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 |
|---|---|---|---|---|
| Small bowel endoscopy CPT 44360 | $2,096.32 | $6,551.00 | $1,706.33 – $11,791.80 | 18 |
| Small bowel endoscopy CPT 44366 | $2,096.32 | $6,551.00 | $1,706.33 – $11,791.80 | 18 |
| Small bowel endoscopy CPT 44382 | $975.36 | $3,048.00 | $806.51 – $5,486.40 | 18 |
| Small bowel endoscopy/biopsy CPT 44361 | $2,096.32 | $6,551.00 | $1,706.33 – $11,791.80 | 18 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $21.44 | $67.00 | $3.61 – $120.60 | 25 |
| Smear gram stain CPT 87205 | $34.56 | $108.00 | $3.42 – $194.40 | 25 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $27.84 | $87.00 | $4.79 – $144.00 | 25 |
| Smear wet mount CPT 87210 | $31.36 | $98.00 | $2.27 – $70.20 | 25 |
| Snrpn/ube3a gene CPT 81331 | $132.48 | $414.00 | $40.86 – $745.20 | 24 |
| So cap design without jnts cf HCPCS L3671 | $694.40 | $2,170.00 | $771.51 – $4,340.00 | 21 |
| Sodium 24 hour urine CPT 84300 | $44.16 | $138.00 | $4.05 – $248.40 | 25 |
| Sodium chloride 3 % ivpb HCPCS J7131 | $32.52 | $101.64 | $0.40 – $114.43 | 11 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $63.65 | $198.90 | $4.42 – $477.36 | 11 |
| Sodium hyaluronate 20 mg/2 ml syringe HCPCS J7321 | $255.36 | $798.00 | $145.94 – $1,915.20 | 11 |
| Sodium serum/plasma/whole blood CPT 84295 | $78.40 | $245.00 | $1.25 – $46.80 | 25 |
| Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution HCPCS J0209 | $180.93 | $565.40 | $0.71 – $1,356.96 | 22 |
| Special physics consult CPT 77370 | $700.48 | $2,189.00 | $119.52 – $3,940.20 | 22 |
| Special radiation dosimetry CPT 77331 | $269.76 | $843.00 | $119.52 – $1,517.40 | 22 |
| Special radiation treatment CPT 77470 | $1,373.76 | $4,293.00 | $316.72 – $7,727.40 | 22 |
| Special teletx port plan CPT 77321 | $768.00 | $2,400.00 | $148.29 – $4,320.00 | 22 |
| Specific gravity body fluid CPT 84315 | $8.64 | $27.00 | $0.69 – $37.80 | 25 |
| Speech audiometry complete CPT 92556 | $69.44 | $217.00 | $52.46 – $390.60 | 18 |
| Speech recep thresh CPT 92555 | $69.44 | $217.00 | $52.46 – $390.60 | 18 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $874.88 | $2,734.00 | $627.68 – $4,921.20 | 18 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | $397.44 | $1,242.00 | $331.82 – $2,235.60 | 18 |
| Splint dorsal bloc wh med perf 3.2mm lf polyflex ii HCPCS L3906 | $328.96 | $1,028.00 | $365.49 – $2,056.00 | 21 |
| Splint extn xsm w sof-stretch rolyan HCPCS L3925 | $49.28 | $154.00 | $54.73 – $308.00 | 21 |
| Splint finger fold over sm HCPCS L3924 | $76.16 | $238.00 | $84.32 – $476.00 | 21 |
| Splint rstrc wrst/cmc right med HCPCS L3923 | $76.16 | $238.00 | $84.32 – $476.00 | 21 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $146.24 | $457.00 | $92.21 – $822.60 | 19 |
| Staph a dna amp probe CPT 87640 | $110.72 | $346.00 | $28.07 – $622.80 | 25 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | $139.84 | $437.00 | $86.73 – $786.60 | 19 |
| Stenger test pure tone CPT 92565 | $69.44 | $217.00 | $52.46 – $390.60 | 18 |
| Stent/athrectomy/fem/pop/unilat 37227 CPT 37227 | $17,195.84 | $53,737.00 | $38,630.71 – $96,726.60 | 3 |
