Alteplase 100 mg infusion from pyxis vial 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

$19,479.20

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.

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

$40,581.66

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.

$95.09 with VA CCN TRIWEST - ALL PLANS vs $36,523.49 with HEALTHNET - ALL OTHER 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 $95.09 ↓ -100%
COMMUNITY HP MCR ADV - ALL PLANS COMMUNITY HP MCR ADV - ALL PLANS $95.09 ↓ -100%
MODA MCR ADV MODA MCR ADV $95.09 ↓ -100%
MOLINA MCR ADV MOLINA MCR ADV $95.09 ↓ -100%
REGENCE BCBS VA TRIWEST REGENCE BCBS VA TRIWEST $95.09 ↓ -100%
TRICARE - ALL OTHER PLANS TRICARE - ALL OTHER PLANS $95.09 ↓ -100%
HEALTHNET MCR ADV HEALTHNET MCR ADV $96.99 ↓ -100%
REGENCE BCBS MCR ADV REGENCE BCBS MCR ADV $99.84 ↓ -99%
MOLINA - ALL OTHER PLANS MOLINA - ALL OTHER PLANS $104.60 ↓ -99%
EMPLOYEE HEALTH PLAN - ALL PLANS EMPLOYEE HEALTH PLAN - ALL PLANS $171.16 ↓ -99%
NOROCOR - ALL PLANS NOROCOR - ALL PLANS $475.90 ↓ -98%
COORDINATED CARE MCAID - ALL PLANS COORDINATED CARE MCAID - ALL PLANS $494.93 ↓ -97%
UHC MEDICAID AND CHIP UHC MEDICAID AND CHIP $494.93 ↓ -97%
AMERIGROUP MCAID - ALL PLANS AMERIGROUP MCAID - ALL PLANS $494.93 ↓ -97%
MOLINA MCAID MOLINA MCAID $494.93 ↓ -97%
REGENCE BCBS HEALTHY OPTIONS MCAID REGENCE BCBS HEALTHY OPTIONS MCAID $593.92 ↓ -97%
MODA HEALTH PLAN - ALL OTHER PLANS MODA HEALTH PLAN - ALL OTHER PLANS $628.18 ↓ -97%
HEALTHSCAPE - ALL PLANS HEALTHSCAPE - ALL PLANS $761.43 ↓ -96%
FIRST HEALTH - ALL PLANS FIRST HEALTH - ALL PLANS $847.09 ↓ -96%
COVENTRY - ALL PLANS COVENTRY - ALL PLANS $856.61 ↓ -96%
AETNA - ALL PLANS AETNA - ALL PLANS $878.50 ↓ -95%
CIGNA - ALL PLANS CIGNA - ALL PLANS $896.59 ↓ -95%
UHC - ALL OTHER PLANS UHC - ALL OTHER PLANS $904.20 ↓ -95%
FIRST CHOICE - ALL PLANS FIRST CHOICE - ALL PLANS $904.20 ↓ -95%
TRPN - THREE RIVERS - ALL PLANS TRPN - THREE RIVERS - ALL PLANS $904.20 ↓ -95%
MULTIPLAN/PHCS - ALL PLANS MULTIPLAN/PHCS - ALL PLANS $904.20 ↓ -95%
PROVIDENCE PPO - ALL PLANS PROVIDENCE PPO - ALL PLANS $904.20 ↓ -95%
UHC MCR ADV UHC MCR ADV $904.20 ↓ -95%
AHP - AMERICAS HLTH PLAN - ALL PLANS AHP - AMERICAS HLTH PLAN - ALL PLANS $923.24 ↓ -95%
HUMANA - ALL PLANS HUMANA - ALL PLANS $1,008.90 ↓ -95%
DEVOTED MCR ADV - ALL PLANS DEVOTED MCR ADV - ALL PLANS $1,027.93 ↓ -95%
PACIFIC SOURCE - ALL PLANS PACIFIC SOURCE - ALL PLANS $1,142.15 ↓ -94%
REGENCE BCBS - ALL OTHER PLANS REGENCE BCBS - ALL OTHER PLANS $3,034.59 ↓ -84%
HEALTHNET - ALL OTHER PLANS HEALTHNET - ALL OTHER PLANS $36,523.49 ↑ +87%

Visitor-reported prices

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Alteplase 100 mg infusion from pyxis vial at other Oregon hospitals

Hospital City Cash price Negotiated range
Sunnyside Medical Center CLACKAMAS $23,342.81 $94.00 – $94.00
Westside Medical Center HILLSBORO $23,342.81 $94.00 – $94.00
Providence Hood River Memorial Hospital Hood River $806.03 not published
Providence Medford Medical Center Medford $26,431.24 $76.07 – $104.60
Providence Newberg Medical Center Newberg $26,431.24 $93.57 – $174.01
Providence Seaside Hospital Seaside $26,431.24 not published
Providence Willamette Falls Medical Center Oregon City $26,431.24 $93.57 – $190.18
Providence Milwaukie Hospital Milwaukie $26,431.24 $93.57 – $190.18

All Oregon hospitals for this procedure →