Adjmt/revj ext fixj sys anes at MID-COLUMBIA MEDICAL CENTER

1700 E 19th St, The Dalles, OR · Adventisthealth · · NPI 1851369409

Source: hospital's published price file ↗ · Published May 13, 2026 · Ingested Sep 16, 2026

$691.20

Cash price

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Discounted cash price

What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge.

Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.

Full explanation →

What you pay up front if you don't use insurance.

$1,440.00

Gross charge

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Gross charge (chargemaster price)

The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this.

Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$418.66 with VA CCN TRIWEST - ALL PLANS vs $1,440.00 with AMERIGROUP MCAID - ALL PLANS — same scan, same building. Share

Negotiated rates by payer
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Negotiated rate

The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.

Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.

Full explanation →

Payer
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Payer

The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on.

Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509.

Full explanation →
Plan
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Plan

The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates.

Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible.

Full explanation →
Negotiated rate vs. cash
VA CCN TRIWEST - ALL PLANS VA CCN TRIWEST - ALL PLANS $418.66 ↓ -39%
MOLINA MCR ADV MOLINA MCR ADV $418.66 ↓ -39%
REGENCE BCBS VA TRIWEST REGENCE BCBS VA TRIWEST $418.66 ↓ -39%
REGENCE BCBS MCR ADV REGENCE BCBS MCR ADV $418.66 ↓ -39%
TRICARE - ALL OTHER PLANS TRICARE - ALL OTHER PLANS $418.66 ↓ -39%
COMMUNITY HP MCR ADV - ALL PLANS COMMUNITY HP MCR ADV - ALL PLANS $418.66 ↓ -39%
HEALTHNET MCR ADV HEALTHNET MCR ADV $427.03 ↓ -38%
MODA MCR ADV MODA MCR ADV $431.22 ↓ -38%
HUMANA - ALL PLANS HUMANA - ALL PLANS $431.22 ↓ -38%
DEVOTED MCR ADV - ALL PLANS DEVOTED MCR ADV - ALL PLANS $452.15 ↓ -35%
EMPLOYEE HEALTH PLAN - ALL PLANS EMPLOYEE HEALTH PLAN - ALL PLANS $460.53 ↓ -33%
MOLINA - ALL OTHER PLANS MOLINA - ALL OTHER PLANS $460.53 ↓ -33%
HEALTHNET - ALL OTHER PLANS HEALTHNET - ALL OTHER PLANS $612.48 ↓ -11%
CIGNA - ALL PLANS CIGNA - ALL PLANS $701.26 ↑ +1%
MULTIPLAN/PHCS - ALL PLANS MULTIPLAN/PHCS - ALL PLANS $711.72 ↑ +3%
MOLINA MCAID MOLINA MCAID $748.80 ↑ +8%
COVENTRY - ALL PLANS COVENTRY - ALL PLANS $791.12 ↑ +14%
AETNA - ALL PLANS AETNA - ALL PLANS $795.45 ↑ +15%
FIRST CHOICE - ALL PLANS FIRST CHOICE - ALL PLANS $803.88 ↑ +16%
PROVIDENCE PPO - ALL PLANS PROVIDENCE PPO - ALL PLANS $842.16 ↑ +22%
MODA HEALTH PLAN - ALL OTHER PLANS MODA HEALTH PLAN - ALL OTHER PLANS $882.10 ↑ +28%
REGENCE BCBS - ALL OTHER PLANS REGENCE BCBS - ALL OTHER PLANS $897.65 ↑ +30%
COORDINATED CARE MCAID - ALL PLANS COORDINATED CARE MCAID - ALL PLANS $1,440.00 ↑ +108%
AMERIGROUP MCAID - ALL PLANS AMERIGROUP MCAID - ALL PLANS $1,440.00 ↑ +108%

Visitor-reported prices

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Adjmt/revj ext fixj sys anes at other Oregon hospitals

Hospital City Cash price Negotiated range
Providence Hood River Memorial Hospital Hood River $15,558.00 not published
Providence Medford Medical Center Medford $15,253.50 $7,353.72 – $18,384.29
Providence Newberg Medical Center Newberg $16,708.50 $7,936.41 – $14,759.79
Providence Seaside Hospital Seaside $16,403.25 not published
Providence Willamette Falls Medical Center Oregon City $16,708.50 $7,936.41 – $25,774.99
Providence Milwaukie Hospital Milwaukie $16,708.50 $7,936.41 – $25,774.99
Providence Portland Medical Center Portland $16,708.50 $7,936.41 – $25,774.99
Providence St Vincent Medical Center Portland $16,708.50 $7,936.41 – $25,774.99

All Oregon hospitals for this procedure →