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 |
|---|---|---|---|---|
| Revasc evasc fpvt athrec cplx 1st CPT 37273 | $10,615.36 | $33,173.00 | $16,300.88 – $76,308.49 | 16 |
| Revasc evasc fpvt athrec sf 1st CPT 37271 | $10,615.36 | $33,173.00 | $16,300.88 – $76,308.49 | 16 |
| Revasc evasc fpvt st athrec sf 1st CPT 37275 | $17,195.84 | $53,737.00 | $16,300.88 – $96,726.60 | 16 |
| Revasc evasc fpvt stent cplx 1st CPT 37269 | $10,865.60 | $33,955.00 | $10,265.36 – $61,119.00 | 16 |
| Revasc evasc fpvt stent sf 1st CPT 37267 | $10,865.60 | $33,955.00 | $10,265.36 – $61,119.00 | 16 |
| Revasc evasc ivt angio cplx 1st CPT 37256 | $5,207.36 | $16,273.00 | $5,061.05 – $29,291.40 | 16 |
| Revasc evasc ivt stent cplx 1st CPT 37260 | $10,753.60 | $33,605.00 | $10,265.36 – $60,489.00 | 16 |
| Revasc evasc ivt stent sf 1st CPT 37258 | $10,753.60 | $33,605.00 | $10,265.36 – $60,489.00 | 16 |
| Revasc evasc tpvt angio cplx 1st CPT 37282 | $8,853.44 | $27,667.00 | $10,265.36 – $49,800.60 | 16 |
| Revasc evasc tpvt angio sf 1st CPT 37280 | $8,853.44 | $27,667.00 | $10,265.36 – $49,800.60 | 16 |
| Revasc intra lithotrip-stent HCPCS C9765 | $10,615.36 | $33,173.00 | $16,300.88 – $76,308.49 | 18 |
| Revasc intravasc lithotripsy HCPCS C9764 | $8,853.44 | $27,667.00 | $10,265.36 – $49,800.60 | 18 |
| Revasc lithotrip-stent-ather HCPCS C9767 | $13,121.92 | $41,006.00 | $16,300.88 – $76,308.49 | 18 |
| Revasc lithotrip tibi/perone HCPCS C9772 | $8,853.44 | $27,667.00 | $10,265.36 – $49,800.60 | 18 |
| Revision tips CPT 37183 | $6,365.12 | $19,891.00 | $5,061.05 – $35,803.80 | 18 |
| Revsc opn/prq tib/pero stent CPT 37234 | $6,075.52 | $18,986.00 | $34,174.80 – $34,174.80 | 1 |
| Rheumatoid factor quantitative CPT 86431 | $17.92 | $56.00 | $2.15 – $68.40 | 25 |
| Rho d immune globulin inj HCPCS J2790 | $163.86 | $512.06 | $161.06 – $876.98 | 11 |
| Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312 | $1,348.53 | $4,214.15 | $59.33 – $10,113.96 | 24 |
| Rituximab-abbs 10 mg/ml intravenous solution HCPCS Q5115 | $1,228.61 | $3,839.40 | $25.02 – $9,214.56 | 24 |
| Rituximab-pvvr 10 mg/ml intravenous solution HCPCS Q5119 | $7,520.13 | $23,500.40 | $10.95 – $7,641.74 | 24 |
| Rmv implant contraceptive capsule 11976 CPT 11976 | $814.72 | $2,546.00 | $629.68 – $4,582.80 | 17 |
| Rmvl fecal impaction/fb spx under anes CPT 45915 | $1,747.52 | $5,461.00 | $1,064.08 – $9,829.80 | 18 |
| Rmvl icd by tv extr CPT 33244 | $3,239.68 | $10,124.00 | $3,322.98 – $18,223.20 | 18 |
| Rmvl icd gen w/rplc icd gen dual lead sys CPT 33263 | $19,470.72 | $60,846.00 | $19,779.44 – $109,522.80 | 18 |
| Rmvl icd gen w/rplc icd gen mlt lead sys CPT 33264 | $34,336.00 | $107,300.00 | $27,911.60 – $193,140.00 | 18 |
| Rmvl icd gen w/rplc icd gen sgl lead sys CPT 33262 | $18,543.68 | $57,949.00 | $19,779.44 – $104,308.20 | 18 |
| Rmvl icd pulse gen only CPT 33241 | $3,239.68 | $10,124.00 | $3,322.98 – $18,223.20 | 18 |
| Rmvl ndwellg tun pleural cath CPT 32552 | $755.52 | $2,361.00 | $557.81 – $4,249.80 | 18 |
| Rmvl perm pm pulse gen CPT 33233 | $3,978.56 | $12,433.00 | $7,358.64 – $34,447.63 | 18 |
| Rmvl perq right heart vad CPT 33997 | $3,508.16 | $10,963.00 | $110.08 – $19,733.40 | 16 |
| Rmvl pm gen w/rplc pm gen mlt lead sys CPT 33229 | $11,071.68 | $34,599.00 | $17,127.84 – $80,179.70 | 18 |
