Established Patient Office Visit (level 1) 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

$30.24

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.

$63.00

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.

$7.58 with REGENCE BCBS VA TRIWEST vs $63.00 with COORDINATED CARE 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
REGENCE BCBS VA TRIWEST REGENCE BCBS VA TRIWEST $7.58 ↓ -75%
VA CCN TRIWEST - ALL PLANS VA CCN TRIWEST - ALL PLANS $7.58 ↓ -75%
TRICARE - ALL OTHER PLANS TRICARE - ALL OTHER PLANS $7.58 ↓ -75%
HUMANA - ALL PLANS HUMANA - ALL PLANS $7.81 ↓ -74%
EMPLOYEE HEALTH PLAN - ALL PLANS EMPLOYEE HEALTH PLAN - ALL PLANS $8.34 ↓ -72%
MOLINA - ALL OTHER PLANS MOLINA - ALL OTHER PLANS $8.34 ↓ -72%
HEALTHNET - ALL OTHER PLANS HEALTHNET - ALL OTHER PLANS $12.48 ↓ -59%
CIGNA - ALL PLANS CIGNA - ALL PLANS $12.70 ↓ -58%
MULTIPLAN/PHCS - ALL PLANS MULTIPLAN/PHCS - ALL PLANS $12.89 ↓ -57%
AETNA - ALL PLANS AETNA - ALL PLANS $14.10 ↓ -53%
COVENTRY - ALL PLANS COVENTRY - ALL PLANS $16.12 ↓ -47%
FIRST CHOICE - ALL PLANS FIRST CHOICE - ALL PLANS $16.38 ↓ -46%
REGENCE BCBS - ALL OTHER PLANS REGENCE BCBS - ALL OTHER PLANS $16.90 ↓ -44%
PROVIDENCE PPO - ALL PLANS PROVIDENCE PPO - ALL PLANS $17.16 ↓ -43%
MODA HEALTH PLAN - ALL OTHER PLANS MODA HEALTH PLAN - ALL OTHER PLANS $17.97 ↓ -41%
DEVOTED MCR ADV - ALL PLANS DEVOTED MCR ADV - ALL PLANS $28.35 ↓ -6%
MOLINA MCR ADV MOLINA MCR ADV $31.50 ↑ +4%
MOLINA MCAID MOLINA MCAID $32.76 ↑ +8%
HEALTHNET MCR ADV HEALTHNET MCR ADV $37.80 ↑ +25%
AMERIGROUP MCAID - ALL PLANS AMERIGROUP MCAID - ALL PLANS $63.00 ↑ +108%
COORDINATED CARE MCAID - ALL PLANS COORDINATED CARE MCAID - ALL PLANS $63.00 ↑ +108%

Visitor-reported prices

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Established Patient Office Visit (level 1) at other Oregon hospitals

Hospital City Cash price Negotiated range
Providence Hood River Memorial Hospital Hood River $464.25 not published
Providence Medford Medical Center Medford $87.75 not published
Providence Newberg Medical Center Newberg $24.75 not published
Providence Seaside Hospital Seaside $465.75 not published
Providence Willamette Falls Medical Center Oregon City $24.75 not published
Providence Milwaukie Hospital Milwaukie $24.75 not published
Providence Portland Medical Center Portland $24.75 not published
Providence St Vincent Medical Center Portland $24.75 not published

All Oregon hospitals for this procedure →