Repair hand joint 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

$1,082.88

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.

$2,256.00

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.

$665.38 with VA CCN TRIWEST - ALL PLANS vs $2,256.00 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 $665.38 ↓ -39%
MOLINA MCR ADV MOLINA MCR ADV $665.38 ↓ -39%
REGENCE BCBS VA TRIWEST REGENCE BCBS VA TRIWEST $665.38 ↓ -39%
REGENCE BCBS MCR ADV REGENCE BCBS MCR ADV $665.38 ↓ -39%
TRICARE - ALL OTHER PLANS TRICARE - ALL OTHER PLANS $665.38 ↓ -39%
COMMUNITY HP MCR ADV - ALL PLANS COMMUNITY HP MCR ADV - ALL PLANS $665.38 ↓ -39%
HEALTHNET MCR ADV HEALTHNET MCR ADV $678.69 ↓ -37%
MODA MCR ADV MODA MCR ADV $685.34 ↓ -37%
HUMANA - ALL PLANS HUMANA - ALL PLANS $685.34 ↓ -37%
DEVOTED MCR ADV - ALL PLANS DEVOTED MCR ADV - ALL PLANS $718.61 ↓ -34%
EMPLOYEE HEALTH PLAN - ALL PLANS EMPLOYEE HEALTH PLAN - ALL PLANS $731.92 ↓ -32%
MOLINA - ALL OTHER PLANS MOLINA - ALL OTHER PLANS $731.92 ↓ -32%
HEALTHNET - ALL OTHER PLANS HEALTHNET - ALL OTHER PLANS $927.36 ↓ -14%
CIGNA - ALL PLANS CIGNA - ALL PLANS $1,114.51 ↑ +3%
MULTIPLAN/PHCS - ALL PLANS MULTIPLAN/PHCS - ALL PLANS $1,131.15 ↑ +4%
MOLINA MCAID MOLINA MCAID $1,173.12 ↑ +8%
COVENTRY - ALL PLANS COVENTRY - ALL PLANS $1,197.84 ↑ +11%
FIRST CHOICE - ALL PLANS FIRST CHOICE - ALL PLANS $1,217.16 ↑ +12%
AETNA - ALL PLANS AETNA - ALL PLANS $1,264.22 ↑ +17%
PROVIDENCE PPO - ALL PLANS PROVIDENCE PPO - ALL PLANS $1,275.12 ↑ +18%
MODA HEALTH PLAN - ALL OTHER PLANS MODA HEALTH PLAN - ALL OTHER PLANS $1,335.59 ↑ +23%
REGENCE BCBS - ALL OTHER PLANS REGENCE BCBS - ALL OTHER PLANS $1,379.95 ↑ +27%
COORDINATED CARE MCAID - ALL PLANS COORDINATED CARE MCAID - ALL PLANS $2,256.00 ↑ +108%
AMERIGROUP MCAID - ALL PLANS AMERIGROUP MCAID - ALL PLANS $2,256.00 ↑ +108%

Visitor-reported prices

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Repair hand joint at other Oregon hospitals

Hospital City Cash price Negotiated range
Providence Hood River Memorial Hospital Hood River $7,001.25 not published
Providence Medford Medical Center Medford $7,911.00 $3,315.97 – $8,289.92
Providence Newberg Medical Center Newberg $17,911.50 $3,578.72 – $6,655.54
Providence Seaside Hospital Seaside $7,381.50 not published
Providence Willamette Falls Medical Center Oregon City $17,911.50 $3,578.72 – $21,931.00
Providence Milwaukie Hospital Milwaukie $17,911.50 $3,578.72 – $21,931.00
Providence Portland Medical Center Portland $17,911.50 $3,578.72 – $21,931.00
Providence St Vincent Medical Center Portland $17,911.50 $3,578.72 – $21,931.00

All Oregon hospitals for this procedure →