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 |
|---|---|---|---|---|
| Device intraute mirena HCPCS J7298 | $2,918.95 | $6,081.15 | $6,446.02 – $19,388.53 | 4 |
| Dev interrog remote 1/2/mlt CPT 93295 | $55.20 | $115.00 | $35.54 – $115.00 | 24 |
| Dev tst admin phys/qhp ea addl 30 min CPT 96113 | $543.36 | $1,132.00 | $44.77 – $191.00 | 24 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $70.21 | $146.28 | $9.24 – $30.00 | 24 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $244.80 | $510.00 | $336.02 – $1,010.69 | 4 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $63.26 | $131.79 | $125.50 – $377.49 | 4 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $19.01 | $39.60 | $41.98 – $126.26 | 4 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | $12.38 | $25.80 | $27.35 – $82.26 | 4 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $88.02 | $183.38 | $22.23 – $584.67 | 14 |
| Diabetes (HbA1c) Test CPT 83036 | $38.67 | $80.56 | $3.11 – $256.85 | 21 |
| Diab manage trn ind/group HCPCS G0109 | $29.51 | $61.48 | $15.90 – $58.00 | 22 |
| Diag laparo separate proc 49320 CPT 49320 | $505.92 | $1,054.00 | $303.67 – $1,054.00 | 24 |
| Diagnostic anoscopy spx 46600 CPT 46600 | $307.68 | $641.00 | $39.54 – $376.00 | 24 |
| Diagnostic digital breast tomosynthesis bil CPT 77062 | $71.52 | $149.00 | $58.00 – $361.62 | 6 |
| Diagnostic digital breast tomosynthesis unil CPT 77061 | $58.08 | $121.00 | $58.00 – $361.62 | 6 |
| Diagnostic laryngoscopy 31505 CPT 31505 | $321.12 | $669.00 | $43.97 – $287.00 | 24 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $197.76 | $412.00 | $59.73 – $412.00 | 24 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $322.56 | $672.00 | $45.79 – $149.00 | 24 |
| Diagnostic Mammogram (one breast) CPT 77065 | $78.86 | $164.30 | $37.21 – $121.00 | 24 |
| Diagnostic radio unlisted proc CPT 76499 | $349.92 | $729.00 | $58.00 – $729.00 | 5 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | $81.60 | $170.00 | $171.72 – $516.50 | 4 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $106.55 | $221.98 | $235.30 – $707.74 | 4 |
| Diffusing capacity CPT 94729 | $203.52 | $424.00 | $9.24 – $117.25 | 24 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $18.19 | $37.90 | $40.17 – $120.84 | 4 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | $10,608.86 | $22,101.80 | $5,166.99 – $70,467.17 | 14 |
| Digoxin total therapeutic drug level CPT 80162 | $54.44 | $113.42 | $13.28 – $361.62 | 14 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | $338.02 | $704.21 | $746.46 – $2,245.23 | 4 |
| Dilate urethra stricture CPT 53600 | $135.36 | $282.00 | $54.58 – $282.00 | 24 |
| Dilate urethra stricture CPT 53605 | $96.48 | $201.00 | $54.16 – $201.00 | 24 |
| Dilate urethra stricture CPT 53621 | $249.12 | $519.00 | $62.05 – $519.00 | 24 |
| Dilation/female urethra/initial 53660 CPT 53660 | $116.64 | $243.00 | $36.57 – $243.00 | 24 |
| Dilation of anal sphincter CPT 45905 | $2,019.84 | $4,208.00 | $164.53 – $4,208.00 | 24 |
| Dilation of cervical canal 57800 CPT 57800 | $120.00 | $250.00 | $41.98 – $250.00 | 24 |
