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 |
|---|---|---|---|---|
| Mnl appl strs jt radiography CPT 77071 | $156.71 | $326.48 | $57.59 – $175.00 | 24 |
| Mnl prep&insj dp rx dlvr dev CPT 20700 | $128.64 | $268.00 | $68.18 – $268.00 | 24 |
| Mnl prep&insj imed rx dev CPT 20702 | $216.00 | $450.00 | $117.95 – $450.00 | 24 |
| Mnpj anes sho jt fixj aprats CPT 23700 | $303.36 | $632.00 | $179.51 – $632.00 | 24 |
| Mnt subs tx for change dx HCPCS G0270 | $48.48 | $101.00 | $21.92 – $101.00 | 22 |
| Mobilization of colon 44139 CPT 44139 | $181.44 | $378.00 | $101.95 – $378.00 | 24 |
| Molecular pathology interpr HCPCS G0452 | $70.08 | $146.00 | $25.44 – $146.00 | 22 |
| Monitor reveal linq ii cardiac HCPCS C1764 | $5,496.96 | $11,452.00 | $12,368.16 – $36,512.41 | 2 |
| Mopath procedure level 3 CPT 81402 | $307.20 | $640.00 | $48.49 – $962.11 | 9 |
| Mopath procedure level 5 CPT 81404 | $540.00 | $1,125.00 | $48.49 – $3,091.84 | 9 |
| Mopath procedure level 6 CPT 81405 | $575.04 | $1,198.00 | $48.49 – $3,610.17 | 9 |
| Mopath procedure level 9 CPT 81408 | $3,930.72 | $8,189.00 | $48.49 – $163,780.00 | 9 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | $93.00 | $193.76 | $37.41 – $112.52 | 4 |
| Morphine 4 mg/ml injection (wrapper)|discarded drug not administered HCPCS J2272 | $17.87 | $37.22 | $39.45 – $118.67 | 4 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | $470.88 | $981.00 | $202.82 – $3,127.72 | 13 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | $455.52 | $949.00 | $40.28 – $793.68 | 21 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $225.91 | $470.64 | $38.94 – $377.25 | 21 |
| Mouth vestibule bx/w complex rpr 40814 CPT 40814 | $568.80 | $1,185.00 | $259.63 – $1,185.00 | 24 |
| M/phmtrc alys ishquant/semiq CPT 88377 | $167.40 | $348.74 | $48.49 – $377.25 | 21 |
| Mpsv4 vaccine subq CPT 90733 | $131.04 | $273.00 | $58.00 – $273.00 | 5 |
| MRA abdomen post contrast CPT 74185 | $1,388.16 | $2,892.00 | $81.33 – $265.00 | 24 |
| MRA aorta thoracic w/wo contrast CPT 71555 | $1,161.12 | $2,419.00 | $81.52 – $267.00 | 24 |
| MRA ext low(run-off)pst cntrst CPT 73725 | $1,718.88 | $3,581.00 | $81.66 – $268.00 | 24 |
| MRA pelvis CPT 72198 | $1,967.52 | $4,099.00 | $80.86 – $265.00 | 24 |
| MRA spinal canal CPT 72159 | $1,059.84 | $2,208.00 | $81.52 – $269.00 | 24 |
| MRA upper extremity post contrast-bil CPT 73225 | $1,666.56 | $3,472.00 | $76.99 – $258.00 | 24 |
| MRI chest without contrast CPT 71550 | $431.04 | $898.00 | $65.71 – $218.00 | 24 |
| MRI chest without & w/contrast CPT 71552 | $1,486.08 | $3,096.00 | $102.48 – $337.00 | 24 |
| MRI chest w IV cont CPT 71551 | $1,102.56 | $2,297.00 | $78.52 – $258.00 | 24 |
| MRI loex nonjt w IV cont CPT 73719 | $1,380.48 | $2,876.00 | $73.28 – $241.00 | 24 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $1,376.16 | $2,867.00 | $61.37 – $201.00 | 24 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $2,036.16 | $4,242.00 | $97.91 – $320.00 | 24 |
| MRI orbit/face/neck without contrast CPT 70540 | $1,213.44 | $2,528.00 | $61.04 – $201.00 | 24 |
| MRI orbit/face/neck without & w/contrast CPT 70543 | $1,736.16 | $3,617.00 | $97.58 – $320.00 | 24 |
