Coombs direct at MID-COLUMBIA MEDICAL CENTER
1700 E 19th St, The Dalles, OR · Adventisthealth · · NPI 1851369409
$65.64
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.
$136.74
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.
$5.39 with VA CCN TRIWEST - ALL PLANS vs $435.97 with REGENCE BCBS - 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 →
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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 |
|---|---|---|---|
| VA CCN TRIWEST - ALL PLANS | VA CCN TRIWEST - ALL PLANS | $5.39 | ↓ -92% |
| COMMUNITY HP MCR ADV - ALL PLANS | COMMUNITY HP MCR ADV - ALL PLANS | $5.39 | ↓ -92% |
| MODA MCR ADV | MODA MCR ADV | $5.39 | ↓ -92% |
| MOLINA MCR ADV | MOLINA MCR ADV | $5.39 | ↓ -92% |
| REGENCE BCBS VA TRIWEST | REGENCE BCBS VA TRIWEST | $5.39 | ↓ -92% |
| TRICARE - ALL OTHER PLANS | TRICARE - ALL OTHER PLANS | $5.39 | ↓ -92% |
| HEALTHNET MCR ADV | HEALTHNET MCR ADV | $5.50 | ↓ -92% |
| HUMANA - ALL PLANS | HUMANA - ALL PLANS | $5.66 | ↓ -91% |
| REGENCE BCBS MCR ADV | REGENCE BCBS MCR ADV | $5.66 | ↓ -91% |
| MOLINA - ALL OTHER PLANS | MOLINA - ALL OTHER PLANS | $5.93 | ↓ -91% |
| PACIFIC SOURCE - ALL PLANS | PACIFIC SOURCE - ALL PLANS | $7.37 | ↓ -89% |
| EMPLOYEE HEALTH PLAN - ALL PLANS | EMPLOYEE HEALTH PLAN - ALL PLANS | $9.70 | ↓ -85% |
| NOROCOR - ALL PLANS | NOROCOR - ALL PLANS | $68.37 | ↑ +4% |
| AMERIGROUP MCAID - ALL PLANS | AMERIGROUP MCAID - ALL PLANS | $71.10 | ↑ +8% |
| MOLINA MCAID | MOLINA MCAID | $71.10 | ↑ +8% |
| UHC MEDICAID AND CHIP | UHC MEDICAID AND CHIP | $71.10 | ↑ +8% |
| COORDINATED CARE MCAID - ALL PLANS | COORDINATED CARE MCAID - ALL PLANS | $71.10 | ↑ +8% |
| REGENCE BCBS HEALTHY OPTIONS MCAID | REGENCE BCBS HEALTHY OPTIONS MCAID | $85.33 | ↑ +30% |
| MODA HEALTH PLAN - ALL OTHER PLANS | MODA HEALTH PLAN - ALL OTHER PLANS | $90.25 | ↑ +37% |
| HEALTHSCAPE - ALL PLANS | HEALTHSCAPE - ALL PLANS | $109.39 | ↑ +67% |
| FIRST HEALTH - ALL PLANS | FIRST HEALTH - ALL PLANS | $121.70 | ↑ +85% |
| COVENTRY - ALL PLANS | COVENTRY - ALL PLANS | $123.07 | ↑ +87% |
| AETNA - ALL PLANS | AETNA - ALL PLANS | $126.21 | ↑ +92% |
| CIGNA - ALL PLANS | CIGNA - ALL PLANS | $128.81 | ↑ +96% |
| UHC - ALL OTHER PLANS | UHC - ALL OTHER PLANS | $129.90 | ↑ +98% |
| FIRST CHOICE - ALL PLANS | FIRST CHOICE - ALL PLANS | $129.90 | ↑ +98% |
| TRPN - THREE RIVERS - ALL PLANS | TRPN - THREE RIVERS - ALL PLANS | $129.90 | ↑ +98% |
| MULTIPLAN/PHCS - ALL PLANS | MULTIPLAN/PHCS - ALL PLANS | $129.90 | ↑ +98% |
| PROVIDENCE PPO - ALL PLANS | PROVIDENCE PPO - ALL PLANS | $129.90 | ↑ +98% |
| UHC MCR ADV | UHC MCR ADV | $129.90 | ↑ +98% |
| AHP - AMERICAS HLTH PLAN - ALL PLANS | AHP - AMERICAS HLTH PLAN - ALL PLANS | $132.64 | ↑ +102% |
| DEVOTED MCR ADV - ALL PLANS | DEVOTED MCR ADV - ALL PLANS | $147.68 | ↑ +125% |
| REGENCE BCBS - ALL OTHER PLANS | REGENCE BCBS - ALL OTHER PLANS | $435.97 | ↑ +564% |
Visitor-reported prices
Comments
Coombs direct at other Oregon hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sunnyside Medical Center | CLACKAMAS | $21.25 | $6.00 – $6.00 |
| Westside Medical Center | HILLSBORO | $21.25 | $6.00 – $6.00 |
| Providence Hood River Memorial Hospital | Hood River | $24.75 | not published |
| Providence Medford Medical Center | Medford | $74.25 | $59.78 – $149.46 |
| Providence Newberg Medical Center | Newberg | $65.25 | $7.49 – $120.00 |
| Providence Seaside Hospital | Seaside | $77.25 | not published |
| Providence Willamette Falls Medical Center | Oregon City | $65.25 | $7.14 – $229.07 |
| Providence Milwaukie Hospital | Milwaukie | $65.25 | $7.14 – $229.07 |