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 |
|---|---|---|---|---|
| Epstein barr nuclear antigen antibody CPT 86664 | $23.76 | $74.25 | $11.35 – $133.65 | 25 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $27.52 | $86.00 | $14.51 – $154.80 | 25 |
| Eptifibatide 0.75 mg/ml intravenous solution HCPCS J1327 | $386.86 | $1,208.94 | $2.61 – $1,080.00 | 22 |
| Ercp biliary & pancreas CPT 74330 | $636.48 | $1,989.00 | $82.05 – $3,580.20 | 2 |
| Ercp bil/panc duct; each stent plcmt 43274 CPT 43274 | $4,750.72 | $14,846.00 | $5,398.36 – $26,722.80 | 18 |
| Ercp ea duct/ampulla dilate CPT 43277 | $3,740.48 | $11,689.00 | $3,428.36 – $21,040.20 | 18 |
| Ercp lithotripsy calculi CPT 43265 | $4,750.72 | $14,846.00 | $5,398.36 – $26,722.80 | 18 |
| Ercp remove duct calculi 43264 CPT 43264 | $3,740.48 | $11,689.00 | $3,428.36 – $21,040.20 | 18 |
| Ercp remove forgn body duct 43275 CPT 43275 | $2,724.48 | $8,514.00 | $1,706.33 – $15,325.20 | 18 |
| Ercp stent exchange w/dilate CPT 43276 | $4,750.72 | $14,846.00 | $5,398.36 – $26,722.80 | 18 |
| Ercp w/specimen collection CPT 43260 | $3,740.48 | $11,689.00 | $3,428.36 – $21,040.20 | 18 |
| ER Visit (level 1, minor) CPT 99281 | $146.56 | $458.00 | $74.98 – $824.40 | 18 |
| ER Visit (level 2) CPT 99282 | $272.96 | $853.00 | $136.53 – $1,535.40 | 18 |
| ER Visit (level 3) CPT 99283 | $451.84 | $1,412.00 | $242.74 – $2,541.60 | 18 |
| ER Visit (level 4) CPT 99284 | $856.00 | $2,675.00 | $371.04 – $4,815.00 | 18 |
| ER Visit (level 5, high severity) CPT 99285 | $1,251.52 | $3,911.00 | $529.56 – $7,039.80 | 18 |
| Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1364 | $149.32 | $466.61 | $40.32 – $1,119.86 | 13 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | $446.46 | $1,395.19 | $0.42 – $200.04 | 11 |
| Esophageal dilat s&i CPT 74360 | $654.08 | $2,044.00 | $85.77 – $3,679.20 | 2 |
| Esophagoscop ultrasound exam CPT 43231 | $2,096.32 | $6,551.00 | $1,706.33 – $11,791.80 | 18 |
| Esophagoscopy balloon <30mm CPT 43220 | $2,042.56 | $6,383.00 | $1,706.33 – $11,489.40 | 18 |
| Esophagoscopy flex biopsy CPT 43202 | $2,096.32 | $6,551.00 | $1,706.33 – $11,791.80 | 18 |
| Esophagoscopy/flex/diagnostic 43200 CPT 43200 | $1,105.92 | $3,456.00 | $806.51 – $6,220.80 | 18 |
| Esophagoscopy flex remove fb CPT 43215 | $2,725.12 | $8,516.00 | $1,706.33 – $11,791.80 | 18 |
| Esophagoscopy w/us needle bx CPT 43232 | $2,096.32 | $6,551.00 | $1,706.33 – $11,791.80 | 18 |
| Esoph egd dilation <30 mm CPT 43249 | $2,096.32 | $6,551.00 | $1,706.33 – $11,791.80 | 18 |
| Esoph scope w/submucous inj CPT 43201 | $1,905.92 | $5,956.00 | $1,706.33 – $10,720.80 | 18 |
| Established Patient Office Visit (level 1) CPT 99211 | $84.48 | $264.00 | $6.27 – $475.20 | 16 |
| Established Patient Office Visit (level 2) CPT 99212 | $91.52 | $286.00 | $25.24 – $514.80 | 16 |
| Established Patient Office Visit (level 3) CPT 99213 | $100.16 | $313.00 | $46.88 – $563.40 | 16 |
| Established Patient Office Visit (level 4) CPT 99214 | $131.52 | $411.00 | $68.86 – $739.80 | 16 |
| Established Patient Office Visit (level 5) CPT 99215 | $165.76 | $518.00 | $102.46 – $932.40 | 16 |
| Estradiol total CPT 82670 | $55.68 | $174.00 | $22.35 – $313.20 | 25 |
| Estradiol valerate 10 mg inj HCPCS J1380 | $18.69 | $58.41 | $14.90 – $140.18 | 11 |
