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 |
|---|---|---|---|---|
| Explore/repair chest 32110 CPT 32110 | $2,229.12 | $4,644.00 | $1,333.84 – $4,644.00 | 24 |
| Explore scrotum CPT 55110 | $595.20 | $1,240.00 | $354.02 – $1,240.00 | 24 |
| Explore small intestine 44020 CPT 44020 | $1,486.08 | $3,096.00 | $874.20 – $3,096.00 | 24 |
| Explore/treat ankle joint CPT 27620 | $694.08 | $1,446.00 | $424.53 – $1,446.00 | 24 |
| Explore/treat finger joint CPT 26075 | $530.88 | $1,106.00 | $322.05 – $1,106.00 | 24 |
| Explore/treat finger joint CPT 26080 | $625.44 | $1,303.00 | $378.60 – $1,303.00 | 24 |
| Explore/treat knee joint CPT 27331 | $744.00 | $1,550.00 | $446.50 – $1,550.00 | 24 |
| Explore/treat wrist joint CPT 25101 | $636.00 | $1,325.00 | $382.18 – $1,325.00 | 24 |
| Explore wound abdomen 20102 CPT 20102 | $936.48 | $1,951.00 | $235.01 – $1,951.00 | 24 |
| Explore woundchest 20101 CPT 20101 | $877.92 | $1,829.00 | $193.13 – $1,829.00 | 24 |
| Explore wound neck 20100 CPT 20100 | $915.36 | $1,907.00 | $523.21 – $1,907.00 | 24 |
| Exp w remove/deep fb/forearm/wrist 25248 CPT 25248 | $662.88 | $1,381.00 | $396.26 – $1,381.00 | 24 |
| Ex sq tumor/face or scalp < 2 cm 21011 CPT 21011 | $575.04 | $1,198.00 | $244.38 – $1,198.00 | 24 |
| Ex sq tumor/face or scalp 2 cm/> 21012 CPT 21012 | $523.68 | $1,091.00 | $314.37 – $1,091.00 | 24 |
| Ext ecg>48hr<7d rev&interpj CPT 93244 | $35.04 | $73.00 | $22.49 – $73.00 | 23 |
| Ext ecg>7d<15d rev&interpj CPT 93248 | $38.40 | $80.00 | $24.49 – $80.00 | 23 |
| Extensive prostate surgery CPT 55840 | $1,772.16 | $3,692.00 | $1,017.10 – $3,692.00 | 24 |
| Extensive prostate surgery CPT 55842 | $1,771.20 | $3,690.00 | $1,015.16 – $3,690.00 | 24 |
| Extensive prostate surgery CPT 55845 | $2,059.20 | $4,290.00 | $1,176.87 – $4,290.00 | 24 |
| Extensive prostate surgery CPT 55862 | $1,658.40 | $3,455.00 | $955.44 – $3,455.00 | 24 |
| Extensive prostate surgery CPT 55865 | $2,017.92 | $4,204.00 | $1,159.57 – $4,204.00 | 24 |
| Extensive thyroid surgery CPT 60254 | $2,544.96 | $5,302.00 | $1,425.42 – $5,302.00 | 24 |
| External chromosome analysis 20-25 cells CPT 88264 | $214.20 | $446.26 | $48.49 – $645.34 | 9 |
| External tissue culture neoplastic disorders bone marrow/blood cells CPT 88237 | $289.92 | $604.00 | $48.49 – $323.04 | 9 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $124.66 | $259.70 | $17.93 – $446.11 | 14 |
| F-18 fdg pet diag HCPCS A9552 | $409.44 | $853.00 | $921.24 – $2,719.62 | 2 |
| Factor ix CPT 85250 | $33.58 | $69.96 | $13.32 – $69.96 | 9 |
| Factor viii CPT 85240 | $133.81 | $278.78 | $17.90 – $888.83 | 14 |
| Family therapy without pt 50min 90846 CPT 90846 | $125.28 | $261.00 | $58.00 – $393.02 | 24 |
| Family therapy with patient 50 min 90847 CPT 90847 | $131.52 | $274.00 | $58.00 – $393.02 | 24 |
| Fat/lipids feces qualitative CPT 82705 | $77.85 | $162.18 | $5.10 – $517.08 | 14 |
| Fatty acids nonesterified CPT 82725 | $36.89 | $76.85 | $14.42 – $76.85 | 9 |
| #fecal-sodium CPT 84302 | $32.05 | $66.78 | $3.25 – $66.78 | 9 |
