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 |
|---|---|---|---|---|
| Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s) CPT 78014 | $537.92 | $1,681.00 | $66.67 – $3,025.80 | 22 |
| Nm radiopharmaceutical therapy oral administration CPT 79005 | $489.92 | $1,531.00 | $207.49 – $2,755.80 | 22 |
| Nr lnr acclrtr tx max 5 sessions CPT 77373 | $2,961.60 | $9,255.00 | $1,589.97 – $16,659.00 | 22 |
| Ntsty modul rad tx dlvr cplx CPT 77386 | $1,508.80 | $4,715.00 | $1,296.86 – $8,487.00 | 3 |
| Ntsty modul rad tx dlvr smpl CPT 77385 | $1,486.08 | $4,644.00 | $1,296.86 – $8,359.20 | 3 |
| Nuclear rx intra-arterial CPT 79445 | $419.52 | $1,311.00 | $207.49 – $2,359.80 | 19 |
| Nuclear Stress Test (Heart) CPT 78452 | $1,834.24 | $5,732.00 | $220.22 – $10,317.60 | 22 |
| Nudt15 gene common variants CPT 81306 | $368.00 | $1,150.00 | $233.09 – $3,350.64 | 24 |
| Obstetrics panel CPT 80055 | $263.36 | $823.00 | $38.25 – $1,481.40 | 25 |
| Obtaining screen pap smear HCPCS Q0091 | $9.92 | $31.00 | $25.72 – $83.85 | 22 |
| Ob Ultrasound nuchal meas 1 gest CPT 76813 | $169.60 | $530.00 | $92.96 – $954.00 | 23 |
| Ob Ultrasound nuchal meas add-on CPT 76814 | $80.32 | $251.00 | $63.54 – $451.80 | 20 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | $343.58 | $1,073.68 | $1.32 – $255.48 | 11 |
| Octreotide,microspheres ER 20 mg intramuscular susp, extended release HCPCS J2353 | $309.68 | $967.76 | $150.68 – $2,322.62 | 24 |
| Olanzapine 10 mg intramuscular solution HCPCS J2359 | $73.78 | $230.55 | $1.62 – $248.16 | 11 |
| Omalizumab 150 mg/ml subcutaneous syringe (wrapper) HCPCS J2357 | $1,903.43 | $5,948.23 | $33.46 – $7,134.29 | 24 |
| Ondansetron 8 mg disintegrating tablet HCPCS Q0162 | $51.48 | $160.87 | $0.02 – $54.36 | 11 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | $22.52 | $70.36 | $0.18 – $160.61 | 11 |
| Ophth Ultrasound b & quant a CPT 76510 | $405.44 | $1,267.00 | $115.52 – $2,280.60 | 23 |
| Oral aprepitant HCPCS J8501 | $123.76 | $386.76 | $5.54 – $928.22 | 11 |
| Ortho elbow without jnt cstm w/fit&adj HCPCS L3702 | $222.72 | $696.00 | $247.22 – $1,392.00 | 21 |
| Ortho elbow w/lock w/ft&adj HCPCS L3760 | $385.60 | $1,205.00 | $428.16 – $2,410.00 | 21 |
| Ortho ewh rgd without jnt cstm w/fit&adj HCPCS L3763 | $569.92 | $1,781.00 | $633.01 – $3,562.00 | 21 |
| Ortho hnd/fngr without jnt cstm w/fit&adj HCPCS L3913 | $208.96 | $653.00 | $231.89 – $1,306.00 | 21 |
| Ortho hnd/fngr w/jnt cstm w/fit&adj HCPCS L3921 | $247.68 | $774.00 | $275.02 – $1,548.00 | 21 |
| Ortho hnd without jnt w/fit&adj HCPCS L3919 | $208.96 | $653.00 | $231.89 – $1,306.00 | 21 |
| Orthovisc inj per dose HCPCS J7324 | $642.43 | $2,007.60 | $87.28 – $4,818.24 | 24 |
| Ortho wrst/hnd w/jnt cstm w/fit&adj HCPCS L3905 | $764.48 | $2,389.00 | $849.11 – $4,778.00 | 21 |
| Oscillation chest wall mechanical per session CPT 94669 | $196.80 | $615.00 | $194.72 – $1,107.00 | 18 |
| Osmolality blood CPT 83930 | $10.24 | $32.00 | $2.12 – $57.60 | 25 |
| Osmolality urine CPT 83935 | $10.56 | $33.00 | $2.25 – $59.40 | 25 |
| Osteopath manip tx/5-6 body region 98927 CPT 98927 | $10.24 | $32.00 | $19.20 – $89.88 | 18 |
