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 |
|---|---|---|---|---|
| Dronabinol 2.5mg oral HCPCS Q0167 | $856.92 | $1,785.26 | $1,892.38 – $5,691.94 | 4 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $29.35 | $61.15 | $64.82 – $194.96 | 4 |
| Drug assay vedolizumab CPT 80280 | $73.59 | $153.32 | $48.49 – $153.32 | 9 |
| Drug of abuse screen urine CPT 80305 | $19.68 | $41.00 | $3.61 – $58.00 | 9 |
| Drug screening tapentadol CPT 80372 | $224.88 | $468.50 | $48.49 – $468.50 | 5 |
| Drug test def 1-7 classes HCPCS G0480 | $177.60 | $370.00 | $58.00 – $370.00 | 5 |
| Drug test def 22+ classes HCPCS G0483 | $471.36 | $982.00 | $58.00 – $982.00 | 5 |
| Drug test prsmv instrmnt CPT 80306 | $33.69 | $70.18 | $12.03 – $223.75 | 14 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $121.60 | $253.34 | $15.81 – $111.85 | 21 |
| Drvvt confirm - quest CPT 85597 | $23.40 | $48.76 | $8.77 – $155.46 | 14 |
| Dstr mal ls f/e/e/n/l/m2.1-3 CPT 17283 | $372.96 | $777.00 | $138.29 – $777.00 | 24 |
| Dstr mal ls f/e/e/n/l/m3.1-4 CPT 17284 | $423.36 | $882.00 | $161.86 – $882.00 | 24 |
| Ductogram sgl duct CPT 77053 | $201.48 | $419.76 | $16.48 – $55.00 | 24 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $220.31 | $458.98 | $21.67 – $231.50 | 24 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $466.56 | $972.00 | $36.35 – $528.31 | 24 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | $8,132.06 | $16,941.80 | $86.15 – $54,015.54 | 14 |
| Dxa bone density axl vrt fx CPT 77085 | $104.81 | $218.36 | $14.15 – $45.00 | 24 |
| Dx bronchoscope/brush 31623 CPT 31623 | $418.08 | $871.00 | $116.76 – $871.00 | 24 |
| Dx bronchoscope/lavage 31624 CPT 31624 | $2,811.36 | $5,857.00 | $118.42 – $810.00 | 24 |
| Dx bronchoscope/wash 31622 CPT 31622 | $380.64 | $793.00 | $117.16 – $793.00 | 24 |
| Dx dark adaptation exam i&r CPT 92284 | $57.12 | $119.00 | $13.58 – $989.15 | 24 |
| Ear irrigation 69209 CPT 69209 | $114.48 | $238.50 | $16.87 – $51.00 | 24 |
| Ecallantide injection HCPCS J1290 | $41,091.20 | $85,606.66 | $578.75 – $272,939.71 | 14 |
| Ecg 12 lead tracing only CPT 93005 | $166.89 | $347.68 | $6.89 – $276.00 | 24 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | $82.43 | $171.72 | $7.68 – $171.72 | 24 |
| Ecg external < 48 hours recording CPT 93225 | $639.36 | $1,332.00 | $158.39 – $4,246.82 | 13 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | $217.26 | $452.62 | $44.46 – $1,443.09 | 13 |
| Ecg external >7 days up to 15 days recording CPT 93246 | $217.26 | $452.62 | $11.55 – $82.70 | 23 |
| Ecg record/review CPT 93268 | $267.36 | $557.00 | $58.00 – $557.00 | 24 |
| Ecg/review interpret only CPT 93272 | $36.48 | $76.00 | $23.49 – $76.00 | 24 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $1,414.08 | $2,946.00 | $58.00 – $1,209.89 | 24 |
| Echocardiography doppler color flow mapping CPT 93325 | $388.80 | $810.00 | $3.34 – $58.00 | 24 |
| Echocardiography transthoracic 2d followup/limited CPT 93308 | $788.64 | $1,643.00 | $24.49 – $528.31 | 24 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $353.76 | $737.00 | $7.24 – $58.00 | 24 |