| Stent axios caut enh 15x10mm electrocaut HCPCS C1874 | $8,173.76 | $25,543.00 | $1,877.40 – $1,877.40 | 1 |
| Stent bili dbl pgtl 10fx5cm HCPCS C2617 | $114.88 | $359.00 | $304.20 – $304.20 | 1 |
| Stent bili rx wallflx 10x80 uncvr HCPCS C1876 | $2,488.32 | $7,776.00 | $1,609.20 – $1,609.20 | 1 |
| Stent iliac/open or perc/uni/init 37221 CPT 37221 | $10,753.60 | $33,605.00 | $24,151.26 – $60,489.00 | 3 |
| Stent iliac/open/perc/ea ad/ipsila 37223 CPT 37223 | $8,925.76 | $27,893.00 | $50,207.40 – $50,207.40 | 1 |
| Stent/tib/peroneal/unilat/initial 37230 CPT 37230 | $11,210.88 | $35,034.00 | $38,630.71 – $63,061.20 | 3 |
| Sterile water/saline, 10 ml HCPCS A4216 | $12.72 | $39.76 | $0.42 – $71.57 | 18 |
| St evaluate speech sound production CPT 92522 | $132.16 | $413.00 | $94.18 – $743.40 | 19 |
| St evaluate speech sound production comprehensive/expressive CPT 92523 | $249.92 | $781.00 | $191.43 – $1,405.80 | 19 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $239.36 | $748.00 | $77.53 – $1,346.40 | 19 |
| St evaluation swallow function CPT 92610 | $220.16 | $688.00 | $47.96 – $1,238.40 | 19 |
| Strep b dna amp probe CPT 87653 | $69.20 | $216.25 | $28.07 – $389.25 | 25 |
| Stress test pulmonary CPT 94618 | $183.36 | $573.00 | $118.31 – $1,031.40 | 18 |
| Stress tte complete CPT 93351 | $704.32 | $2,201.00 | $485.88 – $3,961.80 | 18 |
| St treatment speech individual CPT 92507 | $141.76 | $443.00 | $64.29 – $797.40 | 19 |
| St treatment swallow dysfunction/oral CPT 92526 | $145.92 | $456.00 | $71.31 – $820.80 | 19 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $32.02 | $100.07 | $2.04 – $98.04 | 11 |
| Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution HCPCS C9399 | $248.20 | $775.61 | $1,396.10 – $1,551.22 | 2 |
| Sulfonylurea screen qn-sendout CPT 80377 | $115.20 | $360.00 | $540.00 – $716.40 | 3 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | $71.89 | $224.65 | $70.11 – $168.26 | 11 |
| Surgical pathology level 1 gross examination only CPT 88300 | $54.72 | $171.00 | $11.04 – $307.80 | 23 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $72.32 | $226.00 | $17.09 – $406.80 | 23 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $93.76 | $293.00 | $26.56 – $527.40 | 23 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $116.16 | $363.00 | $46.34 – $653.40 | 23 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $364.48 | $1,139.00 | $197.63 – $2,050.20 | 23 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $872.96 | $2,728.00 | $347.87 – $4,910.40 | 23 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $24.64 | $77.00 | $3.66 – $138.60 | 25 |
| Susceptibility mic per plate CPT 87186 | $59.84 | $187.00 | $6.92 – $336.60 | 25 |
| Svc venogram s&i CPT 75827 | $1,672.32 | $5,226.00 | $152.70 – $9,406.80 | 23 |
| Synvisc or synvisc-one HCPCS J7325 | $38.35 | $119.85 | $5.57 – $287.64 | 24 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $33.28 | $104.00 | $0.97 – $39.60 | 25 |
| System pacing micra av HCPCS C1786 | $8,575.36 | $26,798.00 | $14,063.40 – $14,063.40 | 1 |