| Rmvl pm gen w/rplc pm gen sgl lead sys CPT 33227 | $6,514.24 | $20,357.00 | $7,358.64 – $36,642.60 | 18 |
| Rmvl pq iabp CPT 33968 | $875.84 | $2,737.00 | $23.47 – $4,926.60 | 17 |
| Rmvl pq vad left hrt vein sep session CPT 33992 | $3,508.16 | $10,963.00 | $129.82 – $19,733.40 | 16 |
| Rmvl sq defib electrode CPT 33272 | $3,239.68 | $10,124.00 | $3,322.98 – $18,223.20 | 18 |
| Rmvl subq card rhythm mntr CPT 33286 | $1,459.52 | $4,561.00 | $629.68 – $8,209.80 | 18 |
| Rmvl tv pm lead dual CPT 33235 | $3,239.68 | $10,124.00 | $3,322.98 – $18,223.20 | 18 |
| Rmvl tv pm lead sgl CPT 33234 | $3,239.68 | $10,124.00 | $3,322.98 – $18,223.20 | 18 |
| Rmv&rplcmt phrnc nrv stim ld CPT 33288 | $10,879.68 | $33,999.00 | $9,908.32 – $61,198.20 | 16 |
| Ropivacaine 0.2 % epidural pca - 1 hour dose limit HCPCS J2795 | $51.09 | $159.66 | $0.10 – $236.18 | 11 |
| Rpl non-tun cvc wo sbq prt/pmp CPT 36580 | $1,531.20 | $4,785.00 | $1,399.77 – $8,613.00 | 18 |
| Rp loclzj tum spect w/ct 1 CPT 78830 | $1,491.84 | $4,662.00 | $191.68 – $8,391.60 | 21 |
| Rp loclzj tum spect w/ct 2 CPT 78832 | $1,636.80 | $5,115.00 | $276.28 – $9,207.00 | 21 |
| Rpl picc wo subq port/pump incl image guidnc w/s&i CPT 36584 | $1,392.00 | $4,350.00 | $1,399.77 – $7,830.00 | 18 |
| Rpl tun-cvad w subq port CPT 36582 | $3,194.88 | $9,984.00 | $2,807.70 – $17,971.20 | 18 |
| Rpl tun cvc wo subq port CPT 36581 | $3,194.88 | $9,984.00 | $2,807.70 – $17,971.20 | 18 |
| Rsv assay w/optic CPT 87807 | $4.80 | $15.00 | $1.97 – $49.06 | 25 |
| Rubella antibody igg CPT 86762 | $22.72 | $71.00 | $10.07 – $126.00 | 25 |
| Rubeola antibody igg CPT 86765 | $23.68 | $74.00 | $9.14 – $127.80 | 25 |
| Russell viper venom diluted CPT 85613 | $16.32 | $51.00 | $4.50 – $84.60 | 25 |
| Scan duplex abd/pelvis/retroperitoneal complete CPT 93975 | $452.16 | $1,413.00 | $212.17 – $2,543.40 | 19 |
| Scan duplex abd/pelvis/retroperitoneal limited CPT 93976 | $327.04 | $1,022.00 | $92.96 – $1,839.60 | 19 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $416.32 | $1,301.00 | $212.17 – $2,341.80 | 19 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $255.36 | $798.00 | $92.96 – $1,436.40 | 19 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $375.04 | $1,172.00 | $92.96 – $2,109.60 | 19 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $489.92 | $1,531.00 | $92.96 – $2,120.40 | 19 |
| Scan duplex lower extremity arteries complete bilateral CPT 93925 | $552.64 | $1,727.00 | $212.17 – $3,108.60 | 19 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $368.00 | $1,150.00 | $92.96 – $2,070.00 | 19 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $295.68 | $924.00 | $92.96 – $1,663.20 | 19 |
| Sclerotherapy fluid collection pq w/img CPT 49185 | $1,973.12 | $6,166.00 | $1,468.63 – $11,098.80 | 18 |
| Scope uretscp lithovue dig disp HCPCS C1747 | $1,411.10 | $4,409.70 | $7,937.45 – $7,937.45 | 1 |
| Screening Mammogram CPT 77067 | $212.16 | $663.00 | $103.33 – $1,193.40 | 21 |
| Screen/visual acuity/bilat/quant 99173 CPT 99173 | $3.20 | $10.00 | $8.96 – $18.00 | 3 |
| Screw cortex 2.0 x 10mm HCPCS C1713 | $3,525.50 | $11,017.20 | $1,341.00 – $1,341.00 | 1 |
| Sedimentation rate erythrocyte automated CPT 85652 | $13.44 | $42.00 | $1.13 – $75.60 | 25 |
