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 |
|---|---|---|---|---|
| Repair tendon extensor foot 1/2 each tendon CPT 28208 | $741.60 | $1,545.00 | $303.50 – $1,545.00 | 24 |
| Repair tendon/muscle forearm/wrist prime sngl ea CPT 25260 | $987.36 | $2,057.00 | $583.09 – $2,057.00 | 24 |
| Repair toe dislocation CPT 28645 | $999.36 | $2,082.00 | $451.58 – $2,082.00 | 24 |
| Repair tongue lac <2.5cm past 1/3 tongue 41251 CPT 41251 | $480.00 | $1,000.00 | $220.80 – $1,000.00 | 24 |
| Repair upper arm/elbow tendon/muscle ea CPT 24341 | $1,164.96 | $2,427.00 | $688.59 – $2,427.00 | 24 |
| Repair vagina/perineum CPT 57210 | $606.72 | $1,264.00 | $344.49 – $1,264.00 | 24 |
| Repair webbed toe(s) CPT 28345 | $783.36 | $1,632.00 | $333.33 – $1,632.00 | 24 |
| Repeat thyroid surgery CPT 60260 | $1,663.68 | $3,466.00 | $934.50 – $3,466.00 | 24 |
| Replace duod/jej tube perc CPT 49451 | $1,519.68 | $3,166.00 | $74.03 – $1,986.00 | 24 |
| Replace g/c tube perc CPT 49450 | $1,519.68 | $3,166.00 | $54.93 – $1,858.00 | 24 |
| Replace picvad cath CPT 36585 | $5,399.04 | $11,248.00 | $281.51 – $11,248.00 | 24 |
| Replace tissue expander w/perm prost 11970 CPT 11970 | $862.56 | $1,797.00 | $503.07 – $1,797.00 | 24 |
| Replace tunneled cv cath CPT 36578 | $5,399.04 | $11,248.00 | $182.36 – $11,248.00 | 24 |
| Reposition pm/icd lead CPT 33215 | $467.04 | $973.00 | $263.61 – $973.00 | 24 |
| Repos sq defib eltrd CPT 33273 | $605.28 | $1,261.00 | $343.79 – $1,261.00 | 24 |
| Repr elbow lat ligmnt w/tiss CPT 24343 | $1,109.76 | $2,312.00 | $657.77 – $2,312.00 | 24 |
| Reremove wrist tendon lesion CPT 25112 | $612.96 | $1,277.00 | $367.58 – $1,277.00 | 24 |
| Rerepair fem hernia blocked CPT 49557 | $1,109.28 | $2,311.00 | $662.27 – $2,311.00 | 24 |
| Rerepair ing hernia blocked CPT 49521 | $1,100.16 | $2,292.00 | $655.23 – $2,292.00 | 24 |
| Rerepair ing hernia reduce CPT 49520 | $973.92 | $2,029.00 | $582.05 – $2,029.00 | 24 |
| Resect condyle distal phalanx ea toe 28153 CPT 28153 | $618.24 | $1,288.00 | $246.81 – $1,288.00 | 24 |
| Resect face/scalp tum < 2 cm CPT 21015 | $1,070.88 | $2,231.00 | $621.82 – $2,231.00 | 24 |
| Resect inferior turbinate CPT 30140 | $453.60 | $945.00 | $148.88 – $945.00 | 24 |
| Resect part/compl phalangeal base ea 28126 CPT 28126 | $598.56 | $1,247.00 | $104.44 – $495.95 | 24 |
| Respirator motion mgmt simul CPT 77293 | $585.12 | $1,219.00 | $103.37 – $332.00 | 24 |
| Resp virus 6-11 targets CPT 87632 | $1,465.44 | $3,053.00 | $48.49 – $6,657.37 | 9 |
| Resuscitation cardiopulmonary CPT 92950 | $494.40 | $1,030.00 | $58.00 – $1,030.00 | 24 |
| Resuscitation delivery/birthing room CPT 99465 | $918.24 | $1,913.00 | $121.72 – $1,463.49 | 24 |
| Reteplase injection HCPCS J2993 | $13,388.89 | $27,893.53 | $2,904.57 – $88,932.94 | 14 |
| Reticulated platelet assay CPT 85055 | $21.37 | $44.52 | $15.91 – $141.94 | 14 |
| Reticulocyte automated CPT 85045 | $29.00 | $60.42 | $2.41 – $192.64 | 14 |
| Reticulocyte direct measurement automated CPT 85046 | $21.37 | $44.52 | $2.48 – $58.00 | 9 |
| Revise additional leg tendon CPT 27692 | $154.56 | $322.00 | $85.97 – $322.00 | 24 |