| Osteopath manip tx/7-8 body region 98928 CPT 98928 | $10.24 | $32.00 | $19.20 – $89.88 | 18 |
| Osteopath manip tx/9-10 body region98929 CPT 98929 | $32.96 | $103.00 | $19.20 – $185.40 | 18 |
| Ot evaluation high complexity patient/family CPT 97167 | $201.28 | $629.00 | $85.35 – $1,132.20 | 19 |
| Ot evaluation low complexity patient/family CPT 97165 | $178.88 | $559.00 | $85.35 – $1,006.20 | 19 |
| Ot evaluation moderate complexity patient/family CPT 97166 | $191.04 | $597.00 | $85.35 – $1,074.60 | 19 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $66.88 | $209.00 | $43.22 – $376.20 | 19 |
| Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 | $62.72 | $196.00 | $39.60 – $352.80 | 19 |
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | $58.24 | $182.00 | $23.45 – $327.60 | 19 |
| Ot re-evaluation patient/family CPT 97168 | $119.36 | $373.00 | $58.32 – $671.40 | 19 |
| Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 | $65.92 | $206.00 | $29.96 – $370.80 | 19 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $118.08 | $369.00 | $15.11 – $664.20 | 19 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $118.08 | $369.00 | $16.14 – $664.20 | 19 |
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | $61.76 | $193.00 | $24.58 – $347.40 | 19 |
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | $59.84 | $187.00 | $27.73 – $336.60 | 19 |
| Ot training self care/home management direct contact each 15 minutes CPT 97535 | $58.56 | $183.00 | $27.55 – $329.40 | 19 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $39.48 | $123.38 | $3.36 – $171.02 | 11 |
| Pacemaker leadless 19.5f 32.2mm ra HCPCS C1605 | $7,193.60 | $22,480.00 | $40,464.00 – $40,464.00 | 1 |
| Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 | $108.04 | $337.62 | $0.20 – $810.29 | 11 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | $56.86 | $177.70 | $22.58 – $426.48 | 11 |
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | $27.47 | $85.85 | $4.54 – $186.02 | 11 |
| Papaverin hcl injection HCPCS J2440 | $76.06 | $237.68 | $90.00 – $482.93 | 11 |
| Parathormone (pth) intact CPT 83970 | $134.40 | $420.00 | $33.02 – $689.40 | 25 |
| Parathyrd planar w/spect&ct CPT 78072 | $1,169.92 | $3,656.00 | $208.38 – $6,580.80 | 22 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | $320.32 | $1,001.00 | $178.41 – $1,386.00 | 18 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $1,068.48 | $3,339.00 | $155.97 – $6,010.20 | 23 |
| Pelvic CT scan (with contrast) CPT 72193 | $898.88 | $2,809.00 | $155.97 – $5,056.20 | 23 |
| Pelvic CT scan (without contrast) CPT 72192 | $749.44 | $2,342.00 | $92.96 – $4,215.60 | 23 |
| Pelvic MRI (with and without contrast) CPT 72197 | $2,194.88 | $6,859.00 | $298.56 – $12,346.20 | 23 |
| Pelvic MRI (with contrast) CPT 72196 | $1,278.72 | $3,996.00 | $234.09 – $7,192.80 | 23 |
| Pelvic MRI (without contrast) CPT 72195 | $1,278.72 | $3,996.00 | $196.91 – $7,192.80 | 23 |
| Pelvic Ultrasound (complete) CPT 76856 | $375.04 | $1,172.00 | $92.96 – $2,109.60 | 23 |
| Pelvic Ultrasound (limited) CPT 76857 | $203.84 | $637.00 | $69.84 – $882.00 | 23 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $454.08 | $1,418.99 | $15.04 – $298.68 | 24 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $39.47 | $123.34 | $1.56 – $137.23 | 11 |
