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 |
|---|---|---|---|---|
| Enterectomy small intestine single 44120 CPT 44120 | $1,861.92 | $3,879.00 | $1,084.55 – $3,879.00 | 24 |
| Enteroenterostomy fusion 44130 CPT 44130 | $2,005.92 | $4,179.00 | $1,176.52 – $4,179.00 | 24 |
| Enterorrhaphy 1perforation 44602 CPT 44602 | $2,137.92 | $4,454.00 | $1,229.62 – $4,454.00 | 24 |
| Enterorrhaphy multiple perforations 44603 CPT 44603 | $2,456.16 | $5,117.00 | $1,416.89 – $5,117.00 | 24 |
| Envrn ivntj med mgmt psyc pt CPT 90882 | $105.12 | $219.00 | $58.00 – $219.00 | 4 |
| Ep & ablate supravent arrhyt CPT 93653 | $1,242.72 | $2,589.00 | $58.00 – $57,875.02 | 24 |
| Ep & ablate ventric tachy CPT 93654 | $1,497.12 | $3,119.00 | $58.00 – $57,875.02 | 24 |
| Epidrm a-grft face/nck/hf/g 15115 CPT 15115 | $3,189.12 | $6,644.00 | $631.16 – $6,644.00 | 24 |
| Epidrm a-grft f/n/hf/g addl CPT 15116 | $1,594.08 | $3,321.00 | $116.94 – $3,321.00 | 24 |
| Epidrm agrft t/a/l 1st 100 CPT 15110 | $3,189.12 | $6,644.00 | $648.67 – $6,644.00 | 24 |
| Epidrm autogrft t/a/l add-on CPT 15111 | $1,594.08 | $3,321.00 | $86.28 – $3,321.00 | 24 |
| Epirubicin 200 mg/100 ml intravenous solution HCPCS J9178 | $497.66 | $1,036.80 | $1,099.01 – $3,305.63 | 4 |
| Episiotomy/vag rpr oth/thn attending phys 59300 CPT 59300 | $2,822.88 | $5,881.00 | $125.95 – $738.00 | 24 |
| Epoetin alfa-epbx 40,000 unit/ml injection solution HCPCS Q5106 | $1,062.72 | $2,214.00 | $7.88 – $1,936.51 | 14 |
| Epstein barr early antigen antibody CPT 86663 | $36.12 | $75.26 | $9.87 – $239.95 | 14 |
| Epstein barr nuclear antigen antibody CPT 86664 | $55.46 | $115.54 | $15.29 – $368.38 | 14 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $72.25 | $150.52 | $18.14 – $479.90 | 14 |
| Eptifibatide 0.75 mg/ml intravenous solution HCPCS J1327 | $1,315.44 | $2,740.50 | $3.26 – $2,796.78 | 14 |
| Eptinezumab-jjmr 100 mg/ml intravenous solution HCPCS J3032 | $4,217.04 | $8,785.49 | $20.55 – $28,010.78 | 14 |
| Ercp w/specimen collection CPT 43260 | $5,892.96 | $12,277.00 | $274.47 – $12,277.00 | 24 |
| Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution HCPCS J9179 | $2,755.20 | $5,740.00 | $76.76 – $18,300.84 | 14 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $332.08 | $691.84 | $733.35 – $2,205.79 | 4 |
| ER Visit (level 1, minor) CPT 99281 | $144.50 | $301.04 | $10.72 – $186.71 | 24 |
| ER Visit (level 2) CPT 99282 | $190.80 | $397.50 | $39.30 – $339.99 | 24 |
| ER Visit (level 3) CPT 99283 | $354.24 | $738.00 | $67.45 – $604.43 | 24 |
| ER Visit (level 4) CPT 99284 | $534.24 | $1,113.00 | $114.71 – $923.92 | 24 |
| ER Visit (level 5, high severity) CPT 99285 | $1,209.60 | $2,520.00 | $166.50 – $1,318.65 | 24 |
| Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1364 | $258.71 | $538.97 | $571.31 – $1,718.40 | 4 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | $320.40 | $667.50 | $210.01 – $631.67 | 4 |
| Esophagoscopy/flex/diagnostic 43200 CPT 43200 | $1,215.36 | $2,532.00 | $77.31 – $838.00 | 24 |
| Esoph egd dilation <30 mm CPT 43249 | $1,630.56 | $3,397.00 | $133.14 – $3,397.00 | 24 |
| Esoph endoscopy dilation CPT 43226 | $2,333.76 | $4,862.00 | $113.54 – $302.50 | 24 |
