Reconstruct shoulder joint at MID-COLUMBIA MEDICAL CENTER
1700 E 19th St, The Dalles, OR · Adventisthealth · · NPI 1851369409
$1,836.96
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.
$3,827.00
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.
$1,051.01 with VA CCN TRIWEST - ALL PLANS vs $3,827.00 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 |
|---|---|---|---|
| VA CCN TRIWEST - ALL PLANS | VA CCN TRIWEST - ALL PLANS | $1,051.01 | ↓ -43% |
| MOLINA MCR ADV | MOLINA MCR ADV | $1,051.01 | ↓ -43% |
| REGENCE BCBS VA TRIWEST | REGENCE BCBS VA TRIWEST | $1,051.01 | ↓ -43% |
| REGENCE BCBS MCR ADV | REGENCE BCBS MCR ADV | $1,051.01 | ↓ -43% |
| TRICARE - ALL OTHER PLANS | TRICARE - ALL OTHER PLANS | $1,051.01 | ↓ -43% |
| COMMUNITY HP MCR ADV - ALL PLANS | COMMUNITY HP MCR ADV - ALL PLANS | $1,051.01 | ↓ -43% |
| HEALTHNET MCR ADV | HEALTHNET MCR ADV | $1,072.03 | ↓ -42% |
| MODA MCR ADV | MODA MCR ADV | $1,082.54 | ↓ -41% |
| HUMANA - ALL PLANS | HUMANA - ALL PLANS | $1,082.54 | ↓ -41% |
| DEVOTED MCR ADV - ALL PLANS | DEVOTED MCR ADV - ALL PLANS | $1,135.09 | ↓ -38% |
| EMPLOYEE HEALTH PLAN - ALL PLANS | EMPLOYEE HEALTH PLAN - ALL PLANS | $1,156.11 | ↓ -37% |
| MOLINA - ALL OTHER PLANS | MOLINA - ALL OTHER PLANS | $1,156.11 | ↓ -37% |
| HEALTHNET - ALL OTHER PLANS | HEALTHNET - ALL OTHER PLANS | $1,666.56 | ↓ -9% |
| CIGNA - ALL PLANS | CIGNA - ALL PLANS | $1,760.44 | ↓ -4% |
| MULTIPLAN/PHCS - ALL PLANS | MULTIPLAN/PHCS - ALL PLANS | $1,786.72 | ↓ -3% |
| MOLINA MCAID | MOLINA MCAID | $1,990.04 | ↑ +8% |
| AETNA - ALL PLANS | AETNA - ALL PLANS | $1,996.92 | ↑ +9% |
| COVENTRY - ALL PLANS | COVENTRY - ALL PLANS | $2,152.64 | ↑ +17% |
| FIRST CHOICE - ALL PLANS | FIRST CHOICE - ALL PLANS | $2,187.36 | ↑ +19% |
| PROVIDENCE PPO - ALL PLANS | PROVIDENCE PPO - ALL PLANS | $2,291.52 | ↑ +25% |
| REGENCE BCBS - ALL OTHER PLANS | REGENCE BCBS - ALL OTHER PLANS | $2,362.75 | ↑ +29% |
| MODA HEALTH PLAN - ALL OTHER PLANS | MODA HEALTH PLAN - ALL OTHER PLANS | $2,400.19 | ↑ +31% |
| COORDINATED CARE MCAID - ALL PLANS | COORDINATED CARE MCAID - ALL PLANS | $3,827.00 | ↑ +108% |
| AMERIGROUP MCAID - ALL PLANS | AMERIGROUP MCAID - ALL PLANS | $3,827.00 | ↑ +108% |
Visitor-reported prices
Comments
Reconstruct shoulder joint at other Oregon hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence Hood River Memorial Hospital | Hood River | $3,489.75 | not published |
| NORTHWEST MEDICAL FOUNDATION OF TILLAMOOK | Tillamook | $2,791.80 | $1,051.01 – $2,604.00 |
| Sunnyside Medical Center | CLACKAMAS | not published | not published |
| Westside Medical Center | HILLSBORO | not published | not published |
| Providence Medford Medical Center | Medford | not published | $13,011.20 – $32,527.99 |
| Providence Newberg Medical Center | Newberg | not published | $14,042.18 – $26,115.03 |
| Providence Willamette Falls Medical Center | Oregon City | not published | $14,042.18 – $50,740.88 |
| Providence Milwaukie Hospital | Milwaukie | not published | $14,042.18 – $50,740.88 |