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 |
|---|---|---|---|---|
| X-ray hand 2 views (both sides) CPT 73120 | $159.68 | $499.00 | $23.68 – $898.20 | 23 |
| X-ray heel/calcaneus > 2 views (both sides) CPT 73650 | $128.64 | $402.00 | $22.59 – $723.60 | 23 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $258.56 | $808.00 | $39.38 – $1,454.40 | 21 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $215.36 | $673.00 | $31.72 – $1,211.40 | 21 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | $277.44 | $867.00 | $41.33 – $1,560.60 | 21 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $286.08 | $894.00 | $43.27 – $1,609.20 | 21 |
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | $137.60 | $430.00 | $26.68 – $774.00 | 21 |
| X-ray humerus >= 2 views left CPT 73060 | $151.68 | $474.00 | $23.68 – $853.20 | 23 |
| X-ray joint survey 1 view CPT 77077 | $315.84 | $987.00 | $48.39 – $1,776.60 | 23 |
| X-ray knee 1-2 views (both sides) CPT 73560 | $152.96 | $478.00 | $23.68 – $860.40 | 23 |
| X-ray knee 3 views (both sides) CPT 73562 | $179.52 | $561.00 | $27.74 – $1,009.80 | 23 |
| X-ray knee ap standing bilateral CPT 73565 | $104.32 | $326.00 | $24.74 – $586.80 | 23 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $110.72 | $346.00 | $22.59 – $622.80 | 23 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $127.04 | $397.00 | $31.72 – $714.60 | 23 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $229.12 | $716.00 | $37.35 – $1,288.80 | 23 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $264.64 | $827.00 | $42.30 – $1,488.60 | 23 |
| X-ray mandible complete > 4 views CPT 70110 | $185.28 | $579.00 | $34.61 – $1,042.20 | 23 |
| X-ray mandible ltd <4 views CPT 70100 | $148.16 | $463.00 | $26.68 – $833.40 | 23 |
| X-ray nasal bones complete > 3 views CPT 70160 | $154.56 | $483.00 | $24.65 – $869.40 | 23 |
| X-ray neck soft tissue CPT 70360 | $120.96 | $378.00 | $25.60 – $680.40 | 23 |
| X-ray nose to rectum for foreign body child CPT 76010 | $207.68 | $649.00 | $24.54 – $1,168.20 | 23 |
| X-ray optic foramina CPT 70190 | $104.32 | $326.00 | $30.75 – $586.80 | 23 |
| X-ray pelvis 1-2 views CPT 72170 | $165.12 | $516.00 | $24.65 – $928.80 | 23 |
| X-ray pelvis complete > 3 views CPT 72190 | $215.04 | $672.00 | $36.38 – $1,209.60 | 23 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $368.32 | $1,151.00 | $73.22 – $2,071.80 | 21 |
| X-ray ribs 2 views left CPT 71100 | $152.96 | $478.00 | $30.63 – $860.40 | 23 |
| X-ray ribs 3 views bilateral CPT 71110 | $208.64 | $652.00 | $39.55 – $1,173.60 | 23 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | $223.36 | $698.00 | $37.27 – $1,256.40 | 23 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $266.24 | $832.00 | $44.24 – $1,497.60 | 23 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $200.32 | $626.00 | $30.54 – $1,126.80 | 23 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $147.52 | $461.00 | $24.65 – $829.80 | 23 |
| X-ray scapula complete (both sides) CPT 73010 | $151.04 | $472.00 | $26.77 – $849.60 | 23 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $148.48 | $464.00 | $21.65 – $835.20 | 23 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $161.60 | $505.00 | $30.63 – $909.00 | 23 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $650.56 | $2,033.00 | $70.21 – $3,659.40 | 23 |
| X-ray skull < 4 views CPT 70250 | $164.80 | $515.00 | $25.60 – $927.00 | 23 |
| X-ray skull > 4 views complete CPT 70260 | $197.76 | $618.00 | $38.58 – $1,112.40 | 23 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $355.52 | $1,111.00 | $109.94 – $1,999.80 | 23 |
| X-ray small intestine follow-through study CPT 74248 | $355.52 | $1,111.00 | $68.44 – $1,999.80 | 18 |
| X-ray spine single view CPT 72020 | $129.28 | $404.00 | $22.59 – $727.20 | 23 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $162.88 | $509.00 | $30.63 – $916.20 | 23 |
| X-ray sternum > 2 views CPT 71120 | $149.44 | $467.00 | $27.54 – $840.60 | 23 |
| X-ray surgical specimen CPT 76098 | $650.56 | $2,033.00 | $43.27 – $3,659.40 | 23 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $270.72 | $846.00 | $72.76 – $1,522.80 | 23 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $155.20 | $485.00 | $33.63 – $873.00 | 23 |
| X-ray thoracic spine 2 views CPT 72070 | $156.16 | $488.00 | $28.60 – $878.40 | 23 |
| X-ray thoracic spine 3 views CPT 72072 | $196.80 | $615.00 | $30.54 – $1,107.00 | 23 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $186.56 | $583.00 | $29.69 – $1,049.40 | 23 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $104.32 | $326.00 | $37.35 – $586.80 | 21 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $216.00 | $675.00 | $44.33 – $1,215.00 | 21 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | $159.68 | $499.00 | $22.59 – $898.20 | 23 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | $110.72 | $346.00 | $18.65 – $622.80 | 23 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $355.52 | $1,111.00 | $122.92 – $1,999.80 | 23 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $312.96 | $978.00 | $111.45 – $1,760.40 | 23 |
| X-ray wrist 2 views (both sides) CPT 73100 | $134.72 | $421.00 | $24.74 – $757.80 | 23 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $69.12 | $215.99 | $18.30 – $375.26 | 11 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $324.14 | $1,012.95 | $10.16 – $381.19 | 11 |
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.