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 |
|---|---|---|---|---|
| Hhv-6 dna quant CPT 87533 | $63.04 | $197.00 | $33.41 – $354.60 | 25 |
| Hinge extension/flex wrist/f HCPCS L3900 | $1,156.16 | $3,613.00 | $1,284.39 – $7,226.00 | 21 |
| Hip X-ray CPT 73502 | $203.20 | $635.00 | $31.72 – $1,143.00 | 21 |
| Histamine CPT 83088 | $45.76 | $143.00 | $23.62 – $257.40 | 25 |
| HIV prep, ftc/tdf 200/300mg HCPCS J0750 | $103.52 | $323.50 | $0.39 – $67.49 | 22 |
| Hla class i high defin qual CPT 86832 | $512.00 | $1,600.00 | $259.00 – $5,180.00 | 25 |
| Hla class ii high defin qual CPT 86833 | $521.60 | $1,630.00 | $260.64 – $5,310.54 | 25 |
| Hla i low res one antigen equiv ea CPT 81374 | $128.96 | $403.00 | $59.46 – $725.40 | 24 |
| Hla i typing high res 1 allele grp ea CPT 81381 | $320.00 | $1,000.00 | $135.92 – $1,152.00 | 24 |
| Hla x-math non-cytotoxic CPT 86825 | $101.44 | $317.00 | $87.59 – $570.60 | 25 |
| Hlth bhv assmt/reassessment CPT 96156 | $37.12 | $116.00 | $90.34 – $422.88 | 17 |
| Homocysteine CPT 83090 | $26.56 | $83.00 | $14.34 – $149.40 | 25 |
| H pylori (c-13) breath CPT 83013 | $96.64 | $302.00 | $53.89 – $543.60 | 25 |
| Human epididymis protein 4 (he4) CPT 86305 | $49.28 | $154.00 | $16.65 – $277.20 | 25 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $26.42 | $82.55 | $8.78 – $157.01 | 11 |
| Hydration IV infusion each additional hour CPT 96361 | $164.48 | $514.00 | $41.64 – $707.40 | 18 |
| Hydration IV infusion initial 31minutes - 1 hour CPT 96360 | $340.80 | $1,065.00 | $189.14 – $1,463.40 | 18 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | $45.25 | $141.42 | $44.12 – $273.19 | 11 |
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | $24.42 | $76.30 | $0.28 – $114.82 | 11 |
| Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge HCPCS J7999 | $92.59 | $289.35 | $39.03 – $93.67 | 10 |
| Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 | $47.59 | $148.73 | $26.00 – $356.95 | 11 |
| Hydroxyzine pamoate 25 mg capsule HCPCS Q0177 | $70.12 | $219.13 | $0.30 – $52.82 | 11 |
| Hydrxycorticsterds 17- (17-ohcs) CPT 83491 | $18.70 | $58.45 | $10.46 – $105.21 | 25 |
| Hysterosalpingography s&i CPT 74740 | $388.48 | $1,214.00 | $52.20 – $2,185.20 | 23 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | $102.72 | $321.00 | $28.07 – $577.80 | 25 |
| Icd cobalt xt dr MRI is1 df1 HCPCS C1721 | $16,918.08 | $52,869.00 | $51,904.80 – $51,904.80 | 1 |
| Icd crtd cobalt hf MRI is1 df1 HCPCS C1882 | $27,941.76 | $87,318.00 | $79,353.00 – $79,353.00 | 1 |
| Icd crtp serena MRI HCPCS C2621 | $7,593.92 | $23,731.00 | $29,696.40 – $29,696.40 | 1 |
| Icd reliance df4 ib 64cm HCPCS C1895 | $2,794.56 | $8,733.00 | $14,603.40 – $14,603.40 | 1 |
| I&d upper arm/elbow deep abscess/hematoma CPT 23930 | $1,141.12 | $3,566.00 | $2,582.93 – $12,091.33 | 17 |
| Igh gene rearrange amp meth CPT 81261 | $292.48 | $914.00 | $158.39 – $1,809.63 | 24 |
| Igk rearrangeabn clonal pop CPT 81264 | $292.48 | $914.00 | $138.18 – $1,645.20 | 24 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $73.28 | $229.00 | $68.99 – $412.20 | 21 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $176.64 | $552.00 | $93.17 – $1,492.09 | 23 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $213.44 | $667.00 | $84.54 – $1,200.60 | 23 |
| Iliac revasc add-on 37222 CPT 37222 | $4,878.08 | $15,244.00 | $27,439.20 – $27,439.20 | 1 |
| Iloprost non-comp unit dose HCPCS Q4074 | $210.72 | $658.50 | $400.30 – $1,580.40 | 12 |
| Immob elbow child sm HCPCS L3762 | $82.88 | $259.00 | $92.06 – $518.00 | 21 |
| Immobilizer shldr cntor adlt HCPCS L3670 | $93.44 | $292.00 | $103.67 – $584.00 | 21 |
| Immune complex assay CPT 86332 | $38.08 | $119.00 | $19.50 – $214.20 | 25 |
| Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569 | $2,350.80 | $7,346.24 | $39.26 – $17,630.98 | 24 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $45.76 | $143.00 | $16.65 – $257.40 | 25 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $33.28 | $104.00 | $16.65 – $187.20 | 25 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $20.48 | $64.00 | $7.67 – $115.20 | 25 |
| Immunofixation electrophoresis serum CPT 86334 | $35.84 | $112.00 | $17.87 – $201.60 | 25 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $81.92 | $256.00 | $70.61 – $460.80 | 19 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $155.84 | $487.00 | $86.06 – $876.60 | 23 |
| Immunoglobulin assay CPT 86023 | $21.44 | $67.00 | $8.35 – $120.60 | 25 |
| Implant cartilage 10mm synthetic HCPCS L8699 | $28,584.32 | $89,326.00 | $909.70 – $1,654.00 | 7 |
| Implnt spinl canal catheter 62350 CPT 62350 | $5,798.08 | $18,119.00 | $7,803.66 – $36,530.86 | 18 |
| Incision & drainage hematoma/seroma/fluid collection CPT 10140 | $2,367.68 | $7,399.00 | $1,468.63 – $6,875.03 | 18 |
