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 |
|---|---|---|---|---|
| Bx breast add lesion Ultrasound imag CPT 19084 | $1,370.24 | $4,282.00 | $52.49 – $7,707.60 | 16 |
| Bx breast perq without image 19100 CPT 19100 | $1,973.12 | $6,166.00 | $1,468.63 – $11,098.80 | 18 |
| Bx/curett of cervix w/scope 57454 CPT 57454 | $121.28 | $379.00 | $270.97 – $1,268.49 | 17 |
| Bx pancreas pq ndl CPT 48102 | $1,973.12 | $6,166.00 | $1,468.63 – $11,098.80 | 18 |
| Bx pleura pq ndl CPT 32400 | $1,973.12 | $6,166.00 | $1,468.63 – $11,098.80 | 18 |
| Bx skin incisnl ea sep/add l les CPT 11107 | $137.60 | $430.00 | $20.33 – $774.00 | 16 |
| Bx skin punch ea sep/ addl les CPT 11105 | $93.44 | $292.00 | $17.20 – $525.60 | 16 |
| Bx skin tangential ea sep/ addl les CPT 11103 | $72.32 | $226.00 | $14.40 – $406.80 | 16 |
| Bx soft tiss pelvis/hip deep 27041 CPT 27041 | $2,208.00 | $6,900.00 | $1,468.63 – $12,420.00 | 18 |
| Bx thigh/knee soft tiss supf 27323 CPT 27323 | $1,973.12 | $6,166.00 | $1,468.63 – $11,098.80 | 18 |
| Bx thyroid/percutan core needle 60100 CPT 60100 | $814.40 | $2,545.00 | $629.68 – $4,581.00 | 18 |
| Bx vag mucos smpl (sep proc) CPT 57100 | $1,103.36 | $3,448.00 | $819.02 – $6,206.40 | 17 |
| Bx vulva or perineum/1 lesion 56605 CPT 56605 | $347.20 | $1,085.00 | $819.02 – $3,834.02 | 17 |
| Bx vulva or perineum/ea add lesion 56606 CPT 56606 | $168.64 | $527.00 | $20.31 – $948.60 | 16 |
| Bypass temp external fem-fem CPT 37799 | $3,195.20 | $9,985.00 | $557.81 – $4,248.00 | 18 |
| C1 esterase inhibitor func - sendout CPT 86161 | $20.80 | $65.00 | $7.80 – $117.00 | 25 |
| Cabergoline, oral 0.25mg HCPCS J8515 | $68.91 | $215.33 | $3.76 – $516.79 | 13 |
| Cable cath 22-pin diag HCPCS C1730 | $2,370.56 | $7,408.00 | $662.40 – $662.40 | 1 |
| Caffeine citrate 20 mg/ml inj for po HCPCS J0706 | $62.44 | $195.14 | $2.90 – $468.34 | 11 |
| Calcitonin (salmon) 200 unit/ml injection solution HCPCS J0630 | $4,443.48 | $13,885.89 | $1,920.00 – $33,326.14 | 13 |
| Calcium 24 hour urine CPT 82340 | $12.48 | $39.00 | $2.35 – $70.20 | 25 |
| Calcium gluconate 100 mg/ml (10 %) intravenous solution HCPCS J0612 | $30.17 | $94.28 | $0.06 – $226.27 | 11 |
| Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution HCPCS J0613 | $36.93 | $115.40 | $0.18 – $276.96 | 11 |
| Calcium ionized CPT 82330 | $78.40 | $245.00 | $10.94 – $264.60 | 25 |
| Calcium total CPT 82310 | $11.20 | $35.00 | $1.81 – $63.00 | 25 |
| Calculi urinary-sendout CPT 82360 | $36.48 | $114.00 | $10.30 – $205.20 | 25 |
| Caloric vstblr test w/rec CPT 92538 | $201.92 | $631.00 | $192.00 – $1,135.80 | 18 |
| Calprotectin fecal CPT 83993 | $33.92 | $106.00 | $15.70 – $190.80 | 25 |
| Candida dna CPT 87480 | $19.74 | $61.69 | $12.37 – $111.04 | 25 |
| Cannula ercp contour 5-4-3 tip HCPCS C1889 | $17,150.72 | $53,596.00 | $811.80 – $811.80 | 1 |
| Canthotomy 67715 CPT 67715 | $3,014.72 | $9,421.00 | $2,114.10 – $16,957.80 | 18 |
| Cap nerve 2x15mm HCPCS C1763 | $4,020.80 | $12,565.00 | $19,837.80 – $19,837.80 | 1 |
| Cap trach decann 15mm HCPCS C1750 | $189.76 | $593.00 | $1,067.40 – $1,067.40 | 1 |
| Carbamazepine free -sendout CPT 80161 | $28.80 | $90.00 | $14.91 – $162.00 | 25 |
