MID-COLUMBIA MEDICAL CENTER
1700 E 19th St, The Dalles, OR · Adventisthealth · · NPI 1851369409
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $52.92 | $110.24 | $16.85 – $351.48 | 14 |
| Cyto/molecular report CPT 88291 | $271.68 | $566.00 | $32.81 – $566.00 | 21 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $88.02 | $183.38 | $25.92 – $115.39 | 21 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | $54.44 | $113.42 | $26.61 – $361.62 | 13 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $62.58 | $130.38 | $20.26 – $415.69 | 13 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $100.74 | $209.88 | $21.25 – $82.70 | 21 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $72.25 | $150.52 | $26.59 – $85.00 | 21 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $63.60 | $132.50 | $20.25 – $67.00 | 21 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $144.50 | $301.04 | $32.93 – $377.25 | 21 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $103.20 | $215.00 | $48.49 – $215.00 | 21 |
| Cytopath smear other source CPT 88160 | $37.92 | $79.00 | $23.92 – $64.04 | 21 |
| Cytopath smear other source CPT 88162 | $141.45 | $294.68 | $36.60 – $121.00 | 21 |
| Cytopath smear oth prep screen & interp CPT 88161 | $77.34 | $161.12 | $23.92 – $78.00 | 21 |
| Cytopath tbs c/v manual CPT 88164 | $34.60 | $72.08 | $13.36 – $72.08 | 9 |
| Dacarbazine 100 mg intravenous solution HCPCS J9130 | $111.07 | $231.40 | $245.28 – $737.77 | 4 |
| Dactinomycin 0.5 mg intravenous solution HCPCS J9120 | $5,248.40 | $10,934.16 | $337.67 – $34,861.38 | 14 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $1,031.64 | $2,149.26 | $2,278.22 – $6,852.49 | 4 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | $20,345.98 | $42,387.46 | $55.03 – $135,143.94 | 14 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | $9,291.84 | $19,358.00 | $3.07 – $3,110.19 | 14 |
| D&c after delivery 59160 CPT 59160 | $421.44 | $878.00 | $158.85 – $878.00 | 24 |
| D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 | $459.36 | $957.00 | $203.03 – $957.00 | 24 |
| Dch validity tests CPT 81002 | $13.74 | $28.62 | $0.42 – $58.00 | 9 |
| Dcmprn plantar digital nerve CPT 64726 | $413.76 | $862.00 | $112.96 – $536.25 | 24 |
| Deamidated gliadin antibody iga CPT 86258 | $22.00 | $45.83 | $5.52 – $146.12 | 14 |
| Debr g/per/abd wall 11006 CPT 11006 | $1,056.48 | $2,201.00 | $595.54 – $2,201.00 | 24 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | $997.44 | $2,078.00 | $23.87 – $189.00 | 24 |
| Debridement (>20 cm) charge pt CPT 97598 | $96.67 | $201.40 | $21.10 – $144.00 | 24 |
| Debridement bone <= 20 sq cm CPT 11044 | $2,755.20 | $5,740.00 | $194.54 – $992.00 | 24 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | $111.84 | $233.00 | $45.85 – $233.00 | 24 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | $184.32 | $384.00 | $81.64 – $384.00 | 24 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $679.68 | $1,416.00 | $54.42 – $414.00 | 24 |
| Debride nail1-5 11720 CPT 11720 | $114.48 | $238.50 | $12.39 – $105.00 | 24 |
| Debride nail6 or more 11721 CPT 11721 | $68.64 | $143.00 | $20.87 – $143.00 | 24 |