| Echo exam uterus 76831- CPT 76831 | $52.32 | $109.00 | $34.30 – $109.00 | 24 |
| Echograp trans r pros study CPT 76873 | $268.32 | $559.00 | $75.46 – $559.00 | 24 |
| Echo guidance radiotherapy CPT 76965 | $101.76 | $212.00 | $67.22 – $212.00 | 24 |
| Echo guide cardiocentesis CPT 76930 | $223.36 | $465.34 | $46.00 – $465.34 | 8 |
| Echo guide for amniocentesis CPT 76946 | $230.49 | $480.18 | $18.15 – $58.00 | 24 |
| Echo stress CPT 93350 | $1,414.08 | $2,946.00 | $58.00 – $1,209.89 | 24 |
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | $1,697.28 | $3,536.00 | $58.00 – $1,209.89 | 24 |
| Echo transesophageal CPT 93315 | $1,414.08 | $2,946.00 | $58.00 – $2,119.00 | 24 |
| Echo transesophageal intraop CPT 93318 | $1,414.08 | $2,946.00 | $58.00 – $1,209.89 | 24 |
| Echo transthoracic CPT 93303 | $1,414.08 | $2,946.00 | $58.00 – $1,209.89 | 24 |
| Echo transthoracic CPT 93304 | $1,414.08 | $2,946.00 | $34.50 – $1,209.89 | 24 |
| Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307 | $1,414.08 | $2,946.00 | $42.74 – $528.31 | 24 |
| Ed svc ckd grp per session HCPCS G0421 | $35.04 | $73.00 | $27.05 – $73.00 | 22 |
| Ed svc ckd ind per session HCPCS G0420 | $138.72 | $289.00 | $58.00 – $289.00 | 22 |
| Eeg 41-60 minutes 95812-26 CPT 95812 | $85.44 | $178.00 | $57.87 – $478.09 | 24 |
| Eeg monitor/record/awake/drowsy 95816 CPT 95816 | $498.24 | $1,038.00 | $55.87 – $478.09 | 24 |
| Eeg over 1 hour 95813 - 26 CPT 95813 | $128.64 | $268.00 | $58.00 – $478.09 | 24 |
| Eeg phys/qhp 2-12 hr without vid CPT 95717 | $162.24 | $338.00 | $58.00 – $338.00 | 24 |
| Eeg recording awake and asleep CPT 95819 | $573.12 | $1,194.00 | $56.21 – $478.09 | 24 |
| E equine encephalitis igg CPT 86652 | $25.92 | $54.00 | $7.12 – $172.17 | 14 |
| Egd balloon dil esoph30 mm/> CPT 43233 | $344.64 | $718.00 | $197.73 – $718.00 | 24 |
| Egd control bleeding any CPT 43255 | $3,032.64 | $6,318.00 | $172.96 – $1,981.00 | 24 |
| Egd dilate stricture CPT 43245 | $901.92 | $1,879.00 | $152.65 – $1,879.00 | 24 |
| Egd endo mucosal resection CPT 43254 | $3,032.64 | $6,318.00 | $231.31 – $843.00 | 24 |
| Egd guide wire insertion CPT 43248 | $735.84 | $1,533.00 | $144.43 – $1,313.00 | 24 |
| Egd/insert intraluminal tube/cath 43241 CPT 43241 | $214.56 | $447.00 | $123.80 – $447.00 | 24 |
| Egd remove foreign body CPT 43247 | $1,144.80 | $2,385.00 | $153.37 – $1,218.00 | 24 |
| Egd remove lesion snare CPT 43251 | $1,415.04 | $2,948.00 | $168.96 – $1,568.00 | 24 |
| Egd/remov tum/polyp/hot bx forcep 43250 CPT 43250 | $1,415.04 | $2,948.00 | $148.31 – $1,426.00 | 24 |
| Egd Ultrasound fine needle bx/aspir CPT 43242 | $3,193.92 | $6,654.00 | $224.70 – $6,654.00 | 24 |
| Egfr gene com variants CPT 81235 | $603.84 | $1,258.00 | $48.49 – $4,083.22 | 9 |
| EKG (Electrocardiogram) CPT 93000 | $22.08 | $46.00 | $15.13 – $58.00 | 24 |
| EKG for initial prevent exam g0403 HCPCS G0403 | $18.72 | $39.00 | $15.13 – $58.00 | 22 |
| Elbow arthroscopy/surgery CPT 29834 | $762.72 | $1,589.00 | $455.25 – $1,589.00 | 24 |