| MRI orbit fac&nck w IV cont CPT 70542 | $1,436.16 | $2,992.00 | $73.61 – $241.00 | 24 |
| MRI tmj CPT 70336 | $587.52 | $1,224.00 | $66.04 – $220.00 | 24 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $1,194.24 | $2,488.00 | $62.03 – $203.00 | 24 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $1,539.36 | $3,207.00 | $98.24 – $321.00 | 24 |
| MRI upper extremity w/dye CPT 73219 | $1,417.92 | $2,954.00 | $73.95 – $242.00 | 24 |
| Mthfr gene analy common variants CPT 81291 | $128.41 | $267.52 | $48.49 – $267.52 | 9 |
| Multi family grp psychotherapy CPT 90849 | $48.48 | $101.00 | $29.83 – $393.02 | 24 |
| Multiple sleep latency test CPT 95805 | $1,808.16 | $3,767.00 | $57.22 – $1,901.44 | 24 |
| Mumps antibody igg CPT 86735 | $58.00 | $120.84 | $13.05 – $385.27 | 14 |
| Muscle-skin graft leg CPT 15738 | $1,932.96 | $4,027.00 | $1,110.78 – $4,027.00 | 24 |
| Muscle-skin graft trunk CPT 15734 | $2,290.56 | $4,772.00 | $1,335.52 – $4,772.00 | 24 |
| Muscle test cran nerv unilat CPT 95867 | $645.12 | $1,344.00 | $40.73 – $1,344.00 | 24 |
| Mycophenolate mofetil 250 mg capsule HCPCS J7517 | $267.84 | $558.00 | $591.48 – $1,779.07 | 4 |
| Mycoplasma antibody igm CPT 86738 | $27.48 | $57.24 | $7.58 – $182.50 | 14 |
| Myelography l-s spine CPT 72265 | $498.24 | $1,038.00 | $39.54 – $126.00 | 24 |
| Myelography neck spine CPT 72240 | $857.76 | $1,787.00 | $42.45 – $137.00 | 24 |
| Myelography thoracic spine CPT 72255 | $500.16 | $1,042.00 | $41.55 – $136.00 | 24 |
| Myelography via inj w/s&i thoracic CPT 62303 | $1,413.60 | $2,945.00 | $99.71 – $2,945.00 | 24 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $49.35 | $102.82 | $11.53 – $327.82 | 14 |
| Myomectomy vag method CPT 58145 | $876.48 | $1,826.00 | $483.40 – $1,826.00 | 24 |
| Nafcillin 2 gram solution for injection HCPCS J2290 | $98.04 | $204.24 | $20.28 – $60.99 | 4 |
| Nalbuphine 10 mg/ml injection solution HCPCS J2300 | $14.54 | $30.29 | $32.11 – $96.57 | 4 |
| Nasal endoscopy dx uni/bi separate proc CPT 31231 | $286.56 | $597.00 | $53.14 – $597.00 | 24 |
| Nasal/sinus endoscopy surg CPT 31287 | $305.28 | $636.00 | $165.42 – $636.00 | 24 |
| Nasal/sinus endoscopy surg w/bx 31237 CPT 31237 | $394.08 | $821.00 | $134.44 – $821.00 | 24 |
| Nasal/sinus endo spendt remove tiss 31288 CPT 31288 | $355.20 | $740.00 | $192.13 – $740.00 | 24 |
| Nasal/sinus endo surg w/concha bullosa resct 31240 CPT 31240 | $242.40 | $505.00 | $132.78 – $505.00 | 24 |
| Nasal/sinus endo w/ethmoidectomy part 31254 CPT 31254 | $668.16 | $1,392.00 | $199.61 – $1,392.00 | 24 |
| Nasal/sinus endo w/ethmoidectomy tot 31255 CPT 31255 | $490.08 | $1,021.00 | $264.85 – $1,021.00 | 24 |
| Nasal/sinus endo w/front sinus expl 31276 CPT 31276 | $573.60 | $1,195.00 | $308.19 – $1,195.00 | 24 |
| Nasal/sinus maxillary endoscopy dx 31233 CPT 31233 | $420.00 | $875.00 | $114.12 – $875.00 | 24 |
| Nasopharyngoscopy w/endoscope CPT 92511 | $179.52 | $374.00 | $32.29 – $441.97 | 24 |
| Natalizumab 300 mg/15 ml intravenous solution HCPCS J2323 | $18,899.28 | $39,373.49 | $24.32 – $125,534.50 | 14 |
| Natriuretic peptide CPT 83880 | $128.22 | $267.12 | $39.26 – $851.66 | 14 |
