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 |
|---|---|---|---|---|
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | $406.40 | $1,270.00 | $46.66 – $2,286.00 | 16 |
| Injection carpal tunnel therapeutic (both sides) CPT 20526 | $117.76 | $368.00 | $272.95 – $1,277.73 | 17 |
| Injection during cath supravalvular aortography CPT 93567 | $533.12 | $1,666.00 | $25.50 – $2,998.80 | 16 |
| Injection epidural blood patch or clot CPT 62273 | $780.48 | $2,439.00 | $627.68 – $3,301.20 | 18 |
| Injection for arthrography wrist (both sides) CPT 25246 | $281.92 | $881.00 | $49.67 – $1,585.80 | 16 |
| Injection for bladder x-ray CPT 51600 | $525.44 | $1,642.00 | $30.18 – $2,955.60 | 16 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | $281.92 | $881.00 | $34.03 – $1,585.80 | 16 |
| Injection into hemorrhoid(s) CPT 46500 | $363.52 | $1,136.00 | $826.94 – $3,871.09 | 17 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | $440.64 | $1,377.00 | $78.85 – $2,478.60 | 19 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | $704.32 | $2,201.00 | $627.68 – $3,961.80 | 18 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $704.32 | $2,201.00 | $627.68 – $2,938.34 | 18 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | $1,088.32 | $3,401.00 | $627.68 – $6,121.80 | 18 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | $117.76 | $368.00 | $272.95 – $1,277.73 | 17 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $249.92 | $781.00 | $272.95 – $1,277.73 | 18 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | $188.48 | $589.00 | $272.95 – $1,277.73 | 18 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug CPT 96375 | $89.92 | $281.00 | $41.64 – $388.80 | 18 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $70.40 | $220.00 | $297.00 – $297.00 | 1 |
| Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug CPT 96374 | $176.00 | $550.00 | $189.14 – $885.41 | 18 |
| Injection therapeutic/prophylactic/diagnostic subcutaneous/im CPT 96372 | $92.48 | $289.00 | $64.02 – $378.00 | 18 |
| Inject sacroiliac joint CPT 27096 | $748.48 | $2,339.00 | $60.58 – $4,210.20 | 16 |
| Inj, epinephrine (belcher) HCPCS J0173 | $35.48 | $110.87 | $110.87 – $266.09 | 10 |
| Inj for ext venography CPT 36005 | $418.24 | $1,307.00 | $33.18 – $2,352.60 | 16 |
| Inj hydroxocobalamin IV 25mg HCPCS J3424 | $1,354.95 | $4,234.21 | $4.35 – $10,162.10 | 22 |
| Inj intralesional <= 7 lsn(s) CPT 11900 | $79.36 | $248.00 | $178.41 – $835.17 | 17 |
| Inj levocarnitine per 1 gm HCPCS J1955 | $72.68 | $227.11 | $46.54 – $545.06 | 11 |
| Inj, levothyroxine, freskabi HCPCS J0651 | $139.87 | $437.09 | $5.57 – $1,049.02 | 22 |
| Inj, lidocaine w epinephrine HCPCS J2004 | $33.92 | $105.99 | $0.02 – $88.03 | 11 |
| Inj lwr xtr fscl pln blk uni w/wo image CPT 64473 | $347.84 | $1,087.00 | $44.18 – $1,956.60 | 16 |
| Inj, micafungin (par pharm) HCPCS J2247 | $220.43 | $688.84 | $0.44 – $1,653.22 | 11 |
| Inj naloxone hydrochloride HCPCS J2310 | $179.25 | $560.15 | $84.39 – $202.54 | 10 |
| Inj nephrosto/ureterogram w/img exstng access CPT 50431 | $740.80 | $2,315.00 | $620.05 – $4,167.00 | 18 |
| Inj., omadacycline, 1 mg HCPCS J0121 | $649.80 | $2,030.61 | $3.26 – $4,873.46 | 24 |
| Inj proc elbow arthro CPT 24220 | $123.20 | $385.00 | $45.35 – $693.00 | 16 |
| Inj proc myelogram lumbar CPT 62284 | $457.28 | $1,429.00 | $58.45 – $2,572.20 | 16 |
