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 |
|---|---|---|---|---|
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $1,170.24 | $3,657.00 | $200.63 – $6,582.60 | 23 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | $1,750.72 | $5,471.00 | $806.51 – $7,146.00 | 18 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | $1,073.28 | $3,354.00 | $806.51 – $6,037.20 | 18 |
| Uppr gi scope w/submuc inj CPT 43236 | $1,072.96 | $3,353.00 | $806.51 – $6,035.40 | 18 |
| Urea nitrogen CPT 84520 | $29.76 | $93.00 | $1.66 – $75.69 | 25 |
| Urea nitrogen 24 hour urine CPT 84540 | $9.92 | $31.00 | $1.72 – $55.80 | 25 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $287.68 | $899.00 | $45.22 – $1,618.20 | 20 |
| Urethrocystography void s&i CPT 74455 | $401.92 | $1,256.00 | $46.27 – $2,260.80 | 23 |
| Uric acid blood CPT 84550 | $10.88 | $34.00 | $1.54 – $61.20 | 25 |
| Uric acid urine CPT 84560 | $8.00 | $25.00 | $1.27 – $45.00 | 25 |
| Urinalysis microscopic only CPT 81015 | $16.58 | $51.80 | $1.58 – $93.24 | 25 |
| Urinalysis (with microscopy) CPT 81001 | $29.12 | $91.00 | $2.00 – $113.40 | 25 |
| Urinalysis (without microscopy) CPT 81003 | $12.22 | $38.20 | $0.07 – $8.43 | 25 |
| Urine Culture Test CPT 87086 | $28.80 | $90.00 | $6.46 – $162.00 | 25 |
| Urine pregnancy test CPT 81025 | $48.96 | $153.00 | $1.03 – $32.24 | 25 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | $2,890.86 | $9,033.95 | $9.30 – $21,681.48 | 24 |
| Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml CPT 91322 | $190.58 | $595.56 | $1,072.01 – $1,072.01 | 1 |
| Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml CPT 91321 | $173.38 | $541.80 | $975.24 – $975.24 | 1 |
| Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im CPT 91320 | $183.79 | $574.35 | $1,033.83 – $1,033.83 | 1 |
| Vaccine covid-19 pfizer tris-sucrose 5yrs-11yrs 10mcg/0.3ml im CPT 91319 | $103.49 | $323.41 | $582.14 – $582.14 | 1 |
| Vaccine covid-19 pfizer tris-sucrose 6mos-4yrs 3mcg/0.3ml im CPT 91318 | $77.28 | $241.51 | $434.72 – $434.72 | 1 |
| Vaccine dtap < 7 years im CPT 90700 | $43.01 | $134.40 | $212.74 – $236.38 | 2 |
| Vaccine dtap-hep b-ipv im CPT 90723 | $134.23 | $419.46 | $755.03 – $838.92 | 2 |
| Vaccine dtap-ipv 4-6 years im CPT 90696 | $80.40 | $251.25 | $452.25 – $502.50 | 2 |
| Vaccine dtap-ipv/hib im CPT 90698 | $137.66 | $430.19 | $774.34 – $860.38 | 2 |
| Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im CPT 90647 | $40.09 | $125.28 | $225.50 – $250.56 | 2 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | $22.97 | $71.78 | $101.36 – $112.62 | 2 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | $120.49 | $376.54 | $630.22 – $700.24 | 2 |
| Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im CPT 90636 | $175.97 | $549.92 | $989.86 – $1,099.84 | 2 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 | $51.39 | $160.60 | $289.08 – $321.20 | 2 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | $101.80 | $318.12 | $199.17 – $600.52 | 5 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | $198.42 | $620.05 | $411.26 – $1,240.10 | 5 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $44.44 | $138.86 | $80.65 – $239.42 | 5 |
| Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im CPT 90651 | $413.43 | $1,291.97 | $2,325.55 – $2,583.94 | 2 |
