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 |
|---|---|---|---|---|
| Allergy injections; 2 or more 95117 CPT 95117 | $19.20 | $40.00 | $12.21 – $103.68 | 24 |
| Allergy injection; single 95115 CPT 95115 | $29.00 | $60.42 | $10.21 – $103.68 | 24 |
| Allergy Skin Testing CPT 95004 | $5.76 | $12.00 | $3.56 – $1,901.44 | 24 |
| Allg patch or app # of tests 95044 CPT 95044 | $7.68 | $16.00 | $4.89 – $1,901.44 | 24 |
| Allgrft implnt knee w/scope CPT 29867 | $1,965.12 | $4,094.00 | $1,138.92 – $4,094.00 | 24 |
| Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 | $232.80 | $485.00 | $58.00 – $557.75 | 19 |
| Alpha-fetoprotein tumor marker CPT 82105 | $75.81 | $157.94 | $16.77 – $503.56 | 14 |
| Alprostadil for injection HCPCS J0270 | $404.11 | $841.89 | $892.40 – $2,684.20 | 3 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $19,479.20 | $40,581.66 | $95.09 – $3,034.59 | 14 |
| Alt/sgpt CPT 84460 | $23.91 | $49.82 | $2.64 – $158.84 | 14 |
| Aluminum - quest CPT 82108 | $62.58 | $130.38 | $25.48 – $415.69 | 14 |
| Alys cplx sp/pn npgt w/prgrm CPT 95972 | $86.88 | $181.00 | $34.35 – $210.51 | 24 |
| Amantadine (symmetrel)-sendout CPT 80375 | $17.81 | $37.10 | $19.29 – $58.00 | 5 |
| Aminolevulinic acid delta CPT 82135 | $82.93 | $172.78 | $28.42 – $172.78 | 9 |
| Aminophylline 25 mg/ml intravenous solution (wrapper) HCPCS J0280 | $88.14 | $183.63 | $163.05 – $490.42 | 4 |
| Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV HCPCS J0283 | $92.88 | $193.50 | $205.11 – $616.94 | 4 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | $81.03 | $168.81 | $178.94 – $538.22 | 4 |
| Amitriptyline (elavil) -sendout CPT 80335 | $91.08 | $189.74 | $48.49 – $189.74 | 5 |
| Amivantamab-vmjw 50 mg/ml intravenous solution HCPCS J9061 | $7,356.82 | $15,326.71 | $22.63 – $48,866.15 | 14 |
| Ammonia CPT 82140 | $83.44 | $173.84 | $14.57 – $554.25 | 14 |
| Amniocentesisdiagnostic 59000 CPT 59000 | $181.92 | $379.00 | $68.68 – $379.00 | 24 |
| Amp f/th 1/2 jt/phalanx w/neurect local flap CPT 26952 | $1,058.88 | $2,206.00 | $653.82 – $2,206.00 | 24 |
| Amphetamine confirm urine -sendout CPT 80324 | $39.18 | $81.62 | $88.15 – $260.23 | 3 |
| Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J0289 | $750.83 | $1,564.23 | $22.81 – $4,987.23 | 14 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | $77.59 | $161.65 | $19.13 – $57.55 | 4 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | $83.22 | $173.37 | $143.61 – $431.95 | 4 |
| Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis CPT 81515 | $334.56 | $697.00 | $362.44 – $1,833.04 | 12 |
| Amp metatarsal w/toe single 28810 CPT 28810 | $648.48 | $1,351.00 | $386.68 – $1,351.00 | 24 |
| Amputate metacarpal bone 26910 CPT 26910 | $1,177.92 | $2,454.00 | $723.97 – $2,454.00 | 24 |
| Amputation leg thr tib/fib 27880 CPT 27880 | $1,366.08 | $2,846.00 | $785.46 – $2,846.00 | 24 |
| Amputation leg; tib/fib f/u 27886 CPT 27886 | $990.72 | $2,064.00 | $577.69 – $2,064.00 | 24 |
| Amputation of foot at ankle CPT 27888 | $871.20 | $1,815.00 | $507.05 – $1,815.00 | 24 |
| Amputation of lower leg CPT 27882 | $900.96 | $1,877.00 | $528.23 – $1,877.00 | 24 |
