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 |
|---|---|---|---|---|
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | $56.83 | $118.40 | $125.50 – $377.49 | 4 |
| Phenytoin total therapeutic drug level CPT 80185 | $77.34 | $161.12 | $13.25 – $513.70 | 14 |
| Phlebotomy therapeutic CPT 99195 | $163.32 | $340.26 | $58.00 – $294.61 | 24 |
| Phleb veins 1 extrm 10-20 stab CPT 37765 | $638.88 | $1,331.00 | $234.47 – $1,331.00 | 24 |
| Phleb veins 1 extrm >20 stab CPT 37766 | $751.20 | $1,565.00 | $287.78 – $1,565.00 | 24 |
| Phone e/m phys/qhp 11-20 min CPT 99442 | $116.64 | $243.00 | $52.75 – $243.00 | 9 |
| Phone e/m phys/qhp 21-30 min CPT 99443 | $164.64 | $343.00 | $52.75 – $343.00 | 9 |
| Phone e/m phys/qhp 5-10 min CPT 99441 | $72.48 | $151.00 | $35.04 – $151.00 | 9 |
| Phosphorus CPT 84100 | $25.44 | $53.00 | $2.51 – $168.98 | 14 |
| Phosphorus 24 hour urine CPT 84105 | $13.74 | $28.62 | $1.65 – $58.00 | 9 |
| Photchmtx tar&uvb/ptrltm&uvb CPT 96910 | $181.44 | $378.00 | $58.00 – $378.00 | 24 |
| Photochemotherapy puva CPT 96912 | $154.56 | $322.00 | $58.00 – $322.00 | 24 |
| Phys blood bank serv reactj CPT 86078 | $213.70 | $445.20 | $202.82 – $1,419.43 | 14 |
| Phys blood bank serv xmatch CPT 86077 | $39.18 | $81.62 | $39.22 – $92.95 | 21 |
| Physician standby services CPT 99360 | $74.40 | $155.00 | $80.60 – $155.00 | 9 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $156.12 | $325.25 | $139.55 – $419.74 | 4 |
| Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050 CPT 15050 | $976.80 | $2,035.00 | $418.54 – $2,035.00 | 24 |
| Pin finger dislocation CPT 26776 | $706.08 | $1,471.00 | $424.69 – $1,471.00 | 24 |
| Pin finger fracture each CPT 26756 | $666.72 | $1,389.00 | $405.26 – $1,389.00 | 24 |
| Pin hand dislocation CPT 26676 | $799.68 | $1,666.00 | $477.31 – $1,666.00 | 24 |
| Pinworm exam CPT 87172 | $19.33 | $40.28 | $1.72 – $58.00 | 9 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | $86.77 | $180.78 | $122.76 – $369.24 | 4 |
| Place breast cath for rad CPT 19297 | $142.08 | $296.00 | $79.05 – $296.00 | 24 |
| Place breast rad tube/caths CPT 19298 | $1,325.76 | $2,762.00 | $258.92 – $2,762.00 | 24 |
| Place gastrostomy tube perc CPT 49440 | $1,245.60 | $2,595.00 | $173.95 – $2,595.00 | 24 |
| Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) CPT 19281 | $816.48 | $1,701.00 | $81.24 – $765.00 | 24 |
| Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left CPT 19282 | $259.68 | $541.00 | $40.60 – $541.00 | 24 |
| Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) CPT 19285 | $1,141.92 | $2,379.00 | $69.98 – $1,157.00 | 24 |
| Placement nephrostomy catheter (both sides) CPT 50432 | $1,360.32 | $2,834.00 | $173.29 – $2,834.00 | 24 |
| Placement of seton CPT 46020 | $178.08 | $371.00 | $107.17 – $471.47 | 24 |
| Place ndl musc/tis for right CPT 20555 | $508.80 | $1,060.00 | $274.73 – $1,060.00 | 24 |
| Place needles h&n for right CPT 41019 | $741.12 | $1,544.00 | $398.69 – $1,544.00 | 24 |
| Place needles pelvic for right CPT 55920 | $698.40 | $1,455.00 | $376.90 – $1,455.00 | 24 |
| Place po breast cath for rad CPT 19296 | $5,482.56 | $11,422.00 | $184.62 – $11,422.00 | 24 |
| Place right device/marker pros CPT 55876 | $231.84 | $483.00 | $88.85 – $483.00 | 24 |
