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 |
|---|---|---|---|---|
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $479.28 | $998.50 | $391.67 – $1,178.08 | 4 |
| Tacrolimus therapeutic drug level CPT 80197 | $56.99 | $118.72 | $13.73 – $378.52 | 14 |
| Tafasitamab-cxix 200 mg intravenous solution HCPCS J9349 | $2,675.52 | $5,574.00 | $14.17 – $17,771.58 | 14 |
| Tamoxifen 10 mg tabs 60 each bottle HCPCS S0187 | $168.43 | $350.90 | $378.97 – $1,118.77 | 2 |
| Target gsa panel hmtlmph neop CPT 81450 | $2,833.92 | $5,904.00 | $48.49 – $44,842.65 | 9 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | $1,629.60 | $3,395.00 | $48.49 – $99,120.42 | 9 |
| Target gsa panel organ neop CPT 81445 | $1,175.04 | $2,448.00 | $48.49 – $14,636.84 | 9 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | $963.58 | $2,007.46 | $0.25 – $4,008.65 | 14 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $110.41 | $230.02 | $61.98 – $733.37 | 14 |
| Tc-99m disofenin HCPCS A9510 | $47.32 | $98.58 | $51.26 – $98.58 | 4 |
| Tc-99m labeled rbc HCPCS A9560 | $370.08 | $771.00 | $58.00 – $771.00 | 4 |
| Tc-99m maa HCPCS A9540 | $123.64 | $257.58 | $278.19 – $821.24 | 2 |
| Tc-99m mebrofenin HCPCS A9537 | $63.60 | $132.50 | $143.10 – $422.45 | 2 |
| Tc-99m medronate HCPCS A9503 | $108.88 | $226.84 | $244.99 – $723.23 | 2 |
| Tc-99m oxidronate HCPCS A9561 | $163.32 | $340.26 | $58.00 – $340.26 | 4 |
| Tc-99m pentetate dtpa HCPCS A9539 | $131.27 | $273.48 | $295.36 – $871.94 | 2 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | $83.44 | $173.84 | $187.75 – $554.25 | 2 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $41.72 | $86.92 | $45.20 – $86.92 | 4 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $582.72 | $1,214.00 | $1,311.12 – $3,870.60 | 2 |
| Tc-99m sulfur colloid HCPCS A9541 | $482.88 | $1,006.00 | $58.00 – $3,207.43 | 6 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | $231.00 | $481.24 | $58.00 – $481.24 | 4 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $92.60 | $192.92 | $46.98 – $615.09 | 14 |
| T cells absolute cd 4 count CPT 86361 | $56.48 | $117.66 | $26.78 – $375.14 | 14 |
| T cells total count CPT 86359 | $51.39 | $107.06 | $37.73 – $341.34 | 14 |
| Team conf without pat by hc pro CPT 99368 | $44.64 | $93.00 | $48.36 – $93.00 | 9 |
| Team conf without pat by phys CPT 99367 | $68.64 | $143.00 | $74.36 – $143.00 | 9 |
| Team conf w/pat by hc prof CPT 99366 | $52.32 | $109.00 | $56.68 – $109.00 | 9 |
| Telehealth original site facility fee HCPCS Q3014 | $52.41 | $109.18 | $56.77 – $125.56 | 9 |
| Telethx isodose plan cplx CPT 77307 | $1,413.60 | $2,945.00 | $150.57 – $481.00 | 24 |
| Telethx isodose plan simple CPT 77306 | $594.24 | $1,238.00 | $73.12 – $233.00 | 24 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | $3,888.61 | $8,101.28 | $30.08 – $25,829.31 | 14 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $18,368.35 | $38,267.40 | $197.44 – $122,007.95 | 14 |
| Tenodesis biceps tdn at elbw CPT 24340 | $927.84 | $1,933.00 | $566.38 – $1,933.00 | 24 |