| Carbohydrate deficient transf - sendout CPT 82373 | $73.60 | $229.99 | $14.45 – $413.98 | 25 |
| Carcinoembryonic ag (cea) CPT 82378 | $47.68 | $149.00 | $15.17 – $160.20 | 25 |
| Cardiac perf spect sgl/ef/wm rst/strs CPT 78451 | $1,491.84 | $4,662.00 | $186.59 – $8,391.60 | 22 |
| Cardiac rehabilitation op phase 2 w/continous ecg monitoring CPT 93798 | $182.08 | $569.00 | $114.63 – $1,024.20 | 18 |
| Cardiac rehabilitation op phase 2 without continous ecg monitoring CPT 93797 | $182.08 | $569.00 | $114.63 – $1,024.20 | 18 |
| Cardiolipin antibody iga CPT 86147 | $34.88 | $109.00 | $14.70 – $103.95 | 25 |
| Cardioversion elective electrical conversion arrhythmia external CPT 92960 | $1,405.76 | $4,393.00 | $587.72 – $6,082.20 | 18 |
| Card MRI veloc flow mapping CPT 75565 | $238.08 | $744.00 | $33.55 – $2,100.00 | 21 |
| Caregiver training strategies&tq 1st 30 minutes CPT 97550 | $49.92 | $156.00 | $32.69 – $280.80 | 16 |
| Caregiver training strategies&tq ea addl 15 min CPT 97551 | $26.88 | $84.00 | $17.33 – $151.20 | 16 |
| Carotene CPT 82380 | $23.04 | $72.00 | $6.64 – $129.60 | 25 |
| Carotid Artery Ultrasound (Duplex) CPT 93880 | $444.80 | $1,390.00 | $212.17 – $2,502.00 | 19 |
| Car seat/bed test 60 minutes CPT 94780 | $85.12 | $266.00 | $33.21 – $478.80 | 18 |
| Car seat/bed test additional 30 minutes CPT 94781 | $42.56 | $133.00 | $5.70 – $239.40 | 16 |
| Ca screen;flexi sigmoidscope HCPCS G0104 | $1,124.48 | $3,514.00 | $826.94 – $6,325.20 | 18 |
| Cath 2lum 14.5frx43cm maxid kt mahurkar HCPCS C1752 | $60.80 | $190.00 | $342.00 – $342.00 | 1 |
| Cath ablt clsfast 7fx100cmx HCPCS C1888 | $2,810.88 | $8,784.00 | $15,811.20 – $15,811.20 | 1 |
| Cath ablt rx lasr 2.0mm turbo HCPCS C1885 | $2,561.09 | $8,003.40 | $13,163.40 – $13,163.40 | 1 |
| Cath acuity innr ic130 6f 63cm HCPCS C1887 | $7,644.16 | $23,888.00 | $39.60 – $39.60 | 1 |
| Cath adherent clot 10mm 6f 10 HCPCS C1757 | $11,433.60 | $35,730.00 | $68.40 – $68.40 | 1 |
| Cath baloon occl urnry 34f 7x2x65 HCPCS C2628 | $448.00 | $1,400.00 | $102.60 – $102.60 | 1 |
| Cath bi-dir df smarttouch HCPCS C1732 | $5,579.84 | $17,437.00 | $2,014.20 – $2,014.20 | 1 |
| Cath blazer dx/20 2-10-2 space HCPCS C1731 | $881.28 | $2,754.00 | $4,957.20 – $4,957.20 | 1 |
| Cath combo lt&rt heart w/inj/s CPT 93453 | $4,168.32 | $13,026.00 | $2,882.79 – $23,446.80 | 18 |
| Cath council tip 16fr 5cc HCPCS A4344 | $21.44 | $67.00 | $17.89 – $134.00 | 19 |
| Cath cv dl inj 7fx16cm HCPCS C1751 | $827.20 | $2,585.00 | $293.40 – $293.40 | 1 |
| Cath del ampltz 12f 45d 80cm HCPCS C1893 | $1,043.52 | $3,261.00 | $831.60 – $831.60 | 1 |
| Cath epdrl brevi-stf 12in .043 HCPCS C1755 | $7.68 | $24.00 | $43.20 – $43.20 | 1 |
| Catheterization collection of specimen single patient all places of service HCPCS P9612 | $8.00 | $25.00 | $2.34 – $60.00 | 22 |
| Cath groshong MRI 8fr plstc port HCPCS C1788 | $367.04 | $1,147.00 | $918.00 – $918.00 | 1 |
| Cath imag ivus pv 8.5fx90 .035 HCPCS C1753 | $3,044.48 | $9,514.00 | $3,884.40 – $3,884.40 | 1 |
| Cathj umbilical vein dx/ther nb CPT 36510 | $57.92 | $181.00 | $36.70 – $325.80 | 16 |
| Cath left heart/lv gram CPT 93452 | $4,016.96 | $12,553.00 | $2,882.79 – $22,595.40 | 18 |
