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 |
|---|---|---|---|---|
| Intrvasc Ultrasound noncoronary addl vessel CPT 37253 | $2,665.28 | $8,329.00 | $49.22 – $14,992.20 | 16 |
| Intubation endotracheal emergency procedure CPT 31500 | $354.24 | $1,107.00 | $210.61 – $1,992.60 | 18 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $355.15 | $1,109.84 | $118.13 – $283.51 | 10 |
| Ipratropium bromide comp HCPCS J7645 | $6.93 | $21.67 | $0.12 – $51.02 | 11 |
| Iron CPT 83540 | $16.00 | $50.00 | $3.24 – $90.00 | 25 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | $70.55 | $220.48 | $14.48 – $529.15 | 24 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $105.05 | $328.29 | $0.48 – $462.36 | 11 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $88.00 | $275.00 | $52.46 – $495.00 | 18 |
| Ivc venogram s&i CPT 75825 | $3,158.72 | $9,871.00 | $150.92 – $17,767.80 | 23 |
| IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 | $214.40 | $670.00 | $64.02 – $921.60 | 18 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $84.80 | $265.00 | $17.88 – $367.20 | 16 |
| IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 | $123.84 | $387.00 | $41.64 – $532.80 | 18 |
| IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 | $351.04 | $1,097.00 | $189.14 – $1,506.60 | 18 |
| IV inj ra drug dx study CPT 78808 | $412.16 | $1,288.00 | $119.70 – $2,318.40 | 22 |
| Jak2 targeted sequence analysis CPT 81279 | $224.00 | $700.00 | $148.16 – $1,296.40 | 24 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $22.08 | $69.00 | $5.64 – $124.20 | 25 |
| Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885 | $17.34 | $54.20 | $0.30 – $13.82 | 22 |
| Kidney imag w/bld flow multi CPT 78709 | $475.52 | $1,486.00 | $185.70 – $2,674.80 | 22 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $567.04 | $1,772.00 | $127.70 – $3,189.60 | 22 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $334.08 | $1,044.00 | $92.96 – $1,879.20 | 23 |
| Kit cath ivl 2.5x40mm 135cm shockwave s4 HCPCS C1761 | $4,525.03 | $14,140.73 | $18,493.20 – $18,493.20 | 1 |
| Kit gene analys d816 variant CPT 81273 | $392.00 | $1,225.00 | $99.90 – $1,083.60 | 24 |
| Knee MRI (with and without contrast) CPT 73723 | $1,854.40 | $5,795.00 | $291.95 – $10,431.00 | 23 |
| Knee MRI (with contrast) CPT 73722 | $1,562.56 | $4,883.00 | $221.65 – $8,789.40 | 23 |
| Knee MRI (without contrast) CPT 73721 | $953.92 | $2,981.00 | $185.10 – $5,365.80 | 23 |
| Knee X-ray CPT 73564 | $288.64 | $902.00 | $32.78 – $1,623.60 | 23 |
| Kyleena, 19.5 mg HCPCS J7296 | $1,632.46 | $5,101.45 | $2,915.12 – $12,243.48 | 11 |
| Labetalol 5 mg/ml IV (wrapper) HCPCS J1920 | $23.10 | $72.19 | $0.70 – $69.60 | 11 |
| Lacosamide 200 mg/20 ml intravenous solution HCPCS C9254 | $108.23 | $338.22 | $0.48 – $676.44 | 3 |
| Lactate dehydrogenase (ldh) CPT 83615 | $46.08 | $144.00 | $1.81 – $54.00 | 25 |
| Lactated ringers intravenous solution HCPCS J7120 | $16.59 | $51.85 | $4.76 – $119.45 | 11 |
| Lactic acid CPT 83605 | $66.88 | $209.00 | $5.55 – $86.40 | 25 |
| Lactoferrin fecal qualitative CPT 83630 | $43.52 | $136.00 | $15.76 – $244.80 | 25 |
| Largsc w/rmvl foreign bdy(s) CPT 31577 | $603.52 | $1,886.00 | $347.79 – $3,394.80 | 18 |
| Laryngoscopy w/fb removal CPT 31530 | $2,544.32 | $7,951.00 | $1,582.72 – $14,311.80 | 18 |
| Lead acuity x4 spiral l 86cm HCPCS C1900 | $2,102.72 | $6,571.00 | $4,937.40 – $4,937.40 | 1 |
| Lead capillary CPT 83655 | $18.56 | $58.00 | $7.02 – $104.40 | 25 |
| Lead ingevity 45cm pfret MRI HCPCS C1898 | $399.36 | $1,248.00 | $1,265.40 – $1,265.40 | 1 |
| Lead tachy durata sj4 58cm HCPCS C1777 | $2,794.56 | $8,733.00 | $10,351.80 – $10,351.80 | 1 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $520.64 | $1,627.00 | $212.17 – $2,928.60 | 19 |
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | $114.21 | $356.90 | $7.68 – $856.56 | 11 |
| Levalbuterol non-comp con HCPCS J7612 | $15.52 | $48.49 | $0.76 – $64.01 | 11 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $26.01 | $81.27 | $0.08 – $195.05 | 11 |
| Levetiracetam therapeutic drug level CPT 80177 | $22.72 | $71.00 | $9.41 – $127.80 | 25 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $27.97 | $87.42 | $4.32 – $115.25 | 11 |
| Lidocaine (pf) 10 mg/ml (1 %) injection solution HCPCS J2003 | $30.42 | $95.06 | $0.02 – $4.96 | 11 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | $22.28 | $69.63 | $0.02 – $164.28 | 11 |
| Ligate leg veins open CPT 37761 | $3,195.20 | $9,985.00 | $2,807.70 – $17,973.00 | 17 |
| Ligation vericose vein cluster(s) 1 leg CPT 37785 | $3,485.44 | $10,892.00 | $2,807.70 – $19,605.60 | 18 |
