Administration vaccine pneumococcal 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

$47.04

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.

$98.00

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.

$44.10 with DEVOTED MCR ADV - ALL PLANS vs $103.68 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
DEVOTED MCR ADV - ALL PLANS DEVOTED MCR ADV - ALL PLANS $44.10 ↓ -6%
MOLINA - ALL OTHER PLANS MOLINA - ALL OTHER PLANS $49.00 ↑ +4%
MOLINA MCR ADV MOLINA MCR ADV $49.00 ↑ +4%
MOLINA MCAID MOLINA MCAID $50.96 ↑ +8%
PROVIDENCE PPO - ALL PLANS PROVIDENCE PPO - ALL PLANS $58.00 ↑ +23%
HEALTHNET MCR ADV HEALTHNET MCR ADV $58.80 ↑ +25%
EMPLOYEE HEALTH PLAN - ALL PLANS EMPLOYEE HEALTH PLAN - ALL PLANS $68.60 ↑ +46%
MULTIPLAN/PHCS - ALL PLANS MULTIPLAN/PHCS - ALL PLANS $73.50 ↑ +56%
REGENCE BCBS VA TRIWEST REGENCE BCBS VA TRIWEST $73.50 ↑ +56%
VA CCN TRIWEST - ALL PLANS VA CCN TRIWEST - ALL PLANS $73.50 ↑ +56%
COORDINATED CARE MCAID - ALL PLANS COORDINATED CARE MCAID - ALL PLANS $98.00 ↑ +108%
AMERIGROUP MCAID - ALL PLANS AMERIGROUP MCAID - ALL PLANS $98.00 ↑ +108%
AETNA - ALL PLANS AETNA - ALL PLANS $103.68 ↑ +120%

Visitor-reported prices

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Administration vaccine pneumococcal at other Oregon hospitals

Hospital City Cash price Negotiated range
Sunnyside Medical Center CLACKAMAS $129.20 not published
Westside Medical Center HILLSBORO $129.20 not published
Providence Hood River Memorial Hospital Hood River $23.25 not published
Providence Seaside Hospital Seaside $23.25 not published
PORTLAND ADVENTIST MEDICAL CENTER Portland $18.56 $41.64 – $194.92
Providence Medford Medical Center Medford not published $47.45 – $118.64
Providence Newberg Medical Center Newberg not published $51.22 – $95.25
Providence Willamette Falls Medical Center Oregon City not published $51.22 – $164.68

All Oregon hospitals for this procedure →