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 |
|---|---|---|---|---|
| Hcg qualitative CPT 84703 | $60.04 | $125.08 | $7.52 – $398.79 | 14 |
| Hcg quantitative CPT 84702 | $59.02 | $122.96 | $15.05 – $392.03 | 14 |
| Hc i-131 sodium iodide cap dx per mci HCPCS A9528 | $171.47 | $357.22 | $58.00 – $357.22 | 4 |
| Hc mohs micrographic h/n/h/f/g 1st stage 5 blocks CPT 17311 | $976.80 | $2,035.00 | $280.80 – $2,035.00 | 24 |
| Hc mohs micrographic h/n/h/f/g each addl stage CPT 17312 | $488.64 | $1,018.00 | $149.56 – $1,018.00 | 24 |
| Hc mohs trunk/arm/leg 1st stage 5 blocks CPT 17313 | $976.80 | $2,035.00 | $252.03 – $2,035.00 | 24 |
| Hc mohs trunk/arm/leg ea addl block any stage CPT 17315 | $244.32 | $509.00 | $39.35 – $509.00 | 24 |
| Hc mohs trunk/arm/leg ea stage after 1st stage CPT 17314 | $488.64 | $1,018.00 | $136.62 – $1,018.00 | 24 |
| Hdr rdncl ntrstl/icav brchtx CPT 77770 | $1,409.28 | $2,936.00 | $101.03 – $324.00 | 24 |
| Hdr rdncl ntrstl/icav brchtx CPT 77771 | $3,484.32 | $7,259.00 | $197.54 – $630.00 | 24 |
| Hdr rdncl ntrstl/icav brchtx CPT 77772 | $1,455.36 | $3,032.00 | $278.33 – $3,032.00 | 24 |
| Head CT scan (with and without contrast) CPT 70470 | $1,341.12 | $2,794.00 | $57.70 – $190.00 | 24 |
| Head CT scan (with contrast) CPT 70460 | $1,037.76 | $2,162.00 | $51.36 – $169.00 | 24 |
| Head CT scan (without contrast) CPT 70450 | $1,019.04 | $2,123.00 | $38.88 – $127.00 | 24 |
| Heart infarct image CPT 78466 | $1,011.36 | $2,107.00 | $31.07 – $100.00 | 24 |
| Helicobacter pylori antibody igm CPT 86677 | $129.74 | $270.30 | $45.55 – $270.30 | 9 |
| Hematocrit CPT 85014 | $19.33 | $40.28 | $0.95 – $128.42 | 14 |
| Hemoglobin CPT 85018 | $19.33 | $40.28 | $0.19 – $128.42 | 21 |
| Hemoglobin f (fetal) chemical CPT 83030 | $21.11 | $43.98 | $4.72 – $58.00 | 9 |
| Hemoglobin methemoglobin quantitative CPT 83050 | $48.84 | $101.76 | $8.20 – $324.44 | 14 |
| Hemoglobin-oxygen affinity CPT 82820 | $46.30 | $96.46 | $12.87 – $96.46 | 9 |
| Hemoglobin plasma CPT 83051 | $13.94 | $29.05 | $2.12 – $58.00 | 9 |
| Hemophilus influenza antibdy CPT 86684 | $30.22 | $62.96 | $9.97 – $62.96 | 9 |
| Hemorrhoidectomy intrnl lig rbbr band ligations CPT 46221 | $1,451.04 | $3,023.00 | $193.06 – $905.00 | 24 |
| Heparin assay CPT 85520 | $104.30 | $217.30 | $13.09 – $692.82 | 14 |
| Heparin bolus from bag HCPCS J1644 | $61.69 | $128.52 | $30.39 – $91.41 | 4 |
| Heparin, porcine (pf) 10 unit/ml flush (wrapper) HCPCS J1642 | $52.40 | $109.16 | $108.93 – $327.63 | 4 |
| Hepatitis a antibody igm CPT 86709 | $53.93 | $112.36 | $11.26 – $358.24 | 14 |
| Hepatitis b core antibody igm CPT 86705 | $55.97 | $116.60 | $11.77 – $371.76 | 14 |
| Hepatitis b core antibody total CPT 86704 | $50.88 | $106.00 | $12.05 – $337.96 | 14 |
| Hepatitis b immune globulin greater than 1,560 units/5 ml im solution CPT 90371 | $1,810.39 | $3,771.65 | $140.21 – $1,435.53 | 14 |
| Hepatitis b surface antibody CPT 86706 | $59.02 | $122.96 | $10.74 – $392.03 | 14 |
