Appl cast shoulder spica 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

$353.28

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.

$736.00

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.

$127.35 with VA CCN TRIWEST - ALL PLANS vs $736.00 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 $127.35 ↓ -64%
MOLINA MCR ADV MOLINA MCR ADV $127.35 ↓ -64%
REGENCE BCBS VA TRIWEST REGENCE BCBS VA TRIWEST $127.35 ↓ -64%
REGENCE BCBS MCR ADV REGENCE BCBS MCR ADV $127.35 ↓ -64%
TRICARE - ALL OTHER PLANS TRICARE - ALL OTHER PLANS $127.35 ↓ -64%
COMMUNITY HP MCR ADV - ALL PLANS COMMUNITY HP MCR ADV - ALL PLANS $127.35 ↓ -64%
HEALTHNET MCR ADV HEALTHNET MCR ADV $129.90 ↓ -63%
MODA MCR ADV MODA MCR ADV $131.17 ↓ -63%
HUMANA - ALL PLANS HUMANA - ALL PLANS $131.17 ↓ -63%
DEVOTED MCR ADV - ALL PLANS DEVOTED MCR ADV - ALL PLANS $137.54 ↓ -61%
EMPLOYEE HEALTH PLAN - ALL PLANS EMPLOYEE HEALTH PLAN - ALL PLANS $140.09 ↓ -60%
MOLINA - ALL OTHER PLANS MOLINA - ALL OTHER PLANS $140.09 ↓ -60%
HEALTHNET - ALL OTHER PLANS HEALTHNET - ALL OTHER PLANS $188.64 ↓ -47%
CIGNA - ALL PLANS CIGNA - ALL PLANS $213.31 ↓ -40%
MULTIPLAN/PHCS - ALL PLANS MULTIPLAN/PHCS - ALL PLANS $216.50 ↓ -39%
AETNA - ALL PLANS AETNA - ALL PLANS $241.97 ↓ -32%
COVENTRY - ALL PLANS COVENTRY - ALL PLANS $243.66 ↓ -31%
FIRST CHOICE - ALL PLANS FIRST CHOICE - ALL PLANS $247.59 ↓ -30%
PROVIDENCE PPO - ALL PLANS PROVIDENCE PPO - ALL PLANS $259.38 ↓ -27%
MODA HEALTH PLAN - ALL OTHER PLANS MODA HEALTH PLAN - ALL OTHER PLANS $271.68 ↓ -23%
REGENCE BCBS - ALL OTHER PLANS REGENCE BCBS - ALL OTHER PLANS $274.95 ↓ -22%
MOLINA MCAID MOLINA MCAID $382.72 ↑ +8%
COORDINATED CARE MCAID - ALL PLANS COORDINATED CARE MCAID - ALL PLANS $736.00 ↑ +108%
AMERIGROUP MCAID - ALL PLANS AMERIGROUP MCAID - ALL PLANS $736.00 ↑ +108%

Visitor-reported prices

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Appl cast shoulder spica at other Oregon hospitals

Hospital City Cash price Negotiated range
Providence Hood River Memorial Hospital Hood River $564.75 not published
Providence Medford Medical Center Medford $637.50 $283.45 – $708.63
Providence Newberg Medical Center Newberg $1,229.25 not published
Providence Seaside Hospital Seaside $595.50 not published
Providence Willamette Falls Medical Center Oregon City $1,229.25 $305.91 – $992.71
Providence Milwaukie Hospital Milwaukie $1,229.25 $305.91 – $992.71
Providence Portland Medical Center Portland $1,229.25 $305.91 – $992.71
Providence St Vincent Medical Center Portland $1,229.25 $305.91 – $992.71

All Oregon hospitals for this procedure →