Ropivacaine 0.2 % epidural pca - 1 hour dose limit 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

$227.73

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.

$474.44

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.

$101.96 with NOROCOR - ALL PLANS vs $650.16 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 $101.96 ↓ -55%
UHC MEDICAID AND CHIP UHC MEDICAID AND CHIP $106.04 ↓ -53%
MOLINA MCAID MOLINA MCAID $106.04 ↓ -53%
AMERIGROUP MCAID - ALL PLANS AMERIGROUP MCAID - ALL PLANS $106.04 ↓ -53%
COORDINATED CARE MCAID - ALL PLANS COORDINATED CARE MCAID - ALL PLANS $106.04 ↓ -53%
REGENCE BCBS HEALTHY OPTIONS MCAID REGENCE BCBS HEALTHY OPTIONS MCAID $127.25 ↓ -44%
MODA HEALTH PLAN - ALL OTHER PLANS MODA HEALTH PLAN - ALL OTHER PLANS $134.59 ↓ -41%
HEALTHSCAPE - ALL PLANS HEALTHSCAPE - ALL PLANS $163.14 ↓ -28%
FIRST HEALTH - ALL PLANS FIRST HEALTH - ALL PLANS $181.49 ↓ -20%
COVENTRY - ALL PLANS COVENTRY - ALL PLANS $183.53 ↓ -19%
AETNA - ALL PLANS AETNA - ALL PLANS $188.22 ↓ -17%
CIGNA - ALL PLANS CIGNA - ALL PLANS $192.09 ↓ -16%
UHC MCR ADV UHC MCR ADV $193.72 ↓ -15%
FIRST CHOICE - ALL PLANS FIRST CHOICE - ALL PLANS $193.72 ↓ -15%
MULTIPLAN/PHCS - ALL PLANS MULTIPLAN/PHCS - ALL PLANS $193.72 ↓ -15%
PROVIDENCE PPO - ALL PLANS PROVIDENCE PPO - ALL PLANS $193.72 ↓ -15%
TRPN - THREE RIVERS - ALL PLANS TRPN - THREE RIVERS - ALL PLANS $193.72 ↓ -15%
UHC - ALL OTHER PLANS UHC - ALL OTHER PLANS $193.72 ↓ -15%
AHP - AMERICAS HLTH PLAN - ALL PLANS AHP - AMERICAS HLTH PLAN - ALL PLANS $197.80 ↓ -13%
HUMANA - ALL PLANS HUMANA - ALL PLANS $216.16 ↓ -5%
DEVOTED MCR ADV - ALL PLANS DEVOTED MCR ADV - ALL PLANS $220.23 ↓ -3%
PACIFIC SOURCE - ALL PLANS PACIFIC SOURCE - ALL PLANS $244.70 ↑ +7%
REGENCE BCBS - ALL OTHER PLANS REGENCE BCBS - ALL OTHER PLANS $650.16 ↑ +185%

Visitor-reported prices

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Ropivacaine 0.2 % epidural pca - 1 hour dose limit at other Oregon hospitals

Hospital City Cash price Negotiated range
Sunnyside Medical Center CLACKAMAS $432.65 $0.06 – $0.06
Westside Medical Center HILLSBORO $432.65 $0.06 – $0.06
Providence Hood River Memorial Hospital Hood River $71.09 not published
Providence Medford Medical Center Medford $71.09 not published
Providence Newberg Medical Center Newberg $71.09 $0.07 – $0.07
Providence Seaside Hospital Seaside $71.09 not published
Providence Willamette Falls Medical Center Oregon City $71.09 $0.07 – $0.21
Providence Milwaukie Hospital Milwaukie $71.09 $0.07 – $0.21

All Oregon hospitals for this procedure →