| Feeding tube reposition CPT 74355 | $721.92 | $1,504.00 | $34.64 – $114.00 | 24 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | $103.20 | $215.00 | $227.90 – $685.48 | 4 |
| Ferric carboxymaltose 50 mg iron/ml intravenous solution HCPCS J1439 | $3,299.49 | $6,873.94 | $1.10 – $21,916.18 | 14 |
| Ferritin CPT 82728 | $49.86 | $103.88 | $13.63 – $331.20 | 14 |
| Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution HCPCS Q0138 | $2,683.52 | $5,590.66 | $0.23 – $17,824.70 | 14 |
| Fetal biophys profile w/nst 76818 CPT 76818 | $214.71 | $447.32 | $49.55 – $378.00 | 24 |
| Fetal contract stress test 59020 - 26 CPT 59020 | $290.40 | $605.00 | $34.92 – $228.00 | 24 |
| Fetal fibronectin CPT 82731 | $348.00 | $725.00 | $64.41 – $2,311.52 | 14 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $27.48 | $57.24 | $4.42 – $182.50 | 14 |
| Fetal hemoglobin rosette CPT 85461 | $68.18 | $142.04 | $9.36 – $452.87 | 14 |
| Fetal non stress test CPT 59025 | $209.12 | $435.66 | $28.07 – $157.00 | 24 |
| #_fet/norfentcnfrmur CPT 80354 | $218.33 | $454.86 | $48.49 – $454.86 | 5 |
| Fibrin degradation d dimer quantitative CPT 85379 | $97.18 | $202.46 | $10.18 – $645.50 | 14 |
| Fibrinogen activity CPT 85384 | $74.79 | $155.82 | $9.72 – $496.80 | 14 |
| Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe HCPCS Q5110 | $844.80 | $1,760.00 | $0.28 – $5,611.41 | 14 |
| Filgrastim-sndz 300 mcg/0.5 ml injection syringe HCPCS Q5101 | $1,331.81 | $2,774.60 | $0.35 – $4,342.69 | 14 |
| Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007 CPT 10007 | $463.68 | $966.00 | $77.43 – $966.00 | 23 |
| Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008 CPT 10008 | $215.52 | $449.00 | $45.59 – $449.00 | 23 |
| Fine needle aspiration biopsy without img gdn; ea addtl 10004 CPT 10004 | $80.16 | $167.00 | $35.43 – $167.00 | 23 |
| Fine needle aspiration biopsy w/us gdn; ea addtl 10006 CPT 10006 | $947.52 | $1,974.00 | $41.97 – $191.00 | 23 |
| Fine needle asp without image guide 10021 CPT 10021 | $558.24 | $1,163.00 | $44.67 – $323.00 | 24 |
| Fitting of diaphragm/cap 57170 CPT 57170 | $119.52 | $249.00 | $39.80 – $249.00 | 24 |
| Fixation of ankle joint CPT 27860 | $252.00 | $525.00 | $150.91 – $525.00 | 24 |
| Fixation of knee joint CPT 27570 | $239.52 | $499.00 | $145.98 – $499.00 | 24 |
| Fix g/colon tube w/device CPT 49460 | $1,334.40 | $2,780.00 | $41.53 – $2,287.00 | 24 |
| Fixtn pq skel dstl rad fx/epiphysl sep CPT 25606 | $1,042.08 | $2,171.00 | $623.61 – $2,171.00 | 24 |
| Flebogamma injection HCPCS J1572 | $4,723.66 | $9,840.96 | $90.74 – $31,375.93 | 14 |
| Fl exam g/colon tube w contrast CPT 49465 | $431.04 | $898.00 | $25.11 – $432.00 | 24 |
| Flexible Sigmoidoscopy CPT 45330 | $561.12 | $1,169.00 | $52.50 – $593.00 | 24 |
| Floor of mouth biopsy 41108 CPT 41108 | $258.24 | $538.00 | $82.51 – $538.00 | 24 |
| Flow cytometry interp 16 or more CPT 88189 | $102.78 | $214.12 | $78.38 – $682.68 | 13 |
| Flow cytometry marker each additional CPT 88185 | $56.99 | $118.72 | $22.95 – $378.52 | 13 |
| Flow cytometry one marker technical component CPT 88184 | $211.15 | $439.90 | $426.71 – $1,402.53 | 13 |