| Dilation of urethra CPT 53661 | $114.72 | $239.00 | $35.24 – $239.00 | 24 |
| Dilation of vagina CPT 57400 | $199.20 | $415.00 | $111.58 – $415.00 | 24 |
| Dilation salivary duct 42650 CPT 42650 | $114.72 | $239.00 | $52.25 – $239.00 | 24 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | $259.68 | $541.00 | $75.10 – $541.00 | 24 |
| Diphenhydramine 12.5 mg/5 ml oral elixir HCPCS Q0163 | $2.00 | $4.17 | $1.88 – $5.64 | 3 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $73.39 | $152.90 | $162.07 – $487.49 | 4 |
| Diphtheria-tetanus toxoids 0.5 ml (peds) CPT 90702 | $26.88 | $56.00 | $29.12 – $58.00 | 5 |
| Disability dlco CPT 94727 | $344.64 | $718.00 | $11.91 – $478.09 | 24 |
| Disaccharidases CPT 82657 | $212.17 | $442.02 | $48.49 – $442.02 | 9 |
| Dis site tele svcs rhc/fqhc HCPCS G2025 | $124.32 | $259.00 | $58.00 – $259.00 | 9 |
| Diverticulectomy/hypophar/esoph 43130 CPT 43130 | $1,216.80 | $2,535.00 | $691.49 – $2,535.00 | 24 |
| Division of fallopian tube 58605 CPT 58605 | $519.84 | $1,083.00 | $292.85 – $1,083.00 | 24 |
| Dna antibody native/double stranded CPT 86225 | $68.69 | $143.10 | $13.74 – $456.25 | 14 |
| Dna gardnerella CPT 87510 | $39.41 | $82.10 | $16.46 – $261.76 | 14 |
| Dna trichomonas CPT 87660 | $39.41 | $82.10 | $16.46 – $261.76 | 14 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $105.60 | $220.00 | $139.85 – $420.63 | 4 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | $4,468.49 | $9,309.36 | $568.16 – $1,708.93 | 4 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $47.40 | $98.75 | $104.68 – $314.84 | 4 |
| Doppler echo complete CPT 93320 | $353.76 | $737.00 | $17.25 – $95.03 | 24 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $199.20 | $415.00 | $20.76 – $478.09 | 24 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $125.76 | $262.00 | $11.38 – $294.61 | 24 |
| Dornase alfa non-comp unit HCPCS J7639 | $324.90 | $676.88 | $717.49 – $2,158.10 | 4 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | $115.20 | $240.00 | $149.04 – $448.28 | 4 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | $3,281.28 | $6,836.00 | $71.86 – $21,795.22 | 14 |
| Dpyd gene common variants CPT 81232 | $344.16 | $717.00 | $48.49 – $1,253.39 | 9 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | $1,317.60 | $2,745.00 | $114.03 – $2,745.00 | 24 |
| Drainage ext aud canal abscess 69020 CPT 69020 | $357.12 | $744.00 | $130.55 – $744.00 | 24 |
| Drainage external ear complex 69005 CPT 69005 | $337.44 | $703.00 | $142.76 – $703.00 | 24 |
| Drainage external ear simple 69000 CPT 69000 | $1,184.64 | $2,468.00 | $115.05 – $596.00 | 24 |
| Drainage of arm bursa 23931 CPT 23931 | $2,811.36 | $5,857.00 | $154.83 – $971.00 | 24 |
| Drainage of forearm bursa CPT 25031 | $577.92 | $1,204.00 | $354.46 – $1,204.00 | 24 |
| Drainage of kidney lesion CPT 50390 | $1,198.56 | $2,497.00 | $78.71 – $293.00 | 24 |
| Drainage of mouth lesion CPT 41005 | $348.96 | $727.00 | $110.05 – $727.00 | 24 |
| Drainage of mouth lesion CPT 41008 | $601.44 | $1,253.00 | $239.50 – $1,253.00 | 24 |
