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 |
|---|---|---|---|---|
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | $344.64 | $718.00 | $148.12 – $718.00 | 24 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $635.52 | $1,324.00 | $92.65 – $514.00 | 24 |
| Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury CPT 43840 | $2,076.00 | $4,325.00 | $1,214.38 – $4,325.00 | 24 |
| Prgrmg dev eval pm/ldls pm CPT 93279 | $102.72 | $214.00 | $30.49 – $214.00 | 24 |
| Prgrmg dev eval scrms ip CPT 93285 | $91.20 | $190.00 | $24.82 – $190.00 | 24 |
| Prgrmg eval implantable dfb CPT 93282 | $120.96 | $252.00 | $40.07 – $252.00 | 24 |
| Prgrmg eval implantable dfb CPT 93283 | $148.32 | $309.00 | $53.98 – $309.00 | 24 |
| Prgrmg eval implantable dfb CPT 93284 | $159.84 | $333.00 | $58.00 – $333.00 | 24 |
| Pr hospital ip/obs care initial high level per day CPT 99223 | $219.84 | $458.00 | $153.42 – $458.00 | 24 |
| Pr hospital ip/obs care initial moderate level per day CPT 99222 | $166.08 | $346.00 | $114.53 – $346.00 | 24 |
| Pr hospital ip/obs care initial straightforward or low level per day CPT 99221 | $105.12 | $219.00 | $72.54 – $219.00 | 24 |
| Pr hospital ip/obs care subsequent high level per day CPT 99233 | $150.72 | $314.00 | $105.01 – $314.00 | 24 |
| Pr hospital ip/obs care subsequent moderate level per day CPT 99232 | $100.32 | $209.00 | $69.23 – $209.00 | 24 |
| Pr hospital ip/obs care subsequent straightforward or low level per day CPT 99231 | $62.88 | $131.00 | $43.26 – $131.00 | 24 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $635.52 | $1,324.00 | $169.75 – $686.00 | 24 |
| Pr incision & drainage abscess simple/single CPT 10060 | $345.60 | $720.00 | $99.02 – $406.00 | 24 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $548.16 | $1,142.00 | $114.08 – $471.00 | 24 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $635.52 | $1,324.00 | $100.59 – $487.00 | 24 |
| Pr management transitional care high w/in 7 days of discharge CPT 99496 | $359.04 | $748.00 | $163.83 – $748.00 | 24 |
| Pr management transitional care moderate w/in 14 days of discharge CPT 99495 | $265.44 | $553.00 | $120.27 – $553.00 | 24 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $119.57 | $249.10 | $10.72 – $135.00 | 24 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | $2,129.28 | $4,436.00 | $559.81 – $1,952.00 | 24 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | $208.66 | $434.71 | $214.81 – $1,385.99 | 14 |
| Procalcitonin CPT 84145 | $60.55 | $126.14 | $27.22 – $402.17 | 14 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $48.24 | $100.50 | $106.53 – $320.42 | 4 |
| Prochlorperazine maleate 5 mg tablet HCPCS Q0164 | $87.60 | $182.50 | $193.45 – $581.86 | 3 |
| Proctosigmoidoscopy dx 45300 CPT 45300 | $196.32 | $409.00 | $43.74 – $409.00 | 24 |
| Proctosigmoidoscopy w/bx 45305 CPT 45305 | $276.96 | $577.00 | $67.06 – $577.00 | 24 |
| Progesterone CPT 84144 | $71.74 | $149.46 | $20.86 – $476.52 | 14 |
| Prolactin CPT 84146 | $105.32 | $219.42 | $19.38 – $699.58 | 14 |
| Prolng clin staff svc 1st hr CPT 99415 | $26.88 | $56.00 | $13.44 – $56.00 | 24 |
| Prolng ip/obs e/m ea 15 min CPT 99418 | $50.40 | $105.00 | $54.60 – $105.00 | 3 |
