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 |
|---|---|---|---|---|
| Rmvl pm gen w/rplc pm gen sgl lead sys CPT 33227 | $510.72 | $1,064.00 | $289.58 – $1,064.00 | 24 |
| Rmvl sq defib electrode CPT 33272 | $522.24 | $1,088.00 | $297.72 – $1,088.00 | 24 |
| Rmvl subq card rhythm mntr CPT 33286 | $197.28 | $411.00 | $71.19 – $411.00 | 24 |
| Rmvl tiss expndr without implant insrtn CPT 11971 | $850.08 | $1,771.00 | $446.88 – $1,771.00 | 24 |
| Rmvl tv pm lead dual CPT 33235 | $955.20 | $1,990.00 | $544.52 – $1,990.00 | 24 |
| Rmvl tv pm lead sgl CPT 33234 | $726.72 | $1,514.00 | $411.26 – $1,514.00 | 24 |
| Rmv prosth mat/mesh/abd wall/infec 11008 CPT 11008 | $411.36 | $857.00 | $231.94 – $857.00 | 24 |
| Romiplostim 125 mcg subcutaneous solution HCPCS J2802 | $6,126.67 | $12,763.90 | $11.11 – $40,695.14 | 14 |
| Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper) HCPCS J3111 | $3,158.54 | $6,580.30 | $12.19 – $20,979.97 | 14 |
| Ropivacaine 0.2 % epidural pca - 1 hour dose limit HCPCS J2795 | $227.73 | $474.44 | $216.16 – $650.16 | 4 |
| Rpl non-tun cvc wo sbq prt/pmp CPT 36580 | $284.16 | $592.00 | $55.63 – $592.00 | 24 |
| Rp loclzj tum 2+area 1+d img CPT 78801 | $756.48 | $1,576.00 | $32.64 – $106.00 | 24 |
| Rpl picc wo subq port/pump incl image guidnc w/s&i CPT 36584 | $2,235.36 | $4,657.00 | $49.45 – $4,657.00 | 24 |
| Rpl tun cvc wo subq port CPT 36581 | $1,159.68 | $2,416.00 | $160.22 – $2,416.00 | 24 |
| Rpr aa hrn 1st > 10 ncr/strn CPT 49596 | $1,557.12 | $3,244.00 | $888.96 – $3,244.00 | 18 |
| Rpr aa hrn 1st > 10 rdc CPT 49595 | $1,174.08 | $2,446.00 | $669.46 – $2,446.00 | 18 |
| Rpr aa hrn 1st 3-10 ncr/strn CPT 49594 | $1,135.68 | $2,366.00 | $647.64 – $2,366.00 | 18 |
| Rpr aa hrn 1st 3-10 rdc CPT 49593 | $872.64 | $1,818.00 | $498.76 – $1,818.00 | 18 |
| Rpr aa hrn 1st < 3 cm rdc CPT 49591 | $521.76 | $1,087.00 | $300.57 – $1,087.00 | 18 |
| Rpr aa hrn 1st < 3 ncr/strn CPT 49592 | $724.80 | $1,510.00 | $415.10 – $1,510.00 | 18 |
| Rpr aa hrn rcr > 10 ncr/strn CPT 49618 | $1,886.88 | $3,931.00 | $1,074.36 – $3,931.00 | 18 |
| Rpr aa hrn rcr 3-10 ncr/strn CPT 49616 | $1,307.52 | $2,724.00 | $743.49 – $2,724.00 | 18 |
| Rpr aa hrn rcr 3-10 rdc CPT 49615 | $972.96 | $2,027.00 | $554.53 – $2,027.00 | 18 |
| Rpr diaphragm lac/any approach 39501 CPT 39501 | $1,300.32 | $2,709.00 | $776.16 – $2,709.00 | 24 |
| Rpr fem hernia init blocked CPT 49553 | $972.00 | $2,025.00 | $583.09 – $2,025.00 | 24 |
| Rpr ing hernia init reduce CPT 49500 | $643.20 | $1,340.00 | $396.83 – $1,340.00 | 24 |
| Rpr rem hernia init reduce CPT 49550 | $888.96 | $1,852.00 | $534.89 – $1,852.00 | 24 |
| Rpr xtnsr tndn leg prim without grft ea tndn CPT 27664 | $562.08 | $1,171.00 | $336.32 – $1,171.00 | 24 |
| Rsv assay w/optic CPT 87807 | $117.02 | $243.80 | $5.63 – $58.00 | 9 |
| Rubella antibody igg CPT 86762 | $34.09 | $71.02 | $10.22 – $226.43 | 14 |
| Rubeola antibody igg CPT 86765 | $28.49 | $59.36 | $7.65 – $189.26 | 14 |
| Russell viper venom diluted CPT 85613 | $65.13 | $135.68 | $9.58 – $432.59 | 14 |
| Sacituzumab govitecan-hziy 180 mg intravenous solution HCPCS J9317 | $4,873.42 | $10,152.96 | $36.80 – $32,370.68 | 14 |
| Salpingostomy 58770 CPT 58770 | $1,321.92 | $2,754.00 | $734.33 – $2,754.00 | 24 |
| Same day nb discharge 99463 CPT 99463 | $137.28 | $286.00 | $93.49 – $294.79 | 24 |
| Sarscov coronavirus ag ia CPT 87426 | $47.32 | $98.58 | $14.70 – $58.00 | 11 |
| Sbrt management CPT 77435 | $974.88 | $2,031.00 | $631.27 – $2,031.00 | 24 |
| Sbsq ic vlbw inf<1,500 gm CPT 99478 | $168.96 | $352.00 | $114.14 – $352.00 | 24 |
| Sbsq nurs facil care/day unstabl/new prob 35 min 99310 CPT 99310 | $195.84 | $408.00 | $138.04 – $408.00 | 24 |
| Sbsq nursing facil care/day minor complj 15 min CPT 99308 | $95.04 | $198.00 | $66.92 – $198.00 | 24 |
| Sbsq nursing facil care/day new problem 25 min CPT 99309 | $137.28 | $286.00 | $97.02 – $286.00 | 24 |
| Sbsq nursing facility care/day e/m stable 10 min CPT 99307 | $51.36 | $107.00 | $36.53 – $107.00 | 24 |
| Scan duplex abd/pelvis/retroperitoneal complete CPT 93975 | $589.92 | $1,229.00 | $52.17 – $669.00 | 24 |
| Scan duplex abd/pelvis/retroperitoneal limited CPT 93976 | $390.24 | $813.00 | $36.54 – $231.50 | 24 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $424.80 | $885.00 | $36.29 – $528.31 | 24 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $185.71 | $386.90 | $22.43 – $231.50 | 24 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $190.56 | $397.00 | $22.77 – $377.36 | 24 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $431.52 | $899.00 | $20.06 – $379.00 | 24 |
| Scan duplex lower extremity arteries complete bilateral CPT 93925 | $466.56 | $972.00 | $36.01 – $765.00 | 24 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $219.84 | $458.00 | $21.87 – $231.50 | 24 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $199.96 | $416.58 | $22.20 – $231.50 | 24 |
| Scan proc cranial extra CPT 61782 | $261.12 | $544.00 | $139.63 – $544.00 | 24 |
| Scan proc cranial intra 61781 CPT 61781 | $360.48 | $751.00 | $199.95 – $751.00 | 24 |
| Screening Colonoscopy (average risk) HCPCS G0121 | $1,207.20 | $2,515.00 | $58.00 – $2,059.13 | 22 |
| Screening Colonoscopy (high risk) HCPCS G0105 | $1,148.64 | $2,393.00 | $58.00 – $2,059.13 | 22 |
| Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations HCPCS G0328 | $28.32 | $59.00 | $30.68 – $59.00 | 5 |
| Screening Mammogram CPT 77067 | $174.01 | $362.52 | $34.64 – $114.00 | 24 |
| Screen/visual acuity/bilat/quant 99173 CPT 99173 | $4.32 | $9.00 | $3.84 – $58.00 | 9 |
| Sec abd wall suture evisceration/dehsn 49900 CPT 49900 | $1,264.80 | $2,635.00 | $768.95 – $2,635.00 | 24 |
| Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time HCPCS G0500 | $119.57 | $249.10 | $5.04 – $154.00 | 22 |
| Semen analysis presence/motility CPT 89321 | $48.84 | $101.76 | $12.05 – $324.44 | 14 |
| Serial casting application 97139app CPT 97139 | $47.32 | $98.58 | $51.26 – $98.58 | 4 |
| Set radiation therapy field CPT 77280 | $656.64 | $1,368.00 | $36.72 – $119.00 | 24 |
| Set radiation therapy field CPT 77285 | $594.24 | $1,238.00 | $55.30 – $1,238.00 | 24 |
| Set radiation therapy field CPT 77290 | $1,631.52 | $3,399.00 | $81.02 – $260.00 | 24 |
| Sgmdsc w/band ligation CPT 45350 | $1,531.68 | $3,191.00 | $89.65 – $2,118.00 | 24 |