| Amputation of midtarsal 28800 CPT 28800 | $808.32 | $1,684.00 | $480.52 – $1,684.00 | 24 |
| Amputation thru metatarsal CPT 28805 | $1,077.60 | $2,245.00 | $633.10 – $2,245.00 | 24 |
| Amputation toe interphalangeal joint CPT 28825 | $445.44 | $928.00 | $152.32 – $928.00 | 24 |
| Amputation toe metatarsophalangeal joint CPT 28820 | $452.64 | $943.00 | $157.36 – $943.00 | 24 |
| Amylase CPT 82150 | $37.65 | $78.44 | $5.08 – $250.09 | 14 |
| Analgesics non-opioid definitive assay 1 or 2 acetaminophen CPT 80329 | $134.32 | $279.84 | $279.33 – $824.62 | 3 |
| Anal/urinary muscle study CPT 51784 | $98.40 | $205.00 | $36.34 – $205.00 | 24 |
| Analysis gene f2 20210g>a variant CPT 81240 | $222.35 | $463.22 | $65.69 – $1,476.88 | 13 |
| Analysis gene f5 leiden variant CPT 81241 | $169.43 | $352.98 | $73.37 – $1,125.41 | 14 |
| Analyze neurostimulator simple w/reprogramming 95971 CPT 95971 | $73.44 | $153.00 | $33.68 – $210.51 | 24 |
| Anastrozole 1 mg HCPCS S0170 | $6.20 | $12.92 | $13.95 – $41.19 | 2 |
| Anca screen with reflex to titer -quest CPT 86021 | $141.45 | $294.68 | $44.35 – $294.68 | 9 |
| An cholangiogram percutaneous compl CPT 47531 | $5,950.56 | $12,397.00 | $60.34 – $12,397.00 | 24 |
| An fluoro guide for cvp CPT 77001 | $98.20 | $204.58 | $17.29 – $57.00 | 24 |
| Ankle arthroscopy/surgery CPT 29891 | $1,040.16 | $2,167.00 | $617.31 – $2,167.00 | 24 |
| Ankle arthroscopy/surgery CPT 29892 | $987.84 | $2,058.00 | $584.16 – $2,058.00 | 24 |
| Ankle arthroscopy/surgery CPT 29894 | $778.56 | $1,622.00 | $462.28 – $1,622.00 | 24 |
| Ankle arthroscopy/surgery CPT 29895 | $714.24 | $1,488.00 | $423.05 – $1,488.00 | 24 |
| Ankle arthroscopy/surgery CPT 29897 | $764.64 | $1,593.00 | $452.68 – $1,593.00 | 24 |
| Ankle arthroscopy/surgery CPT 29898 | $863.04 | $1,798.00 | $510.41 – $1,798.00 | 24 |
| Ankle arthroscopy/surgery CPT 29899 | $1,542.72 | $3,214.00 | $893.10 – $3,214.00 | 24 |
| Ankle X-ray CPT 73610 | $167.90 | $349.80 | $8.24 – $91.00 | 24 |
| Annual alcohol screen 15 min HCPCS G0442 | $24.48 | $51.00 | $7.91 – $82.96 | 22 |
| Annual Physical, Established Patient (age 18-39) CPT 99395 | $149.28 | $311.00 | $122.40 – $311.00 | 9 |
| Annual Physical, Established Patient (age 40-64) CPT 99396 | $158.88 | $331.00 | $133.44 – $331.00 | 9 |
| Annual Physical, New Patient (age 18-39) CPT 99385 | $165.60 | $345.00 | $134.88 – $345.00 | 9 |
| Annual Physical, New Patient (age 40-64) CPT 99386 | $190.56 | $397.00 | $163.68 – $397.00 | 9 |
| Anodyne therapy charges pt CPT 97026 | $15.26 | $31.80 | $2.89 – $58.00 | 24 |
| Anora (draw only) CPT 99001 | $33.58 | $69.96 | $36.38 – $69.96 | 4 |
| Anoscopy CPT 46611 | $340.80 | $710.00 | $72.73 – $710.00 | 24 |
| Anoscopy ablation lesion 46615 CPT 46615 | $270.72 | $564.00 | $81.64 – $564.00 | 24 |
| Anoscopy and biopsy CPT 46606 | $2,038.08 | $4,246.00 | $69.06 – $891.00 | 24 |
| Anoscopy and dilation 46604 CPT 46604 | $977.76 | $2,037.00 | $60.58 – $2,037.00 | 24 |
| Anoscopy control bleeding 46614 CPT 46614 | $257.28 | $536.00 | $59.78 – $536.00 | 24 |
