Bx skin punch ea sep/ addl les 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

$91.20

Cash price

?

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.

$190.00

Gross charge

?

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.

$20.66 with VA CCN TRIWEST - ALL PLANS vs $190.00 with AMERIGROUP MCAID - ALL PLANS — same scan, same building. Share

Negotiated rates by payer
?

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
?

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
?

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 $20.66 ↓ -77%
MOLINA MCR ADV MOLINA MCR ADV $20.66 ↓ -77%
REGENCE BCBS VA TRIWEST REGENCE BCBS VA TRIWEST $20.66 ↓ -77%
REGENCE BCBS MCR ADV REGENCE BCBS MCR ADV $20.66 ↓ -77%
TRICARE - ALL OTHER PLANS TRICARE - ALL OTHER PLANS $20.66 ↓ -77%
COMMUNITY HP MCR ADV - ALL PLANS COMMUNITY HP MCR ADV - ALL PLANS $20.66 ↓ -77%
HEALTHNET MCR ADV HEALTHNET MCR ADV $21.07 ↓ -77%
HUMANA - ALL PLANS HUMANA - ALL PLANS $21.28 ↓ -77%
MODA MCR ADV MODA MCR ADV $21.28 ↓ -77%
DEVOTED MCR ADV - ALL PLANS DEVOTED MCR ADV - ALL PLANS $22.31 ↓ -76%
EMPLOYEE HEALTH PLAN - ALL PLANS EMPLOYEE HEALTH PLAN - ALL PLANS $22.73 ↓ -75%
MOLINA - ALL OTHER PLANS MOLINA - ALL OTHER PLANS $22.73 ↓ -75%
CIGNA - ALL PLANS CIGNA - ALL PLANS $34.61 ↓ -62%
MULTIPLAN/PHCS - ALL PLANS MULTIPLAN/PHCS - ALL PLANS $35.12 ↓ -61%
HEALTHNET - ALL OTHER PLANS HEALTHNET - ALL OTHER PLANS $36.48 ↓ -60%
AETNA - ALL PLANS AETNA - ALL PLANS $39.25 ↓ -57%
COVENTRY - ALL PLANS COVENTRY - ALL PLANS $47.12 ↓ -48%
FIRST CHOICE - ALL PLANS FIRST CHOICE - ALL PLANS $47.88 ↓ -48%
REGENCE BCBS - ALL OTHER PLANS REGENCE BCBS - ALL OTHER PLANS $49.40 ↓ -46%
PROVIDENCE PPO - ALL PLANS PROVIDENCE PPO - ALL PLANS $50.16 ↓ -45%
MODA HEALTH PLAN - ALL OTHER PLANS MODA HEALTH PLAN - ALL OTHER PLANS $52.54 ↓ -42%
MOLINA MCAID MOLINA MCAID $98.80 ↑ +8%
COORDINATED CARE MCAID - ALL PLANS COORDINATED CARE MCAID - ALL PLANS $190.00 ↑ +108%
AMERIGROUP MCAID - ALL PLANS AMERIGROUP MCAID - ALL PLANS $190.00 ↑ +108%

Visitor-reported prices

visitor-reported
Report what you paid sign in to post

Comments

Add a comment sign in to post

Bx skin punch ea sep/ addl les at other Oregon hospitals

Hospital City Cash price Negotiated range
Sunnyside Medical Center CLACKAMAS $557.60 not published
Westside Medical Center HILLSBORO $557.60 not published
Providence Hood River Memorial Hospital Hood River $438.75 not published
Providence Medford Medical Center Medford $495.00 not published
Providence Newberg Medical Center Newberg $555.00 not published
Providence Seaside Hospital Seaside $462.00 not published
Providence Willamette Falls Medical Center Oregon City $555.00 $4,103.00 – $4,103.00
Providence Milwaukie Hospital Milwaukie $555.00 $4,103.00 – $4,103.00

All Oregon hospitals for this procedure →