Administration immunization intranasal/oral route 1 vaccine 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

$39.18

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.

$81.62

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.

$17.22 with REGENCE BCBS MCR ADV vs $159.42 with AETNA - 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
REGENCE BCBS MCR ADV REGENCE BCBS MCR ADV $17.22 ↓ -56%
VA CCN TRIWEST - ALL PLANS VA CCN TRIWEST - ALL PLANS $17.22 ↓ -56%
TRICARE - ALL OTHER PLANS TRICARE - ALL OTHER PLANS $17.22 ↓ -56%
COMMUNITY HP MCR ADV - ALL PLANS COMMUNITY HP MCR ADV - ALL PLANS $17.22 ↓ -56%
REGENCE BCBS VA TRIWEST REGENCE BCBS VA TRIWEST $17.22 ↓ -56%
MOLINA MCR ADV MOLINA MCR ADV $17.22 ↓ -56%
HEALTHNET MCR ADV HEALTHNET MCR ADV $17.56 ↓ -55%
MODA MCR ADV MODA MCR ADV $17.74 ↓ -55%
DEVOTED MCR ADV - ALL PLANS DEVOTED MCR ADV - ALL PLANS $18.60 ↓ -53%
EMPLOYEE HEALTH PLAN - ALL PLANS EMPLOYEE HEALTH PLAN - ALL PLANS $18.94 ↓ -52%
MOLINA - ALL OTHER PLANS MOLINA - ALL OTHER PLANS $18.94 ↓ -52%
HEALTHNET - ALL OTHER PLANS HEALTHNET - ALL OTHER PLANS $19.20 ↓ -51%
COVENTRY - ALL PLANS COVENTRY - ALL PLANS $24.80 ↓ -37%
FIRST CHOICE - ALL PLANS FIRST CHOICE - ALL PLANS $25.20 ↓ -36%
MOLINA MCAID MOLINA MCAID $27.56 ↓ -30%
MODA HEALTH PLAN - ALL OTHER PLANS MODA HEALTH PLAN - ALL OTHER PLANS $27.65 ↓ -29%
CIGNA - ALL PLANS CIGNA - ALL PLANS $28.84 ↓ -26%
MULTIPLAN/PHCS - ALL PLANS MULTIPLAN/PHCS - ALL PLANS $29.27 ↓ -25%
REGENCE BCBS - ALL OTHER PLANS REGENCE BCBS - ALL OTHER PLANS $32.50 ↓ -17%
COORDINATED CARE MCAID - ALL PLANS COORDINATED CARE MCAID - ALL PLANS $53.00 ↑ +35%
AMERIGROUP MCAID - ALL PLANS AMERIGROUP MCAID - ALL PLANS $53.00 ↑ +35%
HUMANA - ALL PLANS HUMANA - ALL PLANS $54.59 ↑ +39%
PROVIDENCE PPO - ALL PLANS PROVIDENCE PPO - ALL PLANS $58.00 ↑ +48%
AETNA - ALL PLANS AETNA - ALL PLANS $159.42 ↑ +307%

Visitor-reported prices

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Administration immunization intranasal/oral route 1 vaccine at other Oregon hospitals

Hospital City Cash price Negotiated range
Sunnyside Medical Center CLACKAMAS $165.75 not published
Westside Medical Center HILLSBORO $165.75 not published
Providence Hood River Memorial Hospital Hood River $48.00 not published
Providence Seaside Hospital Seaside $48.00 not published
PORTLAND ADVENTIST MEDICAL CENTER Portland $28.48 $64.02 – $299.71
NORTHWEST MEDICAL FOUNDATION OF TILLAMOOK Tillamook $27.00 $16.56 – $51.00
Providence Medford Medical Center Medford not published $72.97 – $182.42
Providence Newberg Medical Center Newberg not published $78.75 – $146.46

All Oregon hospitals for this procedure →