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 |
|---|---|---|---|---|
| Insert swan-ganz cath CPT 93503 | $109.92 | $229.00 | $58.00 – $3,485.53 | 24 |
| Insert uro/ves nck sphincter CPT 53445 | $1,152.96 | $2,402.00 | $672.38 – $2,402.00 | 24 |
| Insert uteri tandem/ovoids CPT 57155 | $3,978.24 | $8,288.00 | $233.70 – $1,269.00 | 24 |
| Ins icd gen exist sgl lead CPT 33240 | $553.92 | $1,154.00 | $306.68 – $1,154.00 | 24 |
| Insitu hybridization auto CPT 88367 | $211.15 | $439.90 | $30.94 – $793.68 | 21 |
| Insitu hybridization manual CPT 88368 | $539.52 | $1,124.00 | $39.94 – $1,124.00 | 21 |
| In situ hybridization per specimen each additional single probe stain CPT 88364 | $70.21 | $146.28 | $125.98 – $466.38 | 13 |
| In situ hybridization per specimen initial single probe stain CPT 88365 | $107.87 | $224.72 | $202.82 – $716.47 | 13 |
| Ins picad w subq port 5yr> CPT 36571 | $5,399.04 | $11,248.00 | $282.94 – $3,914.00 | 24 |
| Ins picc wo subq prt/pmp w image guidnc <5yr CPT 36572 | $1,267.20 | $2,640.00 | $71.27 – $2,640.00 | 24 |
| Ins pq tunnld ip cath w/img CPT 49418 | $1,471.68 | $3,066.00 | $170.20 – $3,066.00 | 24 |
| Ins/rplc spi npg/rcvr pocket CPT 63685 | $523.20 | $1,090.00 | $307.77 – $1,090.00 | 24 |
| Ins/rpl pm gen exist dual lead CPT 33213 | $508.80 | $1,060.00 | $291.15 – $1,060.00 | 24 |
| Ins/rpl pm gen exist sgl lead CPT 33212 | $486.24 | $1,013.00 | $280.39 – $1,013.00 | 24 |
| Ins/rpl pm w/tv ld atrl CPT 33206 | $682.56 | $1,422.00 | $385.52 – $1,422.00 | 24 |
| Ins/rpl prph sac/gstr npg/r CPT 64590 | $675.36 | $1,407.00 | $222.24 – $1,407.00 | 24 |
| Instillation anticarcinogenic agent bladder CPT 51720 | $135.36 | $282.00 | $36.96 – $282.00 | 24 |
| Instll rx agnt into rnal tub CPT 50391 | $191.04 | $398.00 | $82.41 – $398.00 | 24 |
| Ins tun cv cath wo subq prt/pm CPT 36558 | $1,236.48 | $2,576.00 | $225.88 – $2,576.00 | 24 |
| Insulin total CPT 83525 | $83.44 | $173.84 | $11.43 – $554.25 | 14 |
| Ins vag brachytx device CPT 57156 | $687.84 | $1,433.00 | $124.71 – $731.00 | 24 |
| Intens behave ther cardio dx HCPCS G0446 | $32.64 | $68.00 | $25.97 – $82.96 | 22 |
| Interrogate subq defib CPT 93261 | $77.34 | $161.12 | $35.07 – $111.00 | 24 |
| Interrogation vad in person CPT 93750 | $77.76 | $162.00 | $33.35 – $210.51 | 24 |
| Interrog dev eval scrms ip CPT 93291 | $74.40 | $155.00 | $17.25 – $155.00 | 24 |
| Interrog device eval heart CPT 93289 | $109.44 | $228.00 | $35.07 – $228.00 | 24 |
| Interrog evl pm/ldls pm ip CPT 93288 | $85.92 | $179.00 | $19.92 – $179.00 | 24 |
| Int hrhc lig 1 hroid without img CPT 46945 | $523.20 | $1,090.00 | $343.39 – $1,090.00 | 24 |
| Int hrhc lig 2+hroid without img CPT 46946 | $584.16 | $1,217.00 | $376.27 – $1,217.00 | 24 |
| Intranasal biopsy 30100 CPT 30100 | $216.00 | $450.00 | $59.73 – $450.00 | 24 |
| Intraoral i+d tongue/floor lingual 41000 CPT 41000 | $222.72 | $464.00 | $100.88 – $464.00 | 24 |
| Intrinsic factor antibody CPT 86340 | $83.44 | $173.84 | $26.22 – $173.84 | 9 |
| Intrm oph exam est patient CPT 92012 | $114.24 | $238.00 | $41.08 – $294.79 | 24 |