| Estrogens total-sendout CPT 82672 | $54.40 | $170.00 | $17.36 – $306.00 | 25 |
| Ethylene glycol -sendout CPT 82693 | $15.90 | $49.70 | $7.41 – $89.46 | 25 |
| Etonogestrel implant system HCPCS J7307 | $1,385.18 | $4,328.69 | $2,915.12 – $10,388.86 | 11 |
| Euflexxa inj per dose HCPCS J7323 | $484.68 | $1,514.64 | $84.46 – $3,635.14 | 24 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $144.32 | $451.00 | $78.49 – $811.80 | 25 |
| Evaluation of speech fluency 92521 CPT 92521 | $154.56 | $483.00 | $112.66 – $869.40 | 19 |
| Evaluation psychiatric diagnostic CPT 90791 | $64.32 | $201.00 | $157.83 – $738.85 | 19 |
| Evoked oa emissions ltd CPT 92587 | $397.44 | $1,242.00 | $192.00 – $2,235.60 | 18 |
| Evok oa screening qual CPT 92558 | $84.16 | $263.00 | $27.88 – $473.40 | 3 |
| Exam of vagina w/scope 57420 CPT 57420 | $392.64 | $1,227.00 | $270.97 – $2,208.60 | 17 |
| Exc arm/elbo les sc >=3cm 24071 CPT 24071 | $3,176.32 | $9,926.00 | $2,582.93 – $17,866.80 | 18 |
| Exc arm/elbo les sc <3cm 24075 CPT 24075 | $1,973.12 | $6,166.00 | $1,468.63 – $11,098.80 | 17 |
| Exc back les sbq <3 cm 21930 CPT 21930 | $1,973.12 | $6,166.00 | $1,468.63 – $11,098.80 | 17 |
| Exc back tum deep 5 cm/> CPT 21933 | $3,494.08 | $10,919.00 | $2,582.93 – $19,654.20 | 17 |
| Exc benign tal 0.5 < cm 11400 CPT 11400 | $280.64 | $877.00 | $629.68 – $2,947.71 | 17 |
| Exc ben+marg excep skin tag feenlm <0.5cm 11440 CPT 11440 | $814.72 | $2,546.00 | $629.68 – $4,582.80 | 17 |
| Exc ben+marg excep skin tag feenlm 1.1-2cm 11442 CPT 11442 | $814.72 | $2,546.00 | $629.68 – $4,582.80 | 17 |
| Exc ben+marg excep skin tag feenlm 2.1-3cm 11443 CPT 11443 | $1,973.12 | $6,166.00 | $1,468.63 – $11,098.80 | 17 |
| Exc ben+marg excep skin tag snhfg 0.6-1cm 11421 CPT 11421 | $814.72 | $2,546.00 | $629.68 – $4,582.80 | 17 |
| Exc ben+marg excep skin tag snhfg 2.1-3cm 11423 CPT 11423 | $1,973.12 | $6,166.00 | $1,468.63 – $11,098.80 | 17 |
| Exc ben+marg excep skin tag tal 0.6-1cm 11401 CPT 11401 | $514.56 | $1,608.00 | $361.48 – $2,894.40 | 17 |
| Exc ben+marg excep skin tag tal 2.1-3/>cm 11403 CPT 11403 | $814.72 | $2,546.00 | $629.68 – $4,582.80 | 17 |
| Exc feenl mal+mrg 0.6-1 11641 CPT 11641 | $814.72 | $2,546.00 | $629.68 – $4,582.80 | 17 |
| Exc foot/toe tum subq < 1.5 cm 28043 CPT 28043 | $1,973.12 | $6,166.00 | $1,468.63 – $11,098.80 | 18 |
| Exc forearm les sc 3 cm/> CPT 25071 | $1,973.12 | $6,166.00 | $1,468.63 – $11,098.80 | 18 |
| Exchange biliary drg cath CPT 47536 | $3,797.76 | $11,868.00 | $3,183.76 – $21,362.40 | 18 |
| Exchange drainage catheter CPT 49423 | $2,096.32 | $6,551.00 | $1,706.33 – $11,791.80 | 18 |
| Exchange nephrostomy cath CPT 50435 | $2,440.00 | $7,625.00 | $1,858.81 – $13,725.00 | 18 |
| Excise anal ext tag/papilla CPT 46220 | $1,456.32 | $4,551.00 | $1,064.08 – $8,191.80 | 17 |
| Excise subq tumor/abd wall <3 cm 22902 CPT 22902 | $1,973.12 | $6,166.00 | $1,468.63 – $11,098.80 | 17 |
| Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm CPT 11441 | $280.64 | $877.00 | $629.68 – $2,947.71 | 17 |
| Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm CPT 11422 | $1,973.12 | $6,166.00 | $1,468.63 – $11,098.80 | 17 |
| Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm CPT 11402 | $814.72 | $2,546.00 | $629.68 – $4,582.80 | 17 |
