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 |
|---|---|---|---|---|
| Change of ureter tube/stent CPT 50688 | $2,231.68 | $6,974.00 | $1,858.81 – $12,553.20 | 18 |
| Change of windpipe airway 31502 CPT 31502 | $354.24 | $1,107.00 | $210.61 – $1,992.60 | 18 |
| Change ureter stent percut CPT 50382 | $2,527.04 | $7,897.00 | $1,858.81 – $14,214.60 | 18 |
| Chemodenervation/face muscl/unilat 64612 CPT 64612 | $117.76 | $368.00 | $272.95 – $1,277.73 | 17 |
| Chest 2 vws w oblique CPT 71048 | $233.60 | $730.00 | $43.27 – $1,314.00 | 21 |
| Chest apical lordotic proj CPT 71047 | $209.92 | $656.00 | $37.61 – $1,180.80 | 21 |
| Chest CT scan (with and without contrast) CPT 71270 | $1,107.84 | $3,462.00 | $155.97 – $6,231.60 | 23 |
| Chest CT scan (with contrast) CPT 71260 | $905.28 | $2,829.00 | $155.97 – $5,092.20 | 23 |
| Chest CT scan (without contrast) CPT 71250 | $848.32 | $2,651.00 | $92.96 – $4,771.80 | 23 |
| Chest X-ray CPT 71046 | $206.08 | $644.00 | $29.57 – $1,159.20 | 21 |
| Chest X-ray (single view) CPT 71045 | $181.76 | $568.00 | $24.54 – $1,022.40 | 21 |
| Chg radiologic exam esophagus double contrast CPT 74221 | $288.96 | $903.00 | $94.32 – $1,625.40 | 21 |
| Chiropract manj 1-2 regions CPT 98940 | $10.24 | $32.00 | $19.20 – $89.88 | 18 |
| Chlamydia type CPT 87140 | $8.64 | $27.00 | $1.50 – $48.60 | 25 |
| Chloride CPT 82435 | $78.40 | $245.00 | $3.68 – $441.00 | 25 |
| Chloride 24 hour urine CPT 82436 | $8.64 | $27.00 | $1.55 – $48.60 | 25 |
| Chlorpromazine 100 mg tablet HCPCS Q0161 | $1,672.67 | $5,227.08 | $0.78 – $107.33 | 11 |
| Cholangiogram percutaneous compl CPT 47532 | $3,518.72 | $10,996.00 | $3,183.76 – $19,792.80 | 18 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | $348.80 | $1,090.00 | $37.98 – $1,962.00 | 2 |
| Cholecystostomy complete w/supervision & interpretation CPT 47490 | $3,797.76 | $11,868.00 | $3,183.76 – $21,362.40 | 18 |
| Cholesterol CPT 82465 | $10.24 | $32.00 | $1.39 – $57.60 | 25 |
| Cholesterol (Lipid) Test CPT 80061 | $28.16 | $88.00 | $10.71 – $144.00 | 25 |
| Cholinesterase CPT 82480 | $12.16 | $38.00 | $2.99 – $68.40 | 25 |
| Chromatography CPT 83021 | $26.88 | $84.00 | $14.45 – $151.20 | 25 |
| Chromogenic substrate assay CPT 85130 | $391.84 | $1,224.49 | $9.51 – $2,204.08 | 25 |
| Chromosome analysis 15-20 cell count CPT 88262 | $180.48 | $564.00 | $100.39 – $1,015.20 | 24 |
| Chromosome karyotype study CPT 88280 | $41.60 | $130.00 | $26.78 – $234.00 | 24 |
| Chromosome study additional CPT 88289 | $43.20 | $135.00 | $27.54 – $243.00 | 24 |
| Cinacalcet 30 mg tablet HCPCS J0604 | $26.22 | $81.93 | $0.04 – $196.63 | 11 |
| Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744 | $19.90 | $62.19 | $4.00 – $76.03 | 11 |
| Circumcision (newborn) CPT 54150 | $240.00 | $750.00 | $1,350.00 – $8,701.55 | 17 |
| Cisplatin 1 mg/ml desensitization HCPCS J9060 | $767.84 | $2,399.50 | $4.22 – $5,758.80 | 11 |
| C-kit mutation liquid tumor - sendout CPT 81272 | $484.80 | $1,515.00 | $263.61 – $4,992.08 | 24 |
| Clamp isol transpolr 5mmx6.5cm transpolar HCPCS C1733 | $2,306.88 | $7,209.00 | $3,677.40 – $3,677.40 | 1 |
| Clip ligating vesolock lg HCPCS C1760 | $262.08 | $819.00 | $990.00 – $990.00 | 1 |
| Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution HCPCS J0735 | $62.62 | $195.69 | $34.46 – $406.20 | 11 |
| Closed tx humerus fx with manip 23605 CPT 23605 | $2,383.36 | $7,448.00 | $1,429.86 – $13,406.40 | 18 |
| Closed tx humerus fx w/manip 24505 CPT 24505 | $2,383.36 | $7,448.00 | $1,429.86 – $13,406.40 | 18 |
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | $369.60 | $1,155.00 | $219.34 – $2,079.00 | 18 |
| Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266 | $3,467.20 | $10,835.00 | $1,429.86 – $19,503.00 | 18 |
| Closure paravalvlr leak pq CPT 33999 | $9,608.00 | $30,025.00 | $557.81 – $54,045.00 | 18 |
| Clot factor xiii fibrin stab CPT 85290 | $17.42 | $54.45 | $8.90 – $98.01 | 25 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | $369.60 | $1,155.00 | $219.34 – $2,079.00 | 18 |
| Clsd tx/dis phalan fx without manip/ea 26750 CPT 26750 | $369.60 | $1,155.00 | $219.34 – $2,079.00 | 18 |
| Clsd tx dist fib fx w/manip 27788 CPT 27788 | $919.36 | $2,873.00 | $219.34 – $5,171.40 | 18 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | $369.60 | $1,155.00 | $219.34 – $2,079.00 | 18 |
| Clsd tx/fx/phalanx/phalang/manip 28515 CPT 28515 | $369.60 | $1,155.00 | $219.34 – $2,079.00 | 18 |
| Clsd tx fx radius/ulna dist without manip 25600 CPT 25600 | $336.00 | $1,050.00 | $219.34 – $1,026.79 | 18 |
| Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 | $2,383.36 | $7,448.00 | $1,429.86 – $13,406.40 | 18 |
| Clsd tx fx radius/ulna w/manip 25565 CPT 25565 | $2,383.36 | $7,448.00 | $1,429.86 – $13,406.40 | 18 |
| Clsd tx hip disloc without anes 27265 CPT 27265 | $369.60 | $1,155.00 | $219.34 – $2,079.00 | 18 |
| Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605 | $369.60 | $1,155.00 | $219.34 – $2,079.00 | 18 |
| Clsd tx/metatarsal fx without manip 28470 CPT 28470 | $95.68 | $299.00 | $219.34 – $1,026.79 | 17 |
| Clsd tx patella disloc without anes 27560 CPT 27560 | $369.60 | $1,155.00 | $219.34 – $2,079.00 | 18 |
| Clsd tx prox fib/shaft fx w/manip 27781 CPT 27781 | $2,383.36 | $7,448.00 | $1,429.86 – $13,406.40 | 18 |
| Clsd tx radius fracture w/manip 24655 CPT 24655 | $2,383.04 | $7,447.00 | $1,429.86 – $13,404.60 | 18 |
| Clsd tx shoulder dislc/fx 23665 CPT 23665 | $2,383.36 | $7,448.00 | $1,429.86 – $13,406.40 | 18 |
| Clsd tx/shoulder dislo/manip/anest 23655 CPT 23655 | $2,383.36 | $7,448.00 | $1,429.86 – $13,406.40 | 18 |
| Clsd tx temporomandibular dislocat 21480 CPT 21480 | $369.60 | $1,155.00 | $219.34 – $2,079.00 | 18 |
| Clsd tx toe dislocation without anes28660 CPT 28660 | $369.60 | $1,155.00 | $219.34 – $2,079.00 | 18 |
| Clsd tx trimall ankle fx w/manip 27818 CPT 27818 | $2,383.36 | $7,448.00 | $1,429.86 – $13,406.40 | 18 |
| Cltx lunate dislc w/mnpj CPT 25690 | $2,383.36 | $7,448.00 | $1,429.86 – $13,406.40 | 18 |
| Cltx post ankle fx w/mnpj CPT 27768 | $2,383.36 | $7,448.00 | $1,429.86 – $13,406.40 | 18 |
| Cmv pcr-sendout CPT 87496 | $272.00 | $850.00 | $28.07 – $307.80 | 25 |
| Co2 monitor per day CPT 94681 | $397.44 | $1,242.00 | $331.82 – $2,235.60 | 18 |
| Coagulation factor viia 1,000 mcg/ml inj 1 ml HCPCS J7189 | $22,850.97 | $71,409.28 | $2.11 – $28,278.48 | 23 |
| Coagulation time activated teg CPT 85347 | $33.92 | $106.00 | $3.42 – $190.80 | 25 |