| Incision of tongue fold CPT 41010 | $1,812.48 | $5,664.00 | $1,379.70 – $10,195.20 | 17 |
| Incision tendon sheath CPT 26055 | $1,986.24 | $6,207.00 | $1,429.86 – $11,172.60 | 17 |
| Incisn windpipe CPT 31600 | $3,828.16 | $11,963.00 | $2,948.17 – $21,533.40 | 18 |
| Induced ab 1+ vag sup w/dlv fetus CPT 59855 | $1,000.64 | $3,127.00 | $307.26 – $5,628.60 | 16 |
| Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s) CPT 87626 | $69.20 | $216.25 | $56.16 – $389.25 | 22 |
| Infect ag drug suscept pheno predict CPT 87900 | $160.00 | $500.00 | $104.28 – $900.00 | 25 |
| Infect ag genotype na hiv-1 other region CPT 87906 | $160.00 | $500.00 | $102.98 – $900.00 | 25 |
| Infect ag genotype na hiv-1 revr trn/prt CPT 87901 | $319.04 | $997.00 | $205.96 – $2,566.78 | 25 |
| Infect ag ia optc obs influenza CPT 87804 | $7.68 | $24.00 | $3.97 – $61.98 | 25 |
| Infect ag na hep b amp CPT 87516 | $60.48 | $189.00 | $28.07 – $340.20 | 25 |
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | $157.76 | $493.00 | $76.64 – $887.40 | 25 |
| Infectious agent antigen immunoassay direct optical observation sars-cov-2 CPT 87811 | $17.92 | $56.00 | $23.17 – $154.97 | 24 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $78.40 | $245.00 | $9.58 – $441.00 | 25 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | $30.72 | $96.00 | $11.06 – $172.80 | 25 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $26.56 | $83.00 | $9.58 – $149.40 | 25 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $22.72 | $71.00 | $10.21 – $127.80 | 25 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $33.60 | $105.00 | $8.26 – $189.00 | 25 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 | $17.92 | $56.00 | $5.78 – $100.80 | 25 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $44.16 | $138.00 | $19.26 – $248.40 | 25 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $112.00 | $350.00 | $5.99 – $90.00 | 25 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $116.16 | $363.00 | $28.07 – $257.40 | 25 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $108.80 | $340.00 | $28.07 – $612.00 | 25 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $117.76 | $368.00 | $29.82 – $662.40 | 25 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | $597.12 | $1,866.00 | $333.42 – $7,777.11 | 25 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $76.80 | $240.00 | $28.07 – $311.40 | 25 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $107.20 | $335.00 | $28.07 – $603.00 | 25 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | $137.92 | $431.00 | $33.34 – $336.60 | 25 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $108.80 | $340.00 | $28.07 – $612.00 | 25 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $70.08 | $219.00 | $41.05 – $394.20 | 24 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 | $227.84 | $712.00 | $114.10 – $1,281.60 | 24 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | $347.20 | $1,085.00 | $114.10 – $1,953.00 | 24 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $44.81 | $140.05 | $28.07 – $206.10 | 25 |
| Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae CPT 87494 | $217.60 | $680.00 | $56.14 – $1,224.00 | 22 |
| Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance CPT 87564 | $127.04 | $397.00 | $61.42 – $675.00 | 22 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets CPT 87505 | $189.44 | $592.00 | $102.63 – $1,065.60 | 25 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 | $320.32 | $1,001.00 | $210.39 – $2,632.53 | 25 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $93.44 | $292.00 | $34.27 – $374.40 | 25 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $66.88 | $209.00 | $34.27 – $376.20 | 25 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $64.64 | $202.00 | $34.27 – $363.60 | 25 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $128.96 | $403.00 | $68.08 – $725.40 | 25 |
| Infliximab-axxq 100 mg intravenous solution HCPCS Q5121 | $719.64 | $2,248.87 | $22.43 – $5,397.29 | 24 |
| Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103 | $1,316.10 | $4,112.80 | $20.83 – $9,870.72 | 24 |
| Initiation & management bipap/cpap initial day CPT 94660 | $326.40 | $1,020.00 | $194.72 – $1,836.00 | 18 |
| Init pm e/m new pat 65+ yrs CPT 99387 | $76.80 | $240.00 | $432.00 – $528.87 | 2 |
| Inj, acetaminophen (b braun) HCPCS J0136 | $31.62 | $98.82 | $0.10 – $237.17 | 11 |
| Inj cefazolin sodium, baxter HCPCS J0689 | $22.97 | $71.79 | $2.54 – $131.93 | 11 |
| Inj cntr knee arthro incl ct/mri CPT 27369 | $227.84 | $712.00 | $27.59 – $1,281.60 | 16 |
| Inj. denosumab-bbdz, 1 mg HCPCS Q5136 | $38.50 | $120.31 | $22.33 – $288.74 | 22 |
| Inj dx for sinogram CPT 20501 | $388.16 | $1,213.00 | $25.04 – $2,183.40 | 16 |
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.