| Prolng off/op e/m ea 15 min 99417 CPT 99417 | $39.36 | $82.00 | $42.64 – $82.00 | 8 |
| Prolong home eval add 15m HCPCS G0318 | $47.52 | $99.00 | $26.87 – $99.00 | 16 |
| Prolong service without contact CPT 99358 | $134.88 | $281.00 | $146.12 – $281.00 | 9 |
| Prolong serv without contact add CPT 99359 | $48.48 | $101.00 | $52.52 – $106.46 | 9 |
| Promethazine 25 mg tablet HCPCS Q0169 | $3.88 | $8.09 | $8.58 – $25.79 | 3 |
| Propofol infusion 10 mg/ml HCPCS J2704 | $79.68 | $166.00 | $175.96 – $529.26 | 4 |
| Prostate biopsy, any mthd HCPCS G0416 | $261.60 | $545.00 | $58.00 – $793.68 | 22 |
| Prostate ca screening; dre HCPCS G0102 | $36.00 | $75.00 | $7.58 – $75.00 | 22 |
| Prostatectomy (turp) CPT 52601 | $1,105.92 | $2,304.00 | $512.93 – $2,304.00 | 24 |
| Prostate laser enucleation CPT 52649 | $1,253.76 | $2,612.00 | $640.11 – $2,612.00 | 24 |
| Prostatic microwave thermotx CPT 53850 | $2,147.04 | $4,473.00 | $323.83 – $4,473.00 | 24 |
| Prostatic rf thermotx CPT 53852 | $2,096.16 | $4,367.00 | $345.73 – $4,367.00 | 24 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | $130.80 | $272.50 | $288.85 – $868.81 | 4 |
| Protein c activity CPT 85303 | $111.94 | $233.20 | $13.84 – $743.51 | 14 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $79.88 | $166.42 | $10.74 – $530.60 | 14 |
| Protein s total CPT 85305 | $76.32 | $159.00 | $18.46 – $159.00 | 9 |
| Protein total 24 hour urine CPT 84156 | $26.97 | $56.18 | $2.06 – $179.12 | 14 |
| Protein total body fluid CPT 84157 | $34.09 | $71.02 | $0.52 – $226.43 | 21 |
| Protein total serum plasma whole blood CPT 84155 | $18.83 | $39.22 | $1.44 – $125.05 | 14 |
| Prothrombin complex kcentra HCPCS J7168 | $4,127.50 | $8,598.96 | $2.05 – $27,416.06 | 14 |
| Prp i/hern init block >5 yr CPT 49507 | $904.32 | $1,884.00 | $544.36 – $1,884.00 | 24 |
| Pr planning advance care 1st 30 minutes CPT 99497 | $105.12 | $219.00 | $64.86 – $224.95 | 24 |
| Pr prolonged e&m service office outpatient each 15 minutes (g2212) HCPCS G2212 | $41.76 | $87.00 | $26.87 – $87.00 | 21 |
| Prq skel fix clcnl fx w/mnpj CPT 28406 | $919.68 | $1,916.00 | $536.26 – $1,916.00 | 24 |
| Prq skel fix sprcndlr hum fx CPT 24538 | $1,224.00 | $2,550.00 | $730.16 – $2,550.00 | 24 |
| Prq skel fix tarsl fx w/mnpj CPT 28456 | $580.32 | $1,209.00 | $376.51 – $1,209.00 | 24 |
| Prq tcat plmt ntrac st 1 les CPT 92928 | $875.04 | $1,823.00 | $58.00 – $25,561.42 | 24 |
| Pr removal drug delivery implant CPT 11982 | $711.84 | $1,483.00 | $60.80 – $355.00 | 24 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | $214.71 | $447.32 | $40.61 – $257.00 | 24 |
| Pr removal intrauterine device CPT 58301 | $338.88 | $706.00 | $55.66 – $353.00 | 24 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $635.52 | $1,324.00 | $162.12 – $969.00 | 24 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $368.16 | $767.00 | $52.11 – $359.00 | 24 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $368.16 | $767.00 | $53.07 – $374.00 | 24 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $368.16 | $767.00 | $42.26 – $302.00 | 24 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $368.16 | $767.00 | $55.02 – $365.00 | 24 |
| Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child CPT 15100 | $3,189.12 | $6,644.00 | $640.29 – $2,770.00 | 24 |
| Pr subsequent hospital care e/m normal newborn per day CPT 99462 | $51.84 | $108.00 | $34.89 – $108.00 | 24 |
| Prtl exc bone olecrn process CPT 24147 | $976.80 | $2,035.00 | $580.20 – $2,035.00 | 24 |
| Prtl excision bone clavicle CPT 23180 | $1,023.84 | $2,133.00 | $635.34 – $2,133.00 | 24 |
| Prtl excision bone scapula CPT 23182 | $1,044.00 | $2,175.00 | $622.10 – $2,175.00 | 24 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $2,008.80 | $4,185.00 | $137.40 – $487.00 | 24 |
| PSA (Prostate) Test CPT 84153 | $66.14 | $137.80 | $18.39 – $439.35 | 14 |
| Psych/neuropsych test admin automated result 96146 CPT 96146 | $3.84 | $8.00 | $2.23 – $64.04 | 24 |
| Psychoanalysis CPT 90845 | $125.76 | $262.00 | $58.00 – $393.02 | 24 |
| Psychophysiological therapy CPT 90876 | $132.00 | $275.00 | $58.00 – $275.00 | 9 |
| Psychotherapy group therapy CPT 90853 | $35.52 | $74.00 | $24.28 – $224.95 | 24 |
| Psychotherapy patient individual therapy 30 minutes CPT 90832 | $100.80 | $210.00 | $58.00 – $393.02 | 24 |
| Psychotherapy patient individual therapy 45 minutes CPT 90834 | $132.48 | $276.00 | $58.00 – $393.02 | 24 |
| Psychotherapy patient individual therapy 60 minutes CPT 90837 | $195.36 | $407.00 | $58.00 – $407.00 | 24 |
| Psych test eval svc phys/qhp 1st hr CPT 96130 | $183.36 | $382.00 | $58.00 – $478.09 | 24 |
| Psycl/nrpsyc tech 1st CPT 96138 | $52.80 | $110.00 | $37.49 – $989.15 | 24 |
| Psy/npsy phys/qhp 2> tst 1st 30 min CPT 96136 | $63.84 | $133.00 | $21.17 – $294.61 | 24 |
| Psytx complex interactive CPT 90785 | $22.56 | $47.00 | $11.69 – $58.00 | 24 |
| Psytx pt w/e&m 16-37 min CPT 90833 | $92.64 | $193.00 | $58.00 – $193.00 | 24 |
| Psytx pt w/e&m 38-52 min CPT 90836 | $116.64 | $243.00 | $58.00 – $243.00 | 24 |
| Psytx pt w/e&m 53+ min CPT 90838 | $155.04 | $323.00 | $58.00 – $323.00 | 24 |
| Pt application of modality >=1 area electrical stimulation each 15 minutes CPT 97032 | $40.20 | $83.74 | $14.57 – $266.99 | 13 |
| Pt application of modality >=1 area hot/cold packs CPT 97010 | $10.08 | $21.00 | $8.64 – $58.00 | 10 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $63.09 | $131.44 | $18.90 – $131.44 | 24 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $41.72 | $86.92 | $14.24 – $58.00 | 24 |
| Pt application of modality traction mechanical CPT 97012 | $46.30 | $96.46 | $14.24 – $307.54 | 13 |
| Pt evaluation high complexity patient/family CPT 97163 | $122.62 | $255.46 | $97.58 – $814.48 | 13 |
| Pt evaluation low complexity patient/family CPT 97161 | $122.62 | $255.46 | $97.58 – $814.48 | 13 |
| Pt evaluation moderate complexity patient/family CPT 97162 | $122.62 | $255.46 | $97.58 – $814.48 | 13 |
| Pt-focused hlth risk assmt CPT 96160 | $4.80 | $10.00 | $2.99 – $82.96 | 24 |
| Pt init/spiromet rec/review/interp 94016 CPT 94016 | $36.96 | $77.00 | $24.49 – $77.00 | 24 |
| Pt re-evaluation patient/family CPT 97164 | $105.83 | $220.48 | $67.23 – $702.96 | 13 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $64.80 | $135.00 | $29.51 – $135.00 | 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.