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 |
|---|---|---|---|---|
| Conization/cerv/loop electrode exc 57522 CPT 57522 | $3,839.36 | $11,998.00 | $2,878.51 – $21,596.40 | 17 |
| Conjugated estrogens 25 mg solution for injection HCPCS J1410 | $547.59 | $1,711.21 | $313.37 – $4,106.90 | 24 |
| Consultation pathology during surgery cytological exam initial site CPT 88333 | $823.36 | $2,573.00 | $80.30 – $4,631.40 | 23 |
| Consultation pathology during surgery frozen section each additional block CPT 88332 | $50.24 | $157.00 | $45.83 – $282.60 | 21 |
| Consultation pathology during surgery frozen section first tissue block CPT 88331 | $176.64 | $552.00 | $100.16 – $993.60 | 23 |
| Consultation/report referred slides prepared elsewhere CPT 88321 | $73.28 | $229.00 | $33.21 – $412.20 | 23 |
| Contrast exam abdominl aorta 75625-26 CPT 75625 | $2,949.44 | $9,217.00 | $189.02 – $16,590.60 | 23 |
| Contrast exam thoracic aorta 75605-26 CPT 75605 | $5,449.60 | $17,030.00 | $151.29 – $30,654.00 | 23 |
| Contrast x-ray of elbow CPT 73085 | $455.68 | $1,424.00 | $73.73 – $2,563.20 | 23 |
| Contrast x-ray of hip CPT 73525 | $449.60 | $1,405.00 | $84.00 – $2,529.00 | 23 |
| Contrast x-ray of knee joint CPT 73580 | $414.08 | $1,294.00 | $93.09 – $2,329.20 | 23 |
| Contrast x-ray of wrist CPT 73115 | $482.88 | $1,509.00 | $79.77 – $2,716.20 | 23 |
| Control nosebleed pack+caut 30905 CPT 30905 | $179.20 | $560.00 | $118.31 – $1,008.00 | 18 |
| Control of nosebleed ant comp 30903 CPT 30903 | $179.20 | $560.00 | $118.31 – $1,008.00 | 18 |
| Control of nosebleedantersmpl 30901 CPT 30901 | $194.24 | $607.00 | $118.31 – $840.60 | 18 |
| Conversion ext bil drg cath CPT 47535 | $3,797.76 | $11,868.00 | $3,183.76 – $21,362.40 | 18 |
| Convert nephrostomy catheter CPT 50434 | $2,231.68 | $6,974.00 | $1,858.81 – $12,553.20 | 18 |
| Coombs direct CPT 86880 | $56.00 | $175.00 | $4.58 – $297.00 | 25 |
| Coombs indirect titer reference CPT 86886 | $105.60 | $330.00 | $4.40 – $594.00 | 25 |
| Copper cu 64 dotatate diag HCPCS A9592 | $902.40 | $2,820.00 | $475.42 – $5,640.00 | 19 |
| Copper intrauterine device HCPCS J7300 | $1,188.77 | $3,714.90 | $1,111.30 – $8,915.76 | 13 |
| Core ndl bx lng/med perq CPT 32408 | $1,973.12 | $6,166.00 | $1,468.63 – $11,098.80 | 18 |
| Coronary angio/cath placement bypass graft/lv gram/lt heart CPT 93459 | $6,342.08 | $19,819.00 | $2,882.79 – $35,674.20 | 18 |
| Coronary angio/lv gram/lt heart CPT 93458 | $5,842.88 | $18,259.00 | $2,882.79 – $32,866.20 | 18 |
| Coronary angio/lv gram/rt< heart CPT 93460 | $6,778.24 | $21,182.00 | $2,882.79 – $38,127.60 | 18 |
| Coronary art/grft angio s&i CPT 93455 | $5,414.08 | $16,919.00 | $2,882.79 – $30,454.20 | 18 |
| Coronary catheterization w/angiography supervision & interpretation CPT 93454 | $5,239.04 | $16,372.00 | $2,882.79 – $29,469.60 | 18 |
| Cortisol total am CPT 82533 | $48.96 | $153.00 | $13.04 – $275.40 | 25 |
| Cosyntropin 0.25 mg solution for injection HCPCS J0834 | $14.19 | $44.34 | $41.30 – $106.42 | 11 |
| Counseling smoke cess interm >10mins CPT 99407 | $38.72 | $121.00 | $33.32 – $217.80 | 18 |
| Counseling visit to discuss need for ldct g0296 HCPCS G0296 | $120.00 | $375.00 | $90.34 – $675.00 | 18 |
| Cover wrist HCPCS L3984 | $285.44 | $892.00 | $316.83 – $1,784.00 | 21 |
