Removal of breast lesion 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

$800.64

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.

$1,668.00

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.

$392.77 with VA CCN TRIWEST - ALL PLANS vs $1,668.00 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 →

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
VA CCN TRIWEST - ALL PLANS VA CCN TRIWEST - ALL PLANS $392.77 ↓ -51%
MOLINA MCR ADV MOLINA MCR ADV $392.77 ↓ -51%
REGENCE BCBS VA TRIWEST REGENCE BCBS VA TRIWEST $392.77 ↓ -51%
REGENCE BCBS MCR ADV REGENCE BCBS MCR ADV $392.77 ↓ -51%
TRICARE - ALL OTHER PLANS TRICARE - ALL OTHER PLANS $392.77 ↓ -51%
COMMUNITY HP MCR ADV - ALL PLANS COMMUNITY HP MCR ADV - ALL PLANS $392.77 ↓ -51%
HEALTHNET MCR ADV HEALTHNET MCR ADV $400.63 ↓ -50%
MODA MCR ADV MODA MCR ADV $404.55 ↓ -49%
HUMANA - ALL PLANS HUMANA - ALL PLANS $404.55 ↓ -49%
DEVOTED MCR ADV - ALL PLANS DEVOTED MCR ADV - ALL PLANS $424.19 ↓ -47%
EMPLOYEE HEALTH PLAN - ALL PLANS EMPLOYEE HEALTH PLAN - ALL PLANS $432.05 ↓ -46%
MOLINA - ALL OTHER PLANS MOLINA - ALL OTHER PLANS $432.05 ↓ -46%
HEALTHNET - ALL OTHER PLANS HEALTHNET - ALL OTHER PLANS $576.00 ↓ -28%
CIGNA - ALL PLANS CIGNA - ALL PLANS $657.89 ↓ -18%
MULTIPLAN/PHCS - ALL PLANS MULTIPLAN/PHCS - ALL PLANS $667.71 ↓ -17%
COVENTRY - ALL PLANS COVENTRY - ALL PLANS $744.00 ↓ -7%
AETNA - ALL PLANS AETNA - ALL PLANS $746.26 ↓ -7%
FIRST CHOICE - ALL PLANS FIRST CHOICE - ALL PLANS $756.00 ↓ -6%
PROVIDENCE PPO - ALL PLANS PROVIDENCE PPO - ALL PLANS $792.00 ↓ -1%
REGENCE BCBS - ALL OTHER PLANS REGENCE BCBS - ALL OTHER PLANS $829.40 ↑ +4%
MODA HEALTH PLAN - ALL OTHER PLANS MODA HEALTH PLAN - ALL OTHER PLANS $829.56 ↑ +4%
MOLINA MCAID MOLINA MCAID $867.36 ↑ +8%
COORDINATED CARE MCAID - ALL PLANS COORDINATED CARE MCAID - ALL PLANS $1,668.00 ↑ +108%
AMERIGROUP MCAID - ALL PLANS AMERIGROUP MCAID - ALL PLANS $1,668.00 ↑ +108%

Visitor-reported prices

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Removal of breast lesion at other Oregon hospitals

Hospital City Cash price Negotiated range
Providence Hood River Memorial Hospital Hood River $1,515.00 not published
Providence Newberg Medical Center Newberg $7,905.75 $4,282.47 – $7,964.35
Providence Seaside Hospital Seaside $1,515.00 not published
Providence Willamette Falls Medical Center Oregon City $7,905.75 $4,282.47 – $17,193.00
Providence Milwaukie Hospital Milwaukie $7,905.75 $4,282.47 – $17,193.00
Providence Portland Medical Center Portland $7,905.75 $4,282.47 – $17,193.00
Providence St Vincent Medical Center Portland $7,905.75 $4,282.47 – $17,193.00
PORTLAND ADVENTIST MEDICAL CENTER Portland $1,526.72 $3,481.68 – $16,298.61

All Oregon hospitals for this procedure →