Providence Saint Joseph Health · Portland, OR
32
In-network payers
353
Disclosed rate categories
483
Beds
4
Care quality
Providence Portland Medical Center is a 483-bed voluntary non-profit - private hospital in Portland, OR, affiliated with Providence Saint Joseph Health. Below you'll find publicly disclosed negotiated rates and facility details, including 32 in-network payers and 353 disclosed rate categories.
CCN (Medicare provider number)
380061
NPI
1003991845
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Private
Beds
483
Care Quality
4
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
The 24 services Providence Portland Medical Center most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
Childbirth · Inpatient
MS-DRG 807
$12,562 - $37,418
from 4 insurers · median $20,455
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Childbirth · Inpatient
MS-DRG 788
$21,520 - $53,213
from 4 insurers · median $31,288
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Gynecology
CPT 58558
$7,309 - $17,193
from 4 insurers · median $11,159
28 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)
Gynecology
CPT 58571
$11,369 - $39,117
from 4 insurers · median $25,525
80 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery
CPT 47562
$7,446 - $30,025
from 4 insurers · median $20,950
114 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Childbirth · Inpatient
MS-DRG 807
$12,562 - $37,418
from 4 insurers · median $20,455
CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Digestive procedures
CPT 49650
$6,202 - $28,045
from 4 insurers · median $21,382
114 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
CT imaging
CPT 74177
$560 - $2,502
from 4 insurers · median $1,414
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 49505
$6,138 - $21,931
from 4 insurers · median $20,005
58 Medicare claims in Level 1 Abdominal/Peritoneal/Biliary and Related Procedures (CMS 2024)
Medicine & Surgery · Inpatient
MS-DRG 460
$41,774 - $97,885
from 3 insurers · median $77,195
16 Medicare discharges for this DRG in CMS hospital data
Digestive procedures
CPT 45385
$3,876 - $13,592
from 4 insurers · median $4,801
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$1,266 - $2,515
from 4 insurers · median $2,149
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 55866
$7,302 - $41,626
from 4 insurers · median $35,177
80 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 47563
$12,445 - $30,025
from 4 insurers · median $20,950
114 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 45380
$2,900 - $13,592
from 4 insurers · median $4,801
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 470
$42,030 - $107,054
from 4 insurers · median $46,724
12 Medicare discharges for this DRG in CMS hospital data
Mammography
CPT 77067
$142 - $329
from 4 insurers · median $263
Common here, based on CMS Medicare volume
Gynecology
CPT 58661
$7,565 - $28,045
from 4 insurers · median $24,090
Typical for a hospital with this service line
Nuclear imaging
CPT 78815
$2,252 - $6,411
from 4 insurers · median $4,334
Common here, based on CMS Medicare volume
Gynecology
CPT 57288
$7,620 - $27,346
from 4 insurers · median $19,678
17 Medicare claims in Level 5 Gynecologic Procedures (CMS 2024)
CT imaging
CPT 74176
$350 - $1,553
from 4 insurers · median $1,023
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$374 - $2,502
from 4 insurers · median $1,617
Common here, based on CMS Medicare volume
Lung function and sleep
CPT 94060
$1,206 - $2,732
from 3 insurers · median $2,450
Common here, based on CMS Medicare volume
Ear, nose and throat
CPT 69436
$5,793 - $17,193
from 4 insurers · median $7,405
Typical for a hospital with this service line
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 24 | 520% | 15 | 5 |
| Insurer B* | 24 | 381% | 21 | 0 |
| Insurer C* | 24 | 337% | 12 | 5 |
| Insurer D* | 22 | 200% | 8 | 9 |
How we chose these services: 10 appear in this hospital's own Medicare claims, 9 are common here based on CMS Medicare volume, and 5 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Providence Portland Medical Center.
4805 Ne Glisan Street, Portland, OR 97213
(503) 215-1111
The nearest hospitals of similar type and size. Their rates are compared with Providence Portland Medical Center for the same insurers and services above.
Adventist Health Portland
▼ Rates typically 28% lower than Providence Portland Medical Center (21 services)
Legacy Emanuel Hospital & Health Ctr
▼ Rates typically 14% lower than Providence Portland Medical Center (21 services)
Legacy Good Samaritan Hospital
▼ Rates typically 19% lower than Providence Portland Medical Center (21 services)
Ohsu Hospital
▼ Rates typically 17% lower than Providence Portland Medical Center (21 services)
Peacehealth Southwest Medical Center
▼ Rates typically 20% lower than Providence Portland Medical Center (21 services)
Peacehealth St John Medical Center
▲ Rates typically 35% higher than Providence Portland Medical Center (21 services)
Providence St. Vincent Medical Center
About Providence Portland Medical Center's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Providence Portland Medical Center range from $374 to $2,502 across 4 insurers. Aetna's rate is $374. The median at nearby comparable hospitals is $959. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Providence Portland Medical Center range from $560 to $2,502 across 4 insurers. Aetna's rate is $707. The median at nearby comparable hospitals is $1,149. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Providence Portland Medical Center range from $3,876 to $13,592 across 4 insurers. Cigna's rate is $13,592. The median at nearby comparable hospitals is $5,050. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Providence Portland Medical Center range from $12,562 to $37,418 across 4 insurers. UnitedHealthcare's rate is $12,562. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Providence Portland Medical Center range from $142 to $329 across 4 insurers. Cigna's rate is $197. The median at nearby comparable hospitals is $238. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Providence Portland Medical Center range from $42,030 to $107,054 across 4 insurers. Regence BlueCross BlueShield's rate is $50,354. The median at nearby comparable hospitals is $36,250. What a patient pays depends on their plan's deductible, coinsurance and network status.
Providence Portland Medical Center has 483 beds. Facility type: Short Term Acute Care Hospital.
Providence Portland Medical Center is located at 4805 Ne Glisan Street, Portland, OR 97213. Its main phone number is (503) 215-1111.
Providence Portland Medical Center's CMS Certification Number (CCN), also called its Medicare provider number, is 380061.
The National Provider Identifier (NPI) on file for Providence Portland Medical Center is 1003991845.
Providence Portland Medical Center is affiliated with Providence Saint Joseph Health.
Providence Portland Medical Center lists 32 in-network payers, including Aetna, Ameri Health, Avera Health Plans, BCBS, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
353 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
For hospital finance and compliance teams
The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers