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 |
|---|---|---|---|---|
| Application long leg splint 29505 CPT 29505 | $276.96 | $577.00 | $53.38 – $292.00 | 24 |
| Application lower leg splint 29515 CPT 29515 | $276.96 | $577.00 | $48.49 – $235.00 | 24 |
| Application multi layer compression below knee (both sides) CPT 29581 | $275.04 | $573.00 | $22.94 – $280.00 | 24 |
| Application of cylinder cast 29365 CPT 29365 | $194.40 | $405.00 | $79.74 – $405.00 | 24 |
| Application of forearm cast 29075 CPT 29075 | $137.28 | $286.00 | $57.28 – $286.00 | 24 |
| Application of long arm cast 29065 CPT 29065 | $151.68 | $316.00 | $62.66 – $316.00 | 24 |
| Application of long leg cast CPT 29355 | $220.32 | $459.00 | $93.93 – $459.00 | 24 |
| Application of long leg cast 29345 CPT 29345 | $210.24 | $438.00 | $88.79 – $438.00 | 24 |
| Application of paste boot 29580 CPT 29580 | $275.04 | $573.00 | $22.67 – $204.00 | 24 |
| Application short leg cast 29405 CPT 29405 | $125.28 | $261.00 | $54.39 – $261.00 | 24 |
| Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm CPT 15275 | $3,189.12 | $6,644.00 | $82.11 – $506.00 | 24 |
| Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm CPT 15271 | $3,189.12 | $6,644.00 | $72.99 – $6,644.00 | 24 |
| Appl mltpln uni ext fixj sys CPT 20692 | $1,734.72 | $3,614.00 | $1,016.37 – $3,614.00 | 24 |
| Appl modality 1/> areas paraffin bath 97018 CPT 97018 | $45.28 | $94.34 | $5.90 – $300.78 | 13 |
| Appl modality 1/> areas vasopneumatic devices 97016 CPT 97016 | $45.79 | $95.40 | $11.90 – $95.40 | 24 |
| Appl patllr tdn bearing cast CPT 29435 | $193.44 | $403.00 | $78.64 – $403.00 | 24 |
| Appl unipln uni ext fixj sys CPT 20690 | $918.24 | $1,913.00 | $527.80 – $1,913.00 | 24 |
| Apply finger cast 29086 CPT 29086 | $120.48 | $251.00 | $45.50 – $251.00 | 24 |
| Apply forearm splintdynamic 29126 CPT 29126 | $199.45 | $415.52 | $33.76 – $98.15 | 24 |
| Apply hand/wrist cast 29085 CPT 29085 | $150.24 | $313.00 | $61.76 – $313.00 | 24 |
| Apply of finger splint 29131 CPT 29131 | $141.45 | $294.68 | $30.23 – $175.00 | 24 |
| Apply rigid leg cast 29445 CPT 29445 | $481.44 | $1,003.00 | $88.43 – $412.00 | 24 |
| Apply short leg castambul type 29425 CPT 29425 | $117.12 | $244.00 | $50.12 – $244.00 | 24 |
| App mltpln uni xtrnl fix 1st CPT 20696 | $1,785.60 | $3,720.00 | $1,030.40 – $3,720.00 | 24 |
| Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion HCPCS J0185 | $1,073.43 | $2,236.31 | $1.69 – $7,130.03 | 14 |
| Aquaporin-4 antibody cba each CPT 86052 | $22.99 | $47.90 | $5.77 – $47.90 | 12 |
| Aqua therapy w/exercise/ea 15 min 97113 CPT 97113 | $62.58 | $130.38 | $36.89 – $415.69 | 13 |
| Aquatic exercise - group charge CPT 97150 | $47.32 | $98.58 | $17.91 – $314.30 | 13 |
| Ar gene charac alleles CPT 81204 | $279.84 | $583.00 | $48.49 – $798.71 | 9 |
| Arsenic trioxide 2 mg/ml intravenous solution HCPCS J9017 | $1,188.48 | $2,476.00 | $2,390.85 – $7,191.27 | 4 |
| Arterial blood draw/perc 36620 CPT 36620 | $66.24 | $138.00 | $39.93 – $138.00 | 24 |
| Arthrd wrist complete wo grf CPT 25800 | $1,131.36 | $2,357.00 | $653.58 – $2,357.00 | 24 |