| Debride/rmv fb/open fx/skin/sq/musc11011 CPT 11011 | $764.16 | $1,592.00 | $255.16 – $1,592.00 | 24 |
| Debride skin bone at fx site CPT 11012 | $994.56 | $2,072.00 | $348.93 – $2,072.00 | 24 |
| Debride skn/sq/musc/abd wall 11004 CPT 11004 | $857.28 | $1,786.00 | $483.33 – $1,786.00 | 24 |
| Debride skn/sq t/m/f necro infctj abdl wall 11005 CPT 11005 | $1,167.84 | $2,433.00 | $658.05 – $2,433.00 | 24 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | $679.68 | $1,416.00 | $21.34 – $128.00 | 24 |
| Debrid mastoidectomy cavity simple 69220 CPT 69220 | $120.48 | $251.00 | $43.18 – $251.00 | 24 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | $1,184.64 | $2,468.00 | $241.71 – $1,425.00 | 24 |
| Debr inf skin add-on 11001 CPT 11001 | $41.76 | $87.00 | $12.39 – $87.00 | 24 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $355.68 | $741.00 | $133.97 – $741.00 | 24 |
| Decalcification CPT 88311 | $31.04 | $64.66 | $11.24 – $58.00 | 21 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $263.04 | $548.00 | $393.21 – $1,747.19 | 13 |
| Decomp fasct leg ant+/lat+pst cmprt 27602 CPT 27602 | $726.72 | $1,514.00 | $424.74 – $1,514.00 | 24 |
| Decomp forearm 1 space 25020 CPT 25020 | $1,140.96 | $2,377.00 | $708.54 – $2,377.00 | 24 |
| Decompress fasciotomyhand 26037 CPT 26037 | $871.68 | $1,816.00 | $511.85 – $1,816.00 | 24 |
| Decompression of leg CPT 27892 | $825.12 | $1,719.00 | $501.06 – $1,719.00 | 24 |
| Decompression of leg CPT 27894 | $1,247.52 | $2,599.00 | $728.52 – $2,599.00 | 24 |
| Decompression of lower leg CPT 27600 | $613.92 | $1,279.00 | $363.10 – $1,279.00 | 24 |
| Decompression of thigh/knee CPT 27498 | $1,020.48 | $2,126.00 | $606.04 – $2,126.00 | 24 |
| Decompression of tibia nerve CPT 28035 | $807.84 | $1,683.00 | $336.54 – $1,683.00 | 24 |
| Decompression unspecified nerve 64722 CPT 64722 | $575.04 | $1,198.00 | $361.36 – $1,198.00 | 24 |
| Deep muscle biopsy 20205 CPT 20205 | $465.60 | $970.00 | $140.32 – $970.00 | 24 |
| Deferoxamine 500 mg solution for injection HCPCS J0895 | $124.67 | $259.72 | $275.30 – $828.07 | 4 |
| Degarelix 120 mg subcutaneous solution HCPCS J9155 | $1,176.12 | $2,450.25 | $4.46 – $7,812.13 | 14 |
| Delayed breast prosthesis 19342 CPT 19342 | $1,166.88 | $2,431.00 | $674.30 – $2,431.00 | 24 |
| Delay flap arms/legs CPT 15610 | $3,189.12 | $6,644.00 | $230.75 – $6,644.00 | 24 |
| Delay flap eye/nos/ear/lip CPT 15630 | $3,189.12 | $6,644.00 | $305.30 – $6,644.00 | 24 |
| Delay flap fccnaxghf 15620 CPT 15620 | $3,189.12 | $6,644.00 | $298.21 – $6,644.00 | 24 |
| Delay flap trunk 15600 CPT 15600 | $5,850.72 | $12,189.00 | $208.55 – $12,189.00 | 24 |
| Delivery of placenta 59414 CPT 59414 | $4,909.44 | $10,228.00 | $77.16 – $289.00 | 24 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $194.87 | $405.98 | $19.76 – $484.86 | 24 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | $8,283.22 | $17,256.71 | $29.51 – $29,922.67 | 14 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | $445.92 | $929.00 | $158.39 – $929.00 | 24 |
| Depo-estradiol cypionate inj HCPCS J1000 | $539.83 | $1,124.65 | $1,192.13 – $3,585.72 | 4 |
| Derm autograft face/nck/hf/g CPT 15135 | $5,850.72 | $12,189.00 | $657.01 – $12,189.00 | 24 |
