C1880 | $714.56 | $2,233.00 | $3,965.63 – $3,965.63 | 1 |
| Fine needle aspiration biopsy w/us gdn; ea addtl 10006 CPT 10006 | $656.00 | $2,050.00 | $34.73 – $3,690.00 | 15 |
| Fine needle asp without image guide 10021 CPT 10021 | $668.80 | $2,090.00 | $361.48 – $2,894.40 | 17 |
| Flecainide (tambocor)-sendout CPT 80181 | $31.68 | $99.00 | $14.91 – $178.20 | 25 |
| Fl exam g/colon tube w contrast CPT 49465 | $287.68 | $899.00 | $212.17 – $1,618.20 | 18 |
| Flexible Sigmoidoscopy CPT 45330 | $1,124.48 | $3,514.00 | $826.94 – $6,325.20 | 18 |
| Flow cytometry marker each additional CPT 88185 | $63.68 | $199.00 | $20.48 – $315.00 | 21 |
| Flow cytometry one marker technical component CPT 88184 | $171.20 | $535.00 | $165.56 – $1,492.09 | 23 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | $38.42 | $120.05 | $8.96 – $103.92 | 11 |
| Fluorescent antibody titer dna CPT 86256 | $32.32 | $101.00 | $5.09 – $75.97 | 25 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $279.36 | $873.00 | $83.45 – $1,571.40 | 20 |
| Fluoroguide needle placement CPT 77002 | $371.84 | $1,162.00 | $80.11 – $2,091.60 | 20 |
| Fluoroscopy up to 1 hour CPT 76000 | $357.44 | $1,117.00 | $45.05 – $2,010.60 | 23 |
| Fna bx w/ct gdn 1st les CPT 10009 | $814.40 | $2,545.00 | $629.68 – $4,581.00 | 17 |
| Fna bx w/ct gdn ea addl CPT 10010 | $570.24 | $1,782.00 | $52.34 – $3,207.60 | 15 |
| Folic acid CPT 82746 | $25.92 | $81.00 | $11.76 – $145.80 | 25 |
| Fomepizole 1 gram/ml intravenous solution HCPCS J1451 | $2,022.40 | $6,320.00 | $5.11 – $15,168.00 | 24 |
| Fondaparinux sodium HCPCS J1652 | $78.89 | $246.52 | $1.76 – $279.96 | 11 |
| Foot X-ray CPT 73630 | $202.88 | $634.00 | $23.57 – $1,141.20 | 23 |
| Foreskn manip w/lss preputial ads+stretching 54450 CPT 54450 | $276.48 | $864.00 | $222.17 – $1,555.20 | 18 |
| Formoterol fumarate, inh HCPCS J7606 | $33.76 | $105.49 | $4.40 – $208.56 | 11 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | $183.37 | $573.02 | $1.07 – $387.29 | 22 |
| Fresh frozen plasma 8-24 hours collection each unit HCPCS P9059 | $85.12 | $266.00 | $59.02 – $638.40 | 19 |
| Fructosamine glycated protein CPT 82985 | $26.24 | $82.00 | $13.41 – $147.60 | 25 |
| Ftl cgen abnor four anal CPT 81511 | $185.60 | $580.00 | $122.80 – $1,044.00 | 24 |
| Furosemide 10 mg/ml injection solution HCPCS J1938 | $26.41 | $82.52 | $0.04 – $166.01 | 11 |
| Gabapentin non-blood CPT 80355 | $27.84 | $87.00 | $130.50 – $173.13 | 3 |
| Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution HCPCS A9575 | $81.53 | $254.78 | $458.60 – $509.56 | 2 |
| Gallium illuccix 1 millicure HCPCS A9596 | $837.12 | $2,616.00 | $382.82 – $5,232.00 | 17 |
| Gammaglobulin iga CPT 82784 | $28.48 | $89.00 | $3.53 – $68.40 | 25 |
| Gammaglobulin ige CPT 82785 | $26.56 | $83.00 | $13.17 – $149.40 | 25 |
| Gamma glutamyltransferase CPT 82977 | $25.60 | $80.00 | $5.52 – $138.06 | 25 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | $151.58 | $473.70 | $67.04 – $756.48 | 11 |
| Gel-one HCPCS J7326 | $1,561.21 | $4,878.79 | $421.43 – $11,709.10 | 24 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | $130.16 | $406.76 | $7.18 – $688.94 | 11 |
| Generator emblem MRI sicd subq HCPCS C1722 | $20,485.76 | $64,018.00 | $51,775.20 – $51,775.20 | 1 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $15.42 | $48.19 | $4.34 – $115.66 | 11 |
| Gentamicin peak therapeutic drug level CPT 80170 | $48.64 | $152.00 | $13.10 – $257.40 | 25 |
| G-esoph reflx tst w/electrod CPT 91035 | $696.64 | $2,177.00 | $763.61 – $4,354.00 | 19 |
| Ghs abscess perianal iandd CPT 46050 | $1,461.76 | $4,568.00 | $826.94 – $6,325.20 | 18 |
| Ghs abscess postoperative iandd complex CPT 10180 | $3,494.08 | $10,919.00 | $2,582.93 – $19,654.20 | 17 |
| Ghs acetylcholinesterase, rbc CPT 82482 | $28.48 | $89.00 | $7.85 – $160.20 | 25 |
| Ghs antibodies (torch) igm CPT 86694 | $18.88 | $59.00 | $8.49 – $106.20 | 25 |
