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 |
|---|---|---|---|---|
| Nicardipine 25 mg/10 ml intravenous solution HCPCS J2404 | $104.35 | $217.40 | $230.44 – $693.14 | 4 |
| Nipple/areola reconst 19350 CPT 19350 | $1,274.88 | $2,656.00 | $598.29 – $2,656.00 | 24 |
| Nipple exploration CPT 19110 | $748.80 | $1,560.00 | $343.82 – $1,560.00 | 24 |
| Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous HCPCS J2305 | $63.60 | $132.50 | $140.45 – $422.45 | 4 |
| Nivolumab 10 mg/ml intravenous solution (wrapper) HCPCS J9299 | $14,999.67 | $31,249.32 | $33.62 – $16,871.11 | 14 |
| Njx px nfrosgrm &/urtrgrm CPT 50430 | $1,129.44 | $2,353.00 | $132.12 – $1,986.00 | 24 |
| Nl rmvl lg staghorn calculus CPT 50075 | $2,200.80 | $4,585.00 | $1,261.79 – $4,585.00 | 24 |
| Nm imaging bone/joint 3 phase study CPT 78315 | $883.20 | $1,840.00 | $45.55 – $150.00 | 24 |
| Nm imaging bone/joint whole body CPT 78306 | $827.04 | $1,723.00 | $38.31 – $126.00 | 24 |
| Nm imaging cardiac blood pooling planar single study at rest or stress CPT 78472 | $1,112.16 | $2,317.00 | $44.31 – $144.00 | 24 |
| Nm imaging gastric emptying study CPT 78264 | $893.76 | $1,862.00 | $35.31 – $116.00 | 24 |
| Nm imaging gastrointestinal acute blood loss CPT 78278 | $635.04 | $1,323.00 | $44.55 – $146.00 | 24 |
| Nm imaging hepatobiliary system w/pharmacologic intervention CPT 78227 | $1,306.08 | $2,721.00 | $40.55 – $132.00 | 24 |
| Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention CPT 78708 | $1,078.08 | $2,246.00 | $53.46 – $175.00 | 24 |
| Nm imaging pulmonary ventilation/perfusion CPT 78582 | $1,134.72 | $2,364.00 | $47.79 – $156.00 | 24 |
| Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s) CPT 78014 | $708.48 | $1,476.00 | $22.39 – $73.00 | 24 |
| Nm radiopharmaceutical therapy oral administration CPT 79005 | $269.76 | $562.00 | $80.72 – $262.00 | 24 |
| Npsy fam hlth interv ea addl 15 min CPT 96168 | $38.88 | $81.00 | $22.61 – $81.00 | 24 |
| Npsy indiv hlth intrv ea addl 15 min CPT 96159 | $35.04 | $73.00 | $20.37 – $73.00 | 24 |
| Nqhp ol dig assmt&mgmt 11-20 CPT 98971 | $26.88 | $56.00 | $18.83 – $58.00 | 20 |
| Nqhp ol dig assmt&mgmt 21+ CPT 98972 | $39.36 | $82.00 | $28.74 – $82.00 | 20 |
| Nqhp ol dig assmt&mgmt 5-10 CPT 98970 | $15.36 | $32.00 | $10.25 – $58.00 | 20 |
| Nras gene variants exon 2&3 CPT 81311 | $463.68 | $966.00 | $48.49 – $2,857.33 | 9 |
| Nr lnr acclrtr tx max 5 sessions CPT 77373 | $3,634.08 | $7,571.00 | $2,128.57 – $24,138.62 | 13 |
| Nsl/sins ndsc sphn tiss rmvl CPT 31259 | $714.24 | $1,488.00 | $384.71 – $1,488.00 | 24 |
| Nsl/sins ndsc surg frnt sins CPT 31296 | $2,546.88 | $5,306.00 | $147.89 – $5,306.00 | 24 |
| Nsl/sins ndsc surg max sins CPT 31295 | $2,508.00 | $5,225.00 | $130.93 – $5,225.00 | 24 |
| Nsl/sins ndsc total CPT 31253 | $757.44 | $1,578.00 | $407.05 – $1,578.00 | 24 |
| Ntrprof ph1/ntrnet/ehr 11-20 CPT 99447 | $46.56 | $97.00 | $31.35 – $97.00 | 24 |
| Ntrprof ph1/ntrnet/ehr 21-30 CPT 99448 | $68.64 | $143.00 | $46.83 – $143.00 | 24 |
| Ntrprof ph1/ntrnet/ehr 31/> CPT 99449 | $91.20 | $190.00 | $62.22 – $190.00 | 24 |
| Ntrprof ph1/ntrnet/ehr 5/> CPT 99451 | $44.64 | $93.00 | $29.54 – $93.00 | 24 |
| Ntrprof ph1/ntrnet/ehr 5-10 CPT 99446 | $23.04 | $48.00 | $15.62 – $48.00 | 24 |
