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 |
|---|---|---|---|---|
| Initial nursing facility care/day low severity 99304 CPT 99304 | $102.24 | $213.00 | $70.18 – $213.00 | 24 |
| Initiation & management bipap/cpap initial day CPT 94660 | $386.40 | $805.00 | $260.68 – $2,566.58 | 13 |
| Init pm e/m new pat 65+ yrs CPT 99387 | $206.88 | $431.00 | $176.16 – $431.00 | 9 |
| Inj., benralizumab, 1 mg HCPCS J0517 | $14,036.76 | $29,243.25 | $163.36 – $93,236.25 | 14 |
| Inj, bezlotoxumab, 10 mg HCPCS J0565 | $8,438.40 | $17,580.00 | $39.83 – $56,050.31 | 14 |
| Inj cefazolin sodium, baxter HCPCS J0689 | $41.09 | $85.60 | $90.74 – $272.92 | 4 |
| Inj cntr knee arthro incl ct/mri CPT 27369 | $225.40 | $469.58 | $33.25 – $469.58 | 24 |
| Inj, decitabine (sun pharma) HCPCS J0893 | $240.00 | $500.00 | $530.00 – $1,594.15 | 4 |
| Inj dupuytren cord w/enzyme CPT 20527 | $134.40 | $280.00 | $56.49 – $280.00 | 24 |
| Inj dx for sinogram CPT 20501 | $158.24 | $329.66 | $30.35 – $329.66 | 24 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | $351.36 | $732.00 | $56.25 – $732.00 | 24 |
| Injection carpal tunnel therapeutic (both sides) CPT 20526 | $126.24 | $263.00 | $34.12 – $114.06 | 24 |
| Injection, daratumumab 10 mg HCPCS J9145 | $5,695.30 | $11,865.20 | $70.77 – $37,829.82 | 14 |
| Injection epidural blood patch or clot CPT 62273 | $1,129.92 | $2,354.00 | $100.02 – $535.00 | 24 |
| Injection for arthrography wrist (both sides) CPT 25246 | $297.60 | $620.00 | $60.03 – $620.00 | 24 |
| Injection for bladder x-ray CPT 51600 | $320.16 | $667.00 | $36.49 – $667.00 | 24 |
| Injection for hip x-ray CPT 27095 | $466.08 | $971.00 | $67.57 – $971.00 | 24 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | $247.20 | $515.00 | $41.17 – $515.00 | 24 |
| Injection for ureter x-ray CPT 50684 | $194.40 | $405.00 | $45.89 – $292.56 | 24 |
| Injection for ureter x-ray CPT 50690 | $1,093.92 | $2,279.00 | $60.85 – $377.00 | 24 |
| Injection, fulvestrant HCPCS J9395 | $2,330.70 | $4,855.63 | $5,146.97 – $15,481.21 | 4 |
| Injection,onabotulinumtoxina HCPCS J0585 | $3,104.64 | $6,468.00 | $6.51 – $10,323.72 | 14 |
| Injection, peramivir HCPCS J2547 | $747.19 | $1,556.64 | $1.68 – $4,963.04 | 14 |
| Injection px peyronie ds CPT 54200 | $180.00 | $375.00 | $81.94 – $375.00 | 24 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | $273.12 | $569.00 | $26.68 – $262.00 | 24 |
| Injection, renflexis HCPCS Q5104 | $1,711.49 | $3,565.60 | $26.80 – $11,368.20 | 14 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | $1,228.32 | $2,559.00 | $59.55 – $369.00 | 24 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $1,111.20 | $2,315.00 | $37.67 – $240.00 | 24 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | $321.12 | $669.00 | $32.48 – $185.00 | 24 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $315.84 | $658.00 | $35.00 – $168.00 | 24 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | $513.60 | $1,070.00 | $39.90 – $193.00 | 24 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug CPT 96375 | $166.38 | $346.62 | $15.55 – $103.68 | 24 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $173.50 | $361.46 | $390.38 – $1,152.44 | 2 |
| Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug CPT 96374 | $154.17 | $321.18 | $37.42 – $470.97 | 24 |
