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 |
|---|---|---|---|---|
| Place gastrostomy tube perc CPT 49440 | $2,096.32 | $6,551.00 | $1,706.33 – $11,791.80 | 18 |
| Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) CPT 19281 | $1,821.44 | $5,692.00 | $1,468.63 – $10,245.60 | 18 |
| Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left CPT 19282 | $481.92 | $1,506.00 | $33.54 – $2,710.80 | 16 |
| Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) CPT 19285 | $999.36 | $3,123.00 | $629.68 – $5,621.40 | 18 |
| Placement nephrostomy catheter (both sides) CPT 50432 | $2,852.48 | $8,914.00 | $1,858.81 – $16,045.20 | 18 |
| Placement occlusive device venous/arterial access site post procedure HCPCS G0269 | $720.32 | $2,251.00 | $4,051.80 – $4,051.80 | 1 |
| Placement stent(s) intravascular transcatheter artery initial CPT 37236 | $11,954.56 | $37,358.00 | $10,265.36 – $67,244.40 | 18 |
| Place right device/marker pros CPT 55876 | $545.60 | $1,705.00 | $1,230.80 – $5,761.68 | 18 |
| Place slctv cath carotid/inom art excrn uni CPT 36222 | $2,949.44 | $9,217.00 | $2,807.70 – $16,590.60 | 18 |
| Place slctv cath carotid/inom art intcrn uni CPT 36223 | $6,731.52 | $21,036.00 | $4,948.05 – $37,864.80 | 18 |
| Place slctv cath subclavian art CPT 36225 | $4,068.80 | $12,715.00 | $2,807.70 – $22,887.00 | 18 |
| Place slctv cath vertebral art uni CPT 36226 | $5,324.80 | $16,640.00 | $4,948.05 – $29,952.00 | 18 |
| Platelet aggregation each agent teg CPT 85576 | $59.84 | $187.00 | $19.93 – $336.60 | 25 |
| Platelet automated CPT 85049 | $21.44 | $67.00 | $3.00 – $120.60 | 25 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $725.28 | $2,266.50 | $409.27 – $5,439.60 | 19 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $808.64 | $2,527.00 | $544.49 – $6,064.80 | 19 |
| Platelets pheresis pathogen-reduced each unit HCPCS P9073 | $825.28 | $2,579.00 | $485.94 – $6,189.60 | 19 |
| Plcmnt biliary drainage cath w/img ext CPT 47533 | $3,797.76 | $11,868.00 | $3,183.76 – $21,362.40 | 18 |
| Plcmnt ureteral stent pq w/img exstng trct CPT 50693 | $3,857.92 | $12,056.00 | $3,134.48 – $21,700.80 | 18 |
| Plcmnt ureteral stent pq w/img new w/cath CPT 50695 | $3,857.92 | $12,056.00 | $3,134.48 – $21,700.80 | 18 |
| Plc pq device breast ea addl lesion Ultrasound guide CPT 19286 | $502.08 | $1,569.00 | $29.07 – $2,824.20 | 16 |
| Plethysmography lung volumes/airway resistance CPT 94726 | $366.72 | $1,146.00 | $331.82 – $2,062.80 | 18 |
| Plmt biliary drainage cath CPT 47534 | $3,797.76 | $11,868.00 | $3,183.76 – $21,362.40 | 18 |
| Plmt nephroureteral catheter CPT 50433 | $3,857.92 | $12,056.00 | $3,134.48 – $21,700.80 | 18 |
| Plmt ureteral stent prq CPT 50694 | $3,857.92 | $12,056.00 | $3,134.48 – $21,700.80 | 18 |
| Pm device progr eval dual CPT 93280 | $15.04 | $47.00 | $33.19 – $155.36 | 18 |
| Pm device progr eval multi CPT 93281 | $15.04 | $47.00 | $33.19 – $155.36 | 18 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $167.36 | $523.00 | $20.86 – $448.20 | 25 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | $2,075.20 | $6,485.00 | $763.61 – $11,673.00 | 18 |
| Potassium 24 hour urine CPT 84133 | $37.76 | $118.00 | $3.78 – $212.40 | 25 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | $27.61 | $86.27 | $0.24 – $106.22 | 11 |
