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 |
|---|---|---|---|---|
| Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 | $93.11 | $193.98 | $17.27 – $618.47 | 14 |
| Mayo immunoassay infectious agent antibody quantitative diptheria igg CPT 86317 | $31.04 | $64.66 | $3.50 – $74.35 | 21 |
| Mayo immunoassay tumor antigen quantitative ca 27.29 CPT 86300 | $80.90 | $168.54 | $20.81 – $537.36 | 14 |
| Mayo immunoassay tumor antigen quantitative chromogranin a CPT 86316 | $138.39 | $288.32 | $20.81 – $919.25 | 14 |
| Mayo infectious agent antigen immunoassay direct optical observation cryptococcus CPT 87899 | $62.07 | $129.32 | $16.07 – $412.31 | 14 |
| Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal CPT 87305 | $129.24 | $269.24 | $11.98 – $858.42 | 14 |
| Mayo infectious agent nucleic acid amplified probe enterovirus CPT 87498 | $163.32 | $340.26 | $48.49 – $340.26 | 9 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma genitalium urine CPT 87563 | $32.95 | $68.65 | $24.09 – $68.65 | 9 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae CPT 87581 | $76.63 | $159.64 | $48.49 – $159.64 | 9 |
| Mayo infectious agent nucleic acid quantification cytomegalovirus CPT 87497 | $163.32 | $340.26 | $42.84 – $1,084.85 | 14 |
| Mayo infectious disease hepatitis c chronic six biochemical assays CPT 81596 | $137.74 | $286.95 | $48.49 – $286.95 | 9 |
| Mayo infliximab therapeutic drug level CPT 80230 | $75.80 | $157.92 | $38.57 – $503.50 | 14 |
| Mayo inhab inhibin a CPT 86336 | $63.09 | $131.44 | $15.59 – $419.07 | 14 |
| Mayo insulin antibodies CPT 86337 | $136.36 | $284.08 | $21.41 – $905.73 | 14 |
| Mayo iodine CPT 83789 | $139.92 | $291.50 | $24.11 – $929.39 | 14 |
| Mayo lacosamide therapeutic drug level CPT 80235 | $53.28 | $110.99 | $27.11 – $353.87 | 14 |
| Mayo lamotrigine therapeutic drug level CPT 80175 | $49.86 | $103.88 | $13.25 – $331.20 | 14 |
| Mayo ld_i lactate dehydrogenase isoenzymes CPT 83625 | $24.40 | $50.84 | $6.50 – $58.00 | 9 |
| Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory CPT 86617 | $46.30 | $96.46 | $14.94 – $307.54 | 14 |
| Mayo manganese CPT 83785 | $127.20 | $265.00 | $26.65 – $844.90 | 21 |
| Mayo metanephrines plasma CPT 83835 | $97.18 | $202.46 | $16.94 – $645.50 | 14 |
| Mayo methadone definitive assay confirmation urine CPT 80358 | $6.00 | $12.49 | $6.49 – $58.00 | 5 |
| Mayo mgle voltage-gated calcium channel antibody each CPT 86596 | $35.11 | $73.14 | $8.81 – $73.14 | 12 |
| Mayo microsomal antibody liver-kidney CPT 86376 | $63.09 | $131.44 | $14.55 – $419.07 | 14 |
| Mayo mitotane (lysodren) therapeutic drug level CPT 80299 | $125.16 | $260.76 | $18.64 – $831.38 | 14 |
| Mayo molecular pathology procedure level 2 apoe genotype CPT 81401 | $269.28 | $561.00 | $48.49 – $768.57 | 9 |
| Mayo mpl sequence analysis exon 10 CPT 81339 | $363.84 | $758.00 | $46.00 – $1,403.82 | 11 |
| Mayo muramidase CPT 85549 | $68.18 | $142.04 | $26.63 – $142.04 | 9 |
| Mayo mycophenolic acid therapeutic drug level CPT 80180 | $54.44 | $113.42 | $18.05 – $361.62 | 14 |
| Mayo myoglobin CPT 83874 | $90.06 | $187.62 | $24.24 – $187.62 | 9 |
| Mayo opatu opiates definitive assay >=1 CPT 80361 | $6.00 | $12.49 | $13.49 – $39.82 | 3 |
| Mayo opatu opioid/analogs definitive assay 1 or 2 CPT 80362 | $218.33 | $454.86 | $491.25 – $1,450.23 | 3 |
