Irinotecan 20 mg/ml intravenous solution (wrapper) 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

$113.28

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.

$236.00

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.

$105.28 with NOROCOR - ALL PLANS vs $671.33 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 →

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
NOROCOR - ALL PLANS NOROCOR - ALL PLANS $105.28 ↓ -7%
UHC MEDICAID AND CHIP UHC MEDICAID AND CHIP $109.49 ↓ -3%
MOLINA MCAID MOLINA MCAID $109.49 ↓ -3%
AMERIGROUP MCAID - ALL PLANS AMERIGROUP MCAID - ALL PLANS $109.49 ↓ -3%
COORDINATED CARE MCAID - ALL PLANS COORDINATED CARE MCAID - ALL PLANS $109.49 ↓ -3%
REGENCE BCBS HEALTHY OPTIONS MCAID REGENCE BCBS HEALTHY OPTIONS MCAID $131.39 ↑ +16%
MODA HEALTH PLAN - ALL OTHER PLANS MODA HEALTH PLAN - ALL OTHER PLANS $138.97 ↑ +23%
HEALTHSCAPE - ALL PLANS HEALTHSCAPE - ALL PLANS $168.45 ↑ +49%
FIRST HEALTH - ALL PLANS FIRST HEALTH - ALL PLANS $187.40 ↑ +65%
COVENTRY - ALL PLANS COVENTRY - ALL PLANS $189.50 ↑ +67%
AETNA - ALL PLANS AETNA - ALL PLANS $194.35 ↑ +72%
CIGNA - ALL PLANS CIGNA - ALL PLANS $198.35 ↑ +75%
UHC MCR ADV UHC MCR ADV $200.03 ↑ +77%
FIRST CHOICE - ALL PLANS FIRST CHOICE - ALL PLANS $200.03 ↑ +77%
MULTIPLAN/PHCS - ALL PLANS MULTIPLAN/PHCS - ALL PLANS $200.03 ↑ +77%
PROVIDENCE PPO - ALL PLANS PROVIDENCE PPO - ALL PLANS $200.03 ↑ +77%
TRPN - THREE RIVERS - ALL PLANS TRPN - THREE RIVERS - ALL PLANS $200.03 ↑ +77%
UHC - ALL OTHER PLANS UHC - ALL OTHER PLANS $200.03 ↑ +77%
AHP - AMERICAS HLTH PLAN - ALL PLANS AHP - AMERICAS HLTH PLAN - ALL PLANS $204.24 ↑ +80%
HUMANA - ALL PLANS HUMANA - ALL PLANS $223.19 ↑ +97%
DEVOTED MCR ADV - ALL PLANS DEVOTED MCR ADV - ALL PLANS $227.40 ↑ +101%
PACIFIC SOURCE - ALL PLANS PACIFIC SOURCE - ALL PLANS $252.67 ↑ +123%
REGENCE BCBS - ALL OTHER PLANS REGENCE BCBS - ALL OTHER PLANS $671.33 ↑ +493%

Visitor-reported prices

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Irinotecan 20 mg/ml intravenous solution (wrapper) at other Oregon hospitals

Hospital City Cash price Negotiated range
Sunnyside Medical Center CLACKAMAS $465.51 $1.40 – $1.40
Westside Medical Center HILLSBORO $465.51 $1.40 – $1.40
Providence Hood River Memorial Hospital Hood River $597.11 not published
Providence Medford Medical Center Medford $582.01 not published
Providence Seaside Hospital Seaside $189.23 not published
Providence Portland Medical Center Portland $139.73 $1.54 – $5.91
Providence St Vincent Medical Center Portland $108.60 $1.54 – $5.91
NORTHWEST MEDICAL FOUNDATION OF TILLAMOOK Tillamook $209.96 $42.00 – $42.00

All Oregon hospitals for this procedure →