| Hepatitis c antibody CPT 86803 | $81.92 | $170.66 | $14.27 – $544.12 | 14 |
| Hepatobiliary system imaging CPT 78226 | $1,059.36 | $2,207.00 | $33.30 – $233.86 | 24 |
| Hernia Repair (Inguinal) CPT 49505 | $804.96 | $1,677.00 | $486.97 – $1,677.00 | 24 |
| Herpes simplex type 1 antibody igg CPT 86695 | $44.77 | $93.28 | $12.30 – $297.40 | 14 |
| Herpes simplex type 2 antibody igg CPT 86696 | $54.44 | $113.42 | $19.35 – $361.62 | 14 |
| Herpes simplex virus isolation CPT 87255 | $77.85 | $162.18 | $33.86 – $517.08 | 14 |
| Heterophile antibodies screening CPT 86308 | $35.62 | $74.20 | $0.88 – $236.57 | 21 |
| Hib-hepb vaccine im CPT 90748 | $72.96 | $152.00 | $58.00 – $152.00 | 5 |
| High inten beh couns std 30m HCPCS G0445 | $34.08 | $71.00 | $26.30 – $224.95 | 22 |
| Hip arthr0 w/debridement CPT 29862 | $1,258.56 | $2,622.00 | $737.05 – $2,622.00 | 24 |
| Hip arthr0 w/synovectomy CPT 29863 | $1,257.60 | $2,620.00 | $734.88 – $2,620.00 | 24 |
| Hip arthro acetabuloplasty CPT 29915 | $1,563.84 | $3,258.00 | $901.97 – $3,258.00 | 24 |
| Hip arthro w/femoroplasty CPT 29914 | $1,525.44 | $3,178.00 | $885.74 – $3,178.00 | 24 |
| Hip arthro w/labral repair CPT 29916 | $1,557.12 | $3,244.00 | $900.40 – $3,244.00 | 24 |
| Hip X-ray CPT 73502 | $218.78 | $455.80 | $10.58 – $118.00 | 24 |
| Histamine CPT 83088 | $42.23 | $87.98 | $25.98 – $87.98 | 9 |
| Histochemical stains add-on CPT 88314 | $82.43 | $171.72 | $18.59 – $151.16 | 21 |
| HIV prep, ftc/tdf 200/300mg HCPCS J0750 | $4,425.29 | $9,219.35 | $0.49 – $29,394.05 | 13 |
| Hla class i high defin qual CPT 86832 | $636.48 | $1,326.00 | $48.49 – $4,166.66 | 9 |
| Hla class ii high defin qual CPT 86833 | $621.60 | $1,295.00 | $48.49 – $4,219.11 | 9 |
| Hla i typing high res 1 allele grp ea CPT 81381 | $118.04 | $245.92 | $48.49 – $417.82 | 9 |
| Hla i typing low res one locus ea CPT 81373 | $250.56 | $522.00 | $48.49 – $665.18 | 9 |
| Hlth bhv assmt/reassessment CPT 96156 | $151.20 | $315.00 | $58.00 – $315.00 | 24 |
| Hlth bhv ivntj fam 1st 30 CPT 96167 | $108.00 | $225.00 | $58.00 – $225.00 | 24 |
| Hlth bhv ivntj fam wo pt 1st CPT 96170 | $118.08 | $246.00 | $58.00 – $246.00 | 9 |
| Hlth bhv ivntj indiv 1st 30 CPT 96158 | $102.72 | $214.00 | $58.00 – $393.02 | 24 |
| Hocm 200-249mg/ml iodine,1ml HCPCS Q9960 | $2.18 | $4.54 | $2.36 – $58.00 | 9 |
| Hocm 250-299mg/ml iodine,1ml HCPCS Q9961 | $33.24 | $69.25 | $2.36 – $220.79 | 10 |
| Hocm 350-399mg/ml iodine,1ml HCPCS Q9963 | $171.17 | $356.60 | $58.00 – $1,136.95 | 10 |
| Home/res vst est high mdm 60 CPT 99350 | $236.16 | $492.00 | $190.42 – $492.00 | 24 |
| Home/res vst est mod mdm 40 CPT 99349 | $162.24 | $338.00 | $130.50 – $338.00 | 24 |
| Home/res vst est sf mdm 20 CPT 99347 | $58.08 | $121.00 | $45.64 – $121.00 | 24 |
| Home/res vst new high mdm 75 CPT 99345 | $256.80 | $535.00 | $207.32 – $535.00 | 24 |
| Home/res vst new low mdm 30 CPT 99342 | $99.84 | $208.00 | $78.05 – $208.00 | 24 |
| Home/res vst new mod mdm 60 CPT 99344 | $180.96 | $377.00 | $144.86 – $377.00 | 24 |