| Injection therapeutic/prophylactic/diagnostic subcutaneous/im CPT 96372 | $95.65 | $199.28 | $15.23 – $159.42 | 24 |
| Inject sacroiliac joint CPT 27096 | $251.04 | $523.00 | $72.34 – $523.00 | 24 |
| Inj efgart-alfa 2mg hya-qvfc HCPCS J9334 | $35,571.32 | $74,106.91 | $34.33 – $236,275.06 | 14 |
| Inj epidural sgl cerv-thor without img CPT 62320 | $250.56 | $522.00 | $85.67 – $522.00 | 24 |
| Inj. fe derisomaltose 10 mg HCPCS J1437 | $7,503.62 | $15,632.55 | $21.93 – $49,841.26 | 14 |
| Inj for ext venography CPT 36005 | $380.64 | $793.00 | $40.14 – $147.34 | 24 |
| Inj for mammo ductogram CPT 19030 | $56.48 | $117.66 | $61.18 – $153.47 | 24 |
| Inj fosnetupitant, palonoset HCPCS J1454 | $1,556.46 | $3,242.63 | $524.18 – $10,338.48 | 14 |
| Inj hydroxocobalamin IV 25mg HCPCS J3424 | $1,861.48 | $3,878.08 | $5.44 – $12,364.48 | 14 |
| Inj intralesional <= 7 lsn(s) CPT 11900 | $88.32 | $184.00 | $23.53 – $184.00 | 24 |
| Inj intralesional > 7 lsns CPT 11901 | $107.52 | $224.00 | $35.68 – $224.00 | 24 |
| Inj ivig privigen 500 mg HCPCS J1459 | $16,676.89 | $34,743.52 | $49.53 – $110,772.76 | 14 |
| Inj, levothyroxine, hikma HCPCS J0652 | $213.45 | $444.68 | $471.36 – $1,417.77 | 4 |
| Inj, lidocaine w epinephrine HCPCS J2004 | $53.33 | $111.10 | $21.31 – $64.08 | 4 |
| Inj. mycophenolate mofetil HCPCS J7519 | $208.08 | $433.50 | $459.51 – $1,382.13 | 4 |
| Inj naloxone hydrochloride HCPCS J2310 | $83.04 | $173.00 | $90.31 – $271.64 | 4 |
| Inj nephrosto/ureterogram w/img exstng access CPT 50431 | $1,129.44 | $2,353.00 | $57.85 – $2,353.00 | 24 |
| Inj octafluoropropane mic,ml HCPCS Q9956 | $374.50 | $780.20 | $827.01 – $2,487.51 | 4 |
| Inj ogivri 10 mg HCPCS Q5114 | $5,088.10 | $10,600.20 | $35.78 – $12,313.34 | 14 |
| Inj proc ankle arthr CPT 27648 | $322.08 | $671.00 | $42.34 – $469.58 | 24 |
| Inj proc myelogram lumbar CPT 62284 | $393.12 | $819.00 | $70.16 – $594.00 | 24 |
| Inj proc sialogram CPT 42550 | $121.09 | $252.28 | $50.89 – $252.28 | 24 |
| Inj, releuko 1 mcg HCPCS Q5125 | $609.72 | $1,270.24 | $0.32 – $2,650.75 | 14 |
| Inj retro urethrocysto CPT 51610 | $31.55 | $65.72 | $34.17 – $127.89 | 24 |
| Inj scleros sol mult veins CPT 36471 | $304.80 | $635.00 | $63.89 – $635.00 | 24 |
| Inj scleros sol sgl vein CPT 36470 | $176.16 | $367.00 | $32.23 – $367.00 | 24 |
| Inj. teprotumumab-trbw 10 mg HCPCS J3241 | $38,712.58 | $80,651.20 | $367.91 – $257,140.22 | 14 |
| Inj testosterone cypionate HCPCS J1071 | $72.93 | $151.94 | $161.06 – $484.43 | 4 |
| Inj., tildrakizumab, 1 mg HCPCS J3245 | $41,373.77 | $86,195.35 | $118.20 – $274,816.63 | 14 |
| Inj, vancomycin hcl (xellia) HCPCS J3372 | $76.80 | $160.00 | $84.80 – $255.06 | 4 |
| Inj w/fluor eval cv device CPT 36598 | $344.64 | $718.00 | $29.68 – $377.00 | 24 |
| Inpatient telehealth pharmacologic management, including prescription, use, and review of medication with no more than minimal medical psychotherapy HCPCS G0459 | $54.24 | $113.00 | $39.13 – $113.00 | 22 |
| Inpt/ed teleconsult30 HCPCS G0425 | $117.60 | $245.00 | $58.00 – $245.00 | 22 |
| Inpt/ed teleconsult50 HCPCS G0426 | $166.56 | $347.00 | $52.98 – $264.77 | 22 |
| Inpt/ed teleconsult70 HCPCS G0427 | $235.20 | $490.00 | $58.00 – $490.00 | 22 |
