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 |
|---|---|---|---|---|
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $2,076.00 | $4,325.00 | $104.15 – $342.00 | 24 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $1,398.24 | $2,913.00 | $81.19 – $267.00 | 24 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $1,188.00 | $2,475.00 | $67.61 – $222.00 | 24 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $220.31 | $458.98 | $10.58 – $94.00 | 24 |
| Lsh uterus 250 g or less CPT 58541 | $1,122.24 | $2,338.00 | $628.47 – $2,338.00 | 24 |
| Lsh w/t/o ut 250 g or less CPT 58542 | $1,273.44 | $2,653.00 | $709.30 – $2,653.00 | 24 |
| Lung function test (mbc/mvv) CPT 94200 | $62.58 | $130.38 | $2.57 – $130.63 | 24 |
| Lung Function Test (Spirometry) CPT 94010 | $281.76 | $587.00 | $8.24 – $478.09 | 24 |
| Lung perfusion imaging CPT 78580 | $273.12 | $569.00 | $33.30 – $109.00 | 24 |
| Lurbinectedin 4 mg intravenous solution HCPCS J9223 | $17,954.88 | $37,406.00 | $212.10 – $119,261.55 | 14 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | $26,759.11 | $55,748.14 | $42.75 – $59,460.07 | 14 |
| Lymphatics/lymph node imaging CPT 78195 | $581.28 | $1,211.00 | $52.80 – $174.00 | 24 |
| Lysis of labial adhesions CPT 56441 | $283.20 | $590.00 | $136.99 – $590.00 | 24 |
| Lysis penil circumic lesion CPT 54162 | $394.08 | $821.00 | $179.96 – $821.00 | 24 |
| Macroscopic exam parasite CPT 87169 | $30.02 | $62.54 | $2.70 – $62.54 | 9 |
| Magnesium CPT 83735 | $30.02 | $62.54 | $4.19 – $199.40 | 14 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $53.46 | $111.37 | $53.00 – $159.42 | 4 |
| Makena, 10 mg HCPCS J1726 | $1,931.04 | $4,023.00 | $4,264.38 – $12,826.53 | 4 |
| Male sling procedure CPT 53440 | $1,144.80 | $2,385.00 | $664.05 – $2,385.00 | 24 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | $81.41 | $169.60 | $158.39 – $540.74 | 13 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | $117.53 | $244.86 | $158.39 – $780.69 | 13 |
| Manipulat palm cord post inj CPT 26341 | $181.44 | $378.00 | $71.31 – $378.00 | 24 |
| Mannitol 12.5 gm/50 ml inj HCPCS J2150 | $61.36 | $127.83 | $135.50 – $407.56 | 4 |
| Mapping io sentinel lymph node CPT 38900 | $208.32 | $434.00 | $116.98 – $434.00 | 24 |
| Mastectomy partial CPT 19301 | $1,014.24 | $2,113.00 | $606.54 – $2,113.00 | 24 |
| Mast mod rad CPT 19307 | $1,809.12 | $3,769.00 | $1,080.12 – $3,769.00 | 24 |
| Mastoids complete CPT 70130 | $231.50 | $482.30 | $15.82 – $51.00 | 24 |
| Mastopexy CPT 19316 | $1,214.40 | $2,530.00 | $706.82 – $2,530.00 | 24 |
| Mast simple complete CPT 19303 | $1,469.76 | $3,062.00 | $877.44 – $3,062.00 | 24 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $108.37 | $225.78 | $32.65 – $225.78 | 9 |
| Mayo aathr protein s free CPT 85306 | $48.34 | $100.70 | $15.32 – $321.06 | 14 |
| Mayo activated protein c resistance assay CPT 85307 | $56.99 | $118.72 | $15.32 – $378.52 | 14 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $75.80 | $157.92 | $48.49 – $157.92 | 9 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | $218.33 | $454.86 | $77.85 – $229.81 | 3 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | $122.62 | $255.46 | $275.90 – $814.48 | 3 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $66.14 | $137.80 | $20.37 – $137.80 | 9 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | $16.28 | $33.92 | $36.63 – $108.15 | 3 |
| Mayo alpha 1 antitrypsin CPT 82103 | $72.76 | $151.58 | $13.44 – $483.28 | 14 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $29.64 | $61.75 | $9.31 – $61.75 | 9 |
| Mayo amphu amphetamines definitive assay 3 or 4 urine CPT 80325 | $233.54 | $486.54 | $48.49 – $486.54 | 5 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | $39.18 | $81.62 | $42.44 – $81.62 | 5 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $239.03 | $497.98 | $48.49 – $605.69 | 9 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $227.43 | $473.82 | $91.66 – $1,510.68 | 13 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | $261.60 | $545.00 | $48.49 – $746.65 | 9 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $1,253.76 | $2,612.00 | $48.49 – $30,299.20 | 9 |
| Mayo androstenedione CPT 82157 | $143.99 | $299.98 | $48.49 – $299.98 | 9 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $38.67 | $80.56 | $11.76 – $256.85 | 14 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $25.44 | $53.00 | $7.98 – $168.98 | 14 |