| Esrd home pt serv p mo 12-19 CPT 90965 | $633.12 | $1,319.00 | $58.00 – $1,319.00 | 24 |
| Esrd home pt serv p mo 20+ CPT 90966 | $372.96 | $777.00 | $58.00 – $777.00 | 24 |
| Esrd home pt serv p mo 2-11 CPT 90964 | $659.52 | $1,374.00 | $58.00 – $1,374.00 | 24 |
| Esrd home pt serv p mo <2yrs CPT 90963 | $768.96 | $1,602.00 | $58.00 – $1,602.00 | 24 |
| Esrd serv 4 visits p mo <2yr CPT 90951 | $1,484.16 | $3,092.00 | $58.00 – $3,092.00 | 24 |
| Esrd srv 2-3 vsts p mo 12-19 CPT 90958 | $634.08 | $1,321.00 | $58.00 – $1,321.00 | 24 |
| Esrd srv 2-3 vsts p mo 20+ CPT 90961 | $372.96 | $777.00 | $58.00 – $777.00 | 24 |
| Esrd srv 2-3 vsts p mo 2-11 CPT 90955 | $661.92 | $1,379.00 | $58.00 – $1,379.00 | 24 |
| Esrd srv 4 visits p mo 20+ CPT 90960 | $448.80 | $935.00 | $58.00 – $935.00 | 24 |
| Esrd srv 4 vsts p mo 12-19 CPT 90957 | $974.40 | $2,030.00 | $58.00 – $2,030.00 | 24 |
| Esrd svc pr day pt 12-19 CPT 90969 | $21.60 | $45.00 | $17.15 – $58.00 | 24 |
| Esrd svc pr day pt <2 CPT 90967 | $22.56 | $47.00 | $18.15 – $58.00 | 24 |
| Esrd svc pr day pt 20+ CPT 90970 | $12.00 | $25.00 | $9.91 – $58.00 | 24 |
| Esrd svc pr day pt 2-11 CPT 90968 | $22.08 | $46.00 | $17.48 – $58.00 | 24 |
| Essure 58565 CPT 58565 | $2,529.60 | $5,270.00 | $391.52 – $5,270.00 | 24 |
| Established Patient Office Visit (level 1) CPT 99211 | $30.24 | $63.00 | $7.58 – $63.00 | 18 |
| Established Patient Office Visit (level 2) CPT 99212 | $72.96 | $152.00 | $30.44 – $152.00 | 18 |
| Established Patient Office Visit (level 3) CPT 99213 | $116.64 | $243.00 | $56.51 – $243.00 | 18 |
| Established Patient Office Visit (level 4) CPT 99214 | $164.64 | $343.00 | $83.05 – $343.00 | 18 |
| Established Patient Office Visit (level 5) CPT 99215 | $231.84 | $483.00 | $123.40 – $483.00 | 18 |
| Estradiol total CPT 82670 | $98.20 | $204.58 | $27.94 – $652.26 | 14 |
| Estradiol valerate 10 mg inj HCPCS J1380 | $452.81 | $943.35 | $999.95 – $3,007.68 | 4 |
| Estrogens total-sendout CPT 82672 | $153.15 | $319.06 | $21.70 – $1,017.26 | 14 |
| Ethylene glycol -sendout CPT 82693 | $53.93 | $112.36 | $16.74 – $112.36 | 9 |
| Etonogestrel implant system HCPCS J7307 | $2,477.38 | $5,161.20 | $5,470.87 – $16,455.45 | 4 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | $167.42 | $348.80 | $369.73 – $1,112.08 | 4 |
| Eval aud funcj ea addl 15 CPT 92627 | $55.46 | $115.54 | $14.02 – $115.54 | 24 |
| Eval aud rehab status/first hr 92626 CPT 92626 | $222.35 | $463.22 | $30.68 – $284.91 | 24 |
| Eval/fit voice prosthesis iii, st CPT 92607 | $240.00 | $500.00 | $121.91 – $1,594.15 | 13 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $124.15 | $258.64 | $98.11 – $824.62 | 14 |
| Evaluation of speech fluency 92521 CPT 92521 | $170.96 | $356.16 | $58.00 – $356.16 | 24 |
| Evaluation psychiatric diagnostic CPT 90791 | $221.28 | $461.00 | $58.00 – $461.00 | 24 |
| Event monitor CPT 93270 | $381.60 | $795.00 | $8.22 – $82.64 | 24 |
| Evoked oa emissions ltd CPT 92587 | $27.36 | $57.00 | $18.25 – $478.09 | 24 |
| Evoked potentials auditory screening automated analysis CPT 92650 | $443.04 | $923.00 | $46.00 – $923.00 | 8 |
