Lead test cost in Portland, OR
In Portland-Vancouver-Hillsboro, OR-WA, 14 hospitals list a cash price for blood lead test: from $3.64 to $110.20, with a median of $27.75. The lowest listed price is at Legacy Salmon Creek Medical Center — $24.11 less than the median here. Across Oregon, the median is $32.50 at 45 hospitals.
- The median here, $27.75, is 40% below the US median of $46.28.
- That is 2.3× Medicare's 2026 national rate for the same service ($12.11).
- 1 of 14 hospitals list a cash price equal to their full list price, with no self-pay discount.
Cash prices at 14 facilities across 8 cities for code 83655, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 23, 2026; the hospital files themselves were last updated between Mar 18, 2026 and Apr 1, 2026.
Lowest$3.64Legacy Salmon Creek Medical Center
Median$27.75half of hospitals charge less
Highest$110.20in this market
Difference30.3×highest vs lowest
Where each hospital's price falls
Each dot is one hospital's cash price on a scale from the lowest to the highest in Portland-Vancouver-Hillsboro, OR-WA.
median
Lowest $3.64Highest $152.10
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list |
|---|---|---|---|---|
| Legacy Salmon Creek Medical Center lowest Vancouver, WA · (360) 487-1000 HC U LEAD PART 1 File of Apr 1, 2026 · source file | $3.64 | $5.60 | — | 35% |
| Legacy Mount Hood Medical Center Gresham, OR · (503) 674-1122 HC U LEAD PART 1 File of Apr 1, 2026 · source file | $3.90 | $6.00 | — | 35% |
| Legacy Good Samaritan Medical Center Portland, OR · (503) 413-7682 HC U LEAD PART 1 File of Apr 1, 2026 · source file | $3.90 | $6.00 | — | 35% |
| Legacy Emanuel Medical Center Portland, OR · (503) 413-2200 HC U LEAD PART 1+1 more line at this price File of Apr 1, 2026 · source file | $3.90 | $6.00 | — | 35% |
| Legacy Meridian Park Medical Center Tualatin, OR · (503) 692-1212 HC U LEAD PART 1 File of Apr 1, 2026 · source file | $3.90 | $6.00 | — | 35% |
| Legacy Emanuel Medical Center Portland, OR · (503) 413-2200 HC U HEAVY METALS PANEL W REFLEX PART 4+3 more lines at this price File of Apr 1, 2026 · source file | $6.50 | $10.00 | — | 35% |
| Legacy Mount Hood Medical Center Gresham, OR · (503) 674-1122 HC HEAVY METALS BLOOD PART 3+1 more line at this price File of Apr 1, 2026 · source file | $6.50 | $10.00 | — | 35% |
| Legacy Good Samaritan Medical Center Portland, OR · (503) 413-7682 HC U HEAVY METALS PANEL W REFLEX PART 4+1 more line at this price File of Apr 1, 2026 · source file | $6.50 | $10.00 | — | 35% |
| Legacy Salmon Creek Medical Center Vancouver, WA · (360) 487-1000 HC U HEAVY METALS PANEL W REFLEX PART 4+1 more line at this price File of Apr 1, 2026 · source file | $6.50 | $10.00 | — | 35% |
| Legacy Meridian Park Medical Center Tualatin, OR · (503) 692-1212 HC HEAVY METALS BLOOD PART 3+1 more line at this price File of Apr 1, 2026 · source file | $6.50 | $10.00 | — | 35% |
| Legacy Salmon Creek Medical Center Vancouver, WA · (360) 487-1000 HC LEAD WHOLE BLOOD File of Apr 1, 2026 · source file | $8.31 | $12.79 | — | 35% |
| Legacy Meridian Park Medical Center Tualatin, OR · (503) 692-1212 HC LEAD WHOLE BLOOD+1 more line at this price File of Apr 1, 2026 · source file | $8.31 | $12.79 | — | 35% |
| Legacy Mount Hood Medical Center Gresham, OR · (503) 674-1122 HC LEAD WHOLE BLOOD+1 more line at this price File of Apr 1, 2026 · source file | $8.31 | $12.79 | — | 35% |
| Legacy Good Samaritan Medical Center Portland, OR · (503) 413-7682 HC URINE LEAD+1 more line at this price File of Apr 1, 2026 · source file | $8.31 | $12.79 | — | 35% |
| Legacy Emanuel Medical Center Portland, OR · (503) 413-2200 HC LEAD WHOLE BLOOD+1 more line at this price File of Apr 1, 2026 · source file | $8.31 | $12.79 | — | 35% |