| Natural killer cells total count CPT 86357 | $51.39 | $107.06 | $37.73 – $341.34 | 14 |
| N block inj hypogas plxs CPT 64517 | $297.60 | $620.00 | $111.77 – $620.00 | 24 |
| Ndl emg musc 1 xtr/non-limb CPT 95870 | $267.36 | $557.00 | $19.48 – $557.00 | 24 |
| Neck (Cervical Spine) CT scan (with and without contrast) CPT 72127 | $1,471.68 | $3,066.00 | $57.37 – $189.00 | 24 |
| Neck (Cervical Spine) CT scan (with contrast) CPT 72126 | $1,404.96 | $2,927.00 | $55.36 – $137.36 | 24 |
| Neck (Cervical Spine) CT scan (without contrast) CPT 72125 | $1,090.08 | $2,271.00 | $45.79 – $149.00 | 24 |
| Neck (Cervical Spine) MRI (with and without contrast) CPT 72156 | $1,924.80 | $4,010.00 | $104.15 – $342.00 | 24 |
| Neck (Cervical Spine) MRI (with contrast) CPT 72142 | $814.08 | $1,696.00 | $81.66 – $268.00 | 24 |
| Neck (Cervical Spine) MRI (without contrast) CPT 72141 | $1,325.76 | $2,762.00 | $67.27 – $221.00 | 24 |
| Neck MRA (blood vessel MRI, with and without contrast) CPT 70549 | $2,016.96 | $4,202.00 | $81.52 – $268.00 | 24 |
| Neck MRA (blood vessel MRI, with contrast) CPT 70548 | $2,079.84 | $4,333.00 | $67.94 – $224.00 | 24 |
| Neck MRA (blood vessel MRI, without contrast) CPT 70547 | $1,902.72 | $3,964.00 | $54.36 – $179.00 | 24 |
| Neg pres wound ther drsg set HCPCS A6550 | $94.67 | $197.23 | $30.49 – $176.66 | 13 |
| Neostigmine methylsulfate 1 mg/ml injection (wrapper) HCPCS J2710 | $125.28 | $261.00 | $165.57 – $498.01 | 4 |
| Nephrectomy open 50220 CPT 50220 | $1,598.40 | $3,330.00 | $932.11 – $3,330.00 | 24 |
| Nephrectomy partial CPT 50240 | $2,011.68 | $4,191.00 | $1,158.01 – $4,191.00 | 24 |
| Nerobehav stas exam by psy/md f2f 1st hr CPT 96116 | $118.08 | $246.00 | $58.00 – $478.09 | 24 |
| Nerve conduction 7-8 studies CPT 95910 | $645.12 | $1,344.00 | $58.00 – $1,344.00 | 24 |
| Nerve conduction studies 11-12 CPT 95912 | $1,113.12 | $2,319.00 | $58.00 – $2,319.00 | 24 |
| Nerve conduction studies 1-2 CPT 95907 | $335.04 | $698.00 | $52.97 – $698.00 | 24 |
| Nerve conduction studies 13+ CPT 95913 | $1,113.12 | $2,319.00 | $58.00 – $2,319.00 | 24 |
| Nerve conduction studies 3-4 CPT 95908 | $645.12 | $1,344.00 | $58.00 – $1,344.00 | 24 |
| Nerve conduction studies 5-6 CPT 95909 | $645.12 | $1,344.00 | $58.00 – $1,344.00 | 24 |
| Nerve conduction studies 9-10 CPT 95911 | $1,113.12 | $2,319.00 | $58.00 – $2,319.00 | 24 |
| Neurectomy foot CPT 28055 | $599.04 | $1,248.00 | $364.33 – $1,248.00 | 24 |
| Neurectomy hamstring CPT 27325 | $878.88 | $1,831.00 | $524.72 – $1,831.00 | 24 |
| Neuroeltrd stim post tibial CPT 64566 | $178.08 | $371.00 | $25.34 – $371.00 | 24 |
| Neuroplasty nerve of hand or foot 64704 CPT 64704 | $501.12 | $1,044.00 | $302.19 – $1,044.00 | 24 |
| New Patient Office Visit (level 2) CPT 99202 | $93.12 | $194.00 | $40.36 – $194.00 | 24 |
| New Patient Office Visit (level 3) CPT 99203 | $143.52 | $299.00 | $69.84 – $299.00 | 18 |
| New Patient Office Visit (level 4) CPT 99204 | $214.56 | $447.00 | $114.43 – $447.00 | 18 |
| New Patient Office Visit (level 5) CPT 99205 | $283.20 | $590.00 | $156.63 – $590.00 | 18 |
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.