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 |
|---|---|---|---|---|
| Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 | $81.92 | $170.66 | $45.88 – $152.00 | 24 |
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | $54.44 | $113.42 | $27.57 – $361.62 | 13 |
| Otolaryngo binocular microscopy 92504 CPT 92504 | $44.64 | $93.00 | $7.58 – $93.00 | 24 |
| Ot re-evaluation patient/family CPT 97168 | $105.83 | $220.48 | $68.23 – $702.96 | 13 |
| Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 | $59.53 | $124.02 | $34.89 – $395.41 | 13 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $45.28 | $94.34 | $18.36 – $94.34 | 24 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $48.84 | $101.76 | $19.60 – $97.52 | 24 |
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | $53.42 | $111.30 | $28.90 – $94.00 | 24 |
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | $64.62 | $134.62 | $32.57 – $429.21 | 13 |
| Ot training self care/home management direct contact each 15 minutes CPT 97535 | $68.18 | $142.04 | $32.23 – $452.87 | 13 |
| Ovarian cystectomy 58925 CPT 58925 | $1,178.40 | $2,455.00 | $673.32 – $2,455.00 | 24 |
| Oxaliplatin 5 mg/ml desensitization HCPCS J9263 | $144.00 | $300.00 | $318.00 – $956.49 | 4 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $55.95 | $116.56 | $123.55 – $371.63 | 4 |
| Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 | $274.56 | $572.00 | $606.32 – $1,823.71 | 4 |
| Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 | $3,120.00 | $6,500.00 | $6.02 – $20,723.95 | 14 |
| Palonosetron hcl HCPCS J2469 | $489.60 | $1,020.00 | $1,081.20 – $3,252.07 | 4 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | $281.16 | $585.76 | $620.91 – $1,867.58 | 4 |
| Pancreatectomy dist subtot w/wo splenecto 48140 CPT 48140 | $2,390.40 | $4,980.00 | $1,391.19 – $4,980.00 | 24 |
| Panitumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9303 | $13,961.47 | $29,086.40 | $174.39 – $23,423.16 | 14 |
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | $70.08 | $146.00 | $154.76 – $465.49 | 4 |
| Parathormone (pth) intact CPT 83970 | $192.84 | $401.74 | $41.28 – $1,280.87 | 14 |
| Parathyrd planar w/spect&ct CPT 78072 | $1,205.28 | $2,511.00 | $70.05 – $229.00 | 24 |
| Parathyroid planar imaging CPT 78070 | $566.88 | $1,181.00 | $35.97 – $118.00 | 24 |
| Parial mast w/lymph removal 19302 CPT 19302 | $1,392.48 | $2,901.00 | $831.42 – $2,901.00 | 24 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | $108.96 | $227.00 | $13.39 – $227.00 | 24 |
| Part hymenectomy/revi hymenal ring 56700 CPT 56700 | $312.96 | $652.00 | $176.65 – $652.00 | 24 |
| Partial complicated cystectomy 51555 CPT 51555 | $1,908.96 | $3,977.00 | $1,097.35 – $3,977.00 | 24 |
| Partial exc bone humerus CPT 24140 | $1,089.12 | $2,269.00 | $635.92 – $2,269.00 | 24 |
| Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah) CPT 28122 | $905.76 | $1,887.00 | $408.38 – $1,887.00 | 24 |
| Partial hip replacement CPT 27125 | $1,736.64 | $3,618.00 | $1,000.22 – $3,618.00 | 24 |
| Partial hysterectomy CPT 58180 | $1,473.60 | $3,070.00 | $835.80 – $3,070.00 | 24 |