| Covid-19 administration immunization im inj 1st/only component CPT 90480 | $20.16 | $63.00 | $36.14 – $169.17 | 17 |
| #covid19rsv-rsv CPT 87634 | $119.36 | $373.00 | $56.16 – $671.40 | 25 |
| #coxa-coxsackie a serotype a16 CPT 86658 | $22.40 | $70.00 | $7.95 – $109.80 | 25 |
| C-peptide CPT 84681 | $31.36 | $98.00 | $16.65 – $176.40 | 25 |
| C-reactive protein CPT 86140 | $35.84 | $112.00 | $4.14 – $201.60 | 25 |
| C-reactive protein high sensitivity CPT 86141 | $32.00 | $100.00 | $10.36 – $180.00 | 25 |
| Creatine kinase CPT 82550 | $48.96 | $153.00 | $5.21 – $275.40 | 25 |
| Creatine kinase isoenzymes CPT 82552 | $21.12 | $66.00 | $8.84 – $118.80 | 25 |
| Creatine kinase mb CPT 82553 | $85.44 | $267.00 | $9.24 – $480.60 | 25 |
| Creatinine CPT 82565 | $11.84 | $37.00 | $1.28 – $45.00 | 25 |
| Creatinine 24 hour urine CPT 82570 | $24.96 | $78.00 | $3.94 – $136.80 | 25 |
| Creatinine clearance urine CPT 82575 | $26.56 | $83.00 | $7.57 – $149.40 | 25 |
| #creutz-prot.,western blot CPT 84182 | $168.64 | $527.00 | $23.37 – $257.85 | 25 |
| Crisis psychotherapy 90839 CPT 90839 | $64.32 | $201.00 | $157.83 – $738.85 | 18 |
| Critical care 30-74 minutes CPT 99291 | $1,790.72 | $5,596.00 | $734.52 – $7,176.60 | 18 |
| Critical care each additional 30 minutes CPT 99292 | $579.84 | $1,812.00 | $81.10 – $3,261.60 | 16 |
| Cryofibrinogen qualitative - sendout CPT 82585 | $18.24 | $57.00 | $8.06 – $102.60 | 25 |
| Cryoprecipitate each unit HCPCS P9012 | $93.60 | $292.50 | $57.56 – $702.00 | 19 |
| Cryosurgery penis lesion(s) 54056 CPT 54056 | $79.36 | $248.00 | $178.41 – $835.17 | 17 |
| Crystal identification light microscopy CPT 89060 | $37.44 | $117.00 | $5.86 – $210.60 | 25 |
| CT 3d report other modality w/workstation CPT 76377 | $238.08 | $744.00 | $67.42 – $1,600.00 | 21 |
| Cta abdomen without & /or w/contrast CPT 74175 | $1,484.80 | $4,640.00 | $155.97 – $8,352.00 | 23 |
| Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast CPT 75635 | $1,484.80 | $4,640.00 | $155.97 – $8,352.00 | 23 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | $1,224.96 | $3,828.00 | $155.97 – $6,890.40 | 23 |
| Cta neck without &/or w/contrast CPT 70498 | $1,244.16 | $3,888.00 | $155.97 – $6,998.40 | 23 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $2,933.44 | $9,167.00 | $296.44 – $16,500.60 | 23 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $1,407.04 | $4,397.00 | $155.97 – $7,914.60 | 23 |
| CT Angiogram of the Head CPT 70496 | $1,244.16 | $3,888.00 | $155.97 – $6,998.40 | 23 |
| CT angio hrt w/3d image CPT 75574 | $1,156.48 | $3,614.00 | $310.23 – $6,505.20 | 23 |
| CT angio pelvis CPT 72191 | $1,382.72 | $4,321.00 | $155.97 – $7,777.80 | 23 |
| Cta upper extremity w &/or without contrast left CPT 73206 | $1,282.56 | $4,008.00 | $155.97 – $7,214.40 | 23 |
| CT cerebral perf w cont & prcssng CPT 70473 | $801.60 | $2,505.00 | $139.54 – $4,509.00 | 18 |
| CT guidance for needle placement CPT 77012 | $506.24 | $1,582.00 | $104.56 – $2,847.60 | 21 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | $605.44 | $1,892.00 | $96.22 – $3,405.60 | 21 |
| CT guid parench tis ablat CPT 77013 | $683.84 | $2,137.00 | $517.72 – $3,846.60 | 3 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | $167.04 | $522.00 | $77.38 – $1,600.00 | 23 |
