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 |
|---|---|---|---|---|
| Full thick gft/scalp/arm/leg/20sqcm or< 15220 CPT 15220 | $3,189.12 | $6,644.00 | $525.70 – $2,461.00 | 24 |
| Full thick gft/scalp/arm/leg/add 20sqcm 15221 CPT 15221 | $1,594.08 | $3,321.00 | $55.75 – $411.00 | 24 |
| Full thick gft w/close donor fccmnaghf <=20sqcm 15240 CPT 15240 | $3,189.12 | $6,644.00 | $683.63 – $2,970.00 | 24 |
| Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr HCPCS J1940 | $60.90 | $126.87 | $134.48 – $404.50 | 4 |
| Fusion of ankle joint open CPT 27870 | $1,548.48 | $3,226.00 | $899.85 – $3,226.00 | 24 |
| Fusion of big toe joint CPT 28750 | $1,192.80 | $2,485.00 | $523.96 – $2,485.00 | 24 |
| Fusion of big toe joint CPT 28755 | $771.36 | $1,607.00 | $457.48 – $1,607.00 | 24 |
| Fusion of finger joint CPT 26860 | $950.40 | $1,980.00 | $595.86 – $1,980.00 | 24 |
| Fusion of foot bones CPT 28730 | $1,116.00 | $2,325.00 | $661.20 – $2,325.00 | 24 |
| Fusion of foot bones CPT 28735 | $1,192.32 | $2,484.00 | $709.34 – $2,484.00 | 24 |
| Fusion of foot bones CPT 28740 | $1,264.32 | $2,634.00 | $563.78 – $2,634.00 | 24 |
| Fusion of knuckle CPT 26850 | $1,137.12 | $2,369.00 | $691.62 – $2,369.00 | 24 |
| Fusion of tibiofibular joint CPT 27871 | $1,067.52 | $2,224.00 | $627.53 – $2,224.00 | 24 |
| Fusion of toes CPT 28280 | $771.36 | $1,607.00 | $316.11 – $1,607.00 | 24 |
| Ga-67 gallium 0.1 mci HCPCS A9556 | $168.92 | $351.92 | $58.00 – $351.92 | 4 |
| Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585 | $203.04 | $423.00 | $1.18 – $1,017.86 | 7 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | $256.08 | $533.50 | $12.13 – $762.00 | 7 |
| Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution HCPCS A9581 | $344.54 | $717.80 | $775.22 – $2,288.56 | 3 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | $1,013.76 | $2,112.00 | $604.65 – $2,112.00 | 24 |
| Gamma globulin 1 cc inj HCPCS J1460 | $277.72 | $578.59 | $48.95 – $1,844.72 | 14 |
| Gammaglobulin iga CPT 82784 | $98.71 | $205.64 | $9.30 – $439.35 | 14 |
| Gammaglobulin ige CPT 82785 | $57.49 | $119.78 | $16.46 – $381.89 | 14 |
| Gamma glutamyltransferase CPT 82977 | $29.00 | $60.42 | $4.35 – $192.64 | 14 |
| Gardner vag dna quant CPT 87512 | $47.32 | $98.58 | $41.17 – $98.58 | 9 |
| Gastric emptying imag study CPT 78265 | $722.88 | $1,506.00 | $44.22 – $143.00 | 24 |
| Gastric emptying imag study CPT 78266 | $927.36 | $1,932.00 | $46.99 – $153.00 | 24 |
| Gauze <= 16 sq in w/border HCPCS A6219 | $16.24 | $33.84 | $1.33 – $107.89 | 13 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | $250.75 | $522.40 | $157.09 – $472.51 | 4 |
| General health panel CPT 80050 | $137.88 | $287.26 | $48.49 – $287.26 | 5 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $121.57 | $253.28 | $25.67 – $77.22 | 4 |
| Gentamicin peak therapeutic drug level CPT 80170 | $69.71 | $145.22 | $23.79 – $145.22 | 9 |
| Ghs abscess perianal iandd CPT 46050 | $575.04 | $1,198.00 | $100.94 – $755.00 | 24 |
| Ghs abscess postoperative iandd complex CPT 10180 | $4,657.92 | $9,704.00 | $170.39 – $840.00 | 24 |
| Ghs acetylcholinesterase, rbc CPT 82482 | $51.90 | $108.12 | $9.81 – $344.72 | 14 |