| #flow interp 9 - 15 markers CPT 88188 | $102.78 | $214.12 | $57.79 – $682.68 | 13 |
| Flt3 gene CPT 81245 | $247.68 | $516.00 | $165.51 – $1,645.16 | 13 |
| Flt3 gene analysis CPT 81246 | $247.68 | $516.00 | $83.00 – $1,645.16 | 13 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | $32.88 | $68.50 | $72.61 – $218.40 | 4 |
| Fludarabine 50 mg intravenous solution HCPCS J9185 | $256.80 | $535.00 | $506.68 – $1,524.01 | 4 |
| Fluidotherapy charges pt CPT 97022 | $56.99 | $118.72 | $15.56 – $118.72 | 24 |
| Fluid pressure muscle 20950 CPT 20950 | $450.72 | $939.00 | $81.18 – $844.00 | 24 |
| Fluorescein angioscopy i&r CPT 92230 | $209.28 | $436.00 | $26.30 – $826.25 | 24 |
| Fluorescent antibody titer dna CPT 86256 | $51.90 | $108.12 | $13.03 – $108.12 | 12 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $324.48 | $676.00 | $27.96 – $91.00 | 24 |
| Fluoroguide needle placement CPT 77002 | $446.40 | $930.00 | $26.72 – $84.00 | 24 |
| Fluoroscopy up to 1 hour CPT 76000 | $400.32 | $834.00 | $15.05 – $47.00 | 24 |
| Fluorouracil 50 mg/ml intravenous solution (wrapper) HCPCS J9190 | $153.60 | $320.00 | $164.38 – $494.44 | 4 |
| Fna bx w/ct gdn 1st les CPT 10009 | $1,184.16 | $2,467.00 | $90.86 – $2,467.00 | 23 |
| Fna bx w/ct gdn ea addl CPT 10010 | $592.32 | $1,234.00 | $63.70 – $748.00 | 23 |
| Folic acid CPT 82746 | $66.65 | $138.86 | $14.70 – $442.73 | 14 |
| Follow-up angiography CPT 75898 | $2,073.60 | $4,320.00 | $102.02 – $286.00 | 24 |
| Fomepizole 1 gram/ml intravenous solution HCPCS J1451 | $3,871.40 | $8,065.41 | $6.54 – $25,714.95 | 14 |
| Fondaparinux sodium HCPCS J1652 | $143.04 | $298.01 | $315.89 – $950.15 | 4 |
| Foot X-ray CPT 73630 | $157.22 | $327.54 | $7.91 – $84.00 | 24 |
| Foreskn manip w/lss preputial ads+stretching 54450 CPT 54450 | $518.88 | $1,081.00 | $48.91 – $220.00 | 24 |
| Fosaprepitant 150 mg intravenous powder for solution HCPCS J1453 | $786.86 | $1,639.30 | $1,737.66 – $5,226.58 | 4 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | $315.83 | $657.98 | $1.33 – $538.82 | 14 |
| Fragmenting of kidney stone CPT 50590 | $7,164.96 | $14,927.00 | $508.21 – $2,360.00 | 24 |
| Freeing of bowel adhesion 44005 CPT 44005 | $1,664.64 | $3,468.00 | $974.29 – $3,468.00 | 24 |
| Frenotomy 40806 CPT 40806 | $152.64 | $318.00 | $28.06 – $318.00 | 24 |
| Frenulotomy of penis CPT 54164 | $299.04 | $623.00 | $181.48 – $623.00 | 24 |
| Fresh frozen plasma 8-24 hours collection each unit HCPCS P9059 | $536.16 | $1,117.00 | $79.01 – $3,561.33 | 13 |
| Fresh frozen plasma thawing ea un CPT 86927 | $107.87 | $224.72 | $202.82 – $716.47 | 14 |
| Fructosamine glycated protein CPT 82985 | $77.34 | $161.12 | $27.00 – $161.12 | 9 |
| Fth/gft fr n/e/e/l each addl CPT 15261 | $1,594.08 | $3,321.00 | $109.46 – $3,321.00 | 24 |
| Fth/gft fr trnk each addl CPT 15201 | $1,594.08 | $3,321.00 | $62.46 – $3,321.00 | 24 |
| Ftl cgen abnor four anal CPT 81511 | $75.30 | $156.88 | $48.49 – $240.81 | 9 |
| Full thick gft/nose/ear/lid/lip/20sqcm or< 15260 CPT 15260 | $3,189.12 | $6,644.00 | $713.26 – $3,192.00 | 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.