PROVIDENCE PORTLAND MEDICAL CENTER
Acute Care Hospitals
Procedure Prices at PROVIDENCE PORTLAND MEDICAL CENTER
HC COMPLETE CBC W/AUTO DIF WBC
CPT 85025
$16.5
HC ROUTINE VENIPUNCTURE - COLLECTION VENOUS BLD
CPT 36415
$18
HC COMPREHEN METABOLIC PANEL
CPT 80053
$33
EKG Interpretation
CPT 93010
$33.75
Mechanical Traction
CPT 97012
$60
Chest X-Ray (2 views)
CPT 71046
$80.25
Therapeutic Exercises
CPT 97110
$85.5
Therapeutic Activities
CPT 97530
$86.25
Thoracic Spine X-Ray
CPT 72072
$111
Chest X-Ray (1 view)
CPT 71045
$118.5
HC CRISIS TELEH 99213 LACTATION EDUCATION ESTAB PT VISIT CDM
CPT 99213
$132
ER Visit — Low-Moderate Complexity
CPT 99283
$233.25
EKG Tracing
CPT 93005
$237
HC 90837 PSYCHOTHERAPY W/PATIENT 60 MINUTES
CPT 90837
$267
Abdominal Ultrasound — Limited
CPT 76705
$279
EKG
CPT 93000
$285
Retroperitoneal Ultrasound
CPT 76770
$295.5
Screening Mammogram (bilateral)
CPT 77067
$305.25
Diagnostic Mammogram (unilateral)
CPT 77065
$310.5
OB Ultrasound
CPT 76805
$356.25
Abdominal Ultrasound
CPT 76700
$357
Echocardiogram
CPT 93307
$381.75
Diagnostic Mammogram (bilateral)
CPT 77066
$390
ER Visit — Moderate Complexity
CPT 99284
$396.75
ER Visit — High Complexity
CPT 99285
$579
CT Chest
CPT 71250
$642
MRI Joint of Lower Extremity
CPT 73721
$702.75
Colonoscopy
CPT 45378
$936
HC INJ FORAMEN EPIDURAL L/S
CPT 64483
$1,281
Echocardiogram w/ Doppler
CPT 93306
$1,398
MRI Brain w/o Contrast
CPT 70551
$1,483.5
CT Abdomen & Pelvis
CPT 74177
$1,641.75
MRI Brain w/ Contrast
CPT 70553
$1,894.5
Vaginal Delivery
CPT 59400
$4,171.5
VBAC Delivery
CPT 59610
$4,494
C-Section
CPT 59510
$4,533.75
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Prices sourced from federally mandated hospital price transparency files. Cash prices reflect self-pay discounted rates. Negotiated rates vary by insurance plan. Data may not reflect current pricing — always confirm with the hospital before scheduling.