| Ghs analysis neurostim without reprogramming CPT 95970 | $28.80 | $60.00 | $15.72 – $294.61 | 24 |
| Ghs bladder cath - complex-foley CPT 51703 | $278.40 | $580.00 | $65.53 – $476.00 | 24 |
| Ghs block ilioinguinal/gentitofemoral CPT 64425 | $168.96 | $352.00 | $48.82 – $352.00 | 24 |
| Ghs central line insert < age 5, failed CPT 36555 | $285.12 | $594.00 | $77.53 – $594.00 | 24 |
| Ghs change cysto/gastrost CPT 43762 | $468.96 | $977.00 | $32.89 – $717.00 | 24 |
| Ghs chemo >8 hrs CPT 96416 | $252.96 | $527.00 | $393.21 – $707.78 | 12 |
| Ghs chemo IV push, ea addtl CPT 96411 | $277.44 | $578.00 | $85.71 – $624.24 | 12 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | $76.63 | $159.64 | $48.49 – $159.64 | 9 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | $462.24 | $963.00 | $293.64 – $963.00 | 24 |
| Ghs closed reduction ankle dislocation CPT 27840 | $610.56 | $1,272.00 | $441.16 – $958.00 | 24 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | $2,736.96 | $5,702.00 | $451.66 – $1,565.00 | 24 |
| Ghs closed tx tibial fracture w/manip CPT 27752 | $2,736.96 | $5,702.00 | $486.38 – $1,755.00 | 24 |
| Ghs closure surg wound/dehiscence-13160 CPT 13160 | $1,215.84 | $2,533.00 | $718.89 – $2,533.00 | 24 |
| Ghs clsd red med malleolus fx without manip CPT 27760 | $530.88 | $1,106.00 | $313.01 – $1,106.00 | 24 |
| Ghs clsd red med malleolus fx w manip CPT 27762 | $772.32 | $1,609.00 | $477.57 – $1,609.00 | 24 |
| Ghs clsd tx frac distal tibia w/manipulation CPT 27825 | $2,758.56 | $5,747.00 | $464.71 – $1,783.00 | 24 |
| Ghs cl tx knee disl; wo anesth CPT 27550 | $804.96 | $1,677.00 | $498.16 – $966.59 | 24 |
| Ghs cl tx metacarpophal disloc without anes CPT 26700 | $541.44 | $1,128.00 | $339.35 – $915.00 | 24 |
| Ghs community re-entry 15 minutes CPT 97537 | $44.77 | $93.28 | $31.90 – $93.28 | 24 |
| Ghs conjunctiva foreign body-superf bil CPT 65205 | $214.20 | $446.26 | $24.15 – $91.00 | 24 |
| Ghs corneal fb without slit lamp bilat CPT 65220 | $629.28 | $1,311.00 | $36.80 – $193.00 | 24 |
| Ghs corneal fb with slit lamp bilat CPT 65222 | $214.71 | $447.32 | $41.30 – $216.00 | 24 |
| Ghs diphtheria toxoid ab igg CPT 86648 | $33.19 | $69.15 | $10.52 – $69.15 | 9 |
| Ghs dislocation elbow closed treatment CPT 24600 | $599.52 | $1,249.00 | $293.64 – $1,249.00 | 24 |
| Ghs ed peritoneal lavage w guidance if performed CPT 49084 | $161.76 | $337.00 | $91.24 – $337.00 | 24 |
| Ghs ed rmvl or bivalving cast CPT 29700 | $99.36 | $207.00 | $29.13 – $207.00 | 24 |
| Ghs epidermal shaving diameter >2.0 cm CPT 11303 | $232.32 | $484.00 | $56.44 – $484.00 | 24 |
| Ghs excision ingrown nail CPT 11765 | $635.52 | $1,324.00 | $88.10 – $530.00 | 24 |
| Ghs fat & muscle CPT 89160 | $25.44 | $53.00 | $2.57 – $58.00 | 9 |
| Ghs fb removal foot - deep - left CPT 28192 | $700.32 | $1,459.00 | $288.54 – $1,459.00 | 24 |
| Ghs fb removal from muscle - complicated CPT 20525 | $709.92 | $1,479.00 | $226.21 – $1,479.00 | 24 |
| Ghs fb removal - incisional CPT 10121 | $405.60 | $845.00 | $167.63 – $845.00 | 24 |
| Ghs fb removal - non-incisional CPT 20520 | $335.04 | $698.00 | $138.99 – $698.00 | 24 |