| Penicillin g procaine inj HCPCS J2510 | $109.67 | $342.71 | $110.28 – $822.50 | 11 |
| Perc cryo ablate renal tum CPT 50593 | $11,629.12 | $36,341.00 | $9,452.24 – $65,413.80 | 18 |
| Perc rf ablate renal tumor CPT 50592 | $6,629.44 | $20,717.00 | $5,375.80 – $37,290.60 | 18 |
| Percut ablate liver rf CPT 47382 | $6,629.44 | $20,717.00 | $5,375.80 – $37,290.60 | 18 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | $501.60 | $1,567.49 | $80.42 – $3,736.15 | 11 |
| Pericardiocentesis wwo imaging CPT 33016 | $2,259.84 | $7,062.00 | $1,399.77 – $9,777.60 | 18 |
| Peripheral vascular rehab CPT 93668 | $75.52 | $236.00 | $52.46 – $424.80 | 18 |
| Peri-proc device eval icd CPT 93287 | $15.36 | $48.00 | $44.60 – $208.78 | 16 |
| Peri-proc device eval pm CPT 93286 | $15.36 | $48.00 | $38.55 – $180.47 | 16 |
| Perphenazine 4mg oral HCPCS Q0175 | $56.18 | $175.55 | $1.12 – $421.32 | 11 |
| Perq clsr tcat l atr apndge CPT 33340 | $20,504.64 | $64,077.00 | $501.39 – $115,338.60 | 16 |
| Perq plmt bile duct stent CPT 47539 | $6,629.44 | $20,717.00 | $5,375.80 – $37,290.60 | 18 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | $253.44 | $792.00 | $222.17 – $1,425.60 | 18 |
| Pessary 3.5 in 7 vag sil rng fold HCPCS A4562 | $88.96 | $278.00 | $55.54 – $556.00 | 19 |
| Pessary reusable rub anytype HCPCS A4561 | $46.72 | $146.00 | $22.30 – $292.00 | 19 |
| Pet CT skull-mid thgh initial CPT 78815 | $2,911.68 | $9,099.00 | $322.29 – $16,378.20 | 20 |
| Pet CT whole body initial CPT 78816 | $2,911.68 | $9,099.00 | $327.07 – $16,378.20 | 20 |
| Ph1 assmt&mgmt nqhp 11-20 CPT 98967 | $39.36 | $123.00 | $16.34 – $221.40 | 17 |
| Ph1 assmt&mgmt nqhp 5-10 CPT 98966 | $25.92 | $81.00 | $8.47 – $145.80 | 17 |
| Ph body fluid CPT 83986 | $6.72 | $21.00 | $0.72 – $36.00 | 25 |
| Phencyclidine (pcp) CPT 83992 | $82.37 | $257.40 | $98.51 – $512.23 | 6 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $57.38 | $179.30 | $44.50 – $430.32 | 13 |
| Phenobarbital therapeutic drug level CPT 80184 | $43.20 | $135.00 | $12.24 – $151.20 | 25 |
| Phentolaine mesylate inj HCPCS J2760 | $580.98 | $1,815.57 | $205.96 – $4,357.37 | 24 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | $78.52 | $245.36 | $0.02 – $176.02 | 11 |
| Phenytoin total therapeutic drug level CPT 80185 | $80.00 | $250.00 | $10.60 – $450.00 | 25 |
| Phleb veins 1 extrm 10-20 stab CPT 37765 | $3,195.20 | $9,985.00 | $2,807.70 – $17,973.00 | 18 |
| Phleb veins 1 extrm >20 stab CPT 37766 | $3,195.20 | $9,985.00 | $2,807.70 – $17,973.00 | 18 |
| Phosphorus CPT 84100 | $39.36 | $123.00 | $3.79 – $221.40 | 25 |
| Phosphorus 24 hour urine CPT 84105 | $8.96 | $28.00 | $1.62 – $50.40 | 25 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $86.46 | $270.20 | $5.62 – $295.51 | 11 |
| Pinworm exam CPT 87172 | $24.32 | $76.00 | $3.25 – $136.80 | 25 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | $216.65 | $677.04 | $2.18 – $40.85 | 11 |
| Place duod/jej tube perc CPT 49441 | $2,096.32 | $6,551.00 | $1,706.33 – $11,791.80 | 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.