| Shave sgl skin lsn f/e/e/n/l/m 0.5cm/< CPT 11310 | $177.12 | $369.00 | $35.68 – $369.00 | 24 |
| Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm CPT 11311 | $209.28 | $436.00 | $49.63 – $436.00 | 24 |
| Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm CPT 11312 | $238.08 | $496.00 | $59.11 – $496.00 | 24 |
| Shave sgl skin lsn f/e/e/n/l/m >2cm CPT 11313 | $276.96 | $577.00 | $75.40 – $577.00 | 24 |
| Shave sgl skin lsn s/n/h/f/g 0.5cm/< CPT 11305 | $160.80 | $335.00 | $32.02 – $335.00 | 24 |
| Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm CPT 11306 | $187.68 | $391.00 | $39.93 – $391.00 | 24 |
| Shave sgl skin lsn s/n/h/f/g 1.1-2cm CPT 11307 | $211.68 | $441.00 | $50.31 – $441.00 | 24 |
| Shave sgl skin lsn s/n/h/f/g >2cm CPT 11308 | $223.20 | $465.00 | $58.47 – $465.00 | 24 |
| Shave sgl skin lsn t/a/l 0.5cm/< CPT 11300 | $154.08 | $321.00 | $27.10 – $321.00 | 24 |
| Shave sgl skin lsn t/a/l 0.6-1.0cm CPT 11301 | $185.76 | $387.00 | $40.92 – $387.00 | 24 |
| Shave sgl skin lsn t/a/l 1.1-2.0cm CPT 11302 | $209.76 | $437.00 | $47.49 – $437.00 | 24 |
| Sho arthrs dx +- synovial bx CPT 29805 | $725.76 | $1,512.00 | $436.06 – $1,512.00 | 24 |
| Sho arthrs srg bicp tenodsis CPT 29828 | $1,410.24 | $2,938.00 | $816.80 – $2,938.00 | 24 |
| Sho arthrs srg capsulorraphy CPT 29806 | $1,629.60 | $3,395.00 | $941.49 – $3,395.00 | 24 |
| Sho arthrs srg compl synvct CPT 29821 | $917.76 | $1,912.00 | $541.19 – $1,912.00 | 24 |
| Sho arthrs srg lmtd dbrdmt CPT 29822 | $839.52 | $1,749.00 | $501.10 – $1,749.00 | 24 |
| Sho arthrs srg lss&rescj ads CPT 29825 | $907.20 | $1,890.00 | $537.38 – $1,890.00 | 24 |
| Sho arthrs srg prtl synvct CPT 29820 | $826.08 | $1,721.00 | $487.40 – $1,721.00 | 24 |
| Sho arthrs srg rmvl loose/fb CPT 29819 | $909.60 | $1,895.00 | $534.25 – $1,895.00 | 24 |
| Sho arthrs srg rpr slap les CPT 29807 | $1,591.20 | $3,315.00 | $921.35 – $3,315.00 | 24 |
| Sho arthrs srg xtnsv dbrdmt CPT 29823 | $918.24 | $1,913.00 | $542.33 – $1,913.00 | 24 |
| Shoulder Arthroscopy (Rotator Cuff Repair) CPT 29827 | $1,641.60 | $3,420.00 | $944.59 – $3,420.00 | 24 |
| Shoulder MRI (with and without contrast) CPT 73223 | $2,621.28 | $5,461.00 | $98.24 – $322.00 | 24 |
| Shoulder MRI (with contrast) CPT 73222 | $1,682.40 | $3,505.00 | $74.28 – $243.00 | 24 |
| Shoulder MRI (without contrast) CPT 73221 | $1,176.48 | $2,451.00 | $62.37 – $203.00 | 24 |
| Shoulder X-ray CPT 73030 | $149.08 | $310.58 | $8.91 – $83.00 | 24 |
| Sialography s&i CPT 70390 | $248.16 | $517.00 | $17.15 – $57.00 | 24 |
| Sialolithotomy 42330 CPT 42330 | $1,982.40 | $4,130.00 | $146.77 – $751.00 | 24 |
| Sickling rbc CPT 85660 | $7.12 | $14.84 | $0.82 – $58.00 | 9 |
| Sigmoidoscopy and biopsy CPT 45331 | $823.20 | $1,715.00 | $65.31 – $910.00 | 24 |
| Sigmoidoscopy for bleeding CPT 45334 | $747.36 | $1,557.00 | $103.56 – $1,557.00 | 24 |
| Sigmoidoscopy/submucosal injection 45335 CPT 45335 | $1,501.44 | $3,128.00 | $60.97 – $924.00 | 24 |
| Sigmoidoscopy w/fb removal 45332 CPT 45332 | $423.36 | $882.00 | $93.55 – $882.00 | 24 |
| Sigmoidoscopy w/resection CPT 45349 | $297.60 | $620.00 | $171.29 – $620.00 | 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.