| Ghs febrile agglutinns(mayo) CPT 86000 | $13.72 | $28.58 | $1.99 – $58.00 | 9 |
| Ghs fish cytogen CPT 88271 | $42.10 | $87.70 | $18.79 – $87.70 | 9 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | $100.60 | $209.58 | $48.49 – $209.58 | 9 |
| Ghs hcv amplificaiton CPT 87521 | $255.36 | $532.00 | $48.49 – $260.76 | 9 |
| Ghs hepatitis c virus (hcv riba) CPT 86804 | $150.60 | $313.76 | $48.49 – $313.76 | 9 |
| Ghs histoplasma antigen CPT 87385 | $84.46 | $175.96 | $23.31 – $175.96 | 9 |
| Ghs i and d abscess/hematoma scrotum CPT 54700 | $3,921.12 | $8,169.00 | $195.03 – $680.00 | 24 |
| Ghs i and d perirectal abscess 46040 CPT 46040 | $1,914.24 | $3,988.00 | $422.10 – $1,776.00 | 24 |
| Ghs i and d pilonidal cyst complex CPT 10081 | $527.04 | $1,098.00 | $163.63 – $1,098.00 | 24 |
| Ghs i and d pilonidal cyst simple CPT 10080 | $1,170.72 | $2,439.00 | $102.99 – $800.00 | 24 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | $468.96 | $977.00 | $104.57 – $665.00 | 24 |
| Ghs inf midline insertion CPT 36140 | $768.00 | $1,600.00 | $75.12 – $1,600.00 | 24 |
| Ghs inhibitor screen CPT 85335 | $25.29 | $52.69 | $6.78 – $58.00 | 9 |
| Ghs init tx 1st degree burn CPT 16000 | $345.60 | $720.00 | $40.57 – $255.00 | 24 |
| Ghs inj neurolytic other perph nerve CPT 64640 | $379.68 | $791.00 | $109.22 – $791.00 | 24 |
| Ghs inj tendon origin/insertion CPT 20551 | $88.32 | $184.00 | $32.25 – $184.00 | 24 |
| Ghs insertion of needle - bone CPT 36680 | $163.32 | $340.26 | $55.46 – $188.00 | 24 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | $628.32 | $1,309.00 | $217.94 – $1,242.00 | 24 |
| Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036 | $664.32 | $1,384.00 | $260.88 – $1,384.00 | 24 |
| Ghs intermed repair over 30 cm - 12037 CPT 12037 | $745.92 | $1,554.00 | $296.57 – $1,554.00 | 24 |
| Ghs intro needle/intracath vein - 36000 CPT 36000 | $47.52 | $99.00 | $12.48 – $99.00 | 10 |
| Ghs irrigate corpora cavernosa for priapism CPT 54220 | $523.68 | $1,091.00 | $125.18 – $712.00 | 24 |
| Ghs IV inf sq injection, on-body injector CPT 96377 | $139.92 | $291.50 | $55.74 – $929.39 | 13 |
| Ghs IV infusion casirivimab/imdevimab HCPCS M0243 | $885.60 | $1,845.00 | $46.00 – $2,121.75 | 12 |
| Ghs IV thrombolytics - cerebral CPT 37195 | $225.40 | $469.58 | $58.00 – $731.37 | 5 |
| Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250 | $434.40 | $905.00 | $162.15 – $905.00 | 24 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $635.52 | $1,324.00 | $130.75 – $839.00 | 24 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | $498.24 | $1,038.00 | $126.57 – $841.00 | 24 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | $635.04 | $1,323.00 | $146.17 – $905.00 | 24 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | $635.52 | $1,324.00 | $169.04 – $1,006.00 | 24 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | $635.52 | $1,324.00 | $165.09 – $989.00 | 24 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | $635.52 | $1,324.00 | $182.89 – $1,159.00 | 24 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | $635.52 | $1,324.00 | $175.88 – $1,068.00 | 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.