| Mayo opatu oxycodone definitive assay CPT 80365 | $33.58 | $69.96 | $75.56 – $223.05 | 3 |
| Mayo organic acid methylmalonic single quantitative CPT 83921 | $98.20 | $204.58 | $21.21 – $652.26 | 14 |
| Mayo oxalate 24 hour urine CPT 83945 | $24.42 | $50.88 | $7.35 – $162.22 | 14 |
| Mayo pancreatic elastase fecal qualitative or semi quantitative CPT 82656 | $174.01 | $362.52 | $41.80 – $362.52 | 9 |
| Mayo parvs parvovirus b19 antibody igg CPT 86747 | $41.21 | $85.86 | $12.90 – $273.75 | 14 |
| Mayo paval fluorescent antibody screen agna type 1 CPT 86255 | $74.28 | $154.76 | $12.05 – $154.76 | 23 |
| Mayo phospholipid neutralization hexagonal lupus anticoagulant CPT 85598 | $75.30 | $156.88 | $17.98 – $500.18 | 14 |
| Mayo pntft phenytoin free therapeutic drug level CPT 80186 | $64.11 | $133.56 | $13.76 – $425.83 | 14 |
| Mayo pqnu porphobilinogen urine quantitative 24 hour urine CPT 84110 | $68.69 | $143.10 | $8.44 – $456.25 | 14 |
| Mayo pregnenolone CPT 84140 | $40.62 | $84.63 | $17.49 – $269.83 | 14 |
| Mayo prmb primidone therapeutic drug level CPT 80188 | $32.60 | $67.92 | $11.27 – $67.92 | 9 |
| Mayo proinsulin CPT 84206 | $73.78 | $153.70 | $26.69 – $490.04 | 14 |
| Mayo psaft prostate specific antigen free CPT 84154 | $56.99 | $118.72 | $18.39 – $378.52 | 14 |
| Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519 | $147.55 | $307.40 | $18.40 – $980.08 | 21 |
| Mayo rbcme osmotic fragility rbc incubated CPT 85557 | $27.48 | $57.24 | $7.65 – $58.00 | 9 |
| Mayo receptor assay transferrin soluble CPT 84238 | $72.25 | $150.52 | $48.49 – $150.52 | 9 |
| Mayo renin CPT 84244 | $66.65 | $138.86 | $21.99 – $442.73 | 14 |
| Mayo repu protein electrophoresis urine CPT 84166 | $83.95 | $174.90 | $17.83 – $557.63 | 14 |
| Mayo selenium CPT 84255 | $85.48 | $178.08 | $25.53 – $567.77 | 14 |
| Mayo serotonin CPT 84260 | $84.46 | $175.96 | $48.49 – $175.96 | 9 |
| Mayo sfgp rickettsia rickettsii antibody igg CPT 86757 | $36.92 | $76.91 | $14.88 – $76.91 | 9 |
| Mayo sirolimus therapeutic drug level CPT 80195 | $77.85 | $162.18 | $13.73 – $517.08 | 14 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $46.30 | $96.46 | $4.12 – $307.54 | 14 |
| Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification CPT 81340 | $261.60 | $545.00 | $48.49 – $1,138.61 | 9 |
| Mayo tgrp testosterone free CPT 84402 | $112.44 | $234.26 | $25.47 – $746.89 | 14 |
| Mayo tgrp testosterone total CPT 84403 | $63.60 | $132.50 | $25.81 – $422.45 | 14 |
| Mayo thiopurine s-methyltransferase CPT 84433 | $42.30 | $88.13 | $19.54 – $280.98 | 14 |
| Mayo thyroglobulin CPT 84432 | $45.28 | $94.34 | $15.15 – $300.78 | 14 |
| Mayo ticks babesia microti antibody igg CPT 86753 | $24.93 | $51.94 | $6.44 – $58.00 | 9 |
| Mayo vitamin b-2 (riboflavin) CPT 84252 | $117.02 | $243.80 | $48.49 – $243.80 | 9 |
| Mayo vitamin b3 (niacin) CPT 84591 | $103.80 | $216.24 | $36.89 – $216.24 | 9 |
| Mayo vitamin k CPT 84597 | $139.92 | $291.50 | $13.72 – $929.39 | 14 |
| Mayo zonisamide therapeutic drug level CPT 80203 | $65.64 | $136.74 | $13.25 – $435.97 | 14 |
| Mdfc flap w/prsrv vasc pedcl CPT 15730 | $5,850.72 | $12,189.00 | $766.30 – $12,189.00 | 24 |
| Md service required for pmd HCPCS G0372 | $13.44 | $28.00 | $7.58 – $58.00 | 22 |