| Drainage of mouth lesion CPT 41017 | $710.88 | $1,481.00 | $315.20 – $1,481.00 | 24 |
| Drainage of nose lesion int 30000 CPT 30000 | $406.56 | $847.00 | $108.25 – $847.00 | 24 |
| Drainage of nose lesion sept 30020 CPT 30020 | $995.52 | $2,074.00 | $109.25 – $863.00 | 24 |
| Drainage of pelvis lesion 26990 CPT 26990 | $5,361.60 | $11,170.00 | $642.62 – $2,193.00 | 24 |
| Drainage of prostate abscess CPT 55720 | $691.20 | $1,440.00 | $404.93 – $1,440.00 | 24 |
| Drainage of rectal abscess 45020 CPT 45020 | $871.68 | $1,816.00 | $534.74 – $1,816.00 | 24 |
| Drain blood from under nail 11740 CPT 11740 | $214.71 | $447.32 | $31.03 – $185.00 | 24 |
| Drain cath image guided visceral pq CPT 49405 | $1,019.04 | $2,123.00 | $162.41 – $2,123.00 | 24 |
| Drain cerebro spinal fluid 62272 CPT 62272 | $459.36 | $957.00 | $80.11 – $590.00 | 24 |
| Drain finger abscess;simple 26010 CPT 26010 | $527.52 | $1,099.00 | $141.85 – $1,099.00 | 24 |
| Drain lower leg bursa CPT 27604 | $690.72 | $1,439.00 | $307.95 – $1,439.00 | 24 |
| Drain lower leg lesion 27603 CPT 27603 | $806.40 | $1,680.00 | $361.61 – $1,680.00 | 24 |
| Drain neck/chest lesion 21501 CPT 21501 | $751.68 | $1,566.00 | $318.75 – $1,566.00 | 24 |
| Drain ovarn cyst abd CPT 58805 | $660.48 | $1,376.00 | $369.65 – $1,376.00 | 24 |
| Drain penis lesion CPT 54015 | $464.16 | $967.00 | $270.36 – $967.00 | 24 |
| Drain shoulder lesion CPT 23030 | $674.88 | $1,406.00 | $236.45 – $1,406.00 | 24 |
| Drain thigh/knee lesion 27301 CPT 27301 | $4,751.52 | $9,899.00 | $469.83 – $2,165.00 | 24 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $345.60 | $720.00 | $99.05 – $503.00 | 24 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $345.60 | $720.00 | $53.14 – $275.00 | 24 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $642.24 | $1,338.00 | $118.49 – $630.00 | 24 |
| Dressing change not for burn w/anes 15852 CPT 15852 | $67.68 | $141.00 | $37.53 – $141.00 | 24 |
| Drm agrft f/s/n/h/f/g/m ea CPT 15136 | $2,925.12 | $6,094.00 | $72.50 – $6,094.00 | 24 |
| Drm agrft t/a/l ea addl CPT 15131 | $1,594.08 | $3,321.00 | $72.50 – $3,321.00 | 24 |
| Drng hand tendon sheath 26020 CPT 26020 | $865.92 | $1,804.00 | $518.02 – $1,804.00 | 24 |
| Drng of eyelid abscess 67700 CPT 67700 | $431.52 | $899.00 | $101.24 – $899.00 | 24 |
| Drng of finger abscess comp 26011 CPT 26011 | $729.12 | $1,519.00 | $177.72 – $1,519.00 | 24 |
| Drng of hydrocele 55000 CPT 55000 | $184.32 | $384.00 | $75.27 – $384.00 | 24 |
| Drng of mouth lesion 40801 CPT 40801 | $446.40 | $930.00 | $185.64 – $930.00 | 24 |
| Drng of palm multi bursas 26030 CPT 26030 | $765.60 | $1,595.00 | $453.25 – $1,595.00 | 24 |
| Drng of scrotum abscess 55100 CPT 55100 | $2,755.20 | $5,740.00 | $159.94 – $740.00 | 24 |
| Drng open retroperitoneal abscess 49060 CPT 49060 | $1,669.44 | $3,478.00 | $982.89 – $3,478.00 | 24 |
| Drng peritoneal abscess open 49020 CPT 49020 | $2,431.68 | $5,066.00 | $1,423.49 – $5,066.00 | 24 |
| Drng salivary gland submax/subling 42310 CPT 42310 | $262.08 | $546.00 | $125.47 – $546.00 | 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.