| Inj retro urethrocysto CPT 51610 | $87.04 | $272.00 | $47.59 – $489.60 | 16 |
| Inj scleros sol mult veins CPT 36471 | $514.56 | $1,608.00 | $361.48 – $2,894.40 | 18 |
| Inj secretin synthetic human HCPCS J2850 | $847.07 | $2,647.10 | $32.18 – $6,353.04 | 24 |
| Inj sulf hexa lipid microsph HCPCS Q9950 | $203.89 | $637.16 | $36.34 – $1,529.18 | 11 |
| Inj testosterone cypionate HCPCS J1071 | $43.62 | $136.31 | $0.06 – $274.70 | 11 |
| Inj. tigecycline (accord) HCPCS J3244 | $187.87 | $587.09 | $6.00 – $1,409.02 | 11 |
| Inj w/fluor eval cv device CPT 36598 | $284.16 | $888.00 | $189.14 – $1,598.40 | 18 |
| Ins cath ren art 1st bi CPT 36252 | $6,241.60 | $19,505.00 | $2,807.70 – $35,109.00 | 18 |
| Ins cath ren art 1st uni CPT 36251 | $4,927.36 | $15,398.00 | $2,807.70 – $27,716.40 | 18 |
| Ins cath ren art 2nd+ uni CPT 36253 | $5,150.40 | $16,095.00 | $4,948.05 – $28,971.00 | 18 |
| Ins cerv dilator (sep proc) CPT 59200 | $121.28 | $379.00 | $270.97 – $1,268.49 | 17 |
| Insert cath pleura with image CPT 32557 | $1,531.20 | $4,785.00 | $1,399.77 – $8,613.00 | 18 |
| Insert cath pleura without image CPT 32556 | $2,515.84 | $7,862.00 | $1,706.33 – $14,151.60 | 18 |
| Insert drug delivery implant CPT 11981 | $51.52 | $161.00 | $118.31 – $553.83 | 17 |
| Insert hepatic shunt (tips) CPT 37182 | $8,663.04 | $27,072.00 | $16,300.88 – $76,308.49 | 18 |
| Insert intrauterine device iud CPT 58300 | $100.48 | $314.00 | $337.45 – $565.20 | 2 |
| Insertion catheter bladder non indwelling CPT 51701 | $165.44 | $517.00 | $118.31 – $553.83 | 18 |
| Insertion catheter bladder temporary simple CPT 51702 | $165.44 | $517.00 | $118.31 – $553.83 | 18 |
| Insertion catheter pleural indwelling tunneled with cuff CPT 32550 | $4,557.44 | $14,242.00 | $3,183.76 – $21,362.40 | 18 |
| Insertion intra aortic balloon assist device percutaneous CPT 33967 | $1,751.68 | $5,474.00 | $177.12 – $9,853.20 | 17 |
| Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance CPT 37191 | $5,579.20 | $17,435.00 | $4,948.05 – $31,383.00 | 18 |
| Insertion nontunneled centrally inserted central venous catheter >= 5 years old CPT 36556 | $4,153.28 | $12,979.00 | $2,807.70 – $17,971.20 | 18 |
| Insertion of catheter vein CPT 36481 | $1,737.28 | $5,429.00 | $225.95 – $9,772.20 | 16 |
| Insertion of catheter vein CPT 36500 | $535.36 | $1,673.00 | $127.25 – $3,011.40 | 16 |
| Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular CPT 33208 | $8,028.16 | $25,088.00 | $9,294.16 – $45,158.40 | 18 |
| Insertion of new/replacement ppm w/transvenous electrode(s) ventricular CPT 33207 | $6,355.20 | $19,860.00 | $9,294.16 – $43,508.29 | 18 |
| Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator CPT 33225 | $6,652.16 | $20,788.00 | $311.26 – $37,418.40 | 16 |
| Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years CPT 36569 | $1,576.00 | $4,925.00 | $1,399.77 – $8,865.00 | 18 |
| Insertion picc without port or pump with imaging guidance=>5y CPT 36573 | $1,531.20 | $4,785.00 | $1,399.77 – $8,613.00 | 18 |
| Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber CPT 33249 | $21,318.40 | $66,620.00 | $27,911.60 – $130,661.18 | 18 |
| Insertion/replacement temporary single chamber electrode/pacemaker catheter CPT 33210 | $4,498.24 | $14,057.00 | $7,358.64 – $34,447.63 | 18 |
| Insertion single tranvenous electrode/ppm/implantable defibrillator CPT 33216 | $3,460.16 | $10,813.00 | $7,358.64 – $34,447.63 | 18 |