| Lig/band angioaccess av fistula CPT 37607 | $3,194.88 | $9,984.00 | $2,807.70 – $17,971.20 | 17 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $94.39 | $294.96 | $5.48 – $268.37 | 11 |
| Lipase CPT 83690 | $48.00 | $150.00 | $5.51 – $270.00 | 25 |
| Lipoprotein blood quant CPT 83704 | $43.20 | $135.00 | $27.35 – $243.00 | 25 |
| Lipoprotein direct measurement hdl CPT 83718 | $13.12 | $41.00 | $3.36 – $73.80 | 25 |
| Lipoprotein direct measurement ldl CPT 83721 | $22.40 | $70.00 | $7.35 – $126.00 | 25 |
| Lithium therapeutic drug level CPT 80178 | $43.52 | $136.00 | $5.29 – $244.80 | 25 |
| Lithotripsy transluminal coronary percutaneous CPT 92972 | $2,235.20 | $6,985.00 | $99.23 – $12,573.00 | 16 |
| Liver Function Test CPT 80076 | $26.24 | $82.00 | $6.54 – $147.60 | 25 |
| Liver/spleen imag w/vasclr flow CPT 78216 | $440.64 | $1,377.00 | $77.71 – $2,478.60 | 22 |
| Locm 100-199mg/ml iodine,1ml HCPCS Q9965 | $60.05 | $187.66 | $187.66 – $450.38 | 10 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $34.14 | $106.70 | $2.82 – $103.03 | 11 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $998.40 | $3,120.00 | $165.05 – $5,616.00 | 23 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $911.04 | $2,847.00 | $92.96 – $5,124.60 | 23 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $1,926.72 | $6,021.00 | $310.23 – $10,837.80 | 23 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $1,459.84 | $4,562.00 | $242.13 – $8,211.60 | 23 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $1,039.68 | $3,249.00 | $201.69 – $5,848.20 | 23 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $200.32 | $626.00 | $31.72 – $1,126.80 | 23 |
| Lung function test (mbc/mvv) CPT 94200 | $137.92 | $431.00 | $52.46 – $775.80 | 18 |
| Lung Function Test (Spirometry) CPT 94010 | $240.32 | $751.00 | $192.00 – $1,351.80 | 18 |
| Lymphatics/lymph node imaging CPT 78195 | $710.40 | $2,220.00 | $157.10 – $3,996.00 | 22 |
| Lysis of labial adhesions CPT 56441 | $3,839.36 | $11,998.00 | $2,878.51 – $21,596.40 | 18 |
| Macroscopic exam arthropod CPT 87168 | $22.72 | $71.00 | $3.03 – $127.80 | 25 |
| Macroscopic exam parasite CPT 87169 | $25.60 | $80.00 | $3.45 – $144.00 | 25 |
| Magnesium CPT 83735 | $29.12 | $91.00 | $2.14 – $57.60 | 25 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $27.71 | $86.59 | $0.82 – $109.22 | 11 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | $137.92 | $431.00 | $118.31 – $775.80 | 18 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | $137.92 | $431.00 | $118.31 – $775.80 | 18 |
| Mannitol 12.5 gm/50 ml inj HCPCS J2150 | $28.90 | $90.31 | $78.35 – $188.04 | 10 |
| Marker biop eviva buckle ss HCPCS A4648 | $481.28 | $1,504.00 | $124.20 – $138.00 | 2 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $24.96 | $78.00 | $11.28 – $140.40 | 25 |
| Mayo aathr protein s free CPT 85306 | $26.56 | $83.00 | $10.43 – $122.58 | 25 |
| Mayo activated protein c resistance assay CPT 85307 | $26.56 | $83.00 | $12.26 – $149.40 | 25 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $252.80 | $790.00 | $30.86 – $1,422.00 | 25 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | $115.90 | $362.20 | $67.50 – $89.55 | 3 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | $84.48 | $264.00 | $396.00 – $525.36 | 3 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $25.60 | $80.00 | $11.82 – $144.00 | 25 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | $64.48 | $201.50 | $214.50 – $284.57 | 3 |
| Mayo alpha 1 antitrypsin CPT 82103 | $23.04 | $72.00 | $9.68 – $129.60 | 25 |
| Mayo amphu amphetamines definitive assay 3 or 4 urine CPT 80325 | $15.04 | $47.00 | $70.50 – $93.53 | 3 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | $25.92 | $81.00 | $121.50 – $161.19 | 3 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $182.40 | $570.00 | $97.30 – $1,026.00 | 24 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $119.20 | $372.50 | $73.33 – $670.50 | 24 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $746.88 | $2,334.00 | $928.00 – $27,074.40 | 24 |
| Mayo androstenedione CPT 82157 | $50.56 | $158.00 | $23.42 – $284.40 | 25 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $24.96 | $78.00 | $11.39 – $140.40 | 25 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $22.72 | $71.00 | $9.18 – $109.80 | 25 |
| Mayo avwpr vw factor activity CPT 85397 | $54.40 | $170.00 | $24.69 – $243.00 | 25 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | $22.08 | $69.00 | $103.50 – $137.31 | 3 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $20.48 | $64.00 | $3.46 – $61.09 | 25 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $201.60 | $630.00 | $115.87 – $1,134.00 | 24 |
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.