| Ntrprof ph1/ntrnet/ehr rfrl CPT 99452 | $43.20 | $90.00 | $30.54 – $90.00 | 24 |
| Ntsty modul rad tx dlvr cplx CPT 77386 | $2,125.92 | $4,429.00 | $4,783.32 – $14,120.98 | 2 |
| Ntsty modul rad tx dlvr smpl CPT 77385 | $1,706.40 | $3,555.00 | $3,839.40 – $11,334.41 | 2 |
| Nuclear localization/abscess CPT 78807 | $355.20 | $740.00 | $46.00 – $740.00 | 8 |
| Nuclear rx IV admin CPT 79101 | $510.24 | $1,063.00 | $89.06 – $292.00 | 24 |
| Nuclear Stress Test (Heart) CPT 78452 | $1,859.04 | $3,873.00 | $73.81 – $237.00 | 24 |
| Nursing facility discharge management > 30 min 99316 CPT 99316 | $167.04 | $348.00 | $115.77 – $348.00 | 24 |
| Nursing facility discharge management 30 min/less than 99315 CPT 99315 | $104.16 | $217.00 | $72.18 – $217.00 | 24 |
| Obinutuzumab 1,000 mg/40 ml intravenous solution HCPCS J9301 | $16,584.42 | $34,550.88 | $81.81 – $110,158.57 | 14 |
| Observation/inpatient hospital care hi severity 99236 CPT 99236 | $264.48 | $551.00 | $186.01 – $551.00 | 24 |
| Observation/inpatient hospital care low severity 99234 CPT 99234 | $124.32 | $259.00 | $86.33 – $260.62 | 24 |
| Observation/inpatient hospital care mod severity 99235 CPT 99235 | $202.08 | $421.00 | $140.37 – $421.00 | 24 |
| Observation per hour HCPCS G0378 | $71.74 | $149.46 | $161.42 – $476.52 | 2 |
| Obstetrical care 59410 CPT 59410 | $1,654.56 | $3,447.00 | $922.65 – $3,447.00 | 24 |
| Obstetrics panel CPT 80055 | $93.62 | $195.04 | $48.49 – $195.04 | 9 |
| Obtaining screen pap smear HCPCS Q0091 | $67.68 | $141.00 | $15.39 – $162.15 | 24 |
| Ob Ultrasound nuchal meas 1 gest CPT 76813 | $176.64 | $368.00 | $55.79 – $225.78 | 24 |
| Ob Ultrasound nuchal meas add-on CPT 76814 | $108.37 | $225.78 | $46.88 – $148.00 | 24 |
| Ocrelizumab 30 mg/ml intravenous solution HCPCS J2350 | $45,623.24 | $95,048.42 | $59.60 – $303,042.88 | 14 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | $338.35 | $704.90 | $127.94 – $384.83 | 3 |
| Octreotide,microspheres ER 20 mg intramuscular susp, extended release HCPCS J2353 | $16,593.98 | $34,570.80 | $188.35 – $110,222.08 | 14 |
| Ol dig e/m svc 11-20 min CPT 99422 | $37.92 | $79.00 | $21.96 – $79.00 | 24 |
| Ol dig e/m svc 21+ min CPT 99423 | $60.00 | $125.00 | $34.55 – $125.00 | 24 |
| Ol dig e/m svc 5-10 min CPT 99421 | $19.68 | $41.00 | $10.82 – $41.00 | 24 |
| Omalizumab 150 mg/ml subcutaneous syringe (wrapper) HCPCS J2357 | $6,801.22 | $14,169.20 | $41.82 – $11,313.04 | 14 |
| Omental flap intra-abdom 49905 CPT 49905 | $532.80 | $1,110.00 | $300.08 – $1,110.00 | 24 |
| Ondansetron 8 mg disintegrating tablet HCPCS Q0162 | $86.71 | $180.65 | $67.56 – $203.22 | 4 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | $65.36 | $136.16 | $112.26 – $337.67 | 4 |
| Open bx/exc inguinofem nodes CPT 38531 | $688.32 | $1,434.00 | $415.74 – $1,434.00 | 24 |
| Open periprosthetic breast capsule 19370 CPT 19370 | $1,030.56 | $2,147.00 | $598.20 – $2,147.00 | 24 |
| Open tenotomy tendon flexor foot single or multiple 28230 CPT 28230 | $660.00 | $1,375.00 | $265.16 – $1,375.00 | 24 |
| Ophth Ultrasound b & quant a CPT 76510 | $217.77 | $453.68 | $38.25 – $122.00 | 24 |
| Opn exc/dst ntra-abd 10.1-20 CPT 49188 | $2,665.92 | $5,554.00 | $1,774.66 – $5,554.00 | 18 |