| Mayo avwpr vw factor activity CPT 85397 | $143.99 | $299.98 | $48.49 – $299.98 | 9 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | $6.00 | $12.49 | $6.49 – $58.00 | 5 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $55.97 | $116.60 | $5.40 – $168.98 | 21 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $385.44 | $803.00 | $144.84 – $2,560.20 | 13 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | $421.92 | $879.00 | $48.49 – $1,886.51 | 9 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $25.35 | $52.82 | $6.81 – $58.00 | 9 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $27.98 | $58.30 | $7.69 – $185.88 | 14 |
| Mayo brcmg brucella antibody igm CPT 86622 | $17.04 | $35.50 | $3.17 – $113.18 | 14 |
| Mayo c1 esterase inhibitor CPT 83883 | $91.58 | $190.80 | $13.60 – $483.28 | 14 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | $6.00 | $12.49 | $13.49 – $39.82 | 3 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $29.51 | $61.48 | $10.37 – $196.02 | 14 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | $55.46 | $115.54 | $30.94 – $115.54 | 9 |
| Mayo ceruloplasmin CPT 82390 | $45.28 | $94.34 | $10.13 – $300.78 | 14 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $66.65 | $138.86 | $19.61 – $138.86 | 9 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $38.67 | $80.56 | $10.38 – $256.85 | 14 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $13.74 | $28.62 | $3.38 – $91.25 | 14 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $13.74 | $28.62 | $3.63 – $91.25 | 14 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $79.37 | $165.36 | $116.49 – $527.22 | 13 |
| Mayo chromium CPT 82495 | $98.71 | $205.64 | $11.61 – $182.50 | 21 |
| Mayo cocaine definitive assay confirmation urine CPT 80353 | $6.00 | $12.49 | $6.49 – $58.00 | 5 |
| Mayo coccidioides antibody CPT 86635 | $29.51 | $61.48 | $7.05 – $196.02 | 14 |
| Mayo cocou cortisone urine CPT 82542 | $79.37 | $165.36 | $39.84 – $165.36 | 9 |
| Mayo cortisol free CPT 82530 | $169.94 | $354.04 | $16.71 – $1,128.79 | 14 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $163.77 | $341.19 | $46.00 – $341.19 | 11 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | $23.13 | $48.18 | $5.84 – $58.00 | 9 |
| Mayo cyanide CPT 82600 | $52.92 | $110.24 | $21.39 – $110.24 | 9 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | $67.16 | $139.92 | $18.54 – $139.92 | 9 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $95.15 | $198.22 | $25.27 – $631.98 | 14 |
| Mayo dihydrotestosterone CPT 82642 | $63.93 | $133.19 | $39.00 – $133.19 | 9 |
| Mayo estriol CPT 82677 | $58.00 | $120.84 | $24.18 – $385.27 | 14 |
| Mayo estrone CPT 82679 | $34.60 | $72.08 | $17.98 – $229.81 | 14 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | $89.55 | $186.56 | $30.48 – $186.56 | 9 |
| Mayo everolimus therapeutic drug level CPT 80169 | $35.62 | $74.20 | $10.19 – $236.57 | 14 |
| Mayo factor ii CPT 85210 | $68.18 | $142.04 | $18.44 – $142.04 | 9 |
| Mayo factor vii CPT 85230 | $35.18 | $73.29 | $13.12 – $73.29 | 9 |
| Mayo factor viii vw factor antigen CPT 85246 | $176.04 | $366.76 | $22.94 – $1,169.34 | 14 |
| Mayo factor viii vw factor multimetric analysis CPT 85247 | $89.04 | $185.50 | $42.55 – $185.50 | 9 |
| Mayo factor viii vw factor ristocetin cofactor CPT 85245 | $153.66 | $320.12 | $22.94 – $1,020.64 | 14 |
| Mayo factor x CPT 85260 | $39.69 | $82.68 | $14.80 – $82.68 | 9 |
| Mayo factor xi CPT 85270 | $112.95 | $235.32 | $42.12 – $235.32 | 9 |
| Mayo fat/lipids feces quantitative CPT 82710 | $73.27 | $152.64 | $25.64 – $152.64 | 9 |
| Mayo fbl culture fungi blood CPT 87103 | $32.56 | $67.84 | $13.88 – $67.84 | 9 |
| Mayo ffspg allergen clam igg CPT 86001 | $43.25 | $90.10 | $7.05 – $287.27 | 14 |
| Mayo gabapentin bld/srm/plasma therapeutic drug level CPT 80171 | $72.25 | $150.52 | $32.62 – $150.52 | 9 |
| Mayo gamma-globin full gene sequencing CPT 81479 | $255.84 | $533.00 | $48.49 – $533.00 | 5 |
| Mayo hemosiderin qualitative urine CPT 83070 | $18.83 | $39.22 | $1.86 – $58.00 | 9 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative CPT 87535 | $259.68 | $541.00 | $35.09 – $1,724.87 | 14 |
| Mayo hiser histoplasma antibodies immunodiffusion CPT 86698 | $79.37 | $165.36 | $22.80 – $165.36 | 9 |
| Mayo hla typing a/b/c single antigen CPT 86812 | $76.32 | $159.00 | $25.81 – $506.94 | 14 |
| Mayo hvdip HIV 1 antibody CPT 86701 | $45.79 | $95.40 | $8.48 – $304.16 | 14 |
| Mayo hvdip HIV 2 antibody CPT 86702 | $31.04 | $64.66 | $8.74 – $206.16 | 14 |
| Mayo hydroxyprogesterone 17-d CPT 83498 | $40.20 | $83.74 | $22.75 – $266.99 | 14 |
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.