| Tenosynovectomy radic 26145 CPT 26145 | $804.96 | $1,677.00 | $474.04 – $1,677.00 | 24 |
| Tenotomy open tndn flxr toe sgl tndn spx CPT 28232 | $576.00 | $1,200.00 | $227.34 – $1,200.00 | 24 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $91.50 | $190.62 | $202.06 – $607.75 | 4 |
| Testicular imaging w/vasc flow CPT 78761 | $579.36 | $1,207.00 | $32.30 – $106.00 | 24 |
| Test stress cardiovascular tracing only CPT 93017 | $492.00 | $1,025.00 | $38.73 – $478.09 | 24 |
| Tetanus immune globulin inj HCPCS J1670 | $1,561.85 | $3,253.85 | $558.12 – $10,374.25 | 14 |
| Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe HCPCS J2356 | $10,489.35 | $21,852.81 | $17.58 – $69,673.31 | 14 |
| Theophylline therapeutic drug level CPT 80198 | $59.53 | $124.02 | $17.54 – $124.02 | 9 |
| Therapeutic procd strg endur HCPCS G0237 | $60.55 | $126.14 | $12.48 – $67.84 | 22 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $55.68 | $116.00 | $26.25 – $116.00 | 24 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $48.48 | $101.00 | $21.92 – $101.00 | 24 |
| Ther/proph/diag inj ia CPT 96373 | $123.64 | $257.58 | $19.55 – $470.97 | 24 |
| Ther radiology tx plng cplx CPT 77263 | $255.36 | $532.00 | $165.73 – $532.00 | 24 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $69.97 | $145.77 | $154.52 – $464.76 | 4 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $1,087.20 | $2,265.00 | $91.62 – $992.00 | 24 |
| Thoracoscopy remove cortex CPT 32651 | $1,650.72 | $3,439.00 | $993.53 – $3,439.00 | 24 |
| Thoracoscopy surgical 32650 CPT 32650 | $1,012.32 | $2,109.00 | $624.07 – $2,109.00 | 24 |
| Thoracoscopy/tot pulm decortication32652 CPT 32652 | $2,499.84 | $5,208.00 | $1,497.78 – $5,208.00 | 24 |
| Thorcscpy w/biop pleura CPT 32609 | $384.48 | $801.00 | $229.16 – $801.00 | 24 |
| Thrcspy w/diag bp lng inf uni CPT 32607 | $461.76 | $962.00 | $275.79 – $962.00 | 24 |
| Thromb/endar/neck inc/car/vert/subc35301 CPT 35301 | $1,684.32 | $3,509.00 | $971.94 – $3,509.00 | 24 |
| Thrombin time CPT 85670 | $79.88 | $166.42 | $9.60 – $166.42 | 9 |
| Thyroglobulin antibody CPT 86800 | $69.71 | $145.22 | $15.91 – $463.00 | 14 |
| Thyroid imaging CPT 78013 | $286.08 | $596.00 | $16.49 – $55.00 | 24 |
| Thyroid mets imag whole body CPT 78018 | $1,022.40 | $2,130.00 | $37.65 – $121.00 | 24 |
| Thyroid (TSH) Test CPT 84443 | $65.64 | $136.74 | $16.80 – $435.97 | 14 |
| Thyroid Ultrasound CPT 76536 | $312.00 | $650.00 | $26.06 – $351.00 | 24 |
| Thyroid uptake measurement CPT 78012 | $722.88 | $1,506.00 | $8.58 – $28.00 | 24 |
| Thyroxine binding globulin (tbg) CPT 84442 | $19.33 | $40.28 | $5.95 – $128.42 | 14 |
| Tibial arthroscopy/surgery CPT 29855 | $1,203.84 | $2,508.00 | $707.15 – $2,508.00 | 24 |
| Tis clt agrft f/s/n/h/f/g ad CPT 15156 | $2,925.12 | $6,094.00 | $127.81 – $6,094.00 | 24 |
| Tis clt agrft f/s/n/h/f/g ea CPT 15157 | $2,925.12 | $6,094.00 | $140.03 – $6,094.00 | 24 |
| Tis cltr skn agrft t/a/l add CPT 15151 | $1,594.08 | $3,321.00 | $92.51 – $3,321.00 | 24 |
| Tis cltr skn agrft t/a/l ea CPT 15152 | $1,594.08 | $3,321.00 | $116.15 – $3,321.00 | 24 |