| CT hrt w/3d image CPT 75572 | $989.76 | $3,093.00 | $236.75 – $5,567.40 | 23 |
| CT limited or localized follow-up study CPT 76380 | $104.32 | $326.00 | $77.38 – $1,600.00 | 23 |
| CT lower extremity w/contrast (both sides) CPT 73701 | $961.60 | $3,005.00 | $155.97 – $5,409.00 | 23 |
| CT lower extremity without contrast (both sides) CPT 73700 | $809.92 | $2,531.00 | $92.96 – $4,555.80 | 23 |
| CT lwr extremity w/o&w/dye CPT 73702 | $1,264.32 | $3,951.00 | $155.97 – $7,111.80 | 23 |
| CT neck soft tissue w/contrast CPT 70491 | $866.56 | $2,708.00 | $155.97 – $4,874.40 | 23 |
| CT neck soft tissue without contrast CPT 70490 | $744.64 | $2,327.00 | $92.96 – $4,188.60 | 23 |
| CT neck soft tissue without & w/contrast CPT 70492 | $1,024.00 | $3,200.00 | $155.97 – $5,760.00 | 23 |
| CT orbit/sella/fossa w/wo contrast CPT 70482 | $1,004.48 | $3,139.00 | $155.97 – $5,650.20 | 23 |
| CT orbit/sella/ or posterior outer inner or middle ear w/contrast CPT 70481 | $959.68 | $2,999.00 | $153.12 – $5,398.20 | 23 |
| CT orbit/sella/ or posterior outer inner or middle ear without contrast CPT 70480 | $593.60 | $1,855.00 | $92.96 – $3,339.00 | 23 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $2,441.92 | $7,631.00 | $273.04 – $13,735.80 | 23 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $1,938.24 | $6,057.00 | $246.47 – $10,902.60 | 23 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $1,599.04 | $4,997.00 | $212.17 – $8,994.60 | 23 |
| CT thoracic spine w/contrast CPT 72129 | $1,140.80 | $3,565.00 | $155.97 – $6,417.00 | 23 |
| CT thoracic spine without contrast CPT 72128 | $904.64 | $2,827.00 | $92.96 – $5,088.60 | 23 |
| CT thorax low dose for lung screening without contrast CPT 71271 | $262.08 | $819.00 | $92.96 – $1,600.00 | 20 |
| CT upper extremity w/contrast (both sides) CPT 73201 | $1,005.12 | $3,141.00 | $157.10 – $5,653.80 | 23 |
| CT upper extremity without contrast (both sides) CPT 73200 | $752.64 | $2,352.00 | $92.96 – $4,233.60 | 23 |
| Cuffs adj lock with active con HCPCS L3740 | $851.84 | $2,662.00 | $946.30 – $5,324.00 | 21 |
| Culture aerobic additional method definitive id each CPT 87077 | $32.64 | $102.00 | $6.46 – $183.60 | 25 |
| Culture afb any source CPT 87116 | $39.04 | $122.00 | $8.64 – $219.60 | 25 |
| Culture anaerobic additional method definitive id each CPT 87076 | $32.00 | $100.00 | $6.46 – $180.00 | 25 |
| Culture anaerobic except blood CPT 87075 | $34.24 | $107.00 | $7.58 – $192.60 | 25 |
| Culture bact stool aero addl path ea CPT 87046 | $33.92 | $106.00 | $7.55 – $190.80 | 25 |
| Culture body fluid CPT 87070 | $31.36 | $98.00 | $6.90 – $176.40 | 25 |
| Culture fungi definitive id mold CPT 87107 | $37.44 | $117.00 | $8.26 – $210.60 | 25 |
| Culture fungi definitive id yeast CPT 87106 | $37.44 | $117.00 | $8.26 – $210.60 | 25 |
| Culture fungi other (except blood) CPT 87102 | $30.40 | $95.00 | $6.73 – $171.00 | 25 |
| Culture fungi skin/hair/nail CPT 87101 | $27.84 | $87.00 | $6.17 – $156.60 | 25 |
| Culture mycoplasma any source CPT 87109 | $55.68 | $174.00 | $12.31 – $313.20 | 25 |
| Culture screening strep group a CPT 87081 | $31.36 | $98.00 | $4.91 – $133.20 | 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.