| Revise arm/leg nerve CPT 64708 | $787.20 | $1,640.00 | $454.93 – $1,640.00 | 24 |
| Revise breast reconst 19380 CPT 19380 | $1,236.96 | $2,577.00 | $714.27 – $2,577.00 | 24 |
| Revise hernia & sperm veins CPT 55540 | $854.40 | $1,780.00 | $517.87 – $1,780.00 | 24 |
| Revise hip joint replacement CPT 27134 | $2,902.56 | $6,047.00 | $1,631.13 – $6,047.00 | 24 |
| Revise hip joint replacement CPT 27138 | $2,324.64 | $4,843.00 | $1,316.76 – $4,843.00 | 24 |
| Revise knuckle joint CPT 26530 | $845.28 | $1,761.00 | $496.03 – $1,761.00 | 24 |
| Revise lower leg tendon CPT 27690 | $984.48 | $2,051.00 | $593.68 – $2,051.00 | 24 |
| Revise lower leg tendon CPT 27691 | $1,146.24 | $2,388.00 | $683.75 – $2,388.00 | 24 |
| Revise lower leg tendons CPT 27686 | $822.24 | $1,713.00 | $490.08 – $1,713.00 | 24 |
| Revise/remove sling repair CPT 57287 | $1,140.48 | $2,376.00 | $641.98 – $2,376.00 | 24 |
| Revise/replace knee joint CPT 27486 | $2,149.92 | $4,479.00 | $1,229.99 – $4,479.00 | 24 |
| Revise/replace knee joint CPT 27487 | $2,676.96 | $5,577.00 | $1,516.95 – $5,577.00 | 24 |
| Revise spermatic cord veins CPT 55530 | $540.00 | $1,125.00 | $318.96 – $1,125.00 | 24 |
| Revise thigh muscles/tendons CPT 27400 | $1,079.04 | $2,248.00 | $638.59 – $2,248.00 | 24 |
| Revise ulnar nerve at wrist CPT 64719 | $634.08 | $1,321.00 | $377.49 – $1,321.00 | 24 |
| Revise ureter CPT 50727 | $783.84 | $1,633.00 | $461.95 – $1,633.00 | 24 |
| Revise vag graft via vagina CPT 57295 | $771.36 | $1,607.00 | $435.66 – $1,607.00 | 24 |
| Revision of ankle joint CPT 27700 | $1,101.60 | $2,295.00 | $648.36 – $2,295.00 | 24 |
| Revision of bladder neck CPT 52500 | $754.08 | $1,571.00 | $344.31 – $1,571.00 | 24 |
| Revision of bladder/urethra CPT 51800 | $1,572.48 | $3,276.00 | $906.76 – $3,276.00 | 24 |
| Revision of calf tendon CPT 27687 | $702.72 | $1,464.00 | $423.72 – $1,464.00 | 24 |
| Revision of colostomy CPT 44340 | $966.72 | $2,014.00 | $586.34 – $2,014.00 | 24 |
| Revision of colostomy comp in-depth 44345 CPT 44345 | $1,601.76 | $3,337.00 | $948.26 – $3,337.00 | 24 |
| Revision of colostomy paraclt hernia 44346 CPT 44346 | $1,801.44 | $3,753.00 | $1,057.08 – $3,753.00 | 24 |
| Revision of foot CPT 28116 | $1,176.48 | $2,451.00 | $477.46 – $2,451.00 | 24 |
| Revision of foot bones CPT 28737 | $1,063.20 | $2,215.00 | $617.74 – $2,215.00 | 24 |
| Revision of foot fascia 28250 CPT 28250 | $900.96 | $1,877.00 | $377.90 – $1,877.00 | 24 |
| Revision of foot tendon CPT 28238 | $1,026.72 | $2,139.00 | $449.16 – $2,139.00 | 24 |
| Revision of ileostomy complicated 44314 CPT 44314 | $1,530.72 | $3,189.00 | $901.11 – $3,189.00 | 24 |
| Revision of ileostomy; simple 44312 CPT 44312 | $914.88 | $1,906.00 | $547.63 – $1,906.00 | 24 |
| Revision of kidney/ureter CPT 50400 | $1,748.16 | $3,642.00 | $1,005.60 – $3,642.00 | 24 |
| Revision of knee joint CPT 27442 | $1,339.20 | $2,790.00 | $778.59 – $2,790.00 | 24 |
| Revision of knee joint CPT 27446 | $1,760.16 | $3,667.00 | $1,010.95 – $3,667.00 | 24 |
| Revision of leg vein 37780 CPT 37780 | $357.12 | $744.00 | $210.72 – $744.00 | 24 |