| System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 | $7,181.76 | $22,443.00 | $14,223.60 – $14,223.60 | 1 |
| T3 (triiodothyronine) free CPT 84481 | $41.60 | $130.00 | $13.55 – $234.00 | 25 |
| T3 (triiodothyronine) total CPT 84480 | $29.76 | $93.00 | $11.34 – $167.40 | 25 |
| T4 (thyroxine) free CPT 84439 | $22.08 | $69.00 | $6.22 – $124.20 | 25 |
| T4 (thyroxine) total CPT 84436 | $23.04 | $72.00 | $4.95 – $129.60 | 25 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $270.75 | $846.08 | $0.40 – $1,098.84 | 11 |
| Tacrolimus therapeutic drug level CPT 80197 | $30.72 | $96.00 | $10.98 – $172.80 | 25 |
| Tamoxifen 10 mg tabs 60 each bottle HCPCS S0187 | $70.19 | $219.33 | $0.46 – $135.76 | 3 |
| Target gsa panel hmtlmph neop CPT 81450 | $1,119.68 | $3,499.00 | $607.62 – $26,575.95 | 24 |
| Tavr perq femoral CPT 33361 | $19,344.00 | $60,450.00 | $851.98 – $108,810.00 | 16 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $99.52 | $311.00 | $49.58 – $559.80 | 25 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $70.72 | $221.00 | $37.58 – $397.80 | 25 |
| T cells absolute cd 4 count CPT 86361 | $42.88 | $134.00 | $21.42 – $241.20 | 25 |
| T cells total count CPT 86359 | $56.00 | $175.00 | $30.18 – $315.00 | 25 |
| Telehealth original site facility fee HCPCS Q3014 | $9.92 | $31.00 | $31.00 – $85.20 | 11 |
| Telethx isodose plan cplx CPT 77307 | $810.24 | $2,532.00 | $332.95 – $4,557.60 | 22 |
| Telethx isodose plan simple CPT 77306 | $470.40 | $1,470.00 | $220.02 – $2,646.00 | 22 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $11,413.53 | $35,667.28 | $133.46 – $85,601.47 | 24 |
| Test stress cardiovascular tracing only CPT 93017 | $397.44 | $1,242.00 | $192.00 – $2,235.60 | 18 |
| Tetanus immune globulin inj HCPCS J1670 | $873.97 | $2,731.17 | $446.49 – $6,554.81 | 24 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $48.00 | $150.00 | $22.01 – $270.00 | 18 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $41.92 | $131.00 | $18.35 – $235.80 | 18 |
| Ther nma rdctj intus/obstrcj CPT 74283 | $191.36 | $598.00 | $155.97 – $1,076.40 | 23 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $34.12 | $106.64 | $3.62 – $220.15 | 11 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $1,424.64 | $4,452.00 | $557.81 – $4,249.80 | 18 |
| Thrombectmy crnry perq mechanical CPT 92973 | $3,339.84 | $10,437.00 | $64.18 – $18,786.60 | 16 |
| Thrombectomy/inf pq dialysis circuit CPT 36904 | $4,970.56 | $15,533.00 | $5,061.05 – $27,959.40 | 18 |
| Thrombectomy/inf pq dialysis circuit w/pta CPT 36905 | $11,471.68 | $35,849.00 | $10,265.36 – $64,528.20 | 18 |
| Thrombectomy/inf pq dialysis circuit w/stent plcmnt CPT 36906 | $18,487.68 | $57,774.00 | $16,300.88 – $103,993.20 | 18 |
| Thrombin time CPT 85670 | $8.96 | $28.00 | $1.62 – $50.40 | 25 |
| Thyroglobulin antibody CPT 86800 | $24.96 | $78.00 | $12.25 – $138.60 | 25 |
| Thyroid met imaging CPT 78015 | $440.64 | $1,377.00 | $91.41 – $2,478.60 | 22 |
| Thyroid mets imag whole body CPT 78018 | $475.20 | $1,485.00 | $111.97 – $2,673.00 | 22 |
| Thyroid (TSH) Test CPT 84443 | $42.56 | $133.00 | $13.44 – $239.40 | 25 |
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.