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 |
|---|---|---|---|---|
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | $40.76 | $127.39 | $0.82 – $194.35 | 11 |
| Amitriptyline (elavil) -sendout CPT 80335 | $50.56 | $158.00 | $192.00 – $254.72 | 3 |
| Ammonia CPT 82140 | $102.40 | $320.00 | $11.66 – $576.00 | 25 |
| Amphetamine confirm urine -sendout CPT 80324 | $25.92 | $81.00 | $121.50 – $161.19 | 3 |
| Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J0289 | $360.74 | $1,127.31 | $18.25 – $2,705.54 | 24 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | $35.48 | $110.87 | $1.18 – $182.81 | 11 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | $40.23 | $125.73 | $2.66 – $195.60 | 11 |
| Amylase CPT 82150 | $26.24 | $82.00 | $5.18 – $147.60 | 25 |
| Analysis complx cranial nerve pulse gen prgrmg 95977 CPT 95977 | $36.80 | $115.00 | $84.54 – $395.75 | 18 |
| Analysis gene f2 20210g>a variant CPT 81240 | $80.00 | $250.00 | $52.55 – $450.00 | 24 |
| Analysis gene f5 leiden variant CPT 81241 | $89.60 | $280.00 | $58.70 – $504.00 | 24 |
| Anastrozole 1 mg HCPCS S0170 | $42.70 | $133.43 | $1.16 – $47.56 | 3 |
| An cholangiogram percutaneous compl CPT 47531 | $3,505.92 | $10,956.00 | $3,183.76 – $19,720.80 | 18 |
| An fluoro guide for cvp CPT 77001 | $483.52 | $1,511.00 | $51.48 – $2,719.80 | 20 |
| Angio balloon ctrl dialysis seg add-on CPT 36907 | $5,962.24 | $18,632.00 | $101.55 – $33,537.60 | 16 |
| Angioplasty fem/pop unilat 37224 CPT 37224 | $5,455.36 | $17,048.00 | $11,920.21 – $30,686.40 | 3 |
| Angioplasty/iliac/init ves/unilat 37220 CPT 37220 | $5,207.36 | $16,273.00 | $11,920.21 – $29,291.40 | 3 |
| Angioplasty tib/pero/unilat/ea add 37232 CPT 37232 | $7,400.64 | $23,127.00 | $41,628.60 – $41,628.60 | 1 |
| Angio tib/peroneal/init ves/unila 37228 CPT 37228 | $8,853.44 | $27,667.00 | $24,151.26 – $49,800.60 | 3 |
| Angio trnslmnl balloon same artery ea addl CPT 37247 | $4,007.04 | $12,522.00 | $120.34 – $22,539.60 | 16 |
| Angio trnslmnl balloon same artery ini CPT 37246 | $4,970.56 | $15,533.00 | $5,061.05 – $27,959.40 | 18 |
| Angio trnslmnl balloon same vein ea addl CPT 37249 | $3,023.04 | $9,447.00 | $101.34 – $17,004.60 | 16 |
| Angio trnslmnl balloon same vein ini CPT 37248 | $6,354.24 | $19,857.00 | $5,061.05 – $35,742.60 | 18 |
| Ankle X-ray CPT 73610 | $199.04 | $622.00 | $24.65 – $1,119.60 | 23 |
| Annual Physical, Established Patient (age 18-39) CPT 99395 | $140.48 | $439.00 | $295.20 – $380.60 | 2 |
| Annual Physical, Established Patient (age 40-64) CPT 99396 | $57.60 | $180.00 | $293.40 – $404.96 | 2 |
| Annual Physical, New Patient (age 18-39) CPT 99385 | $60.16 | $188.00 | $338.40 – $421.54 | 2 |
| Annual Physical, New Patient (age 40-64) CPT 99386 | $70.08 | $219.00 | $394.20 – $487.94 | 2 |
| Anora (draw only) CPT 99001 | $12.80 | $40.00 | $18.92 – $79.60 | 4 |
| Anoscopy and biopsy CPT 46606 | $1,456.32 | $4,551.00 | $1,064.08 – $8,191.80 | 17 |
| Antibody elution rbc reference CPT 86860 | $73.60 | $230.00 | $77.82 – $709.19 | 21 |
| Antibody identification platelet antibodies heparin-pf4 igg CPT 86022 | $140.80 | $440.00 | $14.70 – $160.20 | 25 |
| Antibody id rbc panel CPT 86870 | $167.68 | $524.00 | $105.96 – $1,492.09 | 21 |