| Elbow arthroscopy/surgery CPT 29836 | $905.76 | $1,887.00 | $532.73 – $1,887.00 | 24 |
| Elbow arthroscopy/surgery CPT 29838 | $922.56 | $1,922.00 | $542.18 – $1,922.00 | 24 |
| Electrical stimulation/unattended 97014 CPT 97014 | $41.21 | $85.86 | $92.73 – $273.75 | 2 |
| Electrolyte panel CPT 80051 | $22.90 | $47.70 | $3.34 – $58.00 | 9 |
| Elotuzumab 300 mg intravenous solution HCPCS J9176 | $4,417.27 | $9,202.64 | $8.04 – $29,340.78 | 14 |
| Emb w/colposcopy 58110 CPT 58110 | $77.28 | $161.00 | $33.99 – $161.00 | 24 |
| Emb without cervical dilation 58100 CPT 58100 | $156.00 | $325.00 | $52.99 – $325.00 | 24 |
| Emg 2 ext w-w/o paraspinal area 95861 CPT 95861 | $267.36 | $557.00 | $58.00 – $557.00 | 24 |
| Emg 3 ext w-w/o paraspinal area 95863 CPT 95863 | $335.04 | $698.00 | $58.00 – $698.00 | 24 |
| Emg cranial nerve bilateral CPT 95868 | $645.12 | $1,344.00 | $58.00 – $1,344.00 | 24 |
| Emg needle test 1-extremity CPT 95860 | $267.36 | $557.00 | $50.97 – $557.00 | 24 |
| Emg needle test 4-extremities CPT 95864 | $335.04 | $698.00 | $58.00 – $698.00 | 24 |
| Emg thor paraspinal without t1/t2 CPT 95869 | $335.04 | $698.00 | $19.48 – $698.00 | 24 |
| Encephalitis, california igg/igm CPT 86651 | $25.92 | $54.00 | $7.12 – $172.17 | 14 |
| Encephalitis, st louis igg/igm CPT 86653 | $25.92 | $54.00 | $7.12 – $172.17 | 14 |
| Encephalitis, western equine igg/igm CPT 86654 | $25.92 | $54.00 | $7.12 – $172.17 | 14 |
| Endo abl/incom vein/ext/rad fre/#1 36475 CPT 36475 | $1,613.76 | $3,362.00 | $234.95 – $3,362.00 | 24 |
| Endo cath bile duct s&i CPT 74328 | $697.92 | $1,454.00 | $23.82 – $73.00 | 24 |
| Endocerv curettage w/scope 57456 CPT 57456 | $234.72 | $489.00 | $85.83 – $489.00 | 24 |
| Endocervical curettage 57505 CPT 57505 | $239.04 | $498.00 | $97.24 – $498.00 | 24 |
| Endome abla/them without hystero guide 58353 CPT 58353 | $1,406.40 | $2,930.00 | $197.43 – $2,930.00 | 24 |
| Endometrial cryoablation w/us 58356 CPT 58356 | $2,539.20 | $5,290.00 | $294.47 – $5,290.00 | 24 |
| Endoscopic injection/implant CPT 51715 | $564.96 | $1,177.00 | $170.95 – $1,177.00 | 24 |
| Endoscopy maxillary sinus CPT 31267 | $403.20 | $840.00 | $217.37 – $840.00 | 24 |
| Endoscopy of bowel pouch 44385 CPT 44385 | $330.24 | $688.00 | $65.69 – $688.00 | 24 |
| Endoscopy of ureter CPT 50953 | $609.60 | $1,270.00 | $279.51 – $1,270.00 | 24 |
| Endoscpy nsl/sns w/cntrl nsl hmrrgh CPT 31238 | $1,083.84 | $2,258.00 | $140.25 – $800.00 | 24 |
| Endovenous rf abl vein addl CPT 36476 | $425.28 | $886.00 | $111.87 – $886.00 | 24 |
| Enfortumab vedotin-ejfv 20 mg intravenous solution HCPCS J9177 | $5,441.28 | $11,336.00 | $36.71 – $36,142.57 | 14 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | $182.45 | $380.11 | $71.71 – $215.69 | 4 |
| Entamoeba histolytica ag eia - sendout CPT 87337 | $23.55 | $49.06 | $5.88 – $58.00 | 9 |
| Enterectomy small intestine addl 44121 CPT 44121 | $363.84 | $758.00 | $205.68 – $758.00 | 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.