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 |
|---|---|---|---|---|
| Bartholin gland cyst/marsupializat 56440 CPT 56440 | $3,839.36 | $11,998.00 | $2,878.51 – $21,596.40 | 17 |
| Bartonella dna pcr-sendout CPT 87471 | $60.48 | $189.00 | $28.07 – $340.20 | 25 |
| Basic vestibular evaluation CPT 92540 | $201.92 | $631.00 | $192.00 – $1,135.80 | 18 |
| B cells total count CPT 86355 | $59.84 | $187.00 | $30.18 – $315.00 | 25 |
| Belimumab 120 mg intravenous solution HCPCS J0490 | $867.81 | $2,711.91 | $45.75 – $6,508.58 | 24 |
| Benign lesion paring 2-4 CPT 11056 | $246.40 | $770.00 | $178.41 – $1,386.00 | 17 |
| Benign lesion paring 4+ CPT 11057 | $246.40 | $770.00 | $178.41 – $1,386.00 | 17 |
| #_benzodiazconfur CPT 80346 | $35.52 | $111.00 | $162.00 – $214.92 | 3 |
| Beta 2 glycoprotein 1 antibody iga CPT 86146 | $35.52 | $111.00 | $12.73 – $95.31 | 25 |
| Beta-2 microglobulin CPT 82232 | $27.52 | $86.00 | $12.14 – $135.00 | 25 |
| Beta-amyloid 1-42 CPT 82234 | $639.60 | $1,998.75 | $103.14 – $3,597.75 | 22 |
| Betamethasone acetate and sodium phos 6 mg/ml suspension for injection HCPCS J0702 | $79.83 | $249.48 | $13.82 – $422.30 | 11 |
| Bilateral n blobk inj pudendal 64430 CPT 64430 | $1,280.32 | $4,001.00 | $786.49 – $7,201.80 | 18 |
| Bilateral n block inj occipital 64405 CPT 64405 | $233.92 | $731.00 | $272.95 – $1,277.73 | 18 |
| Bilateral n block inj trigeminal 64400 CPT 64400 | $233.92 | $731.00 | $272.95 – $1,315.80 | 18 |
| Bilicheck CPT 88720 | $15.68 | $49.00 | $2.46 – $88.20 | 25 |
| Bilirubin direct CPT 82248 | $29.12 | $91.00 | $4.02 – $163.80 | 25 |
| Bilirubin total CPT 82247 | $16.96 | $53.00 | $2.66 – $95.40 | 25 |
| Biofeedback, pt CPT 90901 | $50.56 | $158.00 | $13.41 – $316.00 | 19 |
| Biopsy abdominal mass CPT 49180 | $1,973.12 | $6,166.00 | $1,468.63 – $11,098.80 | 18 |
| Biopsy bone trocar/needle superficial CPT 20220 | $1,973.12 | $6,166.00 | $1,468.63 – $11,098.80 | 18 |
| Biopsy cervixsingle/multiple 57500 CPT 57500 | $347.20 | $1,085.00 | $819.02 – $3,834.02 | 17 |
| Biopsy external ear 69100 CPT 69100 | $92.80 | $290.00 | $210.61 – $985.93 | 17 |
| Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides) CPT 38222 | $3,448.96 | $10,778.00 | $2,582.93 – $19,400.40 | 18 |
| Biopsy muscle percutaneous needle CPT 20206 | $1,973.12 | $6,166.00 | $1,468.63 – $11,098.80 | 18 |
| Biopsy needle liver percutaneous CPT 47000 | $1,973.12 | $6,166.00 | $1,468.63 – $11,098.80 | 18 |
| Biopsy needle lymph node superficial CPT 38505 | $1,973.12 | $6,166.00 | $1,468.63 – $11,098.80 | 18 |
| Biopsy of nail unit 11755 CPT 11755 | $280.64 | $877.00 | $629.68 – $2,947.71 | 18 |
| Biopsy of salivary gland 42400 CPT 42400 | $1,308.16 | $4,088.00 | $629.68 – $7,358.40 | 18 |
| Biopsy renal percutaneous trocar/needle (both sides) CPT 50200 | $1,973.12 | $6,166.00 | $1,468.63 – $11,098.80 | 18 |
| Biopsy skin incisional single lesion CPT 11106 | $776.64 | $2,427.00 | $657.20 – $4,368.60 | 17 |
| Biopsy/soft tissue/neck or thorax 21550 CPT 21550 | $636.48 | $1,989.00 | $1,468.63 – $6,875.03 | 17 |
| Biopsy thigh soft tissues CPT 27324 | $3,494.08 | $10,919.00 | $2,582.93 – $19,654.20 | 18 |