| Platelet automated CPT 85049 | $28.49 | $59.36 | $2.66 – $189.26 | 14 |
| Platelets leukoreduced cmv negative apheresis/phresis each unit HCPCS P9055 | $1,008.48 | $2,101.00 | $58.00 – $2,416.15 | 10 |
| Platelets pheresis leukocytes reduced cmv negative irradiated each unit HCPCS P9053 | $1,090.08 | $2,271.00 | $58.00 – $2,611.65 | 10 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $642.24 | $1,338.00 | $547.91 – $4,265.95 | 13 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $1,073.28 | $2,236.00 | $728.93 – $7,129.04 | 13 |
| Plcmnt biliary drainage cath w/img ext CPT 47533 | $3,173.28 | $6,611.00 | $221.01 – $6,611.00 | 24 |
| Plcmt sft tiss loc pq w/img 1st lsn CPT 10035 | $550.56 | $1,147.00 | $69.42 – $1,147.00 | 24 |
| Plc pq device breast ea addl lesion MRI guide CPT 19288 | $737.28 | $1,536.00 | $52.22 – $1,536.00 | 24 |
| Plc pq device breast ea addl lesion stereo guide CPT 19284 | $287.52 | $599.00 | $41.30 – $349.80 | 24 |
| Plc pq device breast ea addl lesion Ultrasound guide CPT 19286 | $453.60 | $945.00 | $35.16 – $945.00 | 24 |
| Plethysmography lung volumes/airway resistance CPT 94726 | $498.24 | $1,038.00 | $11.91 – $826.25 | 24 |
| Plmt nephroureteral catheter CPT 50433 | $1,693.44 | $3,528.00 | $214.04 – $3,528.00 | 24 |
| Pm device progr eval dual CPT 93280 | $120.00 | $250.00 | $36.40 – $148.40 | 24 |
| Pm device progr eval multi CPT 93281 | $127.20 | $265.00 | $40.40 – $265.00 | 24 |
| Pmp22 gene full sequence CPT 81325 | $1,512.48 | $3,151.00 | $48.49 – $24,249.47 | 9 |
| Pm phone r-strip device eval CPT 93293 | $21.60 | $45.00 | $13.25 – $82.64 | 24 |
| #pnh-flow cytometry interp CPT 88187 | $66.53 | $138.61 | $34.73 – $138.61 | 21 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $190.80 | $397.50 | $26.07 – $1,267.35 | 14 |
| Polatuzumab vedotin-piiq 140 mg intravenous solution HCPCS J9309 | $35,781.91 | $74,545.64 | $137.23 – $51,180.76 | 14 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | $2,451.84 | $5,108.00 | $58.00 – $1,901.44 | 24 |
| Postpartum Care Only CPT 59430 | $406.56 | $847.00 | $152.44 – $847.00 | 24 |
| Potassium 24 hour urine CPT 84133 | $11.70 | $24.38 | $1.15 – $77.73 | 14 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | $59.17 | $123.28 | $41.87 – $125.94 | 4 |
| Potassium hydroxide preps HCPCS Q0112 | $9.60 | $20.00 | $10.40 – $58.00 | 10 |
| Potassium serum/plasma/whole blood CPT 84132 | $20.35 | $42.40 | $2.02 – $135.18 | 14 |
| Pq dr cath chg w cont s&i CPT 75984 | $236.08 | $491.84 | $36.45 – $119.00 | 24 |
| Pralidoxime 1 gram solution for injection HCPCS J2730 | $239.43 | $498.82 | $528.75 – $1,590.39 | 4 |
| Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr CPT 26951 | $5,379.84 | $11,208.00 | $685.95 – $2,269.00 | 24 |
| Pr application of long arm splint CPT 29105 | $206.06 | $429.30 | $36.03 – $270.00 | 24 |
| Pr application splint static short arm CPT 29125 | $340.80 | $710.00 | $40.10 – $218.00 | 24 |
| Pr assessment emotional/behavioral per instrument brief CPT 96127 | $7.20 | $15.00 | $4.89 – $82.70 | 24 |
| Pr biopsy skin punch single lesion CPT 11104 | $360.96 | $752.00 | $37.15 – $399.00 | 24 |
| Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method CPT 28297 | $1,560.96 | $3,252.00 | $549.81 – $3,252.00 | 24 |
| Pr correction hammertoe CPT 28285 | $826.08 | $1,721.00 | $363.93 – $1,721.00 | 24 |
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | $19.20 | $40.00 | $10.48 – $82.96 | 24 |
| Pr cystourethroscopy with insertion indwelling ureteral stent CPT 52332 | $610.08 | $1,271.00 | $135.90 – $1,271.00 | 24 |
| Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 | $154.56 | $322.00 | $30.55 – $444.24 | 24 |
| Pr discharge day management hospital ip/obs <=30 min on ecounter date CPT 99238 | $103.20 | $215.00 | $73.54 – $215.00 | 24 |
| Pr discharge day management hospital ip/obs > 30 min on encounter date CPT 99239 | $145.44 | $303.00 | $104.84 – $303.00 | 24 |
| Prealbumin CPT 84134 | $88.53 | $184.44 | $14.59 – $588.05 | 14 |
| Pr ecg 12 lead report only CPT 93010 | $12.48 | $26.00 | $8.24 – $58.00 | 24 |
| Pr ecg external < 48 hours continuous recording/storage r&i by a phys/qhp CPT 93227 | $27.84 | $58.00 | $17.58 – $58.00 | 24 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | $76.08 | $158.50 | $168.01 – $505.35 | 3 |
| Prednisone 1 mg tablet HCPCS J7512 | $200.74 | $418.20 | $11.66 – $35.07 | 4 |
| Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 | $301.44 | $628.00 | $172.92 – $628.00 | 24 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $304.32 | $634.00 | $46.55 – $432.00 | 24 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $240.96 | $502.00 | $45.88 – $374.00 | 24 |
| Pr e&m preventive medicine initial comprehensive new patient 12-17 years CPT 99384 | $170.40 | $355.00 | $140.64 – $355.00 | 9 |
| Prenatal Care Only (4-6 visits) CPT 59425 | $864.96 | $1,802.00 | $369.44 – $1,802.00 | 24 |
| Prenatal Care Only (7+ visits) CPT 59426 | $1,582.56 | $3,297.00 | $471.18 – $1,554.15 | 24 |
| Prep skin to 100cm2 other CPT 15004 | $976.80 | $2,035.00 | $222.41 – $1,247.00 | 24 |
| Prep skin to 100cm2 trk/ext CPT 15002 | $3,189.12 | $6,644.00 | $190.39 – $1,092.00 | 24 |
| Prep skn trk/ext adl 100cm2 CPT 15003 | $1,594.08 | $3,321.00 | $37.93 – $3,321.00 | 24 |
| Pressure max expiratory/inspiratory CPT 94799 | $39.18 | $81.62 | $88.15 – $275.72 | 13 |
| Pretreat rbc absorption reference CPT 86978 | $23.91 | $49.82 | $25.91 – $130.63 | 6 |
| Pretreat rbc w enzyme reference CPT 86971 | $350.88 | $731.00 | $48.49 – $731.00 | 6 |
| Pr evaluation psychiatric diagnostic w/medical services CPT 90792 | $248.64 | $518.00 | $58.00 – $518.00 | 24 |
| Preventive counseling group CPT 99411 | $25.92 | $54.00 | $10.56 – $54.00 | 9 |
| Preventive counseling group CPT 99412 | $32.16 | $67.00 | $17.76 – $67.00 | 9 |
| Prev med cnsl indiv apprx 15 CPT 99401 | $49.44 | $103.00 | $34.08 – $103.00 | 9 |
| Prev med cnsl indiv apprx 30 CPT 99402 | $80.16 | $167.00 | $69.60 – $167.00 | 9 |
| Prev med cnsl indiv apprx 45 CPT 99403 | $109.92 | $229.00 | $102.24 – $229.00 | 9 |
| Prev med cnsl indiv apprx 60 CPT 99404 | $140.16 | $292.00 | $136.80 – $292.00 | 9 |
| Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment HCPCS G0402 | $213.12 | $444.00 | $58.00 – $444.00 | 22 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | $194.40 | $405.00 | $74.91 – $405.00 | 24 |
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.