How many shoppable procedure prices are published for Adventist Health Portland?

Adventist Health Portland in Portland, OR currently has 97 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Adventist Health Portland's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Adventist Health Portland's median negotiated commercial rate is 1.5× the regionally adjusted fair BaseRate benchmark.

What is Adventist Health Portland's CMS Care Compare overall star rating?

CMS Care Compare assigns Adventist Health Portland an overall hospital quality rating of 4 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Church 168 Beds · urban Updated: 2026-05-26

Adventist Health Portland

10123 Se Market Street, Portland, OR 97216 · 97 Priced Procedures · 72% Patient Recommendation

CMS Overall Rating 4 / 5 Stars

High Markup · Shop Alternatives

1.49×vs. Fair Market Price

Typical commercial prices here are +49% above the fair benchmark (1.49×) even after accounting for local nurse/doctor wages and patient complexity.

77/100 · Corroborated

77/100Self-Pay Cash Beats Insurance 55% of the Time

File Completeness45

Price Logic80

Peer Alignment80

Clean Billing89

Real Cash Discount100

High-Markup · Check Safety

3-Star CMS clinical quality rating paired with 1.49× fair market pricing.

Behavioral Pricing FingerprintHigh Insurer Rate · Deep Cash Discount

Cash-Arbitrage Bifurcated Pricer

Adventist Health Portland maintains elevated commercial insurance contracts (1.49× Fair BaseRate) while offering direct self-pay cash discounts that beat commercial negotiated medians on 55% of procedures. High-deductible and uninsured patients should always request the self-pay cash rate prior to billing.

#34 of 40 in OR · 82nd State Percentile#2,626 of 3,385 in U.S. · 77th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.22× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 55% of shoppable procedures (99/100 Cash Honesty)
4-Star CMS clinical rating with 72% patient recommendation (66/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (50.0% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (1.49× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Commercial insurance median sits at 1.63× Fair BaseRate (2.1× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.92×) jump +18% above the median procedure ratio (Q50 1.63×)
Unnegotiated chargemaster list prices average 10.3× Medicare (21¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

2.1× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER0.67× Divergence

1.4× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+18% Upper Tail

Q25 1.22× · Q50 1.63× · Q75 1.92×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

2.1× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.6× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

3.2× MedicareElevated

Back-Door Captive ER VisitsBack-Door Captive

1.2× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

2.0× MedicareGood

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

1.4× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

55% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 66/100Fair

Procedure Prices at Adventist Health Portland

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 97 published procedures.

Sort:

Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$31,545	$25,217	$19,432	1.3×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$21,404	$24,949	$19,087	1.3×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	$30,425	$23,048	$17,936	1.3×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$9,511	$10,013	$8,223	1.2×
Colonoscopy with biopsy CPT Code: `45380`	$1,456	$2,789	$1,256	2.2×
Upper endoscopy with biopsy CPT Code: `43239`	$1,073	$2,474	$987	2.5×
Colonoscopy (diagnostic) CPT Code: `45378`	$1,124	$2,249	$981	2.3×
Sleep study (overnight, in lab) CPT Code: `95810`	$1,492	$1,909	$1,021	1.9×
Breast lump removal CPT Code: `19120`	$1,527	$1,527	$3,875	0.4×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,400	$1,127	$583	1.9×
Blood transfusion CPT Code: `36430`	$542	$1,021	$498	2.1×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,938	$880	$448	2.0×
MRI, brain (with and without contrast) CPT Code: `70553`	$1,762	$880	$511	1.7×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$521	$530	$272	1.9×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,599	$550	$303	1.8×
MRI, lower back (no contrast) CPT Code: `72148`	$1,040	$550	$338	1.6×
MRI, brain (no contrast) CPT Code: `70551`	$1,133	$550	$343	1.6×
MRI, knee or other leg joint CPT Code: `73721`	$954	$550	$369	1.5×
Breathing treatment (nebulizer) CPT Code: `94640`	$197	$455	$201	unverified
CT scan, head (with contrast) CPT Code: `70460`	$886	$427	$242	1.8×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,034	$427	$258	1.7×
Psychotherapy session (45 minutes) CPT Code: `90834`	$124	$356	$166	unverified
Psychotherapy session (60 minutes) CPT Code: `90837`	$182	$356	$181	unverified
Diagnostic mammogram (both breasts) CPT Code: `77066`	$225	$310	$148	unverified
CT scan, head (no contrast) CPT Code: `70450`	$796	$260	$160	1.6×
CT scan, pelvis CPT Code: `72192`	$749	$260	$163	1.6×
CT scan, sinuses CPT Code: `70486`	$565	$260	$166	1.6×
CT scan, chest (no contrast) CPT Code: `71250`	$848	$260	$167	1.6×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$911	$260	$168	1.5×
CT scan, neck (cervical spine) CPT Code: `72125`	$840	$260	$169	1.5×
Ultrasound, thyroid and neck CPT Code: `76536`	$378	$264	$132	unverified
Ultrasound, abdomen (complete) CPT Code: `76700`	$284	$260	$134	unverified
Ultrasound, abdomen (limited) CPT Code: `76705`	$305	$264	$126	unverified
Ultrasound, pelvis CPT Code: `76856`	$375	$260	$130	unverified
Screening mammogram (both breasts) CPT Code: `77067`	$212	$256	$123	unverified
X-ray, lower back CPT Code: `72110`	$229	$209	$112	unverified
X-ray, chest (single view) CPT Code: `71045`	$182	$174	$92	unverified
X-ray, chest (two views) CPT Code: `71046`	$206	$174	$93	unverified
X-ray, hip CPT Code: `73502`	$203	$174	$93	unverified
X-ray, ankle CPT Code: `73610`	$199	$141	$93	1.5×
X-ray, hand CPT Code: `73130`	$166	$136	$93	1.5×
X-ray, shoulder CPT Code: `73030`	$187	$130	$92	1.4×
X-ray, foot CPT Code: `73630`	$203	$130	$92	1.4×
X-ray, pelvis CPT Code: `72170`	$165	$134	$110	1.2×
X-ray, neck (cervical spine) CPT Code: `72040`	$164	$149	$93	unverified
Speech therapy (language evaluation) CPT Code: `92507`	$142	$161	$86	unverified
Office visit, established patient (30-39 min) CPT Code: `99214`	$132	$127	$123	1.0×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$182	$125	$64	unverified
Office visit, established patient (20-29 min) CPT Code: `99213`	$100	$86	$87	1.0×
Family therapy session CPT Code: `90847`	$98	$98	$173	unverified
Orthotic fitting and training CPT Code: `97760`	$63	$99	$51	unverified
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$245	$245	$203	unverified
Pneumococcal vaccine HCPCS Code: `90732`	$157	$157	$140	1.1×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$128	$128	$111	unverified
Blood test, vitamin D CPT Code: `82306`	$62	$58	$31	1.9×
Occupational therapy (self-care training) CPT Code: `97535`	$59	$69	$38	1.8×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$62	$61	$35	1.7×
Flu vaccine (high dose) HCPCS Code: `90656`	$28	$77	$25	unverified
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$66	$66	$56	unverified
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$60	$69	$38	unverified
Physical therapy (gait training) CPT Code: `97116`	$57	$61	$33	unverified
Physical therapy (manual therapy) CPT Code: `97140`	$58	$59	$34	unverified
Occupational therapy (therapeutic activities) CPT Code: `97530`	$66	$75	$40	unverified
Physical therapy (functional capacity test) CPT Code: `97750`	$72	$72	$38	unverified
Blood test, clotting time (PTT) CPT Code: `85730`	$36	$9	$6	1.5×
Blood test, lipase CPT Code: `83690`	$48	$10	$7	1.4×
Blood test, thyroid (TSH) CPT Code: `84443`	$43	$22	$18	1.2×
Blood test, ferritin (iron stores) CPT Code: `82728`	$40	$17	$14	1.2×
Blood test, PSA (prostate screen) CPT Code: `84153`	$37	$22	$19	1.2×
Hepatitis C antibody test CPT Code: `86803`	$37	$17	$15	1.1×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$40	$40	$39	unverified
Hepatitis B vaccine HCPCS Code: `90744`	$41	$41	$37	unverified
Psychiatric evaluation (first visit) CPT Code: `90791`	$64	$64	$185	unverified
Blood test, comprehensive metabolic panel CPT Code: `80053`	$53	$17	$11	1.5×
Blood test, basic metabolic panel CPT Code: `80048`	$44	$12	$9	1.3×
Blood test, calcium CPT Code: `82310`	$11	$6	$5	1.2×
Blood test, complete blood count (CBC) CPT Code: `85025`	$20	$9	$8	1.1×
Culture, bacterial CPT Code: `87070`	$31	$10	$9	1.1×
Blood test, vitamin B12 CPT Code: `82607`	$33	$17	$16	1.1×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$27	$14	$14	1.0×
Blood test, liver function panel CPT Code: `80076`	$26	$9	$9	1.0×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$25	$3	$3	1.0×
Blood test, amylase CPT Code: `82150`	$26	$7	$7	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$12	$5	$5	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$15	$10	$10	1.0×
Blood test, magnesium CPT Code: `83735`	$20	$7	$7	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$22	$4	$4	1.0×
Blood test, hemoglobin CPT Code: `85018`	$12	$3	$3	1.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$27	$5	$5	1.0×
Blood antibody screen CPT Code: `86850`	$52	$18	$46	0.4×
Blood test, glucose (blood sugar) CPT Code: `82947`	$50	$9	$4	unverified
Blood test, potassium CPT Code: `84132`	$43	$10	$5	unverified
Blood test, sodium CPT Code: `84295`	$60	$10	$5	unverified
Culture, blood CPT Code: `87040`	$73	$24	$11	unverified
Flu vaccine injection HCPCS Code: `G0008`	$19	$19	$48	unverified
Pneumonia vaccine injection HCPCS Code: `G0009`	$19	$19	$49	unverified
Colorectal cancer screening HCPCS Code: `G0010`	$19	$19	$49	unverified