| Home/res vst new sf mdm 15 CPT 99341 | $62.88 | $131.00 | $48.65 – $131.00 | 24 |
| Home sleep test/type 3 porta HCPCS G0399 | $55.68 | $116.00 | $58.00 – $478.09 | 5 |
| Home visit est patient 99348 CPT 99348 | $97.44 | $203.00 | $78.03 – $203.00 | 24 |
| Homocysteine CPT 83090 | $85.48 | $178.08 | $17.92 – $567.77 | 14 |
| Hpv combo assay ca screen HCPCS G0476 | $79.88 | $166.42 | $58.00 – $166.42 | 5 |
| Hpv types 16 & 18 only CPT 87625 | $62.58 | $130.38 | $40.55 – $415.69 | 14 |
| H pylori (c-13) breath CPT 83013 | $122.11 | $254.40 | $67.36 – $811.10 | 14 |
| H pylori drug admin CPT 83014 | $15.77 | $32.86 | $2.58 – $58.00 | 9 |
| Hyaluronidase, human recombinant 150 unit/ml injection solution HCPCS J3473 | $137.76 | $287.00 | $304.22 – $915.04 | 4 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $39.84 | $83.00 | $87.98 – $264.63 | 4 |
| Hydration IV infusion each additional hour CPT 96361 | $106.34 | $221.54 | $12.89 – $103.68 | 24 |
| Hydration IV infusion initial 31minutes - 1 hour CPT 96360 | $327.36 | $682.00 | $33.19 – $470.97 | 24 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | $98.61 | $205.44 | $129.96 – $390.89 | 4 |
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | $57.64 | $120.08 | $47.59 – $143.15 | 4 |
| Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge HCPCS J7999 | $196.80 | $410.00 | $26.97 – $331.77 | 10 |
| Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 | $77.93 | $162.35 | $172.09 – $517.62 | 4 |
| Hydroxyzine pamoate 25 mg capsule HCPCS Q0177 | $123.84 | $258.00 | $273.48 – $822.58 | 3 |
| Hysterosalpingography s&i CPT 74740 | $414.24 | $863.00 | $17.49 – $58.00 | 24 |
| Hysteroscopy ablation CPT 58563 | $3,189.12 | $6,644.00 | $209.19 – $6,644.00 | 24 |
| Hysteroscopy biopsy CPT 58558 | $2,012.64 | $4,193.00 | $197.09 – $4,193.00 | 24 |
| Hysteroscopy dx sep proc CPT 58555 | $552.00 | $1,150.00 | $130.01 – $1,150.00 | 24 |
| Hysteroscopy lysis CPT 58559 | $432.00 | $900.00 | $240.14 – $900.00 | 24 |
| Hysteroscopy remove fb CPT 58562 | $659.52 | $1,374.00 | $188.15 – $1,374.00 | 24 |
| Hysteroscopy remove myoma CPT 58561 | $544.80 | $1,135.00 | $302.32 – $1,135.00 | 24 |
| Hysteroscopy resect septum CPT 58560 | $476.16 | $992.00 | $264.75 – $992.00 | 24 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | $126.18 | $262.88 | $283.91 – $838.14 | 2 |
| I131 iodide cap, rx HCPCS A9517 | $33.07 | $68.90 | $35.83 – $68.90 | 5 |
| Ibutilide fumarate 0.1 mg/ml intravenous solution HCPCS J1742 | $1,284.11 | $2,675.22 | $219.22 – $8,529.40 | 14 |
| I&d/bursa/foot 28001 CPT 28001 | $261.12 | $544.00 | $84.99 – $544.00 | 24 |
| I&d frarm&/wrst deep absc/hematoma CPT 25028 | $1,068.48 | $2,226.00 | $675.54 – $2,226.00 | 24 |
| I&d upper arm/elbow deep abscess/hematoma CPT 23930 | $552.00 | $1,150.00 | $198.68 – $1,150.00 | 24 |
| I&d vag hemtma obst/postpart CPT 57022 | $278.88 | $581.00 | $154.87 – $581.00 | 24 |
| Ifosfamide 1 gram intravenous solution HCPCS J9208 | $159.46 | $332.20 | $352.13 – $1,059.15 | 4 |
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.