| Cold agglutinin titer CPT 86157 | $13.76 | $43.00 | $3.47 – $77.40 | 25 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | $145.60 | $455.00 | $118.31 – $819.00 | 18 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | $145.60 | $455.00 | $118.31 – $819.00 | 18 |
| Collection of venous blood by venipuncture CPT 36415 | $15.04 | $47.00 | $3.36 – $64.80 | 20 |
| Colonoscopy (diagnostic) CPT 45378 | $1,124.48 | $3,514.00 | $826.94 – $6,325.20 | 18 |
| Colonoscopy stoma w/snare 44394 CPT 44394 | $1,456.32 | $4,551.00 | $1,064.08 – $8,191.80 | 18 |
| Colonoscopy submucous njx CPT 45381 | $1,456.32 | $4,551.00 | $1,064.08 – $8,191.80 | 18 |
| Colonoscopy thru stoma spx CPT 44388 | $1,124.48 | $3,514.00 | $826.94 – $6,325.20 | 18 |
| Colonoscopy w/ablation CPT 45388 | $1,456.32 | $4,551.00 | $1,064.08 – $8,191.80 | 18 |
| Colonoscopy w/control bleed CPT 45382 | $1,456.32 | $4,551.00 | $1,064.08 – $8,191.80 | 18 |
| Colonoscopy (with biopsy) CPT 45380 | $1,456.32 | $4,551.00 | $1,064.08 – $8,191.80 | 18 |
| Colonoscopy with biopsy CPT 44389 | $1,456.32 | $4,551.00 | $1,064.08 – $8,191.80 | 18 |
| Colonoscopy (with polyp removal) CPT 45385 | $1,456.32 | $4,551.00 | $1,064.08 – $8,191.80 | 18 |
| Colonoscopy w/resection CPT 45390 | $3,176.00 | $9,925.00 | $2,468.18 – $17,865.00 | 18 |
| Colposcopy/cervix/bx vagina/cervix 57421 CPT 57421 | $1,103.36 | $3,448.00 | $819.02 – $6,206.40 | 17 |
| Colposcopy/cervix/ conization 57461 CPT 57461 | $3,839.36 | $11,998.00 | $2,878.51 – $21,596.40 | 17 |
| Colposcopy/cervix/inc up/adjacent vag 57452 CPT 57452 | $80.32 | $251.00 | $179.77 – $841.57 | 17 |
| Colposcopy vulva w/biopsy 56821 CPT 56821 | $392.64 | $1,227.00 | $270.97 – $2,208.60 | 17 |
| Colposcopy w/biopsy of cervix 57455 CPT 57455 | $392.64 | $1,227.00 | $270.97 – $2,208.60 | 17 |
| Compatibility test each unit antiglobulin technique CPT 86922 | $81.28 | $254.00 | $91.91 – $709.19 | 21 |
| Compatibility test each unit electronic CPT 86923 | $81.28 | $254.00 | $68.69 – $709.19 | 21 |
| Compatibility test each unit immediate spin technique CPT 86920 | $81.28 | $254.00 | $86.10 – $709.19 | 21 |
| Complement antigen each component c3 CPT 86160 | $18.88 | $59.00 | $4.73 – $71.01 | 25 |
| Complx repair enel 2.6-7.5 cm 13152 CPT 13152 | $931.84 | $2,912.00 | $657.20 – $5,241.60 | 18 |
| Complx repair fccmnaxghf 13131 CPT 13131 | $617.60 | $1,930.00 | $361.48 – $3,474.00 | 18 |
| Complx repair fccmnaxghf 13132 CPT 13132 | $931.84 | $2,912.00 | $361.48 – $5,241.60 | 18 |
| Complx repair fccmnaxghf 13133 CPT 13133 | $173.12 | $541.00 | $82.76 – $973.80 | 16 |
| Complx repair sal addl 5 cm/> 13122 CPT 13122 | $241.60 | $755.00 | $54.65 – $1,359.00 | 16 |
| Comprehensive hearing test CPT 92557 | $186.56 | $583.00 | $114.42 – $1,049.40 | 18 |
| Computed tomographic angiography head and neck with contrast CPT 70471 | $801.60 | $2,505.00 | $310.23 – $4,509.00 | 18 |
| Concentration infection agents any type CPT 87015 | $24.00 | $75.00 | $4.07 – $109.80 | 25 |
| Conditioning play audiometry 92582 CPT 92582 | $189.44 | $592.00 | $114.42 – $1,065.60 | 18 |
| Condylomata destruction 56420 CPT 56420 | $336.64 | $1,052.00 | $179.77 – $1,456.20 | 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.