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 |
|---|---|---|---|---|
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $668.80 | $2,090.00 | $361.48 – $2,894.40 | 18 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | $668.80 | $2,090.00 | $361.48 – $2,894.40 | 18 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | $617.60 | $1,930.00 | $361.48 – $3,474.00 | 18 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | $617.60 | $1,930.00 | $361.48 – $3,474.00 | 18 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | $617.60 | $1,930.00 | $361.48 – $1,692.18 | 18 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | $617.60 | $1,930.00 | $361.48 – $3,474.00 | 18 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | $569.92 | $1,781.00 | $361.48 – $3,205.80 | 18 |
| Ghs layered repair 12.6 - 20.0 cm -12045 CPT 12045 | $847.04 | $2,647.00 | $657.20 – $4,764.60 | 18 |
| Ghs mbp CPT 83873 | $29.44 | $92.00 | $13.76 – $165.60 | 25 |
| Ghs myocardial strain img spckl track CPT 93356 | $20.80 | $65.00 | $8.13 – $117.00 | 16 |
| Ghs nailbed repair/nail removal CPT 11760 | $931.84 | $2,912.00 | $657.20 – $5,241.60 | 18 |
| Ghs ng placement w fluoro guidance CPT 43752 | $586.88 | $1,834.00 | $397.24 – $2,539.80 | 18 |
| Ghs opcc repair cvp w subq port CPT 36576 | $1,531.20 | $4,785.00 | $1,399.77 – $8,613.00 | 18 |
| Ghs osteopathic manipulative tx, 1-2 regions CPT 98925 | $10.24 | $32.00 | $19.20 – $89.88 | 18 |
| Ghs osteopathic manipulative tx, 3-4 regions CPT 98926 | $10.24 | $32.00 | $19.20 – $89.88 | 18 |
| Ghs ot sensory integrative tech/15min CPT 97533 | $73.60 | $230.00 | $52.71 – $414.00 | 19 |
| Ghs pacing - transcutaneous CPT 92953 | $887.04 | $2,772.00 | $587.72 – $4,989.60 | 18 |
| Ghs peritonsillar abscess i andd CPT 42700 | $474.88 | $1,484.00 | $210.61 – $2,671.20 | 18 |
| Ghs picc line insert < 5 CPT 36568 | $1,531.20 | $4,785.00 | $1,399.77 – $8,613.00 | 18 |
| Ghs plngl fx pm cl CPT 26725 | $369.60 | $1,155.00 | $219.34 – $2,079.00 | 18 |
| Ghs ppd (tb intradermal) CPT 86580 | $12.48 | $39.00 | $18.24 – $120.40 | 23 |
| Ghs protoporphyrins fract CPT 84202 | $24.64 | $77.00 | $9.15 – $114.75 | 25 |
| Ghs removal intranasal foreign body CPT 30300 | $194.24 | $607.00 | $118.31 – $840.60 | 18 |
| Ghs removal pharyngeal foreign body CPT 42809 | $499.84 | $1,562.00 | $397.24 – $2,811.60 | 18 |
| Ghs sensitivity (per antimicro) CPT 87184 | $13.12 | $41.00 | $3.07 – $73.80 | 25 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | $569.92 | $1,781.00 | $361.48 – $3,205.80 | 18 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | $569.92 | $1,781.00 | $361.48 – $3,205.80 | 18 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | $569.92 | $1,781.00 | $361.48 – $3,205.80 | 18 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | $272.96 | $853.00 | $178.41 – $1,535.40 | 18 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $339.20 | $1,060.00 | $178.41 – $835.17 | 18 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | $272.96 | $853.00 | $178.41 – $1,535.40 | 18 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | $295.68 | $924.00 | $178.41 – $1,663.20 | 18 |
| Ghs sleep study unattended CPT 95800 | $201.92 | $631.00 | $192.00 – $1,135.80 | 18 |
| Ghs st - eval for alt comm CPT 92567 | $47.04 | $147.00 | $33.21 – $264.60 | 18 |
| Ghs st - re-eval for alt comm CPT 92597 | $80.64 | $252.00 | $59.91 – $453.60 | 19 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $1,009.60 | $3,155.00 | $657.20 – $4,368.60 | 18 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | $369.60 | $1,155.00 | $219.34 – $2,079.00 | 18 |
| Ghs urine, porphyrins quant CPT 84120 | $25.60 | $80.00 | $10.15 – $124.20 | 25 |
| Ghs vaginal delivery only CPT 59409 | $2,156.16 | $6,738.00 | $2,878.51 – $13,475.03 | 18 |
| Gi inhouse confirmation CPT 87045 | $33.92 | $106.00 | $7.55 – $190.80 | 25 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | $1,073.28 | $3,354.00 | $806.51 – $6,708.00 | 19 |
| Glove finger flexion right lg xl HCPCS L3912 | $100.48 | $314.00 | $111.52 – $628.00 | 21 |
| Glucagon 1 mg solution for injection HCPCS J1610 | $417.00 | $1,303.11 | $117.07 – $1,765.39 | 24 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | $345.07 | $1,078.35 | $108.00 – $2,588.04 | 22 |
| Glucagon plasma - sendout CPT 82943 | $21.44 | $67.00 | $9.57 – $120.60 | 25 |
| Glucose 1 hr post dose CPT 82950 | $11.84 | $37.00 | $1.38 – $52.20 | 25 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $9.60 | $30.00 | $0.98 – $54.00 | 25 |
| Glucose blood quantitative CPT 82947 | $78.40 | $245.00 | $2.71 – $124.20 | 25 |
| Glucose body fluid CPT 82945 | $25.12 | $78.50 | $3.09 – $141.30 | 25 |