| Vaccine hpv types 6/11/16/18 quadrivalent (4vhpv) 3 dose im CPT 90649 | $412.42 | $1,288.82 | $2,319.88 – $2,577.64 | 2 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | $106.41 | $332.53 | $174.25 – $665.06 | 5 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | $106.41 | $332.52 | $170.29 – $645.60 | 5 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | $27.54 | $86.06 | $34.84 – $172.12 | 5 |
| Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im CPT 90694 | $72.09 | $225.27 | $174.25 – $450.54 | 5 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im CPT 90685 | $25.16 | $78.63 | $60.73 – $157.26 | 5 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | $27.01 | $84.40 | $55.76 – $168.80 | 5 |
| Vaccine influenza quadrivalent live (laiv4) intranasal CPT 90672 | $31.85 | $99.54 | $76.68 – $199.08 | 5 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | $58.52 | $182.88 | $164.59 – $365.76 | 3 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | $239.90 | $749.70 | $1,349.46 – $1,499.40 | 2 |
| Vaccine mengingoccocal serogroup b 2 or 3 dose im CPT 90621 | $278.64 | $870.74 | $1,567.33 – $1,741.48 | 2 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | $198.91 | $621.60 | $1,118.88 – $1,243.20 | 2 |
| Vaccine mmr live subcutaneous CPT 90707 | $130.44 | $407.61 | $702.72 – $780.80 | 2 |
| Vaccine mmrv live subcutaneous CPT 90710 | $369.82 | $1,155.69 | $2,080.24 – $2,311.38 | 2 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | $157.36 | $491.75 | $359.46 – $983.50 | 5 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | $304.33 | $951.02 | $689.08 – $1,902.04 | 5 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | $383.32 | $1,197.86 | $985.87 – $2,190.82 | 3 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | $59.11 | $184.73 | $332.51 – $369.46 | 2 |
| Vaccine respiratory syncytial virus bivalent subunit/preservative free im CPT 90678 | $412.34 | $1,288.56 | $2,319.41 – $2,577.12 | 2 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im CPT 90380 | $698.54 | $2,182.95 | $3,929.31 – $4,365.90 | 2 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im CPT 90381 | $698.54 | $2,182.95 | $3,929.31 – $4,365.90 | 2 |
| Vaccine rotavirus pentavalent (rv5) live 3 dose oral CPT 90680 | $121.63 | $380.09 | $684.16 – $760.18 | 2 |
| Vaccine tdap >=7 years im CPT 90715 | $68.45 | $213.91 | $353.23 – $392.48 | 2 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $52.16 | $163.01 | $246.17 – $273.52 | 2 |
| Vaccine varicella live subcutaneous CPT 90716 | $244.95 | $765.46 | $1,377.83 – $1,530.92 | 2 |
| Valproic acid total therapeutic drug level CPT 80164 | $80.00 | $250.00 | $10.83 – $450.00 | 25 |
| Vancomycin hcl injection HCPCS J3370 | $319.85 | $999.54 | $77.51 – $186.02 | 10 |
| Vancomycin peak therapeutic drug level CPT 80202 | $80.00 | $250.00 | $10.83 – $450.00 | 25 |
| Varicella zoster antibody igg CPT 86787 | $35.84 | $112.00 | $10.05 – $140.40 | 25 |
| Vasectomy CPT 55250 | $816.64 | $2,552.00 | $1,858.81 – $8,701.55 | 17 |
| Vasopressin 20 unit/ml intravenous solution HCPCS J2598 | $293.99 | $918.71 | $1.06 – $386.28 | 11 |
| Vedolizumab 300 mg intravenous solution HCPCS J3380 | $12,510.67 | $39,095.83 | $16.78 – $93,829.99 | 24 |
| Vein x-ray kidney CPT 75831 | $3,158.72 | $9,871.00 | $145.97 – $17,767.80 | 23 |
| Vein x-ray liver CPT 75891 | $3,158.72 | $9,871.00 | $147.72 – $17,767.80 | 23 |
| Vein x-ray liver w/hemodynam CPT 75885 | $2,949.44 | $9,217.00 | $185.10 – $16,590.60 | 23 |
| Vein x-ray liver w/hemodynam CPT 75889 | $3,158.72 | $9,871.00 | $146.66 – $17,767.80 | 23 |
| Vein x-ray liver without hemodyn CPT 75887 | $3,194.88 | $9,984.00 | $185.10 – $17,971.20 | 23 |
| Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture) CPT 36410 | $7.04 | $22.00 | $6.47 – $39.60 | 17 |
| Venogram ext bil s&i CPT 75822 | $1,577.60 | $4,930.00 | $196.77 – $8,874.00 | 23 |
| Venogram extremity supervision & interpretation unilateral CPT 75820 | $1,413.76 | $4,418.00 | $140.77 – $7,952.40 | 23 |
| Venous mech thrombectomy CPT 37187 | $8,853.44 | $27,667.00 | $10,265.36 – $49,800.60 | 18 |
| Venous sampling s&i CPT 75893 | $5,150.40 | $16,095.00 | $75.88 – $28,971.00 | 23 |
| Ventilator each subsequent day CPT 94003 | $815.04 | $2,547.00 | $549.35 – $4,584.60 | 18 |
| Ventilator initial day CPT 94002 | $1,027.52 | $3,211.00 | $549.35 – $5,779.80 | 18 |
| Version cephalic external CPT 59412 | $1,267.52 | $3,961.00 | $2,878.51 – $13,475.03 | 18 |
| Virus isolation addl studies ea CPT 87253 | $27.84 | $87.00 | $16.16 – $156.60 | 25 |
| Visit established high 40-54 minutes/level 5 HCPCS G0463 | $46.40 | $145.00 | $118.39 – $554.20 | 16 |
| Vital capacity test CPT 94150 | $186.56 | $583.00 | $114.42 – $1,049.40 | 18 |
| Vitamin b-12 CPT 82607 | $32.96 | $103.00 | $12.06 – $185.40 | 25 |
| Vitamin D Test CPT 82306 | $62.40 | $195.00 | $23.68 – $351.00 | 25 |
| Voiding pressure study/intra-abd 51797 CPT 51797 | $150.08 | $469.00 | $135.08 – $844.20 | 16 |
| Volume measurement urine timed CPT 81050 | $10.88 | $34.00 | $1.24 – $61.20 | 25 |
| Voriconazole in ns IV syringe 5 mg/ml (pediatric) - cnr HCPCS J3465 | $101.55 | $317.33 | $1.50 – $761.59 | 11 |
| Warde 1003990 aldosterone CPT 82088 | $57.60 | $180.00 | $32.60 – $324.00 | 25 |
| Warde 1005020 citrate 24 hour urine CPT 82507 | $47.68 | $149.00 | $22.24 – $268.20 | 25 |
| Warde 1005055 5-hiaa 24 hour urine CPT 83497 | $22.40 | $70.00 | $9.03 – $126.00 | 25 |
| Warde 1006955 catecholamines fractionated 24 hour urine CPT 82384 | $43.52 | $136.00 | $20.20 – $244.80 | 25 |
| Warde 1015200 kappa light chain free CPT 83521 | $29.44 | $92.00 | $13.82 – $165.60 | 22 |
| Warde 3004000 immunoglobulin subclass 1 CPT 82787 | $13.76 | $43.00 | $3.45 – $77.40 | 25 |
| Warde 3008005 oligoclonal bands CPT 83916 | $38.40 | $120.00 | $21.91 – $216.00 | 25 |
| Warde 3016000 west nile virus antibody CPT 86788 | $29.12 | $91.00 | $13.48 – $163.80 | 25 |
| Warde 3016000 west nile virus antibody igg CPT 86789 | $22.40 | $70.00 | $10.07 – $126.00 | 25 |
| Warde 3400652 ova & parasites direct smear concentration and id CPT 87177 | $13.76 | $43.00 | $3.83 – $77.40 | 25 |
| Warde 3400652 smear complex special stain ova/parasites CPT 87209 | $27.84 | $87.00 | $14.38 – $156.60 | 25 |
| Warde 3400683 amplification rna markers infectious disease bacterial vaginosis CPT 81513 | $84.00 | $262.50 | $114.10 – $534.15 | 24 |
| Warde 3400852 arsenic CPT 82175 | $31.68 | $99.00 | $15.18 – $178.20 | 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.