| Ghs bladder cath - complex-foley CPT 51703 | $242.56 | $758.00 | $114.42 – $535.62 | 18 |
| Ghs change cysto/gastrost CPT 43762 | $331.52 | $1,036.00 | $222.17 – $1,040.04 | 18 |
| Ghs chemo IV push, ea addtl CPT 96411 | $227.52 | $711.00 | $64.02 – $1,279.80 | 19 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | $463.36 | $1,448.00 | $219.34 – $2,606.40 | 18 |
| Ghs closed reduction ankle dislocation CPT 27840 | $369.60 | $1,155.00 | $219.34 – $2,079.00 | 18 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | $2,383.36 | $7,448.00 | $1,429.86 – $13,406.40 | 18 |
| Ghs closed tx tibial fracture w/manip CPT 27752 | $2,383.36 | $7,448.00 | $1,429.86 – $13,406.40 | 18 |
| Ghs clsd red med malleolus fx w manip CPT 27762 | $2,383.36 | $7,448.00 | $1,429.86 – $13,406.40 | 18 |
| Ghs clsd tx frac distal tibia w/manipulation CPT 27825 | $2,383.36 | $7,448.00 | $1,429.86 – $13,406.40 | 18 |
| Ghs cl tx knee disl; wo anesth CPT 27550 | $369.60 | $1,155.00 | $219.34 – $2,079.00 | 18 |
| Ghs cl tx metacarpophal disloc without anes CPT 26700 | $369.60 | $1,155.00 | $219.34 – $2,079.00 | 18 |
| Ghs conjunctiva foreign body-superf bil CPT 65205 | $165.44 | $517.00 | $118.31 – $930.60 | 18 |
| Ghs corneal fb without slit lamp bilat CPT 65220 | $499.84 | $1,562.00 | $397.24 – $2,811.60 | 18 |
| Ghs corneal fb with slit lamp bilat CPT 65222 | $165.44 | $517.00 | $118.31 – $930.60 | 18 |
| Ghs cricothyroidotomy CPT 31605 | $354.24 | $1,107.00 | $210.61 – $1,992.60 | 18 |
| Ghs dislocation elbow closed treatment CPT 24600 | $369.60 | $1,155.00 | $219.34 – $2,079.00 | 18 |
| Ghs ed therapeutic lp, drain csf w fluoro CPT 62329 | $917.76 | $2,868.00 | $627.68 – $5,162.40 | 18 |
| Ghs electrostagmgraphy CPT 92537 | $378.24 | $1,182.00 | $114.42 – $2,127.60 | 18 |
| Ghs excision ingrown nail CPT 11765 | $514.56 | $1,608.00 | $361.48 – $2,894.40 | 17 |
| Ghs fb removal - incisional CPT 10121 | $2,367.68 | $7,399.00 | $1,468.63 – $13,318.20 | 18 |
| Ghs fish cytogen CPT 88271 | $51.84 | $162.00 | $17.14 – $210.60 | 24 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | $130.56 | $408.00 | $40.95 – $734.40 | 24 |
| Ghs hcv amplificaiton CPT 87521 | $60.48 | $189.00 | $28.07 – $340.20 | 25 |
| Ghs histoplasma antigen CPT 87385 | $17.60 | $55.00 | $7.29 – $99.00 | 25 |
| Ghs HIV antibody CPT 86703 | $28.48 | $89.00 | $10.97 – $160.20 | 25 |
| Ghs i and d abscess/hematoma scrotum CPT 54700 | $2,901.12 | $9,066.00 | $1,858.81 – $12,553.20 | 18 |
| Ghs i and d perirectal abscess 46040 CPT 46040 | $2,093.44 | $6,542.00 | $1,064.08 – $8,191.80 | 18 |
| Ghs i and d pilonidal cyst simple CPT 10080 | $1,059.20 | $3,310.00 | $629.68 – $4,582.80 | 18 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | $329.60 | $1,030.00 | $222.17 – $1,425.60 | 18 |
| Ghs inf midline insertion CPT 36140 | $464.00 | $1,450.00 | $62.06 – $2,610.00 | 16 |
| Ghs inhibitor screen CPT 85335 | $280.00 | $875.00 | $8.88 – $124.20 | 25 |
| Ghs init tx 1st degree burn CPT 16000 | $272.96 | $853.00 | $178.41 – $1,535.40 | 18 |
| Ghs inj neurolytic other perph nerve CPT 64640 | $1,066.88 | $3,334.00 | $786.49 – $6,001.20 | 18 |
| Ghs inj tendon origin/insertion CPT 20551 | $117.76 | $368.00 | $272.95 – $1,277.73 | 17 |
| Ghs insertion of needle - bone CPT 36680 | $499.84 | $1,562.00 | $397.24 – $2,811.60 | 18 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | $617.60 | $1,930.00 | $361.48 – $3,474.00 | 18 |
| Ghs intermed repair over 30 cm - 12037 CPT 12037 | $1,485.44 | $4,642.00 | $1,834.71 – $8,588.75 | 18 |
| Ghs intro needle/intracath vein - 36000 CPT 36000 | $102.40 | $320.00 | $576.00 – $576.00 | 1 |
| Ghs irrigate corpora cavernosa for priapism CPT 54220 | $304.00 | $950.00 | $222.17 – $1,710.00 | 18 |
| Ghs IV thrombolytics - cerebral CPT 37195 | $476.80 | $1,490.00 | $293.71 – $2,682.00 | 18 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.