| Insertion subcutaneous cardiac rhythm monitor CPT 33285 | $8,645.76 | $27,018.00 | $7,358.64 – $34,447.63 | 18 |
| Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides) CPT 36561 | $3,194.88 | $9,984.00 | $2,807.70 – $17,971.20 | 18 |
| Insert pessary/other device CPT 57160 | $80.32 | $251.00 | $179.77 – $841.57 | 17 |
| Insert pm/icd lead dual CPT 33217 | $3,460.16 | $10,813.00 | $7,358.64 – $34,447.63 | 18 |
| Insert/repl sq defib w/eltrd CPT 33270 | $37,613.76 | $117,543.00 | $27,911.60 – $199,602.00 | 18 |
| Insert swan-ganz cath CPT 93503 | $1,531.20 | $4,785.00 | $1,399.77 – $8,613.00 | 18 |
| Insert vad art access left hrt arterial access CPT 33990 | $7,466.24 | $23,332.00 | $246.46 – $41,997.60 | 16 |
| In situ hybridization per specimen each additional single probe stain CPT 88364 | $127.04 | $397.00 | $81.77 – $714.60 | 21 |
| In situ hybridization per specimen initial single probe stain CPT 88365 | $124.80 | $390.00 | $104.28 – $709.19 | 23 |
| Insj perq vad r hrt venous CPT 33995 | $5,883.84 | $18,387.00 | $246.46 – $33,096.60 | 16 |
| Ins lv lead exist pm/icd CPT 33224 | $6,662.72 | $20,821.00 | $9,294.16 – $43,508.29 | 18 |
| Ins picad w subq port 5yr> CPT 36571 | $3,194.88 | $9,984.00 | $2,807.70 – $17,971.20 | 18 |
| Ins picc wo subq prt/pmp w image guidnc <5yr CPT 36572 | $1,348.48 | $4,214.00 | $557.81 – $7,585.20 | 18 |
| Ins pq tunnld ip cath w/img CPT 49418 | $3,797.76 | $11,868.00 | $3,183.76 – $21,362.40 | 18 |
| Ins/rpl ldless pm right vent w img & eval CPT 33274 | $9,150.40 | $28,595.00 | $17,127.84 – $80,179.70 | 18 |
| Ins tun cv cath wo subq prt/pm CPT 36558 | $3,194.88 | $9,984.00 | $2,807.70 – $17,971.20 | 18 |
| Insulin total CPT 83525 | $17.60 | $55.00 | $6.29 – $99.00 | 25 |
| Interrogate subq defib CPT 93261 | $47.36 | $148.00 | $33.19 – $266.40 | 18 |
| Interrogation vad in person CPT 93750 | $119.68 | $374.00 | $84.54 – $673.20 | 18 |
| Interrog dev eval scrms ip CPT 93291 | $31.68 | $99.00 | $25.72 – $178.20 | 18 |
| Interrog device eval heart CPT 93289 | $67.52 | $211.00 | $33.19 – $155.36 | 18 |
| Interrog evl pm/ldls pm ip CPT 93288 | $53.44 | $167.00 | $33.19 – $155.36 | 18 |
| Int hrhc lig 1 hroid without img CPT 46945 | $3,176.00 | $9,925.00 | $2,468.18 – $17,865.00 | 17 |
| Int hrhc lig 2+hroid without img CPT 46946 | $3,176.00 | $9,925.00 | $2,468.18 – $17,865.00 | 17 |
| Intracard echo interv w/s&i CPT 93662 | $2,317.12 | $7,241.00 | $13,033.80 – $13,033.80 | 1 |
| Intrinsic factor antibody CPT 86340 | $26.24 | $82.00 | $12.06 – $147.60 | 25 |
| Intro cath dialysis circuit CPT 36901 | $1,531.20 | $4,785.00 | $1,399.77 – $8,613.00 | 18 |
| Intro cath dialysis circuit w/pta CPT 36902 | $5,981.76 | $18,693.00 | $5,061.05 – $33,647.40 | 18 |
| Intro cath dialysis circuit w/stent plcmnt CPT 36903 | $9,562.56 | $29,883.00 | $10,265.36 – $53,789.40 | 18 |
| Intro catheter aorta CPT 36200 | $831.68 | $2,599.00 | $96.31 – $4,678.20 | 16 |
| Intro cath svc/ivc CPT 36010 | $1,244.80 | $3,890.00 | $75.18 – $7,002.00 | 16 |
| Intro long gi tube CPT 44500 | $1,072.96 | $3,353.00 | $806.51 – $6,035.40 | 18 |
| Intro long gi tube w/mult fluo CPT 74340 | $310.08 | $969.00 | $73.73 – $1,744.20 | 2 |
| Intrvasc Ultrasound noncoronary 1st vessel CPT 37252 | $3,124.80 | $9,765.00 | $62.26 – $17,577.00 | 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.