| Antibody screen rbc CPT 86850 | $52.48 | $164.00 | $8.30 – $295.20 | 25 |
| Antihemophilic factor-vwf 250 unit-600 unit intravenous solution HCPCS J7187 | $2,675.20 | $8,360.00 | $1.20 – $20,064.00 | 23 |
| Anti-inhibitor HCPCS J7198 | $2,533.21 | $7,916.28 | $1.93 – $18,999.07 | 23 |
| Antineutrophil cytoplasmic antibody screen each antibody CPT 86036 | $19.20 | $60.00 | $7.23 – $108.00 | 22 |
| Antinuclear antibodies CPT 86038 | $22.08 | $69.00 | $8.34 – $124.20 | 25 |
| Antinuclear antibodies titer CPT 86039 | $21.60 | $67.50 | $6.14 – $99.00 | 25 |
| Antistreptolysin o titer CPT 86060 | $11.20 | $35.00 | $2.56 – $63.00 | 25 |
| Antithrombin iii activity CPT 85300 | $18.24 | $57.00 | $6.75 – $102.60 | 25 |
| Antithrombin iii injection HCPCS J7197 | $3,889.23 | $12,153.83 | $3.28 – $29,169.19 | 23 |
| App high cost ss f/n/g/h/f <100sq cm addl <25sq cm CPT 15276 | $589.12 | $1,841.00 | $17.66 – $3,313.80 | 16 |
| App high cost ss t/a/l <100sq cm addl <25sq cm CPT 15272 | $269.12 | $841.00 | $11.76 – $1,513.80 | 16 |
| Application finger splntstatic 29130 CPT 29130 | $165.44 | $517.00 | $118.31 – $930.60 | 18 |
| Application long leg splint 29505 CPT 29505 | $244.48 | $764.00 | $144.50 – $1,375.20 | 18 |
| Application lower leg splint 29515 CPT 29515 | $244.48 | $764.00 | $144.50 – $676.43 | 18 |
| Application multi layer compression below knee (both sides) CPT 29581 | $203.84 | $637.00 | $144.50 – $1,146.60 | 17 |
| Application of paste boot 29580 CPT 29580 | $203.84 | $637.00 | $144.50 – $1,146.60 | 17 |
| Application short leg cast 29405 CPT 29405 | $105.92 | $331.00 | $248.71 – $1,164.26 | 17 |
| Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm CPT 15275 | $1,361.92 | $4,256.00 | $657.20 – $7,660.80 | 18 |
| Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm CPT 15271 | $1,361.92 | $4,256.00 | $657.20 – $7,660.80 | 18 |
| Apply rigid leg cast 29445 CPT 29445 | $343.68 | $1,074.00 | $248.71 – $1,933.20 | 18 |
| Apply short leg castambul type 29425 CPT 29425 | $105.92 | $331.00 | $248.71 – $1,164.26 | 17 |
| App topical fluoride varnish CPT 99188 | $11.52 | $36.00 | $35.84 – $64.80 | 3 |
| Aqua therapy w/exercise/ea 15 min 97113 CPT 97113 | $62.40 | $195.00 | $31.63 – $351.00 | 19 |
| Aquatic exercise - group charge CPT 97150 | $57.28 | $179.00 | $15.20 – $322.20 | 19 |
| Arterial blood draw/perc 36620 CPT 36620 | $498.88 | $1,559.00 | $32.94 – $1,517.40 | 16 |
| Artery xray each vessel 7577426 CPT 75774 | $983.04 | $3,072.00 | $81.34 – $5,529.60 | 20 |
| Artery xray of abdomen 75726-26 CPT 75726 | $5,449.60 | $17,030.00 | $264.92 – $30,654.00 | 23 |
| Artery x-rays arm/leg 75710-26 CPT 75710 | $3,158.72 | $9,871.00 | $232.20 – $17,767.80 | 23 |
| Artery x-rays arms/legs 75716-26 CPT 75716 | $3,158.72 | $9,871.00 | $261.78 – $17,767.80 | 23 |
| Artery x-rays chest CPT 75756 | $3,158.72 | $9,871.00 | $157.64 – $17,767.80 | 23 |
| Artery x-rays lung CPT 75741 | $3,158.72 | $9,871.00 | $170.94 – $17,767.80 | 23 |
| Artery x-rays lung CPT 75746 | $3,194.88 | $9,984.00 | $149.86 – $17,971.20 | 23 |
| Artery x-rays lungs CPT 75743 | $3,158.72 | $9,871.00 | $217.76 – $17,767.80 | 23 |