| Inpt/tele follow up 15 HCPCS G0406 | $52.80 | $110.00 | $35.25 – $110.00 | 22 |
| Inpt/tele follow up 25 HCPCS G0407 | $91.68 | $191.00 | $58.00 – $191.00 | 22 |
| Inpt/tele follow up 35 HCPCS G0408 | $133.44 | $278.00 | $58.00 – $278.00 | 22 |
| Ins cerv dilator (sep proc) CPT 59200 | $160.80 | $335.00 | $56.18 – $335.00 | 24 |
| Insert cath pleura without image CPT 32556 | $1,124.64 | $2,343.00 | $108.15 – $2,343.00 | 24 |
| Insert drug delivery implant CPT 11981 | $214.27 | $446.40 | $52.65 – $322.00 | 24 |
| Insert intrauterine device iud CPT 58300 | $168.48 | $351.00 | $71.52 – $351.00 | 9 |
| Insertion catheter bladder non indwelling CPT 51701 | $136.36 | $284.08 | $21.34 – $143.00 | 24 |
| Insertion catheter bladder temporary simple CPT 51702 | $214.71 | $447.32 | $22.00 – $199.00 | 24 |
| Insertion catheter pleural indwelling tunneled with cuff CPT 32550 | $1,172.64 | $2,443.00 | $176.16 – $2,443.00 | 24 |
| Insertion nontunneled centrally inserted central venous catheter >= 5 years old CPT 36556 | $2,073.60 | $4,320.00 | $75.16 – $674.00 | 24 |
| Insertion of heart electrode 33211 CPT 33211 | $251.52 | $524.00 | $138.90 – $524.00 | 24 |
| Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular CPT 33208 | $776.16 | $1,617.00 | $436.13 – $1,617.00 | 24 |
| Insertion of new/replacement ppm w/transvenous electrode(s) ventricular CPT 33207 | $717.12 | $1,494.00 | $404.10 – $1,494.00 | 24 |
| Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator CPT 33225 | $687.84 | $1,433.00 | $375.28 – $1,433.00 | 24 |
| Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years CPT 36569 | $2,008.80 | $4,185.00 | $82.85 – $296.00 | 24 |
| Insertion picc without port or pump with imaging guidance=>5y CPT 36573 | $2,235.36 | $4,657.00 | $70.32 – $1,194.00 | 24 |
| Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber CPT 33249 | $1,366.56 | $2,847.00 | $763.13 – $2,847.00 | 24 |
| Insertion/replacement temporary single chamber electrode/pacemaker catheter CPT 33210 | $15,065.28 | $31,386.00 | $134.09 – $501.00 | 24 |
| Insertion single tranvenous electrode/ppm/implantable defibrillator CPT 33216 | $558.72 | $1,164.00 | $318.12 – $1,164.00 | 24 |
| Insertion subcutaneous cardiac rhythm monitor CPT 33285 | $9,303.84 | $19,383.00 | $72.19 – $13,182.00 | 24 |
| Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides) CPT 36561 | $1,462.56 | $3,047.00 | $290.20 – $3,047.00 | 24 |
| Insert multi-comp penis pros CPT 54405 | $1,227.36 | $2,557.00 | $709.97 – $2,557.00 | 24 |
| Insert nasal septal button CPT 30220 | $466.08 | $971.00 | $113.49 – $971.00 | 24 |
| Insert pessary/other device CPT 57160 | $114.24 | $238.00 | $38.90 – $238.00 | 24 |
| Insert picvad cath CPT 36570 | $5,399.04 | $11,248.00 | $305.02 – $11,248.00 | 24 |
| Insert pm/icd lead dual CPT 33217 | $554.88 | $1,156.00 | $317.12 – $1,156.00 | 24 |
| Insert/repl sq defib w/eltrd CPT 33270 | $839.52 | $1,749.00 | $471.85 – $1,749.00 | 24 |
| Insert self-contd prosthesis CPT 54401 | $1,018.56 | $2,122.00 | $603.65 – $2,122.00 | 24 |
| Insert semi-rigid prosthesis CPT 54400 | $812.16 | $1,692.00 | $472.98 – $1,692.00 | 24 |
| Insert spine infusion device 62360 CPT 62360 | $479.04 | $998.00 | $300.26 – $998.00 | 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.