| Exam of vagina w/scope 57420 CPT 57420 | $204.96 | $427.00 | $78.11 – $427.00 | 24 |
| Exam plvc w/anes othr thn lcl CPT 57410 | $162.72 | $339.00 | $93.44 – $339.00 | 24 |
| Ex arm/elbow tum deep 5 cm/> CPT 24073 | $1,067.52 | $2,224.00 | $630.01 – $2,224.00 | 24 |
| Exc abd les sc 3 cm/> CPT 22903 | $679.68 | $1,416.00 | $412.72 – $1,416.00 | 24 |
| Exc abdl tum deep < 5 cm CPT 22900 | $872.64 | $1,818.00 | $526.96 – $1,818.00 | 24 |
| Exc abdl tum deep 5 cm/> CPT 22901 | $1,025.28 | $2,136.00 | $616.21 – $2,136.00 | 24 |
| Exc arm/elbo les sc >=3cm 24071 CPT 24071 | $626.88 | $1,306.00 | $378.15 – $1,306.00 | 24 |
| Exc arm/elbo les sc <3cm 24075 CPT 24075 | $815.52 | $1,699.00 | $311.11 – $1,699.00 | 24 |
| Exc back les sbq <3 cm 21930 CPT 21930 | $775.20 | $1,615.00 | $340.14 – $1,615.00 | 24 |
| Exc back tum deep 5 cm/> CPT 21933 | $1,134.24 | $2,363.00 | $672.90 – $2,363.00 | 24 |
| Exc bartholins gland/cyst CPT 56740 | $484.80 | $1,010.00 | $273.90 – $1,010.00 | 24 |
| Exc benign feenlm 3.1-4.0cm 11444 CPT 11444 | $434.88 | $906.00 | $195.48 – $906.00 | 24 |
| Exc benign feenlm >4.0cm 11446 CPT 11446 | $588.96 | $1,227.00 | $275.41 – $1,227.00 | 24 |
| Exc benign snhfg 3.1-4.0cm 11424 CPT 11424 | $365.76 | $762.00 | $161.04 – $762.00 | 24 |
| Exc benign tal 0.5 < cm 11400 CPT 11400 | $197.28 | $411.00 | $75.22 – $411.00 | 24 |
| Exc ben+marg excep skin tag feenlm <0.5cm 11440 CPT 11440 | $220.32 | $459.00 | $96.53 – $459.00 | 24 |
| Exc ben+marg excep skin tag feenlm 1.1-2cm 11442 CPT 11442 | $297.60 | $620.00 | $129.48 – $620.00 | 24 |
| Exc ben+marg excep skin tag feenlm 2.1-3cm 11443 CPT 11443 | $350.40 | $730.00 | $156.05 – $730.00 | 24 |
| Exc ben+marg excep skin tag snhfg 0.6-1cm 11421 CPT 11421 | $245.28 | $511.00 | $97.00 – $511.00 | 24 |
| Exc ben+marg excep skin tag snhfg 2.1-3cm 11423 CPT 11423 | $315.84 | $658.00 | $140.68 – $658.00 | 24 |
| Exc ben+marg excep skin tag snhfg >4cm 11426 CPT 11426 | $503.52 | $1,049.00 | $135.69 – $545.44 | 24 |
| Exc ben+marg excep skin tag tal 0.6-1cm 11401 CPT 11401 | $240.00 | $500.00 | $92.75 – $500.00 | 24 |
| Exc ben+marg excep skin tag tal 2.1-3/>cm 11403 CPT 11403 | $304.32 | $634.00 | $132.86 – $634.00 | 24 |
| Exc breast duct fistula 19112 CPT 19112 | $708.96 | $1,477.00 | $320.29 – $1,477.00 | 24 |
| Exc constrict ring finger w/mlt z-plasties 26596 CPT 26596 | $1,265.76 | $2,637.00 | $771.93 – $2,637.00 | 24 |
| Exc/crtg b1 cst/b9 tum rds CPT 24120 | $829.92 | $1,729.00 | $493.10 – $1,729.00 | 24 |
| Exc/crtg b1 cst/tum hum algr CPT 24116 | $1,327.68 | $2,766.00 | $771.49 – $2,766.00 | 24 |
| Exc ext ear/partial/simple repair 69110 CPT 69110 | $721.44 | $1,503.00 | $294.97 – $1,503.00 | 24 |
| Exc face tum deep 2cm/> 21014 CPT 21014 | $803.04 | $1,673.00 | $466.39 – $1,673.00 | 24 |
| Exc feenl mal+mrg 0.6-1 11641 CPT 11641 | $363.36 | $757.00 | $131.81 – $757.00 | 24 |
| Exc feenl mal+mrg 2.1-3 11643 CPT 11643 | $482.40 | $1,005.00 | $188.85 – $1,005.00 | 24 |
| Exc foot/toe tum dep 1.5cm/> CPT 28041 | $693.60 | $1,445.00 | $412.31 – $1,445.00 | 24 |
| Exc foot/toe tum subq < 1.5 cm 28043 CPT 28043 | $586.08 | $1,221.00 | $243.11 – $1,221.00 | 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.