| Semen analysis presence/motility CPT 89321 | $18.88 | $59.00 | $7.11 – $106.20 | 25 |
| Set radiation therapy field CPT 77280 | $465.28 | $1,454.00 | $110.57 – $2,617.20 | 22 |
| Set radiation therapy field CPT 77290 | $966.40 | $3,020.00 | $243.76 – $5,436.00 | 22 |
| Shave sgl skin lsn f/e/e/n/l/m 0.5cm/< CPT 11310 | $79.36 | $248.00 | $178.41 – $835.17 | 17 |
| Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm CPT 11311 | $79.36 | $248.00 | $178.41 – $835.17 | 17 |
| Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm CPT 11312 | $514.56 | $1,608.00 | $361.48 – $2,894.40 | 17 |
| Shave sgl skin lsn s/n/h/f/g 0.5cm/< CPT 11305 | $79.36 | $248.00 | $178.41 – $835.17 | 17 |
| Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm CPT 11306 | $246.40 | $770.00 | $178.41 – $1,386.00 | 17 |
| Shave sgl skin lsn s/n/h/f/g 1.1-2cm CPT 11307 | $246.40 | $770.00 | $178.41 – $1,386.00 | 17 |
| Shave sgl skin lsn t/a/l 0.5cm/< CPT 11300 | $159.36 | $498.00 | $361.48 – $1,692.18 | 17 |
| Shave sgl skin lsn t/a/l 0.6-1.0cm CPT 11301 | $79.36 | $248.00 | $178.41 – $835.17 | 17 |
| Shave sgl skin lsn t/a/l 1.1-2.0cm CPT 11302 | $79.36 | $248.00 | $178.41 – $835.17 | 17 |
| Shoulder MRI (with and without contrast) CPT 73223 | $1,804.80 | $5,640.00 | $293.01 – $10,152.00 | 23 |
| Shoulder MRI (with contrast) CPT 73222 | $1,411.52 | $4,411.00 | $221.65 – $7,939.80 | 23 |
| Shoulder MRI (without contrast) CPT 73221 | $898.88 | $2,809.00 | $186.16 – $5,056.20 | 23 |
| Shoulder X-ray CPT 73030 | $186.88 | $584.00 | $26.68 – $1,051.20 | 23 |
| Sickling rbc CPT 85660 | $37.12 | $116.00 | $1.32 – $43.20 | 25 |
| Sigmoidoscopy and biopsy CPT 45331 | $1,124.48 | $3,514.00 | $826.94 – $6,325.20 | 18 |
| Sigmoidoscopy flex decompression 45337 CPT 45337 | $1,124.48 | $3,514.00 | $826.94 – $6,325.20 | 18 |
| Sigmoidoscopy for bleeding CPT 45334 | $1,456.32 | $4,551.00 | $1,064.08 – $8,191.80 | 18 |
| Sigmoidoscopy/submucosal injection 45335 CPT 45335 | $1,124.48 | $3,514.00 | $826.94 – $6,325.20 | 18 |
| Sigmoidoscopy w/resection CPT 45349 | $3,176.00 | $9,925.00 | $2,468.18 – $17,865.00 | 18 |
| Sigmoidoscopy w/tumr remove CPT 45338 | $1,456.32 | $4,551.00 | $1,064.08 – $8,191.80 | 18 |
| Sigmoidoscopy w/ultrasound CPT 45341 | $1,124.48 | $3,514.00 | $826.94 – $6,325.20 | 18 |
| Sigmoidoscopy w/us guide bx CPT 45342 | $1,456.32 | $4,551.00 | $1,064.08 – $8,191.80 | 18 |
| Sig w/tndsc balloon dilation CPT 45340 | $1,456.32 | $4,551.00 | $1,064.08 – $8,191.80 | 18 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | $180.49 | $564.04 | $220.26 – $1,353.70 | 11 |
| Sinus CT scan (with contrast) CPT 70487 | $874.88 | $2,734.00 | $153.12 – $4,921.20 | 23 |
| Sinus CT scan (without contrast) CPT 70486 | $565.44 | $1,767.00 | $92.96 – $3,180.60 | 23 |
| Sinus/juglr venogram s&i CPT 75860 | $3,158.72 | $9,871.00 | $155.87 – $17,767.80 | 23 |
| Skin Biopsy CPT 11102 | $79.36 | $248.00 | $361.48 – $1,692.18 | 17 |
| Sleep Study (Polysomnography) CPT 95810 | $1,666.88 | $5,209.00 | $763.61 – $7,412.40 | 18 |
| Sleep study unattended CPT 95806 | $260.16 | $813.00 | $192.00 – $1,463.40 | 18 |
| Sleeve fing rolyan med HCPCS L3933 | $164.48 | $514.00 | $182.66 – $1,028.00 | 21 |
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.