| Opn exc/dstr ntra-abd 5 cm/< CPT 49186 | $1,824.48 | $3,801.00 | $1,172.08 – $3,801.00 | 18 |
| Opn impltj nea sacral nerve CPT 64581 | $998.40 | $2,080.00 | $570.16 – $2,080.00 | 24 |
| Optx acrclv dslc aq/chrn grf CPT 23552 | $1,007.04 | $2,098.00 | $594.40 – $2,098.00 | 24 |
| Optx acromclv dislc aqt/chrn CPT 23550 | $888.96 | $1,852.00 | $525.30 – $1,852.00 | 24 |
| Optx carpl scphd fx int fixj CPT 25628 | $1,115.04 | $2,323.00 | $649.99 – $2,323.00 | 24 |
| Optx clavicular fx w/int fix CPT 23515 | $1,116.00 | $2,325.00 | $658.60 – $2,325.00 | 24 |
| Optx gr hmrl tbrs fx int fix CPT 23630 | $1,209.12 | $2,519.00 | $711.94 – $2,519.00 | 24 |
| Optx medial ankle fx CPT 27766 | $937.44 | $1,953.00 | $563.97 – $1,953.00 | 24 |
| Optx post ankle fx CPT 27769 | $1,122.24 | $2,338.00 | $655.04 – $2,338.00 | 24 |
| Optx prox humrl fx w/int fix CPT 23615 | $1,363.20 | $2,840.00 | $797.61 – $2,840.00 | 24 |
| Optx radial shaft fracture CPT 25515 | $1,042.56 | $2,172.00 | $615.53 – $2,172.00 | 24 |
| Optx rdl shft fx&cltx rad/ul CPT 25525 | $1,225.44 | $2,553.00 | $715.09 – $2,553.00 | 24 |
| Optx rdl shft fx&dstl rad/ul CPT 25526 | $1,478.40 | $3,080.00 | $395.34 – $1,905.22 | 24 |
| Optx rdl&uln shft fx rds&uln CPT 25575 | $1,398.24 | $2,913.00 | $819.66 – $2,913.00 | 24 |
| Optx rdl&uln shft fx rds/uln CPT 25574 | $1,049.28 | $2,186.00 | $622.42 – $2,186.00 | 24 |
| Optx ulnar shft fx int fixj CPT 25545 | $972.96 | $2,027.00 | $578.26 – $2,027.00 | 24 |
| Oral netupitant, palonosetro HCPCS J8655 | $1,660.08 | $3,458.50 | $397.79 – $11,026.74 | 14 |
| Orchiectomy partial CPT 54522 | $895.68 | $1,866.00 | $521.65 – $1,866.00 | 24 |
| Orchiopexy ingun/scrot appr CPT 54640 | $657.60 | $1,370.00 | $382.95 – $1,370.00 | 24 |
| Organic acids total quant ea spec CPT 83918 | $383.52 | $799.00 | $48.49 – $799.00 | 9 |
| Oropharyngeal biopsy 42800 CPT 42800 | $244.32 | $509.00 | $103.92 – $509.00 | 24 |
| Osmolality blood CPT 83930 | $50.88 | $106.00 | $6.61 – $337.96 | 14 |
| Osmolality urine CPT 83935 | $69.20 | $144.16 | $6.82 – $459.63 | 14 |
| Ostectomy complete 1st metatarsal head 28111 CPT 28111 | $725.28 | $1,511.00 | $296.36 – $1,511.00 | 24 |
| Osteochondral knee allograft CPT 27415 | $2,106.72 | $4,389.00 | $1,215.50 – $4,389.00 | 24 |
| Osteochondral talus autogrft CPT 28446 | $1,881.60 | $3,920.00 | $1,087.50 – $3,920.00 | 24 |
| Osteot humerus w/wo int fixj CPT 24400 | $1,278.72 | $2,664.00 | $750.38 – $2,664.00 | 24 |
| Osteotomy/graft tarsal/calcaneus/talus 28305 CPT 28305 | $1,038.24 | $2,163.00 | $609.29 – $2,163.00 | 24 |
| Ot evaluation high complexity patient/family CPT 97167 | $173.50 | $361.46 | $100.24 – $1,152.44 | 13 |
| Ot evaluation low complexity patient/family CPT 97165 | $122.62 | $255.46 | $100.24 – $814.48 | 13 |
| Ot evaluation moderate complexity patient/family CPT 97166 | $122.62 | $255.46 | $100.24 – $814.48 | 13 |
| Other immunoelectrophoresis CPT 86325 | $125.16 | $260.76 | $25.44 – $260.76 | 12 |
| Oth resp proc, group HCPCS G0239 | $60.55 | $126.14 | $44.46 – $402.17 | 13 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $63.09 | $131.44 | $49.87 – $419.07 | 13 |
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.