| Excision benign lesion trunk/arms/legs > 4.0 cm CPT 11406 | $1,973.12 | $6,166.00 | $1,468.63 – $11,098.80 | 17 |
| Excision tumor soft tissue back/flank subcutaneous >= 3 cm CPT 21931 | $1,973.12 | $6,166.00 | $1,468.63 – $11,098.80 | 18 |
| Exc malig feenl <0.5cm 11640 CPT 11640 | $814.40 | $2,545.00 | $629.68 – $4,581.00 | 17 |
| Exc malig feenl 1.1-2 11642 CPT 11642 | $814.72 | $2,546.00 | $629.68 – $4,582.80 | 17 |
| Exc malig snhfg 0.5cm or less 11620 CPT 11620 | $1,973.12 | $6,166.00 | $1,468.63 – $11,098.80 | 17 |
| Exc malig snhfg 0.6-1.0 cm 11621 CPT 11621 | $814.72 | $2,546.00 | $629.68 – $4,582.80 | 17 |
| Exc malig snhfg 2.1-3 cm 11623 CPT 11623 | $646.08 | $2,019.00 | $1,468.63 – $6,875.03 | 17 |
| Exc malig tal <0.5cm 11600 CPT 11600 | $814.72 | $2,546.00 | $629.68 – $4,582.80 | 17 |
| Exc malig tal 0.6-1.0cm 11601 CPT 11601 | $280.64 | $877.00 | $629.68 – $2,947.71 | 17 |
| Exc mal+marg tal 1.1-2 cm 11602 CPT 11602 | $159.36 | $498.00 | $361.48 – $1,692.18 | 17 |
| Exc mal+marg tal 2.1-3 cm 11603 CPT 11603 | $280.64 | $877.00 | $629.68 – $2,947.71 | 17 |
| Exc mal+marg tal 3.1-4 cm 11604 CPT 11604 | $280.64 | $877.00 | $629.68 – $2,947.71 | 17 |
| Exc snhfg mal+mrg 1.1-2 11622 CPT 11622 | $280.64 | $877.00 | $629.68 – $2,947.71 | 17 |
| Exc sq tum/leg or ankle area <3 cm 27618 CPT 27618 | $2,015.68 | $6,299.00 | $1,468.63 – $11,338.20 | 18 |
| Exc sq tum/neck/ant thorax 3cm/> 21552 CPT 21552 | $3,494.08 | $10,919.00 | $2,582.93 – $19,654.20 | 17 |
| Exc sq tum/neck or ant thorax <3cm 21555 CPT 21555 | $1,973.12 | $6,166.00 | $1,468.63 – $11,098.80 | 17 |
| Exc sq tumor/forearm/wrist/<3cm 25075 CPT 25075 | $1,973.12 | $6,166.00 | $1,468.63 – $11,098.80 | 18 |
| Exc sq tumor/shoulder area 3cm/> 23071 CPT 23071 | $1,973.12 | $6,166.00 | $1,468.63 – $11,098.80 | 18 |
| Exc sq tumor/thigh/knee area 3cm/> 27337 CPT 27337 | $3,494.08 | $10,919.00 | $2,582.93 – $19,654.20 | 17 |
| Exc subq tum/sft tis/pel/hip 3cm/> 27043 CPT 27043 | $3,494.08 | $10,919.00 | $2,582.93 – $19,654.20 | 17 |
| Exc thigh/knee les sc<3cm 27327 CPT 27327 | $1,973.12 | $6,166.00 | $1,468.63 – $11,098.80 | 17 |
| Exc thrombosed hemorrhoid 46320 CPT 46320 | $1,893.12 | $5,916.00 | $1,064.08 – $8,191.80 | 18 |
| Exc tmr sft tiss shldr subq <3cm CPT 23075 | $2,015.68 | $6,299.00 | $1,468.63 – $11,338.20 | 18 |
| Exercise tst brncspsm w/ecg CPT 94617 | $137.92 | $431.00 | $118.31 – $775.80 | 18 |
| Ex sq tumor/face or scalp < 2 cm 21011 CPT 21011 | $1,973.12 | $6,166.00 | $1,468.63 – $11,098.80 | 17 |
| External chromosome analysis 20-25 cells CPT 88264 | $218.40 | $682.50 | $115.69 – $1,228.50 | 24 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $33.60 | $105.00 | $13.81 – $138.60 | 25 |
| Facial bones <3 CPT 70140 | $136.00 | $425.00 | $28.71 – $765.00 | 23 |
| Factor ix CPT 85250 | $33.92 | $106.00 | $15.23 – $190.80 | 25 |
| Factor viii CPT 85240 | $27.84 | $87.00 | $14.32 – $156.60 | 25 |
| Factor viii recombinant nos HCPCS J7192 | $4,597.79 | $14,368.10 | $1.25 – $34,483.44 | 23 |
| Family therapy with patient 50 min 90847 CPT 90847 | $97.92 | $306.00 | $157.83 – $738.85 | 18 |
| Fat/lipids feces qualitative CPT 82705 | $8.96 | $28.00 | $1.43 – $50.40 | 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.