| Arthrd wrst iliac/oth agrft CPT 25810 | $1,340.64 | $2,793.00 | $770.79 – $2,793.00 | 24 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right CPT 20605 | $189.27 | $394.32 | $31.24 – $176.00 | 24 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides) CPT 20606 | $459.36 | $957.00 | $43.53 – $288.00 | 24 |
| Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides) CPT 20611 | $304.32 | $634.00 | $48.67 – $317.00 | 24 |
| Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance CPT 20600 | $189.27 | $394.32 | $30.57 – $172.00 | 24 |
| Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides) CPT 20610 | $189.27 | $394.32 | $38.42 – $208.00 | 24 |
| Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604 CPT 20604 | $304.32 | $634.00 | $38.63 – $264.00 | 24 |
| Arthrodesis big toe joint 28760 CPT 28760 | $1,180.32 | $2,459.00 | $525.52 – $2,459.00 | 24 |
| Arthrodesis pantalar CPT 28705 | $1,868.64 | $3,893.00 | $1,074.36 – $3,893.00 | 24 |
| Arthrodesis subtalar CPT 28725 | $1,199.04 | $2,498.00 | $709.58 – $2,498.00 | 24 |
| Arthrodesis triple CPT 28715 | $1,444.80 | $3,010.00 | $858.90 – $3,010.00 | 24 |
| Arthro, loose body + chondro HCPCS G0289 | $129.60 | $270.00 | $58.00 – $270.00 | 22 |
| Arthroplasty finger joint 26535 CPT 26535 | $684.96 | $1,427.00 | $409.09 – $1,427.00 | 24 |
| Arthro shoulder surgical distal claviculectomy incl/distal art surf left (rest method ii cah) CPT 29824 | $1,047.84 | $2,183.00 | $620.35 – $2,183.00 | 24 |
| Arthrotomy carpometacarpal joint 26070 CPT 26070 | $506.88 | $1,056.00 | $305.56 – $1,056.00 | 24 |
| Arthrotomy/elbow/exp/drain/rmv fb 24000 CPT 24000 | $746.88 | $1,556.00 | $448.27 – $1,556.00 | 24 |
| Arthrotomy hip w/drainage CPT 27030 | $1,440.00 | $3,000.00 | $831.48 – $3,000.00 | 24 |
| Arthrp ntrcrp/crp/mtcr ntrps CPT 25447 | $1,288.32 | $2,684.00 | $723.05 – $2,684.00 | 24 |
| Arthrs kne srg drlg ost diss CPT 29885 | $1,170.24 | $2,438.00 | $690.17 – $2,438.00 | 24 |
| Arthrt elbow w/synovectomy CPT 24102 | $959.04 | $1,998.00 | $561.74 – $1,998.00 | 24 |
| Arthrt elbw capsl exc rls CPT 24006 | $1,106.40 | $2,305.00 | $644.07 – $2,305.00 | 24 |
| Arthrt elbw jt expl bx rmvl CPT 24101 | $784.80 | $1,635.00 | $469.30 – $1,635.00 | 24 |
| Arthrt glenhumrl jt w/expl CPT 23107 | $1,031.52 | $2,149.00 | $607.30 – $2,149.00 | 24 |
| Arthrt rdcrpl/midcarpl jt CPT 25040 | $868.32 | $1,809.00 | $509.42 – $1,809.00 | 24 |
| Arth shld srg decompr subacrml sp w/prt acrmplsty w/crccrml sep proc lt(rest method ii cah) CPT 29826 | $259.68 | $541.00 | $68.78 – $349.11 | 24 |
| Aspirate bladder/sprapubic cath 51102 CPT 51102 | $364.32 | $759.00 | $122.54 – $759.00 | 24 |
| Aspirate/inj ganglion cyst 20612 CPT 20612 | $99.84 | $208.00 | $35.80 – $208.00 | 24 |
| Aspirate pleura without imaging 32554 CPT 32554 | $357.12 | $744.00 | $77.02 – $744.00 | 24 |
| Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion CPT 10005 | $1,184.16 | $2,467.00 | $60.74 – $428.00 | 23 |
| Aspiration peritonsillar abscess CPT 42999 | $364.80 | $760.00 | $58.00 – $760.00 | 5 |
| Aspir/inj thyroid cyst 60300 CPT 60300 | $450.72 | $939.00 | $40.63 – $341.00 | 24 |
| Assay acid phosphatase CPT 84060 | $37.14 | $77.38 | $5.91 – $77.38 | 9 |
| Assay of breath ethanol CPT 82075 | $45.28 | $94.34 | $28.30 – $94.34 | 9 |