| Artery xrays of pelvis 75736 26 CPT 75736 | $5,449.60 | $17,030.00 | $146.32 – $30,654.00 | 23 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right CPT 20605 | $327.68 | $1,024.00 | $272.95 – $1,277.73 | 18 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides) CPT 20606 | $704.32 | $2,201.00 | $627.68 – $2,938.34 | 18 |
| Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides) CPT 20611 | $188.48 | $589.00 | $272.95 – $1,277.73 | 18 |
| Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance CPT 20600 | $204.16 | $638.00 | $272.95 – $1,277.73 | 18 |
| Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides) CPT 20610 | $365.12 | $1,141.00 | $272.95 – $1,277.73 | 18 |
| Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604 CPT 20604 | $188.48 | $589.00 | $272.95 – $1,277.73 | 18 |
| Aspirate bladder/sprapubic cath 51102 CPT 51102 | $2,231.68 | $6,974.00 | $1,858.81 – $12,553.20 | 17 |
| Aspirate/inj ganglion cyst 20612 CPT 20612 | $117.76 | $368.00 | $272.95 – $1,277.73 | 17 |
| Aspirate pleura without imaging 32554 CPT 32554 | $906.56 | $2,833.00 | $557.81 – $2,611.25 | 18 |
| Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion CPT 10005 | $961.92 | $3,006.00 | $629.68 – $5,410.80 | 17 |
| Assay of interleukin-6 (il-6) CPT 83529 | $46.40 | $145.00 | $13.82 – $261.00 | 22 |
| Assay of osteocalcin CPT 83937 | $35.82 | $111.95 | $23.88 – $201.51 | 25 |
| Assay of prostaglandin CPT 84150 | $390.00 | $1,218.75 | $33.42 – $2,193.75 | 25 |
| Assay of salicylate CPT 80179 | $113.28 | $354.00 | $14.91 – $637.20 | 25 |
| Assay of urine sulfate CPT 84392 | $7.68 | $24.00 | $1.32 – $43.20 | 25 |
| Assess aphasia/interp/rpt/per hr 96105 CPT 96105 | $237.44 | $742.00 | $81.46 – $1,335.60 | 19 |
| Assess cyst contrast inject CPT 49424 | $188.16 | $588.00 | $25.94 – $1,058.40 | 16 |
| Ast/sgot CPT 84450 | $17.68 | $55.25 | $2.85 – $99.00 | 25 |
| Athrectomy fem/pop/unilateral 37225 CPT 37225 | $10,615.36 | $33,173.00 | $24,151.26 – $59,711.40 | 3 |
| Athrectomy tib/pero/unilat/ini ves 37229 CPT 37229 | $10,615.36 | $33,173.00 | $38,630.71 – $59,711.40 | 3 |
| Atropine 0.1 mg/ml injection syringe HCPCS J0461 | $53.24 | $166.37 | $0.20 – $138.07 | 11 |
| Audiometry air + bone CPT 92553 | $186.56 | $583.00 | $114.42 – $1,049.40 | 18 |
| Audit/dast 15-30 min CPT 99408 | $19.52 | $61.00 | $109.80 – $115.07 | 2 |
| Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body CPT 22515 | $6,421.76 | $20,068.00 | $150.38 – $14,428.80 | 16 |
| Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic CPT 22513 | $8,348.16 | $26,088.00 | $6,452.37 – $46,958.40 | 18 |
| Avul nail plate addl CPT 11732 | $73.92 | $231.00 | $12.13 – $277.20 | 16 |
| Avulsion nail plate partial/complete simple single nail plate CPT 11730 | $272.96 | $853.00 | $178.41 – $835.17 | 18 |
| Azathioprine 50 mg tablet HCPCS J7500 | $7.30 | $22.82 | $0.12 – $54.77 | 11 |
| Azithromycin 500 mg intravenous solution HCPCS J0456 | $28.81 | $90.02 | $4.08 – $163.25 | 11 |
| Aztreonam 1 gram solution for injection HCPCS J0457 | $118.63 | $370.71 | $4.46 – $826.06 | 11 |
| Baclofen eval charges CPT 97750 | $72.00 | $225.00 | $28.74 – $405.00 | 19 |
| #bac vag cand-c. albicans naa CPT 87481 | $19.74 | $61.69 | $21.65 – $131.41 | 25 |
| Balloon dilate urtrl strix CPT 50706 | $1,657.92 | $5,181.00 | $124.61 – $9,325.80 | 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.