Bx vulva or perineum/1 lesion 56605 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

$148.32

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.

$309.00

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.

$49.85 with VA CCN TRIWEST - ALL PLANS vs $309.00 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 $49.85 ↓ -66%
MOLINA MCR ADV MOLINA MCR ADV $49.85 ↓ -66%
REGENCE BCBS VA TRIWEST REGENCE BCBS VA TRIWEST $49.85 ↓ -66%
REGENCE BCBS MCR ADV REGENCE BCBS MCR ADV $49.85 ↓ -66%
TRICARE - ALL OTHER PLANS TRICARE - ALL OTHER PLANS $49.85 ↓ -66%
COMMUNITY HP MCR ADV - ALL PLANS COMMUNITY HP MCR ADV - ALL PLANS $49.85 ↓ -66%
HEALTHNET MCR ADV HEALTHNET MCR ADV $50.85 ↓ -66%
HUMANA - ALL PLANS HUMANA - ALL PLANS $51.35 ↓ -65%
MODA MCR ADV MODA MCR ADV $51.35 ↓ -65%
DEVOTED MCR ADV - ALL PLANS DEVOTED MCR ADV - ALL PLANS $53.84 ↓ -64%
EMPLOYEE HEALTH PLAN - ALL PLANS EMPLOYEE HEALTH PLAN - ALL PLANS $54.84 ↓ -63%
MOLINA - ALL OTHER PLANS MOLINA - ALL OTHER PLANS $54.84 ↓ -63%
CIGNA - ALL PLANS CIGNA - ALL PLANS $83.50 ↓ -44%
HEALTHNET - ALL OTHER PLANS HEALTHNET - ALL OTHER PLANS $84.00 ↓ -43%
MULTIPLAN/PHCS - ALL PLANS MULTIPLAN/PHCS - ALL PLANS $84.75 ↓ -43%
AETNA - ALL PLANS AETNA - ALL PLANS $94.72 ↓ -36%
COVENTRY - ALL PLANS COVENTRY - ALL PLANS $108.50 ↓ -27%
FIRST CHOICE - ALL PLANS FIRST CHOICE - ALL PLANS $110.25 ↓ -26%
REGENCE BCBS - ALL OTHER PLANS REGENCE BCBS - ALL OTHER PLANS $115.05 ↓ -22%
PROVIDENCE PPO - ALL PLANS PROVIDENCE PPO - ALL PLANS $115.50 ↓ -22%
MODA HEALTH PLAN - ALL OTHER PLANS MODA HEALTH PLAN - ALL OTHER PLANS $120.98 ↓ -18%
MOLINA MCAID MOLINA MCAID $160.68 ↑ +8%
COORDINATED CARE MCAID - ALL PLANS COORDINATED CARE MCAID - ALL PLANS $309.00 ↑ +108%
AMERIGROUP MCAID - ALL PLANS AMERIGROUP MCAID - ALL PLANS $309.00 ↑ +108%

Visitor-reported prices

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Bx vulva or perineum/1 lesion 56605 at other Oregon hospitals

Hospital City Cash price Negotiated range
Sunnyside Medical Center CLACKAMAS $2,251.65 not published
Westside Medical Center HILLSBORO $2,251.65 not published
Providence Hood River Memorial Hospital Hood River $1,608.75 not published
Providence Medford Medical Center Medford $1,953.00 $933.43 – $2,333.57
Providence Newberg Medical Center Newberg $1,892.25 not published
Providence Seaside Hospital Seaside $1,651.50 not published
Providence Willamette Falls Medical Center Oregon City $1,892.25 $1,007.39 – $9,178.00
Providence Milwaukie Hospital Milwaukie $1,892.25 $1,007.39 – $9,178.00

All Oregon hospitals for this procedure →