CostGrade
C

44/100

#1,454 nationally

Adventist Health Portland

10123 Se Market Street, Portland, OR 97216 · (503) 257-2500

Charges well above the national norm

For every $1 of care Medicare actually paid for here, Adventist Health Portland billed $5.04 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.

Charge-to-payment
5.0x
volume-weighted across all its priced work
Procedures priced
60
inpatient and outpatient combined
Rank in OR
#27
lower markup ranks higher
CMS quality stars
4/5
shown for context, not in the grade

How this grade was reached

Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.

Inpatient charge markup 14.5/35

Better than 42% of U.S. hospitals.

Outpatient charge markup 13.0/25

Better than 52% of U.S. hospitals.

Price level vs national median 11.8/30

Better than 40% of U.S. hospitals.

Price consistency 4.4/10

Better than 44% of U.S. hospitals.

What this hospital treats most

The ten procedures it billed Medicare for most often, with its charge beside the national middle.

Procedure Patients Charged Actually paid vs national
Sepsis (severe)

MS-DRG 871 · Inpatient stay

187 $72,231 $16,547 +11%
Comprehensive Observation Services

APC 8011 · Hospital outpatient visit

174 $22,624 $2,856 +16%
Level 1 Endovascular Procedures

APC 5191 · Hospital outpatient visit

141 $23,449 $3,337 -7%
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

103 $49,650 $11,013 +14%
Level 3 Electrophysiologic Procedures

APC 5213 · Hospital outpatient visit

97 $160,640 $24,373 +21%
Level 2 Excision/ Biopsy/ Incision and Drainage

APC 5072 · Hospital outpatient visit

72 $11,035 $1,701 +9%
Level 5 Musculoskeletal Procedures

APC 5115 · Hospital outpatient visit

66 $67,999 $13,393 +9%
Level 1 Laparoscopy and Related Services

APC 5361 · Hospital outpatient visit

59 $40,659 $5,973 +16%
Level 4 Urology and Related Services

APC 5374 · Hospital outpatient visit

56 $30,233 $3,658 +46%
Level 3 Endovascular Procedures

APC 5193 · Hospital outpatient visit

50 $66,335 $11,298 about average

Where its charges run furthest above the national middle

Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.

Procedure Charged Actually paid vs national
Level 3 Musculoskeletal Procedures

APC 5113 · Hospital outpatient visit

$39,618 $3,396 +94%
Level 5 Gynecologic Procedures

APC 5415 · Hospital outpatient visit

$55,685 $4,841 +86%
Level 1 Nerve Procedures

APC 5431 · Hospital outpatient visit

$19,824 $2,026 +75%
Level 1 Breast/lymphatic Surgery and Related Procedures

APC 5091 · Hospital outpatient visit

$38,627 $4,000 +62%
Level 2 Breast/lymphatic Surgery and Related Procedures

APC 5092 · Hospital outpatient visit

$62,748 $6,842 +59%
Level 4 Urology and Related Services

APC 5374 · Hospital outpatient visit

$30,233 $3,658 +46%
Level 2 Musculoskeletal Procedures

APC 5112 · Hospital outpatient visit

$15,761 $1,686 +40%
Level 5 Urology and Related Services

APC 5375 · Hospital outpatient visit

$36,390 $5,429 +33%

Where it charges least relative to everyone else

Procedure Charged Actually paid vs national
Other Major Cardiovascular Procedures with Complications

MS-DRG 271 · Inpatient stay

$109,332 $29,275 -27%
Level 3 Pacemaker and Similar Procedures

APC 5223 · Hospital outpatient visit

$37,466 $11,191 -27%
Respiratory Infection (severe)

MS-DRG 177 · Inpatient stay

$40,615 $13,872 -26%
Gastrointestinal Bleeding (severe)

MS-DRG 377 · Inpatient stay

$54,273 $14,680 -24%
Infection Needing Surgery (severe)

MS-DRG 853 · Inpatient stay

$136,054 $37,493 -24%
Permanent Cardiac Pacemaker Implant with Major Complications

MS-DRG 242 · Inpatient stay

$111,207 $28,456 -20%
Level 4 Endovascular Procedures

APC 5194 · Hospital outpatient visit

$77,473 $16,385 -19%
Heart Catheter Procedure (without major complications)

MS-DRG 322 · Inpatient stay

$83,207 $15,384 -18%

What this page cannot tell you

  • It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
  • It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
  • A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
  • Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.