| Legacy Emanuel Medical Center Portland, OR · (503) 413-2200 HC LEAD WHOLE BLOOD+1 more line at this price File of Apr 1, 2026 · source file | $8.45 | $13.00 | — | 35% |
| Legacy Salmon Creek Medical Center Vancouver, WA · (360) 487-1000 HC URINE LEAD File of Apr 1, 2026 · source file | $8.45 | $13.00 | — | 35% |
| Legacy Meridian Park Medical Center Tualatin, OR · (503) 692-1212 HC LEAD - INDUSTRIAL File of Apr 1, 2026 · source file | $11.76 | $18.09 | — | 35% |
| Legacy Good Samaritan Medical Center Portland, OR · (503) 413-7682 HC LEAD - INDUSTRIAL File of Apr 1, 2026 · source file | $11.76 | $18.09 | — | 35% |
| Legacy Emanuel Medical Center Portland, OR · (503) 413-2200 HC LEAD - INDUSTRIAL File of Apr 1, 2026 · source file | $11.76 | $18.09 | — | 35% |
| Legacy Mount Hood Medical Center Gresham, OR · (503) 674-1122 HC LEAD - INDUSTRIAL File of Apr 1, 2026 · source file | $11.76 | $18.09 | — | 35% |
| Legacy Salmon Creek Medical Center Vancouver, WA · (360) 487-1000 HC POCT LEAD SCREEN File of Apr 1, 2026 · source file | $19.37 | $29.80 | — | 35% |
| Providence Portland Medical Center Portland, OR · (503) 215-1111 HC ASSAY OF LEAD LAB+6 more lines at this price File of Apr 1, 2026 · source file | $27.75 | $37.00 | — | 25% |
| Providence Milwaukie Hospital Milwaukie, OR · (503) 513-8300 HC ZLEAD BLOOD (PANL)+6 more lines at this price File of Apr 1, 2026 · source file | $27.75 | $37.00 | — | 25% |
| Providence St Vincent Medical Center Portland, OR · (503) 216-1234 HC LEAD WHOLE BLOOD+6 more lines at this price File of Apr 1, 2026 · source file | $27.75 | $37.00 | — | 25% |
| Providence Willamette Falls Medical Center Oregon City, OR · (503) 656-1631 HC LEAD WHOLE BLOOD+6 more lines at this price File of Apr 1, 2026 · source file | $27.75 | $37.00 | — | 25% |
| Providence Newberg Medical Center Newberg, OR · (503) 537-1555 HC LEAD WHOLE BLOOD+6 more lines at this price File of Apr 1, 2026 · source file | $27.75 | $37.00 | — | 25% |
| Hillsboro Medical Center Hillsboro, OR · (503) 681-1111 ASSAY OF LEAD File of Mar 23, 2026 · source file | $40.30 | $62.00 | $9.45–$62.00 | 35% |
| Oregon Health & Science University Portland, OR · (503) 494-9000 ASSAY OF LEAD File of Mar 23, 2026 · source file | $40.30 | $62.00 | $9.69–$62.00 | 35% |
| Oregon Health & Science University Portland, OR · (503) 494-9000 Lead, Bld, Filter Paper File of Mar 23, 2026 · source file | $42.25 | $65.00 | $9.69–$65.00 | 35% |
| Legacy Emanuel Medical Center Portland, OR · (503) 413-2200 HC LEAD - INDUSTRIAL File of Apr 1, 2026 · source file | $42.90 | $66.00 | — | 35% |
| Legacy Salmon Creek Medical Center Vancouver, WA · (360) 487-1000 HC LEAD - INDUSTRIAL File of Apr 1, 2026 · source file | $42.90 | $66.00 | — | 35% |
| PeaceHealth Southwest Medical Center Vancouver, WA · (360) 256-2000 LEAD LEVEL File of Mar 20, 2026 · source file | $74.75 | $115.00 | $4.84–$39.29 | 35% |
| PeaceHealth Southwest Medical Center Vancouver, WA · (360) 256-2000 ASSAY OF LEAD File of Mar 20, 2026 · source file | $76.70 | $118.00 | $4.84–$39.29 | 35% |
| Legacy Emanuel Medical Center Portland, OR · (503) 413-2200 HC _LEAD INDUSTRIAL EXPOSURE PANEL+1 more line at this price File of Apr 1, 2026 · source file | $86.45 | $133.00 | — | 35% |
| Legacy Good Samaritan Medical Center Portland, OR · (503) 413-7682 HC _LEAD INDUSTRIAL EXPOSURE PANEL File of Apr 1, 2026 · source file | $86.45 | $133.00 | — | 35% |
| Legacy Mount Hood Medical Center Gresham, OR · (503) 674-1122 HC _LEAD INDUSTRIAL EXPOSURE PANEL File of Apr 1, 2026 · source file | $86.45 | $133.00 | — | 35% |
| Legacy Meridian Park Medical Center Tualatin, OR · (503) 692-1212 HC _LEAD INDUSTRIAL EXPOSURE PANEL File of Apr 1, 2026 · source file | $86.45 | $133.00 | — | 35% |
