CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Adventist Health Portland

Billing Code: 392 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$9,248

about 1.6× the $5,676 Medicare rate · typically $6,986–$15,399

modeled estimate · not a bill or quote

What this hospital charges insurers

$10,013

About the fair price

about $765 over the fair price · 1.8× Medicare

Medicare pays $5,676 Fair price $9,248 This hospital $10,013 Cash price $9,511 Hospital's list price $29,721

How we calculate the fair BaseRate →

How this hospital compares to other OR hospitals

Highest price of the 9 OR hospitals we have prices for — worth calling around.

Cheapest $6,624 Priciest $10,013

Black dot = this hospital, among the 9 OR hospitals with a price for this procedure. Full list below.

A fair price for a Digestive disorders treatment (inpatient stay) is about $9,248 (about 1.6× the $5,676 Medicare rate). Adventist Health Portland charges insurers about $10,013, or about $9,511 in cash — about the fair price. Located in Portland, OR.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$7,009 - $22,138	123%
Blue Cross Blue Shieldmajor	$6,829 - $13,967	120%
Aetnamajor	$20,971	369%
Cignamajor	$9,768	172%
Humanamajor	$6,745 - $7,009	119%
Kaiser Permanentemajor	$6,613 - $11,724	117%
Health Net	$7,604 - $12,552	134%
Moda Health	$7,009 - $19,412	123%
+ 11 smaller / regional plans	$4,668 - $26,154

Excludes 6 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 9,511), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the MS-DRG code on your bill matches exactly: 392.

Insurance Before you use insurance

Call your insurance company to confirm Adventist Health Portland is in-network.
Ask your insurer whether prior approval is required for MS-DRG code 392.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Adventist Health Portland

Compare: Digestive disorders treatment (inpatient stay) at other OR hospitals

Santiam Hospital & Clinics · Stayton $6,624
Mid-Columbia Medical Center · The Dalles $6,808
St Charles Medical Center - Bend · Bend $7,157
Willamette Valley Medical Center · McMinnville $7,747
Providence Newberg Medical Center · Newberg $8,034
Legacy Meridian Park Medical Center · Tualatin $8,095
Sky Lakes Medical Center · Klamath Falls $8,396
Providence Medford Medical Center · Medford $8,683

Insurance negotiated median for the same procedure, sorted lowest first.