| Intubation endotracheal emergency procedure CPT 31500 | $478.08 | $996.00 | $128.10 – $443.00 | 24 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | $19.84 | $41.34 | $2.36 – $58.00 | 9 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $613.44 | $1,278.00 | $2.36 – $1,763.13 | 10 |
| Ioxaglate 39.3%-19.6% inj 200 ml HCPCS Q9964 | $2.18 | $4.54 | $2.36 – $58.00 | 9 |
| Ipilimumab 5 mg/ml intravenous solution (wrapper) HCPCS J9228 | $68,224.74 | $142,134.88 | $187.17 – $113,531.54 | 14 |
| Ipratropium bromide comp HCPCS J7645 | $4.58 | $9.55 | $10.12 – $30.45 | 4 |
| Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 | $113.28 | $236.00 | $223.19 – $671.33 | 4 |
| Irinotecan liposomal 4.3 mg/ml intravenous HCPCS J9205 | $5,627.52 | $11,724.00 | $66.37 – $37,379.63 | 14 |
| Iron CPT 83540 | $42.23 | $87.98 | $5.69 – $280.51 | 14 |
| Iron binding capacity CPT 83550 | $42.23 | $87.98 | $7.69 – $280.51 | 14 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | $130.32 | $271.51 | $18.11 – $865.66 | 14 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $187.24 | $390.08 | $413.48 – $1,243.69 | 4 |
| Irradiation of blood product each unit reference CPT 86945 | $53.93 | $112.36 | $48.49 – $112.36 | 6 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $111.94 | $233.20 | $25.86 – $130.63 | 24 |
| IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 | $214.20 | $446.26 | $85.71 – $481.96 | 12 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $114.99 | $239.56 | $20.55 – $763.79 | 13 |
| IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 | $214.20 | $446.26 | $55.74 – $481.96 | 12 |
| IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 | $350.88 | $731.00 | $253.21 – $789.48 | 12 |
| Ivp w/nephrotomography CPT 74415 | $280.80 | $585.00 | $22.39 – $73.00 | 24 |
| Ivp w/wo kub w/wo tomography CPT 74400 | $296.16 | $617.00 | $22.39 – $74.00 | 24 |
| Jak2 targeted sequence analysis CPT 81279 | $363.84 | $758.00 | $185.20 – $2,416.73 | 14 |
| Jejunstmy tube plcmt CPT 44372 | $359.52 | $749.00 | $206.42 – $749.00 | 24 |
| John cunningham antibody CPT 86711 | $33.19 | $69.15 | $11.68 – $220.47 | 14 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $39.69 | $82.68 | $6.76 – $263.61 | 14 |
| Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885 | $23.52 | $49.00 | $0.40 – $129.60 | 14 |
| Kidney endoscopy CPT 50553 | $589.92 | $1,229.00 | $268.89 – $1,229.00 | 24 |
| Kidney endoscopy CPT 50575 | $1,067.04 | $2,223.00 | $604.13 – $2,223.00 | 24 |
| Kidney endoscopy & treatment CPT 50561 | $726.24 | $1,513.00 | $336.57 – $1,513.00 | 24 |
| Kidney endoscopy & treatment CPT 50580 | $908.64 | $1,893.00 | $514.68 – $1,893.00 | 24 |
| Kidney imag w/bld flow multi CPT 78709 | $862.56 | $1,797.00 | $62.37 – $204.00 | 24 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $818.88 | $1,706.00 | $42.88 – $138.00 | 24 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $360.96 | $752.00 | $33.64 – $111.00 | 24 |
| Kit cast tcc 3in w/2reg boots total contact cast HCPCS Q4038 | $63.36 | $132.00 | $58.00 – $224.40 | 12 |