Showing top 25 high-impact procedures of 97 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 50.0%

Audit a Bill or Quote at Adventist Health Portland (Zero PHI Required)

CMS CCN: 380060

CPT 470

Select Procedure to Audit:

Fair BaseRate™ $19,432

Medicare Rate $14,044

Self-Pay Cash $31,545

Insurer Median $25,217

1. Amount on Your Bill or Quote ($) Pre-filled with Adventist Health Portland’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $49,289 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $49,289

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (50.0% of gross = $49,289).

Step 2 · Cash vs. Insurance Arbitrage Save $67,032 Paying Cash

Self-Pay Cash Rate ($31,545) Beats Your Bill

Adventist Health Portland's published 45 CFR § 180 self-pay cash rate is $31,545 (vs. $25,217 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$79,145 Above Fair BaseRate

Negotiate Toward $19,432 Fair BaseRate ($14,044 Medicare)

Your bill ($98,577) is $79,145 above the denoised Fair BaseRate ($19,432) and 7.0× the $14,044 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) 501(c)(3) Nonprofit Hospital

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (50.0% of gross charges)

Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall3/5 Stars (3/5)

Safety Composite66/100

Would Recommend72%

Rated 9 or 10 (HCAHPS)70%

Median ER Wait206 min

Left ER Before Seen1%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionsame

C. diff Hospital-Onset Infectionbetter

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Adventist Health Portland. Prior administrative notices do not necessarily reflect current compliance status.

2026-04-17·warning_notice
Warning Notice
Recorded
2025-08-25·administrative_or_closure
Met Requirements
Recorded
2024-08-28·administrative_or_closure
Closure Notice
Recorded
2024-04-11·warning_notice
Warning Notice
Recorded
2023-01-18·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare (680 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Regional Value & Quality Leader

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Adventist Health Portland.

Price Index: 0.99× regional baseline

Quality: 62/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Health Net

-48.8%

Humana

-46.5%

Median Household Income$86,247U.S. Census ACS

Local Uninsured Share5.9%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 77/100 · Corroborated CMS CCN 380060

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 380060) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileReports.aspx

Publication / Vintage2026-05-26 · 72.93 MB

Validated Rate Rows3,479 (CMS v3.0.0)

File Integrity DigestVerified · CCN 380060

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy