How many shoppable procedure prices are published for OHSU Hospital and Clinics?

OHSU Hospital and Clinics in Portland, OR currently has 103 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do OHSU Hospital and Clinics's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, OHSU Hospital and Clinics's median negotiated commercial rate is 1.1× the regionally adjusted fair BaseRate benchmark.

What is OHSU Hospital and Clinics's CMS Care Compare overall star rating?

CMS Care Compare assigns OHSU Hospital and Clinics an overall hospital quality rating of 3 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Other 562 Beds · rural Updated: 2026-03-23

OHSU Hospital and Clinics

3181 Sw Sam Jackson Park Road, Portland, OR 97239 · 103 Priced Procedures · 76% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

Above Fair Market · Negotiate

1.11×vs. Fair Market Price

Typical commercial prices here are +11% above the fair benchmark (1.11×) even after accounting for local nurse/doctor wages and patient complexity.

89/100 · Verified

89/100Self-Pay Cash Beats Insurance 37% of the Time

File Completeness100

Price Logic80

Peer Alignment80

Clean Billing89

Real Cash Discount100

Regional Benchmark Tier

3-Star CMS clinical quality rating paired with 1.11× fair market pricing.

Behavioral Pricing FingerprintHigh Insurer Rate · Deep Cash Discount

Cash-Arbitrage Bifurcated Pricer

OHSU Hospital and Clinics maintains elevated commercial insurance contracts (1.11× Fair BaseRate) while offering direct self-pay cash discounts that beat commercial negotiated medians on 37% of procedures. High-deductible and uninsured patients should always request the self-pay cash rate prior to billing.

#18 of 40 in OR · 42nd State Percentile#1,721 of 3,385 in U.S. · 50th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.96× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 37% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (67/100 safety score) with 76% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (28.7% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (1.11× 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 1.04× Fair BaseRate (1.2× Medicare), so insured patients should always compare the self-pay cash price before paying.
Even at low-cost facilities (1.11× 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.
Unnegotiated chargemaster list prices average 8.0× Medicare (16¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.2× Medicare

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

Back-Door Captive & ER0.92× Divergence

1.1× Medicare

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

Quantile Tail Spread+9% Upper Tail

Q25 0.96× · Q50 1.04× · Q75 1.13×

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

1.2× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.0× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.8× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.0× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.6× MedicareGood

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

1.0× MedicareGood

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

37% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 67/100Fair

Procedure Prices at OHSU Hospital and Clinics

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 103 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Trauma team activation HCPCS Code: `G0390`	$12,484	$12,484	$1,453	8.6×
Breast lump removal CPT Code: `19120`	$13,093	$4,661	$3,875	1.2×
Colonoscopy with biopsy CPT Code: `45380`	$2,958	$1,142	$1,256	0.9×
Sleep study (overnight, in lab) CPT Code: `95810`	$2,049	$1,061	$1,021	1.0×
Colonoscopy (diagnostic) CPT Code: `45378`	$2,284	$888	$981	0.9×
Upper endoscopy with biopsy CPT Code: `43239`	$2,180	$866	$987	0.9×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,709	$657	$583	1.1×
Blood transfusion CPT Code: `36430`	$1,081	$545	$498	1.1×
MRI, knee or other leg joint CPT Code: `73721`	$2,331	$478	$369	1.3×
Psychological testing by technician CPT Code: `96138`	$324	$492	$395	1.2×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$2,690	$423	$448	0.9×
MRI, brain (with and without contrast) CPT Code: `70553`	$3,124	$423	$511	0.8×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,087	$289	$272	1.1×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,446	$289	$303	1.0×
Neurobehavioral status check CPT Code: `96116`	$252	$259	$231	1.1×
MRI, brain (no contrast) CPT Code: `70551`	$1,628	$262	$343	0.8×
MRI, lower back (no contrast) CPT Code: `72148`	$1,714	$258	$338	0.8×
Office visit, established patient (30-39 min) CPT Code: `99214`	$247	$211	$123	1.7×
Psychotherapy session (45 minutes) CPT Code: `90834`	$229	$217	$166	1.3×
Family therapy session CPT Code: `90847`	$199	$211	$173	1.2×
Psychotherapy session (60 minutes) CPT Code: `90837`	$337	$215	$181	1.2×
New patient office visit (30-44 min) CPT Code: `99203`	$215	$189	$110	1.7×
Psychiatric evaluation (first visit) CPT Code: `90791`	$245	$201	$185	1.1×
Breathing treatment (nebulizer) CPT Code: `94640`	$128	$197	$201	1.0×
CT scan, head (with contrast) CPT Code: `70460`	$1,192	$213	$242	0.9×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,457	$214	$258	0.8×
Office visit, established patient (20-29 min) CPT Code: `99213`	$236	$141	$87	1.6×
Psychological testing evaluation CPT Code: `96136`	$105	$160	$128	1.3×
X-ray, shoulder CPT Code: `73030`	$521	$107	$92	1.2×
Group therapy session CPT Code: `90853`	$75	$116	$100	1.2×
X-ray, foot CPT Code: `73630`	$399	$106	$92	1.2×
X-ray, hand CPT Code: `73130`	$497	$107	$93	1.2×
X-ray, ankle CPT Code: `73610`	$419	$107	$93	1.2×
X-ray, lower back CPT Code: `72110`	$462	$127	$112	1.1×
X-ray, pelvis CPT Code: `72170`	$289	$117	$110	1.1×
Ultrasound, abdomen (limited) CPT Code: `76705`	$549	$129	$126	1.0×
Ultrasound, pelvis CPT Code: `76856`	$280	$129	$130	1.0×
Ultrasound, thyroid and neck CPT Code: `76536`	$713	$129	$132	1.0×
Ultrasound, abdomen (complete) CPT Code: `76700`	$584	$129	$134	1.0×
Speech therapy (language evaluation) CPT Code: `92507`	$288	$85	$86	1.0×
Screening mammogram (both breasts) CPT Code: `77067`	$258	$110	$123	0.9×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$358	$132	$148	0.9×
CT scan, head (no contrast) CPT Code: `70450`	$999	$129	$160	0.8×
CT scan, pelvis CPT Code: `72192`	$1,232	$129	$163	0.8×
CT scan, sinuses CPT Code: `70486`	$1,085	$129	$166	0.8×
CT scan, chest (no contrast) CPT Code: `71250`	$1,210	$129	$167	0.8×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,210	$129	$168	0.8×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,210	$129	$169	0.8×
X-ray, chest (single view) CPT Code: `71045`	$285	$102	$92	1.1×
X-ray, chest (two views) CPT Code: `71046`	$333	$103	$93	1.1×
X-ray, neck (cervical spine) CPT Code: `72040`	$354	$101	$93	1.1×
X-ray, hip CPT Code: `73502`	$397	$101	$93	1.1×
Drug screening test HCPCS Code: `G0480`	$1,716	$1,716	$116	unverified
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$521	$521	$203	2.6×
Typhoid vaccine HCPCS Code: `90675`	$1,195	$352	$347	1.0×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$265	$265	$111	2.4×
Pneumococcal vaccine HCPCS Code: `90732`	$322	$132	$140	0.9×
Blood test, vitamin D CPT Code: `82306`	$140	$140	$31	unverified
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$82	$82	$39	2.1×
Blood antibody screen CPT Code: `86850`	$107	$64	$46	1.4×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$133	$77	$56	1.4×
Blood test, ferritin (iron stores) CPT Code: `82728`	$84	$84	$14	unverified
Flu vaccine injection HCPCS Code: `G0008`	$38	$56	$48	1.2×
Pneumonia vaccine injection HCPCS Code: `G0009`	$38	$56	$49	1.1×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$370	$71	$64	1.1×
Blood test, thyroid (TSH) CPT Code: `84443`	$86	$86	$18	unverified
Colorectal cancer screening HCPCS Code: `G0010`	$38	$56	$49	1.1×
Orthotic fitting and training CPT Code: `97760`	$127	$53	$51	1.0×
Prosthetic fitting and training CPT Code: `97761`	$100	$46	$45	1.0×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$134	$40	$40	1.0×
Physical therapy (functional capacity test) CPT Code: `97750`	$146	$38	$38	1.0×
Hepatitis B vaccine HCPCS Code: `90744`	$89	$36	$37	1.0×
Blood test, magnesium CPT Code: `83735`	$43	$43	$7	unverified
Blood test, clotting time (PT/INR) CPT Code: `85610`	$56	$56	$5	unverified
Blood test, clotting time (PTT) CPT Code: `85730`	$50	$50	$6	unverified
Blood test, average blood sugar (A1c) CPT Code: `83036`	$40	$14	$10	1.4×
Blood test, complete blood count (CBC) CPT Code: `85025`	$68	$10	$8	1.3×
Blood test, calcium CPT Code: `82310`	$17	$6	$5	1.2×
Blood test, creatinine (kidney) CPT Code: `82565`	$33	$6	$5	1.2×
Blood test, lipase CPT Code: `83690`	$58	$8	$7	1.1×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$54	$12	$11	1.1×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$59	$15	$14	1.1×
Hepatitis C antibody test CPT Code: `86803`	$81	$16	$15	1.1×
Blood test, PSA (prostate screen) CPT Code: `84153`	$81	$20	$19	1.1×
Flu vaccine (high dose) HCPCS Code: `90656`	$65	$26	$25	1.0×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$122	$37	$38	1.0×
Blood test, basic metabolic panel CPT Code: `80048`	$52	$9	$9	1.0×
Blood test, liver function panel CPT Code: `80076`	$34	$9	$9	1.0×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$50	$3	$3	1.0×
Blood test, amylase CPT Code: `82150`	$55	$7	$7	1.0×
Blood test, vitamin B12 CPT Code: `82607`	$82	$16	$16	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$25	$4	$4	1.0×
Blood test, sodium CPT Code: `84295`	$27	$5	$5	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$34	$4	$4	1.0×
Culture, blood CPT Code: `87040`	$95	$11	$11	1.0×
Culture, bacterial CPT Code: `87070`	$72	$9	$9	1.0×
Speech therapy (group session) CPT Code: `92508`	$86	$27	$27	1.0×
Physical therapy (gait training) CPT Code: `97116`	$116	$33	$33	1.0×
Occupational therapy (self-care training) CPT Code: `97535`	$119	$37	$38	1.0×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$125	$33	$35	0.9×
Physical therapy (manual therapy) CPT Code: `97140`	$118	$31	$34	0.9×
Blood test, potassium CPT Code: `84132`	$27	$5	$5	1.0×
Blood test, hemoglobin CPT Code: `85018`	$16	$16	$3	unverified

Showing top 25 high-impact procedures of 103 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 28.7%

Audit a Bill or Quote at OHSU Hospital and Clinics (Zero PHI Required)

CMS CCN: 380009

CPT G0390

Select Procedure to Audit:

Fair BaseRate™ $1,453

Medicare Rate $1,362

Self-Pay Cash $12,484

Insurer Median $12,484

1. Amount on Your Bill or Quote ($) Pre-filled with OHSU Hospital and Clinics’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: $5,504 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $5,504

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (28.7% of gross = $5,504).

Step 2 · Cash vs. Insurance Arbitrage Save $6,722 Paying Cash

Self-Pay Cash Rate ($12,484) Beats Your Bill

OHSU Hospital and Clinics's published 45 CFR § 180 self-pay cash rate is $12,484 (vs. $12,484 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$17,753 Above Fair BaseRate

Negotiate Toward $1,453 Fair BaseRate ($1,362 Medicare)

Your bill ($19,206) is $17,753 above the denoised Fair BaseRate ($1,453) and 14.1× the $1,362 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)

EIN: 931176109

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 (28.7% 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 Composite67/100

Would Recommend76%

Rated 9 or 10 (HCAHPS)71%

Median ER Wait234 min

Left ER Before Seen4%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate2.7%

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

Source: CMS Hospital Care Compare (1,292 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 Quality & Price Benchmark

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for OHSU Hospital and Clinics.

Price Index: 1.26× regional baseline

Quality: 60/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Molina

+131.6%

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 89/100 · Verified CMS CCN 380009 EIN 931176109

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 380009) ↗ Verify IRS Form 990 (EIN 931176109) ↗ CMS HCRIS Cost Reports ↗

Published MRF File931176109_Oregon-Health-and-Science-University_standardcharges.zip!931176109_Oregon-Health-and-Science-University_standardcharges.csv

Publication / Vintage2026-03-23 · 12.87 MB

Validated Rate Rows5,743 (CMS v3.0.0)

File Integrity Digest7c1720fc0fa6b25d6baf…

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

OHSU Hospital and Clinics

Cash-Arbitrage Bifurcated Pricer

Where They're Good (Patient & Payer Edge)

Where You Can Get Burned (Markup Traps)

REA Pricing Decompiler · 5-Layer Cost-to-Charge Reverse Engineering

Insurer Bargaining Power & Cash-Vulnerability Matrix

Procedure Prices at OHSU Hospital and Clinics

Audit a Bill or Quote at OHSU Hospital and Clinics (Zero PHI Required)

Statutory 501(r) AGB Cap Limits Bill to $5,504

Self-Pay Cash Rate ($12,484) Beats Your Bill

Negotiate Toward $1,453 Fair BaseRate ($1,362 Medicare)

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

Clinical Quality, Patient Experience & Infection Benchmarks

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

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

Notable Payer Contract Outliers (SVD Matrix Anomalies)

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