| Biotinidase - quest CPT 82261 | $40.06 | $125.20 | $13.50 – $225.36 | 25 |
| Bis xtracell fluid analysis CPT 93702 | $202.24 | $632.00 | $114.42 – $1,137.60 | 18 |
| Bivalirudin HCPCS J0583 | $387.76 | $1,211.75 | $0.32 – $1,607.16 | 11 |
| Bladder irrigate/lavage/instill 51700 CPT 51700 | $276.48 | $864.00 | $222.17 – $1,040.04 | 18 |
| Bld prd mix CPT 86965 | $81.28 | $254.00 | $80.30 – $709.19 | 21 |
| Bln 1.2 mono emrg 15x1.2 HCPCS C1725 | $4,479.68 | $13,999.00 | $253.80 – $253.80 | 1 |
| Bln 30frx10mmx12cm renal nephromax HCPCS C1726 | $1,552.96 | $4,853.00 | $390.60 – $390.60 | 1 |
| Bln inpact admiral 4x150x130cm HCPCS C2623 | $1,900.80 | $5,940.00 | $5,817.60 – $5,817.60 | 1 |
| Bln stent lg 19mm diam 10-12mm palmaz gen trnshpat unmtd HCPCS C1877 | $935.36 | $2,923.00 | $5,261.40 – $5,261.40 | 1 |
| Block paracervical nrv CPT 64435 | $276.16 | $863.00 | $627.68 – $2,938.34 | 17 |
| Blood Clotting (PT/INR) Test CPT 85610 | $27.52 | $86.00 | $3.43 – $145.80 | 25 |
| Blood Clotting (PTT) Test CPT 85730 | $47.68 | $149.00 | $4.51 – $135.00 | 25 |
| Blood Count (CBC) Test CPT 85025 | $36.80 | $115.00 | $0.85 – $29.10 | 25 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $31.36 | $98.00 | $5.18 – $176.40 | 25 |
| Blood Culture Test CPT 87040 | $73.28 | $229.00 | $8.26 – $412.20 | 25 |
| Blood draw capillary 36416 CPT 36416 | $7.36 | $23.00 | $7.45 – $45.77 | 3 |
| Blood gases o2 saturation direct measurement CPT 82805 | $167.36 | $523.00 | $63.02 – $941.40 | 25 |
| Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic CPT 82274 | $24.96 | $78.00 | $12.42 – $140.40 | 25 |
| Blood occult feces 1-3 determinations other than neoplasm screening qualitative CPT 82272 | $16.64 | $52.00 | $2.20 – $93.60 | 25 |
| Blood typing abo CPT 86900 | $59.20 | $185.00 | $2.54 – $385.69 | 25 |
| Blood typing ag donor ea ag CPT 86902 | $160.32 | $501.00 | $5.40 – $1,039.08 | 25 |
| Blood typing rbc ag non abo/rh ea CPT 86905 | $150.40 | $470.00 | $3.26 – $1,039.08 | 25 |
| Blood typing rh (d) CPT 86901 | $40.64 | $127.00 | $2.54 – $228.60 | 25 |
| Bone Density Scan (DEXA) CPT 77080 | $158.08 | $494.00 | $27.54 – $889.20 | 23 |
| Bone/joint imaging ltd area CPT 78300 | $469.76 | $1,468.00 | $82.65 – $2,642.40 | 22 |
| Bone marrow biopsyneedle/trocar 38221 CPT 38221 | $1,973.12 | $6,166.00 | $1,468.63 – $11,098.80 | 18 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | $66.16 | $206.75 | $13.62 – $165.60 | 25 |
| Bowel imaging CPT 78290 | $440.64 | $1,377.00 | $91.32 – $2,478.60 | 22 |
| Brace knee playmaker ii x-rom hook and loop xl HCPCS L1833 | $59.97 | $187.42 | $187.42 – $1,155.84 | 21 |
| Brace oths wrist hnd fngr without HCPCS L3807 | $192.96 | $603.00 | $214.10 – $1,206.00 | 21 |
| Brace wrist classic lft sm HCPCS L3908 | $63.68 | $199.00 | $70.45 – $398.00 | 21 |
| Brach/thor cath 1st CPT 36215 | $1,101.12 | $3,441.00 | $150.73 – $6,193.80 | 16 |
| Brach/thor cath 2nd CPT 36216 | $1,380.80 | $4,315.00 | $192.29 – $7,767.00 | 16 |
| Brach/thor cath 3rd CPT 36217 | $1,414.40 | $4,420.00 | $237.50 – $7,956.00 | 16 |
| Brachy source yttrium-90 HCPCS C2616 | $19,386.56 | $60,583.00 | $14,216.80 – $103,082.40 | 18 |