| Assay of glutathione CPT 82978 | $32.56 | $67.84 | $10.48 – $67.84 | 9 |
| Assay of procainamide w/metab CPT 80192 | $42.23 | $87.98 | $14.74 – $87.98 | 9 |
| Assay of prostaglandin CPT 84150 | $209.12 | $435.66 | $48.49 – $435.66 | 9 |
| Assay of tyrosine CPT 84510 | $20.89 | $43.52 | $4.63 – $58.00 | 9 |
| Assess aphasia/interp/rpt/per hr 96105 CPT 96105 | $287.04 | $598.00 | $58.00 – $598.00 | 24 |
| Assess care plan pt w/cog impair 99483 CPT 99483 | $349.92 | $729.00 | $166.87 – $729.00 | 24 |
| Assessment leukocyte fecal qualitative/semiquantitative CPT 89055 | $30.02 | $62.54 | $2.67 – $199.40 | 14 |
| Assistive tech assessment, ot CPT 97755 | $62.58 | $130.38 | $37.58 – $130.38 | 24 |
| Ast/sgot CPT 84450 | $23.91 | $49.82 | $2.58 – $158.84 | 14 |
| Atezolizumab 60 mg/ml intravenous solution (wrapper) HCPCS J9022 | $21,651.49 | $45,107.28 | $94.00 – $143,815.54 | 14 |
| Atropine 0.1 mg/ml injection syringe HCPCS J0461 | $48.14 | $100.30 | $50.88 – $153.04 | 4 |
| Attn at delivery+ 1 stabilization of newborn 99464 CPT 99464 | $92.16 | $192.00 | $62.29 – $192.00 | 24 |
| Audiometry air + bone CPT 92553 | $70.56 | $147.00 | $48.81 – $284.91 | 24 |
| Audit/dast 15-30 min CPT 99408 | $43.68 | $91.00 | $45.60 – $91.00 | 9 |
| Audit/dast over 30 min CPT 99409 | $84.48 | $176.00 | $91.52 – $176.00 | 9 |
| Aud rehab postling hear loss CPT 92633 | $102.78 | $214.12 | $58.00 – $214.12 | 4 |
| Aud rehab pre-ling hear loss CPT 92630 | $102.78 | $214.12 | $58.00 – $214.12 | 4 |
| Autgrft implnt knee w/scope CPT 29866 | $1,621.92 | $3,379.00 | $947.56 – $3,379.00 | 24 |
| Autochondrocyte implant knee CPT 27412 | $2,522.40 | $5,255.00 | $1,441.73 – $5,255.00 | 24 |
| Autologous blood op salvage CPT 86891 | $475.20 | $990.00 | $48.49 – $1,783.96 | 6 |
| Avelumab 20 mg/ml intravenous solution HCPCS J9023 | $3,913.88 | $8,153.92 | $105.55 – $25,997.14 | 14 |
| Avul nail plate addl CPT 11732 | $50.40 | $105.00 | $14.73 – $105.00 | 24 |
| Avulsion nail plate partial/complete simple single nail plate CPT 11730 | $345.60 | $720.00 | $47.92 – $367.00 | 24 |
| Axillary lymphadenect/superficial 38740 CPT 38740 | $1,079.04 | $2,248.00 | $646.17 – $2,248.00 | 24 |
| Azacitidine injection HCPCS J9025 | $1,171.66 | $2,440.96 | $869.20 – $2,614.41 | 4 |
| Azathioprine 50 mg tablet HCPCS J7500 | $5.46 | $11.38 | $12.06 – $36.28 | 3 |
| Azithromycin 500 mg intravenous solution HCPCS J0456 | $70.52 | $146.92 | $50.88 – $153.04 | 4 |
| Azithromycin dihydrate, oral HCPCS Q0144 | $20.16 | $42.00 | $21.84 – $58.00 | 9 |
| Aztreonam 1 gram solution for injection HCPCS J0457 | $127.67 | $265.97 | $281.93 – $847.99 | 4 |
| Baclofen eval charges CPT 97750 | $65.64 | $136.74 | $33.56 – $435.97 | 13 |
| Bacterial meningitis antigen CPT 86403 | $40.70 | $84.80 | $9.79 – $270.37 | 14 |
| Bacterial vaginosis pcr CPT 87801 | $257.28 | $536.00 | $70.20 – $1,708.93 | 14 |
| #bac vag cand-c. albicans naa CPT 87481 | $47.32 | $98.58 | $34.59 – $314.30 | 14 |
| Bartholin gland cyst/marsupializat 56440 CPT 56440 | $279.36 | $582.00 | $158.69 – $582.00 | 24 |
| B cells total count CPT 86355 | $51.39 | $107.06 | $37.73 – $341.34 | 14 |
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.