| Anoscopy remove fb 46608 CPT 46608 | $442.56 | $922.00 | $77.92 – $922.00 | 24 |
| Ant colporrhaphy/rpr cyctocele 57240 CPT 57240 | $942.24 | $1,963.00 | $528.48 – $1,963.00 | 24 |
| Antibody bacterium, not elsewhere specified CPT 86609 | $25.44 | $53.00 | $6.83 – $168.98 | 14 |
| Antibody elution rbc reference CPT 86860 | $197.92 | $412.34 | $202.82 – $1,314.66 | 14 |
| Antibody identification platelet antibodies heparin-pf4 igg CPT 86022 | $81.41 | $169.60 | $18.37 – $540.74 | 14 |
| Antibody id rbc panel CPT 86870 | $211.15 | $439.90 | $426.71 – $1,402.53 | 14 |
| Antibody influenza virus CPT 86710 | $25.86 | $53.87 | $7.30 – $58.00 | 9 |
| Antibody lymphocytic choriomeningitis CPT 86727 | $25.29 | $52.69 | $6.78 – $167.99 | 14 |
| Antibody screen rbc CPT 86850 | $49.86 | $103.88 | $9.77 – $331.20 | 14 |
| Antibody tetanus CPT 86774 | $32.56 | $67.84 | $10.04 – $67.84 | 9 |
| Antigen therapy services CPT 95147 | $99.36 | $207.00 | $2.57 – $207.00 | 24 |
| Antigen therapy services CPT 95165 | $22.56 | $47.00 | $2.57 – $103.68 | 24 |
| Anti mog serum - sendout CPT 86362 | $22.99 | $47.90 | $5.77 – $47.90 | 12 |
| Antineutrophil cytoplasmic antibody screen each antibody CPT 86036 | $22.99 | $47.90 | $5.77 – $152.72 | 14 |
| Antineutrophil cytoplasmic antibody titer each antibody CPT 86037 | $22.99 | $47.90 | $5.77 – $47.90 | 12 |
| Antinuclear antibodies CPT 86038 | $44.77 | $93.28 | $11.28 – $297.40 | 14 |
| Antinuclear antibodies titer CPT 86039 | $47.32 | $98.58 | $11.00 – $314.30 | 14 |
| Antiphosphatidylserine antibody CPT 86148 | $55.46 | $115.54 | $18.57 – $115.54 | 9 |
| Antistreptolysin o titer CPT 86060 | $47.83 | $99.64 | $7.27 – $317.68 | 14 |
| Antithrombin iii activity CPT 85300 | $56.48 | $117.66 | $11.85 – $375.14 | 14 |
| Apl(pml-rara) quant - sendout CPT 81315 | $407.52 | $849.00 | $207.31 – $2,706.87 | 13 |
| Appendectomy CPT 44950 | $983.04 | $2,048.00 | $578.97 – $2,048.00 | 24 |
| Appendectomy add-on 44955 CPT 44955 | $126.24 | $263.00 | $71.19 – $263.00 | 24 |
| Appendectomy/open/rup/w/absc/peri 44960 CPT 44960 | $1,341.12 | $2,794.00 | $787.58 – $2,794.00 | 24 |
| Appendix Removal (Laparoscopic) CPT 44970 | $925.44 | $1,928.00 | $553.80 – $1,928.00 | 24 |
| App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm CPT 15277 | $3,189.12 | $6,644.00 | $190.18 – $1,084.00 | 24 |
| App high cost ss f/n/g/h/f >100sq cm addl 100sq cm CPT 15278 | $1,594.08 | $3,321.00 | $46.74 – $3,321.00 | 24 |
| App high cost ss f/n/g/h/f <100sq cm addl <25sq cm CPT 15276 | $1,594.08 | $3,321.00 | $21.34 – $3,321.00 | 24 |
| App high cost ss t/a/l >100sq cm 1st 100sq cm CPT 15273 | $5,850.72 | $12,189.00 | $165.38 – $982.00 | 24 |
| App high cost ss t/a/l >100sq cm addl 100sq cm CPT 15274 | $2,925.12 | $6,094.00 | $37.36 – $6,094.00 | 24 |
| App high cost ss t/a/l <100sq cm addl <25sq cm CPT 15272 | $1,594.08 | $3,321.00 | $14.19 – $3,321.00 | 24 |
| Appl cast shoulder spica CPT 29055 | $353.28 | $736.00 | $127.35 – $736.00 | 24 |
| Application finger splntstatic 29130 CPT 29130 | $122.62 | $255.46 | $24.90 – $136.00 | 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.