| Braf gene CPT 81210 | $227.84 | $712.00 | $140.32 – $1,281.60 | 24 |
| Brain flow imaging only CPT 78610 | $475.52 | $1,486.00 | $40.18 – $2,674.80 | 22 |
| Brain image w/flow 4 + views CPT 78606 | $475.52 | $1,486.00 | $84.60 – $2,674.80 | 22 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | $1,461.76 | $4,568.00 | $199.57 – $8,222.40 | 23 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $938.56 | $2,933.00 | $162.05 – $5,279.40 | 23 |
| Brain MRI (with and without contrast) CPT 70553 | $1,761.92 | $5,506.00 | $309.51 – $9,910.80 | 23 |
| Brain MRI (with contrast) CPT 70552 | $1,525.12 | $4,766.00 | $241.07 – $8,578.80 | 23 |
| Brain MRI (without contrast) CPT 70551 | $1,133.12 | $3,541.00 | $199.57 – $6,373.80 | 23 |
| Brcassure comprehensive panel-sendout CPT 81162 | $2,208.00 | $6,900.00 | $1,459.90 – $125,916.72 | 24 |
| Breast Biopsy (ultrasound-guided, percutaneous) CPT 19083 | $1,973.12 | $6,166.00 | $1,468.63 – $11,098.80 | 18 |
| Breast punct aspir cyst, bil CPT 19000 | $881.92 | $2,756.00 | $629.68 – $4,960.80 | 18 |
| Bronchial allergy tests CPT 95070 | $644.16 | $2,013.00 | $331.82 – $3,623.40 | 18 |
| Bronchial challenge CPT 94070 | $397.44 | $1,242.00 | $331.82 – $2,235.60 | 18 |
| Bronchoscopy w/biopsy(s) 31625 CPT 31625 | $2,120.32 | $6,626.00 | $1,582.72 – $11,926.80 | 18 |
| Bronchoscopy w/fb removal 31635 CPT 31635 | $2,120.32 | $6,626.00 | $1,582.72 – $11,926.80 | 18 |
| Br punct aspir ea add, l CPT 19001 | $452.48 | $1,414.00 | $14.50 – $2,545.20 | 16 |
| Budesonide non-comp unit HCPCS J7626 | $18.86 | $58.93 | $2.10 – $127.13 | 11 |
| Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr HCPCS J1939 | $24.84 | $77.62 | $0.72 – $186.29 | 11 |
| Bundled special stain group 1 microorganisms CPT 88312 | $96.00 | $300.00 | $46.34 – $540.00 | 23 |
| Bundled special stain group 2 CPT 88313 | $77.76 | $243.00 | $29.16 – $553.83 | 23 |
| Bupivacaine 0.1 % epidural pca - 1 hour dose limit HCPCS J0665 | $38.03 | $118.83 | $0.02 – $5.01 | 11 |
| Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet HCPCS J0572 | $125.05 | $390.79 | $9.40 – $107.74 | 11 |
| Buprenorphine 8 mg-naloxone 2 mg sublingual tablet HCPCS J0574 | $214.68 | $670.89 | $18.62 – $139.51 | 11 |
| Buprenorphine and metabolite - sendout CPT 80348 | $37.76 | $118.00 | $148.95 – $197.61 | 3 |
| Buprenorphine oral 1mg HCPCS J0571 | $151.95 | $474.85 | $0.64 – $109.25 | 11 |
| Buprenorphine X-ray over 100 mg HCPCS Q9992 | $2,837.22 | $8,866.31 | $1,597.25 – $21,279.14 | 24 |
| Buprenorph X-ray 100 mg or less HCPCS Q9991 | $2,886.22 | $9,019.45 | $1,597.25 – $21,646.68 | 24 |
| Bur rotalink 2.15mm HCPCS C1724 | $3,616.00 | $11,300.00 | $295.20 – $295.20 | 1 |
| Bx bone trocar/ndl deep CPT 20225 | $2,177.28 | $6,804.00 | $1,468.63 – $12,247.20 | 18 |
| Bx breast 1st lesion mr imag CPT 19085 | $1,973.12 | $6,166.00 | $1,468.63 – $11,098.80 | 18 |
| Bx breast 1st lesion strtctc CPT 19081 | $1,973.12 | $6,166.00 | $1,468.63 – $11,098.80 | 18 |
| Bx breast add lesion strtctc CPT 19082 | $1,392.64 | $4,352.00 | $55.99 – $7,833.60 | 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.