| Partial removal finger bone CPT 26236 | $690.72 | $1,439.00 | $411.03 – $1,439.00 | 24 |
| Partial removal foot fascia CPT 28060 | $792.48 | $1,651.00 | $337.05 – $1,651.00 | 24 |
| Partial removal leg bone(s) CPT 27360 | $1,393.44 | $2,903.00 | $831.51 – $2,903.00 | 24 |
| Partial removal of fibula CPT 27641 | $1,005.60 | $2,095.00 | $593.67 – $2,095.00 | 24 |
| Partial removal of foot bone CPT 28288 | $923.52 | $1,924.00 | $408.97 – $1,924.00 | 24 |
| Partial removal of hand bone CPT 26230 | $779.04 | $1,623.00 | $458.64 – $1,623.00 | 24 |
| Partial removal of lip CPT 40530 | $857.76 | $1,787.00 | $357.91 – $1,787.00 | 24 |
| Partial removal of penis CPT 54120 | $964.80 | $2,010.00 | $562.02 – $2,010.00 | 24 |
| Partial removal of rectum CPT 45111 | $1,656.48 | $3,451.00 | $973.49 – $3,451.00 | 24 |
| Partial removal of thyroid CPT 60220 | $1,084.32 | $2,259.00 | $618.35 – $2,259.00 | 24 |
| Partial removal of tibia CPT 27640 | $1,280.16 | $2,667.00 | $745.74 – $2,667.00 | 24 |
| Partial removal of toe CPT 28160 | $624.00 | $1,300.00 | $251.18 – $1,300.00 | 24 |
| Partial removal of tongue CPT 41120 | $1,613.28 | $3,361.00 | $959.43 – $3,361.00 | 24 |
| Partial removal of ulna CPT 25150 | $881.76 | $1,837.00 | $519.48 – $1,837.00 | 24 |
| Partial thyroid excision CPT 60210 | $1,085.28 | $2,261.00 | $623.87 – $2,261.00 | 24 |
| Part removal of metatarsal CPT 28110 | $707.52 | $1,474.00 | $277.16 – $1,474.00 | 24 |
| Part removal of metatarsal CPT 28113 | $893.76 | $1,862.00 | $399.79 – $1,862.00 | 24 |
| Part removal of metatarsal 28112 CPT 28112 | $736.32 | $1,534.00 | $291.55 – $1,534.00 | 24 |
| Part remove hip bone super CPT 27070 | $1,362.24 | $2,838.00 | $802.19 – $2,838.00 | 24 |
| Pca3/klk3 antigen CPT 81313 | $501.12 | $1,044.00 | $48.49 – $2,662.72 | 9 |
| Pedcle fh/ch/ch/m/n/ax/g/h/f CPT 15574 | $3,189.12 | $6,644.00 | $623.49 – $6,644.00 | 24 |
| Ped critical care initial CPT 99471 | $980.16 | $2,042.00 | $664.11 – $2,042.00 | 24 |
| Pedicle enel/ntroral 15576 CPT 15576 | $3,189.12 | $6,644.00 | $551.38 – $6,644.00 | 24 |
| Pegaspargase injection HCPCS J9266 | $51,533.09 | $107,360.60 | $28,424.10 – $342,297.80 | 14 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | $15,407.02 | $32,097.95 | $127.38 – $102,337.89 | 14 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | $10,023.84 | $20,883.00 | $135.89 – $66,581.27 | 14 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $1,666.56 | $3,472.00 | $55.36 – $181.00 | 24 |
| Pelvic CT scan (with contrast) CPT 72193 | $1,356.00 | $2,825.00 | $52.69 – $173.00 | 24 |
| Pelvic CT scan (without contrast) CPT 72192 | $1,157.76 | $2,412.00 | $49.12 – $163.00 | 24 |
| Pelvic MRI (with and without contrast) CPT 72197 | $1,923.84 | $4,008.00 | $100.15 – $327.00 | 24 |
| Pelvic MRI (with contrast) CPT 72196 | $1,272.48 | $2,651.00 | $78.52 – $257.00 | 24 |
| Pelvic MRI (without contrast) CPT 72195 | $1,397.28 | $2,911.00 | $66.04 – $219.00 | 24 |
| Pelvic Ultrasound (complete) CPT 76856 | $355.20 | $740.00 | $31.97 – $335.00 | 24 |
