|
Adventist Health Portland
Portland, OR · CMS ID: 380060
This hospital has pricing data for 36 procedures ranging from $4 to $1,938.
Procedures (36)
Chest X-Ray 1 View
71045Cash Price
(No Insurance)
$182
Gross Charge
$568
Medicare Rate
$24
Insurance Negotiated Rates
Pacific Source Comm - All Plans$25
Chest X-Ray 2 Views
71046Cash Price
(No Insurance)
$206
Gross Charge
$644
Medicare Rate
$31
Insurance Negotiated Rates
Pacific Source Comm - All Plans$30
Cash Price
(No Insurance)
$1,124
Gross Charge
$3,514
Medicare Rate
$356
Insurance Negotiated Rates
Healthcare Resources - All Plans$764
Cash Price
(No Insurance)
$1,456
Gross Charge
$4,551
Medicare Rate
$450
Insurance Negotiated Rates
Healthcare Resources - All Plans$834
Cash Price
(No Insurance)
$1,456
Gross Charge
$4,551
Medicare Rate
$471
Insurance Negotiated Rates
Healthcare Resources - All Plans$834
Cash Price
(No Insurance)
$4
Gross Charge
$11
Insurance Negotiated Rates
Aetna$1
Cash Price
(No Insurance)
$53
Gross Charge
$165
Insurance Negotiated Rates
Ods - All Plans$8
Cash Price
(No Insurance)
$1,938
Gross Charge
$6,057
Medicare Rate
$280
Insurance Negotiated Rates
Pacific Source Comm - All Plans$246
Cash Price
(No Insurance)
$1,599
Gross Charge
$4,997
Medicare Rate
$172
Insurance Negotiated Rates
Ods - All Plans$212
CT Chest Low Dose
71271Cash Price
(No Insurance)
$262
Gross Charge
$819
Medicare Rate
$128
Insurance Negotiated Rates
Ods - All Plans$93
Cash Price
(No Insurance)
$905
Gross Charge
$2,829
Medicare Rate
$156
Insurance Negotiated Rates
Ods - All Plans$156
ER Visit Level 3
99283Cash Price
(No Insurance)
$452
Gross Charge
$1,412
Medicare Rate
$69
Insurance Negotiated Rates
Ods - All Plans$243
ER Visit Level 4
99284Cash Price
(No Insurance)
$856
Gross Charge
$2,675
Medicare Rate
$117
Insurance Negotiated Rates
Ods - All Plans$371
ER Visit Level 5
99285Cash Price
(No Insurance)
$1,252
Gross Charge
$3,911
Medicare Rate
$170
Insurance Negotiated Rates
Ods - All Plans$530
Cash Price
(No Insurance)
$259
Gross Charge
$809
Medicare Rate
$48
Insurance Negotiated Rates
Healthcare Resources - All Plans$146
Knee X-Ray
73560Cash Price
(No Insurance)
$153
Gross Charge
$478
Medicare Rate
$32
Insurance Negotiated Rates
Pacific Source Comm - All Plans$24
Mammogram Diagnostic
77066Cash Price
(No Insurance)
$225
Gross Charge
$704
Medicare Rate
$146
Insurance Negotiated Rates
Ods - All Plans$136
Mammogram Screening
77067Cash Price
(No Insurance)
$212
Gross Charge
$663
Medicare Rate
$118
Insurance Negotiated Rates
Pacific Source Comm - All Plans$103
MRI Brain
70551Cash Price
(No Insurance)
$1,133
Gross Charge
$3,541
Medicare Rate
$183
Insurance Negotiated Rates
Pacific Source Comm - All Plans$200
Cash Price
(No Insurance)
$1,762
Gross Charge
$5,506
Medicare Rate
$296
Insurance Negotiated Rates
Pacific Source Comm - All Plans$310
MRI Cervical Spine
72141Cash Price
(No Insurance)
$1,138
Gross Charge
$3,557
Medicare Rate
$179
Insurance Negotiated Rates
Pacific Source Comm - All Plans$201
MRI Knee
73721Cash Price
(No Insurance)
$954
Gross Charge
$2,981
Medicare Rate
$191
Insurance Negotiated Rates
Pacific Source Comm - All Plans$185
MRI Lumbar Spine
72148Cash Price
(No Insurance)
$1,040
Gross Charge
$3,249
Medicare Rate
$180
Insurance Negotiated Rates
Pacific Source Comm - All Plans$202
MRI Shoulder
73221Cash Price
(No Insurance)
$899
Gross Charge
$2,809
Medicare Rate
$191
Insurance Negotiated Rates
Pacific Source Comm - All Plans$186
Office Visit Level 3
99213Cash Price
(No Insurance)
$100
Gross Charge
$313
Medicare Rate
$91
Insurance Negotiated Rates
Ods - All Plans$47
Office Visit Level 4
99214Cash Price
(No Insurance)
$132
Gross Charge
$411
Medicare Rate
$130
Insurance Negotiated Rates
Ods - All Plans$69
Shoulder X-Ray
73030Cash Price
(No Insurance)
$187
Gross Charge
$584
Medicare Rate
$33
Insurance Negotiated Rates
Pacific Source Comm - All Plans$27
TSH (Thyroid)
84443Cash Price
(No Insurance)
$43
Gross Charge
$133
Insurance Negotiated Rates
Ods - All Plans$13
Ultrasound Abdomen
76700Cash Price
(No Insurance)
$284
Gross Charge
$887
Medicare Rate
$107
Insurance Negotiated Rates
Ods - All Plans$93
Ultrasound Pelvis
76856Cash Price
(No Insurance)
$375
Gross Charge
$1,172
Medicare Rate
$98
Insurance Negotiated Rates
Ods - All Plans$93
Cash Price
(No Insurance)
$200
Gross Charge
$626
Medicare Rate
$109
Insurance Negotiated Rates
Ods - All Plans$93
Cash Price
(No Insurance)
$1,751
Gross Charge
$5,471
Medicare Rate
$301
Insurance Negotiated Rates
Ods - All Plans$807
Cash Price
(No Insurance)
$1,073
Gross Charge
$3,354
Medicare Rate
$390
Insurance Negotiated Rates
Healthcare Resources - All Plans$754