| Revision of penis CPT 54420 | $1,069.92 | $2,229.00 | $620.28 – $2,229.00 | 24 |
| Revision of penis CPT 54430 | $973.92 | $2,029.00 | $567.22 – $2,029.00 | 24 |
| Revision of penis CPT 54435 | $634.56 | $1,322.00 | $374.71 – $1,322.00 | 24 |
| Revision of scrotum CPT 55175 | $559.68 | $1,166.00 | $331.75 – $1,166.00 | 24 |
| Revision of thigh muscles CPT 27430 | $1,149.60 | $2,395.00 | $677.06 – $2,395.00 | 24 |
| Revision of toe CPT 28312 | $833.28 | $1,736.00 | $338.88 – $1,736.00 | 24 |
| Revision of unstable kneecap CPT 27420 | $1,161.12 | $2,419.00 | $682.76 – $2,419.00 | 24 |
| Revision of unstable kneecap CPT 27422 | $1,148.16 | $2,392.00 | $676.93 – $2,392.00 | 24 |
| Revision of urethra CPT 53450 | $625.92 | $1,304.00 | $370.05 – $1,304.00 | 24 |
| Revision of urethra CPT 53460 | $700.32 | $1,459.00 | $411.15 – $1,459.00 | 24 |
| Rev-rem impl neurostim gen-rec CPT 63688 | $462.72 | $964.00 | $294.59 – $964.00 | 24 |
| Rev/rmv perph nstim eltrd ra CPT 64585 | $370.56 | $772.00 | $132.84 – $772.00 | 24 |
| Rev/rmv prph sac/gstr npg/r CPT 64595 | $556.80 | $1,160.00 | $174.72 – $1,160.00 | 24 |
| Rheumatoid factor qualitative CPT 86430 | $31.04 | $64.66 | $3.97 – $64.66 | 9 |
| Rheumatoid factor quantitative CPT 86431 | $40.20 | $83.74 | $4.75 – $266.99 | 14 |
| Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe HCPCS J2791 | $412.20 | $858.75 | $910.28 – $2,737.95 | 4 |
| Rho d immune globulin inj HCPCS J2790 | $202.63 | $422.15 | $447.48 – $1,345.94 | 4 |
| Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312 | $9,067.39 | $18,890.40 | $74.16 – $60,228.26 | 14 |
| Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln HCPCS J9311 | $12,675.04 | $26,406.33 | $36.28 – $84,191.30 | 14 |
| Rituximab-abbs 10 mg/ml intravenous solution HCPCS Q5115 | $8,165.28 | $17,011.00 | $31.28 – $54,236.17 | 14 |
| Rituximab-pvvr 10 mg/ml intravenous solution HCPCS Q5119 | $6,929.28 | $14,436.00 | $13.69 – $46,026.30 | 14 |
| Rmv implant contraceptive capsule 11976 CPT 11976 | $222.72 | $464.00 | $77.14 – $464.00 | 24 |
| Rmvl ext fixj sys under anes CPT 20694 | $666.72 | $1,389.00 | $319.84 – $1,389.00 | 24 |
| Rmvl fb upr arm/elbow deep CPT 24201 | $950.40 | $1,980.00 | $381.81 – $1,980.00 | 24 |
| Rmvl fecal impaction/fb spx under anes CPT 45915 | $745.92 | $1,554.00 | $225.22 – $1,127.00 | 24 |
| Rmvl foreign body upper arm/elbow subcutaneous CPT 24200 | $338.40 | $705.00 | $139.43 – $705.00 | 24 |
| Rmvl icd gen w/rplc icd gen dual lead sys CPT 33263 | $581.28 | $1,211.00 | $328.08 – $1,211.00 | 24 |
| Rmvl icd gen w/rplc icd gen mlt lead sys CPT 33264 | $606.24 | $1,263.00 | $340.50 – $1,263.00 | 24 |
| Rmvl icd gen w/rplc icd gen sgl lead sys CPT 33262 | $559.20 | $1,165.00 | $315.76 – $1,165.00 | 24 |
| Rmvl icd pulse gen only CPT 33241 | $324.48 | $676.00 | $190.49 – $676.00 | 24 |
| Rmvl imed rx delivery device CPT 20703 | $157.92 | $329.00 | $86.34 – $329.00 | 24 |
| Rmvl ndwellg tun pleural cath CPT 32552 | $277.92 | $579.00 | $143.85 – $579.00 | 24 |
| Rmvl perm pm pulse gen CPT 33233 | $352.32 | $734.00 | $204.94 – $734.00 | 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.