| Glucose monitoring continual min 72hr pt CPT 95249 | $23.68 | $74.00 | $52.46 – $245.56 | 18 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $27.84 | $87.00 | $10.30 – $156.60 | 25 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $6.40 | $20.00 | $0.78 – $36.00 | 25 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $21.04 | $65.74 | $0.76 – $74.04 | 11 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $42.56 | $133.00 | $14.86 – $225.00 | 25 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $42.24 | $132.00 | $14.82 – $199.80 | 25 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | $28.16 | $88.00 | $88.00 – $360.75 | 21 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | $30,966.72 | $96,771.00 | $174,187.80 – $174,187.80 | 1 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | $182.08 | $569.00 | $113.10 – $360.75 | 21 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | $178.88 | $559.00 | $113.10 – $770.40 | 21 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $212.16 | $663.00 | $113.10 – $1,591.20 | 21 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | $251.84 | $787.00 | $113.10 – $722.40 | 21 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | $185.60 | $580.00 | $788.40 – $788.40 | 1 |
| Guided cath fluid drainage 10030 CPT 10030 | $1,527.04 | $4,772.00 | $629.68 – $8,589.60 | 16 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $662.40 | $2,070.00 | $37.80 – $37.80 | 1 |
| Guid loc target vol rad tx CPT 77387 | $349.76 | $1,093.00 | $30.34 – $1,967.40 | 17 |
| Gw stiffened micro access kit HCPCS C1894 | $16,197.76 | $50,618.00 | $57.60 – $57.60 | 1 |
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | $44.10 | $137.81 | $7.88 – $330.74 | 11 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $14.39 | $44.98 | $1.46 – $56.88 | 11 |
| Handpiece aquabeam hp2000 HCPCS C2596 | $3,038.05 | $9,493.90 | $17,089.01 – $17,089.01 | 1 |
| Hand X-ray CPT 73130 | $166.40 | $520.00 | $25.71 – $936.00 | 23 |
| Haptoglobin quantitative CPT 83010 | $78.72 | $246.00 | $10.06 – $442.80 | 25 |
| Hast w/oxygen titrate CPT 94453 | $151.68 | $474.00 | $118.31 – $853.20 | 18 |
| Hbb full gene sequence CPT 81364 | $1,080.00 | $3,375.00 | $259.66 – $10,954.58 | 24 |
| Hbot, full body chamber, 30m HCPCS G0277 | $428.80 | $1,340.00 | $122.36 – $2,412.00 | 18 |
| Hcg qualitative CPT 84703 | $12.80 | $40.00 | $3.01 – $72.00 | 25 |
| Hcg quantitative CPT 84702 | $96.00 | $300.00 | $12.04 – $223.20 | 25 |
| Hc nm kidney imaging with flow CPT 78701 | $478.40 | $1,495.00 | $67.81 – $2,691.00 | 22 |
| Head CT scan (with and without contrast) CPT 70470 | $1,033.60 | $3,230.00 | $155.97 – $5,814.00 | 23 |
| Head CT scan (with contrast) CPT 70460 | $885.76 | $2,768.00 | $153.12 – $4,982.40 | 23 |
| Head CT scan (without contrast) CPT 70450 | $795.52 | $2,486.00 | $92.96 – $4,474.80 | 23 |
| Hematocrit CPT 85014 | $33.60 | $105.00 | $0.81 – $61.20 | 25 |
| Hemodialysis one evaluation CPT 90935 | $1,168.00 | $3,650.00 | $610.28 – $7,300.00 | 19 |
| Hemoglobin CPT 85018 | $21.12 | $66.00 | $0.76 – $57.60 | 25 |
| Hemoglobin methemoglobin quantitative CPT 83050 | $8.32 | $26.00 | $2.13 – $46.80 | 25 |
| Hemoglobin plasma CPT 83051 | $12.48 | $39.00 | $2.85 – $70.20 | 25 |
| Hemorrhoidectomy intrnl lig rbbr band ligations CPT 46221 | $363.52 | $1,136.00 | $826.94 – $3,871.09 | 17 |
| Heparin assay CPT 85520 | $23.04 | $72.00 | $9.42 – $129.60 | 25 |
| Heparin bolus from bag HCPCS J1644 | $31.58 | $98.68 | $0.36 – $174.29 | 11 |
| Heparin neutralization CPT 85525 | $42.00 | $131.25 | $9.47 – $236.25 | 25 |
| Heparin, porcine (pf) 10 unit/ml flush (wrapper) HCPCS J1642 | $21.88 | $68.38 | $0.04 – $161.02 | 11 |
| Hepatitis a antibody igm CPT 86709 | $33.60 | $105.00 | $9.01 – $189.00 | 25 |
| Hepatitis b core antibody igm CPT 86705 | $31.68 | $99.00 | $9.42 – $178.20 | 25 |
| Hepatitis b core antibody total CPT 86704 | $26.88 | $84.00 | $9.64 – $151.20 | 25 |
| Hepatitis b surface antibody CPT 86706 | $24.96 | $78.00 | $8.38 – $140.40 | 25 |
| Hepatitis c antibody CPT 86803 | $37.44 | $117.00 | $11.42 – $210.60 | 25 |
| Hepatobiliary system imaging CPT 78226 | $765.44 | $2,392.00 | $99.24 – $4,305.60 | 22 |
| Herpes simplex type 1 antibody igg CPT 86695 | $20.80 | $65.00 | $8.57 – $117.00 | 25 |
| Herpes simplex type 2 antibody igg CPT 86696 | $30.08 | $94.00 | $15.48 – $169.20 | 25 |
| Herpes simplex virus isolation CPT 87255 | $77.76 | $243.00 | $27.09 – $437.40 | 25 |
| Heterophile antibodies screening CPT 86308 | $32.00 | $100.00 | $4.14 – $180.00 | 25 |
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.