| Tissue culture skin/biopsy CPT 88233 | $271.68 | $566.00 | $48.49 – $796.53 | 9 |
| Tissue exam koh skin/hair/nails CPT 87220 | $71.23 | $148.40 | $0.60 – $58.00 | 9 |
| Tissue transglutaminase iga CPT 86364 | $21.99 | $45.82 | $5.28 – $146.09 | 14 |
| Tixagev and cilgav inj HCPCS M0220 | $76.57 | $159.53 | $82.96 – $199.41 | 11 |
| Tl-201 thallium diag per mci HCPCS A9505 | $369.12 | $769.00 | $58.00 – $769.00 | 4 |
| Tlh uterus 250 g or less CPT 58570 | $1,239.84 | $2,583.00 | $701.70 – $2,583.00 | 24 |
| Tlh uterus over 250 g CPT 58572 | $1,555.20 | $3,240.00 | $910.15 – $3,240.00 | 24 |
| Tlh w/t/o 250 g or less CPT 58571 | $1,395.84 | $2,908.00 | $798.25 – $2,908.00 | 24 |
| Tlh w/t/o uterus over 250 g CPT 58573 | $1,868.64 | $3,893.00 | $1,063.83 – $3,893.00 | 24 |
| Tnot opn elbw to sho ea tdn CPT 24310 | $739.68 | $1,541.00 | $430.00 – $1,541.00 | 24 |
| Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 | $55.49 | $115.60 | $122.54 – $368.57 | 4 |
| Tobramycin peak therapeutic drug level CPT 80200 | $56.99 | $118.72 | $19.15 – $118.72 | 9 |
| Tocilizumab 162 mg/0.9 ml subcutaneous pen injector HCPCS J3262 | $2,980.03 | $6,208.39 | $5.53 – $19,794.21 | 14 |
| Tomosynthesis breast diagnostic left HCPCS G0279 | $43.20 | $90.00 | $27.40 – $90.00 | 22 |
| Tomosynthesis breast screen bilateral CPT 77063 | $54.44 | $113.42 | $27.40 – $90.00 | 24 |
| Tongue and neck surgery CPT 41135 | $3,288.00 | $6,850.00 | $1,870.47 – $6,850.00 | 24 |
| Tonsillectomy (age 12+) CPT 42826 | $396.00 | $825.00 | $226.29 – $1,115.56 | 24 |
| Tonsillectomy (child under 12) CPT 42825 | $416.16 | $867.00 | $238.28 – $867.00 | 24 |
| Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution HCPCS J9351 | $336.00 | $700.00 | $699.60 – $2,104.28 | 4 |
| Tot abd hyst/par vag/pelv node sam 58200 CPT 58200 | $2,065.92 | $4,304.00 | $1,206.38 – $4,304.00 | 24 |
| Total hip arthroplasty CPT 27132 | $2,552.16 | $5,317.00 | $1,449.41 – $5,317.00 | 24 |
| Total Hip Replacement CPT 27130 | $1,965.60 | $4,095.00 | $1,120.29 – $4,095.00 | 24 |
| Total hysterectomy CPT 58150 | $1,558.08 | $3,246.00 | $898.37 – $3,246.00 | 24 |
| Total Knee Replacement CPT 27447 | $1,962.72 | $4,089.00 | $1,117.92 – $4,089.00 | 24 |
| Toxoplasma antibody igg CPT 86777 | $84.46 | $175.96 | $14.39 – $561.01 | 14 |
| Toxoplasma antibody igm CPT 86778 | $45.28 | $94.34 | $13.59 – $300.78 | 14 |
| Tpmt gene com vrnts CPT 81335 | $306.24 | $638.00 | $48.49 – $1,115.29 | 9 |
| Tprnl plmt biodegrdabl matrl CPT 55874 | $4,336.32 | $9,034.00 | $139.22 – $9,034.00 | 24 |
| Tracheobrnchsc thru est trachs incisn CPT 31615 | $264.00 | $550.00 | $99.26 – $550.00 | 24 |
| Tracheostoma revision; simple, without flap rotation CPT 31613 | $651.36 | $1,357.00 | $387.82 – $1,357.00 | 24 |
| Training self management diabetes individual outpatient department per 30 minutes HCPCS G0108 | $83.44 | $173.84 | $55.29 – $173.00 | 22 |
| Transferrin CPT 84466 | $64.62 | $134.62 | $12.76 – $429.21 | 14 |
| Transfer skin pedicle flap CPT 15650 | $3,189.12 | $6,644.00 | $373.35 – $1,735.00 | 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.