| Measurement post void urine by ultrasound CPT 51798 | $144.50 | $301.04 | $12.45 – $37.00 | 24 |
| Med genetics&genetic counseling svcs each 30 min CPT 96041 | $66.24 | $138.00 | $71.76 – $138.00 | 3 |
| Medroxyprogesterone 150 mg/ml im injection (wrapper) HCPCS J1050 | $150.62 | $313.80 | $332.63 – $1,000.49 | 4 |
| Med serv 10pm-8am 24 hr fac CPT 99053 | $23.52 | $49.00 | $25.48 – $58.00 | 4 |
| Meperidine (pf) 25 mg/ml injection (wrapper) HCPCS J2175 | $40.70 | $84.79 | $89.88 – $270.34 | 4 |
| Mepolizumab 100 mg/ml subcutaneous auto-injector HCPCS J2182 | $7,847.05 | $16,348.03 | $31.82 – $52,122.42 | 14 |
| Mercaptopurine 50 mg HCPCS S0108 | $1,715.64 | $3,574.25 | $3,860.19 – $11,395.78 | 2 |
| Meropenem 1 gram intravenous solution HCPCS J2185 | $114.24 | $238.00 | $120.63 – $362.83 | 4 |
| Mesh/prosth/ pelvic floor rpr/vag 57267 CPT 57267 | $379.68 | $791.00 | $211.24 – $791.00 | 24 |
| Metabolic Blood Panel (Basic) CPT 80048 | $29.00 | $60.42 | $5.11 – $192.64 | 14 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $38.67 | $80.56 | $8.51 – $256.85 | 14 |
| Metabolic panel ionized ca CPT 80047 | $26.97 | $56.18 | $7.71 – $58.00 | 9 |
| Metered dose inhaler drug HCPCS J3535 | $1,213.49 | $2,528.10 | $330.99 – $995.55 | 3 |
| Methotrexate sodium 2.5 mg tablet HCPCS J8610 | $427.68 | $891.00 | $944.46 – $2,840.78 | 3 |
| Methotrexate sodium (pf) 1 gram solution for injection HCPCS J9260 | $118.50 | $246.88 | $136.82 – $411.55 | 4 |
| Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968 | $565.54 | $1,178.20 | $10.29 – $3,756.46 | 14 |
| Methylergonovine 0.2 mg/ml (1 ml) injection solution HCPCS J2210 | $51.26 | $106.80 | $113.21 – $340.51 | 4 |
| Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) HCPCS J2212 | $411.68 | $857.66 | $909.12 – $2,734.48 | 3 |
| Methylphenidate CPT 80360 | $69.71 | $145.22 | $156.84 – $463.00 | 3 |
| Methylprednisolone 4 mg tablet HCPCS J7509 | $278.16 | $579.50 | $614.27 – $1,847.62 | 3 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | $91.56 | $190.74 | $161.44 – $485.58 | 4 |
| Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 | $200.18 | $417.04 | $137.55 – $413.71 | 4 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | $11.88 | $24.76 | $26.25 – $78.94 | 4 |
| Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback HCPCS J1836 | $17.28 | $36.00 | $38.16 – $114.78 | 4 |
| Micafungin 100 mg intravenous solution HCPCS J2248 | $220.22 | $458.80 | $486.33 – $1,462.79 | 4 |
| Microsatellite instability CPT 81301 | $730.56 | $1,522.00 | $48.49 – $5,305.08 | 9 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | $76.26 | $158.88 | $117.32 – $352.88 | 4 |
| Midazolam 1 mg/ml in sodium chloride IV infusion (wrapper) HCPCS J2251 | $96.00 | $200.00 | $212.00 – $637.66 | 4 |
| Middle cerebral artery echo CPT 76821 | $85.92 | $179.00 | $33.06 – $179.00 | 24 |
| Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk HCPCS J2260 | $46.08 | $96.00 | $101.76 – $306.08 | 4 |
| Mitomycin 40 mg intravenous solution HCPCS J9280 | $1,261.44 | $2,628.00 | $28.46 – $8,378.85 | 14 |
| Mitomycin instillation HCPCS J9281 | $58,755.84 | $122,408.00 | $323.17 – $390,273.43 | 14 |
| Mlh1 gene CPT 81288 | $377.76 | $787.00 | $48.49 – $1,513.56 | 9 |
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.