| Legacy Salmon Creek Medical Center Vancouver, WA · (360) 487-1000 HC _LEAD INDUSTRIAL EXPOSURE PANEL File of Apr 1, 2026 · source file | $86.45 | $133.00 | — | 35% |
| Legacy Good Samaritan Medical Center Portland, OR · (503) 413-7682 HC POCT LEAD SCREEN File of Apr 1, 2026 · source file | $101.40 | $156.00 | — | 35% |
| Legacy Emanuel Medical Center Portland, OR · (503) 413-2200 HC POCT LEAD SCREEN+1 more line at this price File of Apr 1, 2026 · source file | $101.40 | $156.00 | — | 35% |
| Legacy Mount Hood Medical Center Gresham, OR · (503) 674-1122 HC POCT LEAD SCREEN File of Apr 1, 2026 · source file | $101.40 | $156.00 | — | 35% |
| Legacy Meridian Park Medical Center Tualatin, OR · (503) 692-1212 HC POCT LEAD SCREEN File of Apr 1, 2026 · source file | $101.40 | $156.00 | — | 35% |
| Shriners Childrens - Portland Portland, OR · (541) 241-5090 ASSAY OF LEAD File of Mar 18, 2026 · source file | $110.20 | $110.20 | $9.69–$42.38 | — |
| Legacy Salmon Creek Medical Center Vancouver, WA · (360) 487-1000 HC LEAD File of Apr 1, 2026 · source file | $152.10 | $234.00 | — | 35% |
| Legacy Mount Hood Medical Center Gresham, OR · (503) 674-1122 HC LEAD File of Apr 1, 2026 · source file | $152.10 | $234.00 | — | 35% |
| Legacy Meridian Park Medical Center Tualatin, OR · (503) 692-1212 HC LEAD File of Apr 1, 2026 · source file | $152.10 | $234.00 | — | 35% |
| Legacy Good Samaritan Medical Center Portland, OR · (503) 413-7682 HC LEAD File of Apr 1, 2026 · source file | $152.10 | $234.00 | — | 35% |
| Legacy Emanuel Medical Center Portland, OR · (503) 413-2200 HC LEAD+1 more line at this price File of Apr 1, 2026 · source file | $152.10 | $234.00 | — | 35% |
Hospital The hospital that published the price, its city and the line exactly as written in its price file.
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Off list How much lower the cash price is than the list price.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More
Outpatient: lowest $3.64, median $27.75, highest $110.20 — a 30.3× difference within the same market.
As an inpatient, the same code is billed by 10 facilities here, median $15.83. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.
Cash or insurance?
At 2 of 4 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at none is it below every plan's rate. If you have insurance but have not met your deductible, you usually pay your plan's negotiated rate, which falls somewhere in the "Insurers pay" column. Paying cash can cost less, but a cash payment usually does not count toward your deductible. Ask the hospital for both numbers before you book.
What lead test is, what the price covers and why prices differ: Lead test explained.
6 rows held back from this comparison
They are priced below $1 or below a tenth of the national median for code 83655 ($36.00). Such a line is almost always a physician's fee billed separately, an assistant's share or a placeholder — a real charge, but not the price of the procedure itself.
| Hospital | Cash price | File |
|---|---|---|
| Legacy Meridian Park Medical Center Tualatin, ORHC LEAD IND EXPOSURE PAN ADULTS PART 1 | $2.60 | file |
| Legacy Mount Hood Medical Center Gresham, ORHC LEAD IND EXPOSURE PAN ADULTS PART 1 | $2.60 | file |
| Legacy Emanuel Medical Center Portland, ORHC LEAD IND EXPOSURE PAN ADULTS PART 1 | $2.60 | file |
| Legacy Emanuel Medical Center Portland, ORHC LEAD IND EXPOSURE PAN ADULTS PART 1 | $2.60 | file |
| Legacy Good Samaritan Medical Center Portland, ORHC LEAD IND EXPOSURE PAN ADULTS PART 1 | $2.60 | file |
| Legacy Salmon Creek Medical Center Vancouver, WAHC LEAD IND EXPOSURE PAN ADULTS PART 1 | $2.60 | file |
File Link to the hospital's own price file.