| Potassium serum/plasma/whole blood CPT 84132 | $78.40 | $245.00 | $1.29 – $48.60 | 25 |
| Pq dr cath chg w cont s&i CPT 75984 | $343.68 | $1,074.00 | $80.68 – $1,933.20 | 20 |
| Pq kyphplsty 1 bdy lumb w/img CPT 22514 | $7,215.36 | $22,548.00 | $6,452.37 – $40,586.40 | 18 |
| Pq thr inj ext pse CPT 36002 | $755.52 | $2,361.00 | $557.81 – $4,249.80 | 18 |
| Pq vrtbrplst 1 bdy inj crv-thr w/img ini CPT 22510 | $3,699.84 | $11,562.00 | $2,909.53 – $20,811.60 | 18 |
| Pq vrtbrplst 1 bdy inj lmb-scr w/img ini CPT 22511 | $3,363.52 | $10,511.00 | $2,909.53 – $18,919.80 | 18 |
| Pr application of long arm splint CPT 29105 | $264.64 | $827.00 | $144.50 – $1,144.80 | 18 |
| Pr application splint static short arm CPT 29125 | $179.20 | $560.00 | $118.31 – $775.80 | 18 |
| Pr biopsy skin punch single lesion CPT 11104 | $159.36 | $498.00 | $361.48 – $1,692.18 | 17 |
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | $12.16 | $38.00 | $33.32 – $155.97 | 18 |
| Prcrd drg 6+yr without anomly CPT 33017 | $997.76 | $3,118.00 | $168.67 – $5,612.40 | 16 |
| Pr cystourethroscopy with insertion indwelling ureteral stent CPT 52332 | $3,857.92 | $12,056.00 | $3,134.48 – $21,700.80 | 17 |
| Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 | $246.40 | $770.00 | $178.41 – $1,386.00 | 17 |
| Prealbumin CPT 84134 | $96.00 | $300.00 | $11.67 – $540.00 | 25 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | $7.86 | $24.57 | $1.84 – $58.97 | 11 |
| Prednisone 1 mg tablet HCPCS J7512 | $120.79 | $377.46 | $0.46 – $49.70 | 11 |
| Pregabalin - sendout CPT 80366 | $82.56 | $258.00 | $387.00 – $513.42 | 3 |
| Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 | $2,096.32 | $6,551.00 | $1,706.33 – $11,791.80 | 18 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $235.20 | $735.00 | $92.96 – $1,323.00 | 23 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $233.28 | $729.00 | $92.96 – $1,312.20 | 23 |
| Pr e&m preventive medicine initial comprehensive new patient 12-17 years CPT 99384 | $60.16 | $188.00 | $338.40 – $433.72 | 2 |
| Pressure max expiratory/inspiratory CPT 94799 | $186.56 | $583.00 | $114.42 – $1,049.40 | 18 |
| Pressure treatment esophagus CPT 43460 | $276.16 | $863.00 | $153.33 – $1,553.40 | 16 |
| Pressure velocity wire add ves CPT 93572 | $1,245.12 | $3,891.00 | $7,003.80 – $7,003.80 | 1 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | $77.12 | $241.00 | $86.10 – $709.19 | 21 |
| Prev med cnsl indiv apprx 15 CPT 99401 | $18.24 | $57.00 | $102.60 – $126.14 | 2 |
| Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment HCPCS G0402 | $51.52 | $161.00 | $118.39 – $554.20 | 18 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | $1,973.12 | $6,166.00 | $1,468.63 – $11,098.80 | 17 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | $1,973.12 | $6,166.00 | $1,468.63 – $11,098.80 | 17 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $668.80 | $2,090.00 | $361.48 – $2,894.40 | 18 |
| Prgrmg dev eval pm/ldls pm CPT 93279 | $15.04 | $47.00 | $33.19 – $155.36 | 18 |
| Prgrmg eval implantable dfb CPT 93282 | $15.04 | $47.00 | $33.19 – $155.36 | 18 |
| Prgrmg eval implantable dfb CPT 93283 | $15.04 | $47.00 | $33.19 – $155.36 | 18 |
| Prgrmg eval implantable dfb CPT 93284 | $15.04 | $47.00 | $33.19 – $155.36 | 18 |
| Prgr stim/pace a/iv drug CPT 93623 | $3,145.28 | $9,829.00 | $17,692.20 – $17,692.20 | 1 |
| Prim art mech thrmbc non-intracranial CPT 37184 | $10,615.36 | $33,173.00 | $16,300.88 – $76,308.49 | 18 |
| Prim art mech thrmbc non-intracranial add-on CPT 37185 | $2,601.28 | $8,129.00 | $111.66 – $14,632.20 | 16 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $1,353.28 | $4,229.00 | $361.48 – $2,894.40 | 18 |
| Pr incision & drainage abscess simple/single CPT 10060 | $407.68 | $1,274.00 | $178.41 – $835.17 | 18 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $470.72 | $1,471.00 | $270.97 – $1,268.49 | 18 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $617.60 | $1,930.00 | $361.48 – $1,692.18 | 18 |
| Pr management transitional care high w/in 7 days of discharge CPT 99496 | $51.52 | $161.00 | $118.39 – $554.20 | 17 |
| Pr management transitional care moderate w/in 14 days of discharge CPT 99495 | $51.52 | $161.00 | $118.39 – $554.20 | 17 |
| Probe cryo 1150mm endo flex ster disp HCPCS C2618 | $1,805.44 | $5,642.00 | $9,581.40 – $9,581.40 | 1 |
| Procalcitonin CPT 84145 | $109.76 | $343.00 | $21.78 – $617.40 | 25 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $31.09 | $97.15 | $5.04 – $93.96 | 11 |
| Prochlorperazine maleate 5 mg tablet HCPCS Q0164 | $52.97 | $165.54 | $0.82 – $282.31 | 11 |
| Proctosigmoidoscopy dx 45300 CPT 45300 | $1,124.48 | $3,514.00 | $826.94 – $6,325.20 | 17 |
| Progesterone CPT 84144 | $41.60 | $130.00 | $16.69 – $234.00 | 25 |
| Prolactin CPT 84146 | $42.24 | $132.00 | $15.50 – $237.60 | 25 |
| Promethazine 25 mg tablet HCPCS Q0169 | $42.38 | $132.43 | $0.20 – $128.06 | 11 |
| Promethazine hcl injection HCPCS J2550 | $23.29 | $72.78 | $7.94 – $37.01 | 11 |
| Propofol infusion 10 mg/ml HCPCS J2704 | $50.59 | $158.10 | $0.18 – $139.25 | 11 |
| Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J1800 | $17.08 | $53.36 | $23.38 – $128.06 | 11 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | $76.99 | $240.60 | $3.14 – $203.14 | 11 |
| Protein c activity CPT 85303 | $23.68 | $74.00 | $10.24 – $133.20 | 25 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $18.56 | $58.00 | $6.23 – $104.40 | 25 |
| Protein s total CPT 85305 | $12.38 | $38.70 | $4.49 – $69.66 | 25 |
| Protein total 24 hour urine CPT 84156 | $8.96 | $28.00 | $1.03 – $50.40 | 25 |
| Protein total body fluid CPT 84157 | $32.32 | $101.00 | $3.20 – $181.80 | 25 |
| Protein total serum plasma whole blood CPT 84155 | $8.96 | $28.00 | $1.03 – $50.40 | 25 |
| Pr planning advance care 1st 30 minutes CPT 99497 | $37.12 | $116.00 | $90.34 – $422.88 | 17 |
| Prq card revasc mi 1 vsl CPT 92941 | $14,075.84 | $43,987.00 | $464.06 – $74,694.60 | 16 |
| Prq card stent w/angio addl CPT 92929 | $6,829.76 | $21,343.00 | $38,417.40 – $38,417.40 | 1 |
| Prq revasc byp graft 1 art and/or branches CPT 92937 | $14,075.84 | $43,987.00 | $10,265.36 – $48,054.72 | 18 |
| Prq tcat plmt ntrac st 1 les CPT 92928 | $8,853.44 | $27,667.00 | $10,265.36 – $49,800.60 | 18 |
| Prq tcat plmt ntrac st 2+les CPT 92930 | $6,829.76 | $21,343.00 | $16,300.88 – $76,308.49 | 16 |
| Prq trlml c athrc st angiop1 CPT 92933 | $18,163.20 | $56,760.00 | $16,300.88 – $76,308.49 | 18 |
| Prq trl rvs ch occ ant&rtrgr CPT 92945 | $11,474.88 | $35,859.00 | $10,265.36 – $48,054.72 | 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.