Consultation with family at MID-COLUMBIA MEDICAL CENTER
1700 E 19th St, The Dalles, OR · Adventisthealth · · NPI 1851369409
$109.44
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.
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What you pay up front if you don't use insurance.
$228.00
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.
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The hospital's undiscounted list price — almost no one pays this.
$58.00 with PROVIDENCE PPO - ALL PLANS vs $228.00 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 →
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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 ?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 |
|---|---|---|---|
| PROVIDENCE PPO - ALL PLANS | PROVIDENCE PPO - ALL PLANS | $58.00 | ↓ -47% |
| DEVOTED MCR ADV - ALL PLANS | DEVOTED MCR ADV - ALL PLANS | $102.60 | ↓ -6% |
| HEALTHNET - ALL OTHER PLANS | HEALTHNET - ALL OTHER PLANS | $103.68 | ↓ -5% |
| MOLINA MCR ADV | MOLINA MCR ADV | $114.00 | ↑ +4% |
| MOLINA - ALL OTHER PLANS | MOLINA - ALL OTHER PLANS | $114.00 | ↑ +4% |
| MOLINA MCAID | MOLINA MCAID | $118.56 | ↑ +8% |
| COVENTRY - ALL PLANS | COVENTRY - ALL PLANS | $133.92 | ↑ +22% |
| FIRST CHOICE - ALL PLANS | FIRST CHOICE - ALL PLANS | $136.08 | ↑ +24% |
| HEALTHNET MCR ADV | HEALTHNET MCR ADV | $136.80 | ↑ +25% |
| REGENCE BCBS - ALL OTHER PLANS | REGENCE BCBS - ALL OTHER PLANS | $139.10 | ↑ +27% |
| MODA HEALTH PLAN - ALL OTHER PLANS | MODA HEALTH PLAN - ALL OTHER PLANS | $149.32 | ↑ +36% |
| EMPLOYEE HEALTH PLAN - ALL PLANS | EMPLOYEE HEALTH PLAN - ALL PLANS | $159.60 | ↑ +46% |
| MULTIPLAN/PHCS - ALL PLANS | MULTIPLAN/PHCS - ALL PLANS | $171.00 | ↑ +56% |
| REGENCE BCBS VA TRIWEST | REGENCE BCBS VA TRIWEST | $171.00 | ↑ +56% |
| VA CCN TRIWEST - ALL PLANS | VA CCN TRIWEST - ALL PLANS | $171.00 | ↑ +56% |
| COORDINATED CARE MCAID - ALL PLANS | COORDINATED CARE MCAID - ALL PLANS | $228.00 | ↑ +108% |
| AMERIGROUP MCAID - ALL PLANS | AMERIGROUP MCAID - ALL PLANS | $228.00 | ↑ +108% |