| Pelvic Ultrasound (limited) CPT 76857 | $216.24 | $450.50 | $23.39 – $157.00 | 24 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | $11,149.59 | $23,228.32 | $61.25 – $74,058.85 | 14 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | $7,810.56 | $16,272.00 | $4.04 – $10,631.07 | 14 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $809.01 | $1,685.44 | $31.47 – $5,373.69 | 14 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $78.88 | $164.34 | $174.20 – $523.97 | 4 |
| Penile injection CPT 54235 | $523.68 | $1,091.00 | $66.55 – $289.00 | 24 |
| Penis plastic surgery CPT 54360 | $1,097.28 | $2,286.00 | $636.28 – $2,286.00 | 24 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | $893.64 | $1,861.76 | $58.00 – $5,149.49 | 10 |
| Pericardiocentesis wwo imaging CPT 33016 | $1,018.56 | $2,122.00 | $194.15 – $729.00 | 24 |
| Pericardiotomy/clot/for bod remove 33020 CPT 33020 | $1,240.32 | $2,584.00 | $748.94 – $2,584.00 | 24 |
| Peri-implt capslc brst compl CPT 19371 | $1,090.56 | $2,272.00 | $630.01 – $2,272.00 | 24 |
| Perineoplasty rpr per nonob CPT 56810 | $420.48 | $876.00 | $233.80 – $876.00 | 24 |
| Peripheral vascular rehab CPT 93668 | $91.58 | $190.80 | $15.21 – $190.80 | 24 |
| Peri-proc device eval pm CPT 93286 | $22.08 | $46.00 | $14.25 – $82.01 | 24 |
| Perq dev breast 1st mr guide CPT 19287 | $957.60 | $1,995.00 | $103.54 – $1,995.00 | 24 |
| Perq dev breast 1st strtctc CPT 19283 | $393.60 | $820.00 | $82.04 – $820.00 | 24 |
| Perq nl/pl lithotrp cplx>2cm CPT 50081 | $1,701.60 | $3,545.00 | $974.87 – $3,545.00 | 24 |
| Perq nl/pl lithotrp smpl<2cm CPT 50080 | $1,057.92 | $2,204.00 | $612.44 – $2,204.00 | 24 |
| Perq skel fix ulnar styld fx CPT 25651 | $768.96 | $1,602.00 | $461.43 – $1,602.00 | 24 |
| Perq tx big toe fracture w/manip 28496 CPT 28496 | $777.12 | $1,619.00 | $275.21 – $1,619.00 | 24 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | $13,143.35 | $27,381.97 | $17.02 – $87,301.94 | 14 |
| Pet CT skull-mid thgh initial CPT 78815 | $1,744.32 | $3,634.00 | $108.26 – $353.00 | 24 |
| Pet CT whole body initial CPT 78816 | $3,317.28 | $6,911.00 | $109.93 – $357.00 | 24 |
| Pet image full body CPT 78813 | $1,634.88 | $3,406.00 | $87.54 – $287.00 | 24 |
| Pet image ltd area CPT 78811 | $1,634.88 | $3,406.00 | $68.05 – $222.00 | 24 |
| Pet image skull-thigh CPT 78812 | $2,520.48 | $5,251.00 | $85.53 – $280.00 | 24 |
| Pet image w/ct lmtd CPT 78814 | $1,634.88 | $3,406.00 | $97.35 – $317.00 | 24 |
| Ph1 assmt&mgmt nqhp 11-20 CPT 98967 | $55.63 | $115.90 | $19.83 – $65.00 | 24 |
| Ph1 assmt&mgmt nqhp 21-30 CPT 98968 | $81.64 | $170.08 | $28.85 – $89.00 | 24 |
| Ph1 assmt&mgmt nqhp 5-10 CPT 98966 | $28.77 | $59.94 | $10.25 – $58.00 | 24 |
| Pharmacologic management w/psytx CPT 90863 | $32.16 | $67.00 | $34.08 – $67.00 | 9 |
| Ph body fluid CPT 83986 | $14.76 | $30.74 | $0.43 – $98.01 | 21 |
| Phencyclidine (pcp) CPT 83992 | $218.33 | $454.86 | $48.49 – $454.86 | 5 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $107.62 | $224.21 | $237.66 – $714.85 | 4 |
| Phenobarbital therapeutic drug level CPT 80184 | $79.88 | $166.42 | $15.30 – $530.60 | 14 |
| Phentolaine mesylate inj HCPCS J2760 | $974.92 | $2,031.08 | $257.45 – $6,475.69 | 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.