| Cath left heart transseptal punc CPT 93462 | $513.28 | $1,604.00 | $139.66 – $2,887.20 | 16 |
| Cath lt/rt pulm art CPT 36014 | $924.16 | $2,888.00 | $103.90 – $5,198.40 | 16 |
| Cath malecot 28fr 4-wing ltx HCPCS C1729 | $524.16 | $1,638.00 | $77.40 – $77.40 | 1 |
| Cath occl flo-rester 2.25x12mm cor internal vessel occluder HCPCS C1817 | $9,531.23 | $29,785.10 | $4,384.80 – $4,384.80 | 1 |
| Cath place 1st order venous 36011 CPT 36011 | $745.60 | $2,330.00 | $108.35 – $4,194.00 | 16 |
| Cath plc art ang/grft lt/rt hr CPT 93461 | $6,850.56 | $21,408.00 | $2,882.79 – $38,534.40 | 18 |
| Cath plc art/angio/rt hrt cath CPT 93456 | $7,639.36 | $23,873.00 | $2,882.79 – $42,971.40 | 18 |
| Cath plc art/grft/angio right hrt CPT 93457 | $8,634.88 | $26,984.00 | $2,882.79 – $48,571.20 | 18 |
| Cath right heart w/o2 sat & card CPT 93451 | $4,118.72 | $12,871.00 | $2,882.79 – $23,167.80 | 18 |
| Cath right hrt mnpul art CPT 36013 | $1,476.26 | $4,613.32 | $89.58 – $8,303.98 | 16 |
| Cath/saline/contrast/sis/hysteosal 58340 CPT 58340 | $262.72 | $821.00 | $42.75 – $1,477.80 | 16 |
| Cath segmntl pulm art CPT 36015 | $880.32 | $2,751.00 | $118.92 – $4,951.80 | 16 |
| Cath steerable flex adv 12f HCPCS C1766 | $920.62 | $2,876.94 | $5,081.40 – $5,081.40 | 1 |
| Cath symplicity spyral HCPCS C1735 | $15,257.60 | $47,680.00 | $85,824.00 – $85,824.00 | 1 |
| Cauterization chemical granulation tissue CPT 17250 | $79.36 | $248.00 | $178.41 – $835.17 | 17 |
| Cciiv4 vac no prsv 0.5 ml im CPT 90674 | $38.22 | $119.45 | $83.64 – $238.90 | 5 |
| Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr HCPCS J0690 | $36.83 | $115.08 | $1.66 – $4.19 | 11 |
| Cefepime 1 gram solution for injection HCPCS J0692 | $39.75 | $124.21 | $1.74 – $206.50 | 11 |
| Cefoxitin 1 gram intravenous solution HCPCS J0694 | $39.43 | $123.22 | $9.48 – $225.96 | 11 |
| Ceftaroline fosamil 600 mg intravenous solution HCPCS J0712 | $364.36 | $1,138.61 | $3.40 – $2,732.66 | 24 |
| Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr HCPCS J0713 | $34.14 | $106.70 | $2.94 – $256.08 | 11 |
| Ceftazidime and avibactam HCPCS J0714 | $576.00 | $1,800.00 | $83.80 – $4,320.00 | 24 |
| Ceftriaxone 1 gram solution for injection HCPCS J0696 | $28.81 | $90.02 | $0.92 – $6.94 | 11 |
| Cefuroxime in ns IV syringe 30 mg/ml (neo/ped) - cnr HCPCS J0697 | $28.10 | $87.82 | $4.10 – $106.90 | 11 |
| Cell count w differential body fluid CPT 89051 | $35.20 | $110.00 | $4.48 – $198.00 | 24 |
| Cerebrospinal fld flw imag CPT 78645 | $475.52 | $1,486.00 | $75.59 – $2,674.80 | 22 |
| Cervical or vaginal cancer screening g0101 HCPCS G0101 | $37.12 | $116.00 | $90.34 – $422.88 | 18 |
| #cf-97variants CPT 81220 | $667.20 | $2,085.00 | $445.28 – $11,605.11 | 24 |
| Cftr gene dup/delet variants CPT 81222 | $486.40 | $1,520.00 | $348.06 – $6,613.06 | 24 |
| Change cystostomy tube; complex 51710 CPT 51710 | $888.96 | $2,778.00 | $620.05 – $5,000.40 | 18 |
| Change cystostomy tube simple CPT 51705 | $329.60 | $1,030.00 | $222.17 – $1,425.60 | 18 |
| Change g-tube to g-j perc CPT 49446 | $2,096.32 | $6,551.00 | $1,706.33 – $11,791.80 | 18 |
| Change nephroureteral cath CPT 50387 | $2,231.68 | $6,974.00 | $1,858.81 – $12,553.20 | 18 |
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.