| Derm autograft trnk/arm/leg CPT 15130 | $3,189.12 | $6,644.00 | $536.01 – $6,644.00 | 24 |
| Design mlc device for imrt CPT 77338 | $907.20 | $1,890.00 | $223.02 – $712.00 | 24 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | $1,362.20 | $2,837.92 | $3,008.20 – $9,048.14 | 4 |
| Dest mal lesion feenlm <0.5cm 17280 CPT 17280 | $216.48 | $451.00 | $73.17 – $451.00 | 24 |
| Dest mal lesion feenlm 0.6-1cm 17281 CPT 17281 | $276.48 | $576.00 | $97.70 – $576.00 | 24 |
| Dest mal lesion feenlm 1.1 - 2.0 cm 17282 CPT 17282 | $315.84 | $658.00 | $111.76 – $658.00 | 24 |
| Dest mal lesion snhfg <0.5cm 17270 CPT 17270 | $230.40 | $480.00 | $79.75 – $480.00 | 24 |
| Dest mal lesion snhfg 0.6-1cm 17271 CPT 17271 | $255.84 | $533.00 | $87.56 – $533.00 | 24 |
| Dest mal lesion snhfg 1.1-2cm 17272 CPT 17272 | $289.92 | $604.00 | $99.61 – $604.00 | 24 |
| Dest mal lesion tal <0.5 17260 CPT 17260 | $153.60 | $320.00 | $58.23 – $320.00 | 24 |
| Dest mal lesion tal 0.6-1.0cm 17261 CPT 17261 | $228.00 | $475.00 | $73.17 – $475.00 | 24 |
| Dest mal lesion tal 1.1-2.0cm 17262 CPT 17262 | $274.08 | $571.00 | $91.46 – $571.00 | 24 |
| Dest mal lesion tal 2.1-3.0cm 17263 CPT 17263 | $296.16 | $617.00 | $100.61 – $617.00 | 24 |
| Destroy premlg lesns;1st lesn 17000 CPT 17000 | $104.16 | $217.00 | $47.06 – $217.00 | 24 |
| Destroy vulva lesion extensive 56515 CPT 56515 | $427.20 | $890.00 | $184.70 – $890.00 | 24 |
| Destroy vulva lesion simple 56501 CPT 56501 | $296.16 | $617.00 | $117.19 – $617.00 | 24 |
| Destruct ben lesion 15/> 17111 CPT 17111 | $204.48 | $426.00 | $72.86 – $426.00 | 24 |
| Destruction 2-14 lesions 17003 CPT 17003 | $10.56 | $22.00 | $1.67 – $22.00 | 24 |
| Destruction anal lesion(s) CPT 46910 | $405.60 | $845.00 | $126.72 – $845.00 | 24 |
| Destruction anal lesion(s) CPT 46924 | $850.08 | $1,771.00 | $167.48 – $1,771.00 | 24 |
| Destruction benign lesions < 14 lesions CPT 17110 | $174.72 | $364.00 | $61.62 – $364.00 | 24 |
| Destruction cryosurgery anal lesion(s) simpl 46916 CPT 46916 | $400.32 | $834.00 | $120.05 – $834.00 | 24 |
| Destruction mal lsn s/n/h/f/g 2.1-3cm CPT 17273 | $321.12 | $669.00 | $112.42 – $669.00 | 24 |
| Destruction mal lsn t/a/l 3.1-4cm CPT 17264 | $317.76 | $662.00 | $107.18 – $662.00 | 24 |
| Destruction mal lsn t/a/l >4cm CPT 17266 | $360.96 | $752.00 | $125.14 – $752.00 | 24 |
| Destruction penis lesion(s) chem 54050 CPT 54050 | $222.72 | $464.00 | $95.27 – $464.00 | 24 |
| Destruction penis lesion(s) exten 54065 CPT 54065 | $342.24 | $713.00 | $147.91 – $713.00 | 24 |
| Destruction premal lesions 15/> 17004 CPT 17004 | $256.80 | $535.00 | $81.41 – $535.00 | 24 |
| Destruction vag lesions complex 57065 CPT 57065 | $380.16 | $792.00 | $161.28 – $792.00 | 24 |
| Destruction vag lesions simple 57061 CPT 57061 | $258.24 | $538.00 | $103.14 – $538.00 | 24 |
| Destruct penis les/smp/electrodesi 54055 CPT 54055 | $212.64 | $443.00 | $85.29 – $443.00 | 24 |
| Developmental screen/score/document 96110 CPT 96110 | $131.27 | $273.48 | $13.44 – $58.00 | 9 |
| Devel tst phys/qhp 1st hr CPT 96112 | $272.16 | $567.00 | $58.00 – $395.00 | 24 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.