| Kit gene analys d816 variant CPT 81273 | $245.28 | $511.00 | $124.87 – $1,629.22 | 13 |
| Knee Arthroscopy (Cartilage Repair) CPT 29877 | $961.44 | $2,003.00 | $569.34 – $2,003.00 | 24 |
| Knee arthroscopy/drainage CPT 29871 | $800.16 | $1,667.00 | $477.02 – $1,667.00 | 24 |
| Knee arthroscopy dx CPT 29870 | $854.88 | $1,781.00 | $388.81 – $1,781.00 | 24 |
| Knee Arthroscopy (Meniscus Repair) CPT 29881 | $839.52 | $1,749.00 | $500.86 – $1,749.00 | 24 |
| Knee arthroscopy/surgery CPT 29850 | $968.64 | $2,018.00 | $575.50 – $2,018.00 | 24 |
| Knee arthroscopy/surgery CPT 29851 | $1,431.84 | $2,983.00 | $833.11 – $2,983.00 | 24 |
| Knee arthroscopy/surgery CPT 29873 | $836.64 | $1,743.00 | $507.45 – $1,743.00 | 24 |
| Knee arthroscopy/surgery CPT 29874 | $834.72 | $1,739.00 | $491.04 – $1,739.00 | 24 |
| Knee arthroscopy/surgery CPT 29875 | $770.88 | $1,606.00 | $460.42 – $1,606.00 | 24 |
| Knee arthroscopy/surgery CPT 29876 | $1,010.40 | $2,105.00 | $596.28 – $2,105.00 | 24 |
| Knee arthroscopy/surgery CPT 29879 | $1,023.84 | $2,133.00 | $604.13 – $2,133.00 | 24 |
| Knee arthroscopy/surgery CPT 29880 | $871.20 | $1,815.00 | $517.52 – $1,815.00 | 24 |
| Knee arthroscopy/surgery CPT 29882 | $1,063.68 | $2,216.00 | $622.45 – $2,216.00 | 24 |
| Knee arthroscopy/surgery CPT 29883 | $1,300.80 | $2,710.00 | $760.73 – $2,710.00 | 24 |
| Knee arthroscopy/surgery CPT 29884 | $960.00 | $2,000.00 | $568.67 – $2,000.00 | 24 |
| Knee arthroscopy/surgery CPT 29886 | $987.36 | $2,057.00 | $586.35 – $2,057.00 | 24 |
| Knee arthroscopy/surgery CPT 29888 | $1,497.12 | $3,119.00 | $860.96 – $3,119.00 | 24 |
| Knee arthroscopy/surgery CPT 29889 | $1,884.96 | $3,927.00 | $1,094.70 – $3,927.00 | 24 |
| Knee MRI (with and without contrast) CPT 73723 | $2,118.72 | $4,414.00 | $97.91 – $321.00 | 24 |
| Knee MRI (with contrast) CPT 73722 | $1,584.96 | $3,302.00 | $74.28 – $242.00 | 24 |
| Knee MRI (without contrast) CPT 73721 | $1,127.52 | $2,349.00 | $62.03 – $203.00 | 24 |
| Knee X-ray CPT 73564 | $191.82 | $399.62 | $10.91 – $116.00 | 24 |
| Kras gene addl variants CPT 81276 | $250.56 | $522.00 | $48.49 – $1,008.77 | 9 |
| Kras gene variants exon 2 CPT 81275 | $446.40 | $930.00 | $48.49 – $1,797.23 | 9 |
| Kyleena, 19.5 mg HCPCS J7296 | $2,918.95 | $6,081.15 | $6,446.02 – $19,388.53 | 4 |
| Lab draw < 3 yrs fem/jugular 36400 CPT 36400 | $41.76 | $87.00 | $15.49 – $87.00 | 24 |
| Labetalol 5 mg/ml IV (wrapper) HCPCS J1920 | $30.24 | $63.00 | $56.63 – $170.32 | 4 |
| Lactate dehydrogenase (ldh) CPT 83615 | $22.90 | $47.70 | $1.21 – $152.08 | 21 |
| Lactated ringers intravenous solution HCPCS J7120 | $19.01 | $39.60 | $37.10 – $111.59 | 4 |
| Lactic acid CPT 83605 | $108.88 | $226.84 | $11.57 – $723.23 | 14 |
| Lactoferrin fecal qualitative CPT 83630 | $92.60 | $192.92 | $38.01 – $192.92 | 9 |
| Lactoferrin fecal quant CPT 83631 | $125.67 | $261.82 | $19.63 – $834.76 | 14 |
| Laparo-asst vag hysterectomy CPT 58550 | $1,353.60 | $2,820.00 | $759.77 – $2,820.00 | 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.