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 |
|---|---|---|---|---|
| Treat slipped epiphysis CPT 27177 | $1,715.52 | $3,574.00 | $991.71 – $3,574.00 | 24 |
| Treat thigh fracture CPT 27230 | $764.16 | $1,592.00 | $459.88 – $1,592.00 | 24 |
| Treat thigh fracture CPT 27235 | $1,395.84 | $2,908.00 | $808.87 – $2,908.00 | 24 |
| Treat thigh fracture CPT 27236 | $1,831.20 | $3,815.00 | $1,052.48 – $3,815.00 | 24 |
| Treat thigh fracture CPT 27245 | $1,880.16 | $3,917.00 | $1,079.85 – $3,917.00 | 24 |
| Treat thigh fracture CPT 27246 | $612.96 | $1,277.00 | $366.67 – $1,277.00 | 24 |
| Treat thigh fracture CPT 27244 | $1,882.56 | $3,922.00 | $1,082.45 – $3,922.00 | 24 |
| Treat thumb fracture CPT 26650 | $754.56 | $1,572.00 | $459.26 – $1,572.00 | 24 |
| Treat thumb fracture CPT 26665 | $974.88 | $2,031.00 | $563.64 – $2,031.00 | 24 |
| Treat toe dislocation CPT 28636 | $546.24 | $1,138.00 | $211.35 – $1,138.00 | 24 |
| Treat toe fracture CPT 28525 | $874.08 | $1,821.00 | $378.22 – $1,821.00 | 24 |
| Treat ulnar fracture CPT 24675 | $3,031.20 | $6,315.00 | $412.58 – $1,519.00 | 24 |
| Treat ulnar fracture CPT 24685 | $1,016.16 | $2,117.00 | $604.52 – $2,117.00 | 24 |
| Treat wrist bone fracture CPT 25635 | $740.16 | $1,542.00 | $412.70 – $1,542.00 | 24 |
| Treat wrist dislocation CPT 25675 | $725.28 | $1,511.00 | $428.48 – $906.19 | 24 |
| Treponema pallidum antibody CPT 86780 | $41.21 | $85.86 | $11.37 – $273.75 | 14 |
| Trg gene rearrangement anal CPT 81342 | $207.08 | $431.42 | $48.49 – $869.31 | 9 |
| Triamcinolone acetonide 40 mg/ml suspension for injection HCPCS J3301 | $68.67 | $143.06 | $72.56 – $218.24 | 4 |
| Triglycerides CPT 84478 | $38.16 | $79.50 | $1.15 – $253.47 | 21 |
| Trim nail(s) HCPCS G0127 | $36.96 | $77.00 | $6.58 – $130.63 | 22 |
| Trim nondyst nails CPT 11719 | $114.48 | $238.50 | $6.58 – $46.00 | 24 |
| Triptorelin pamoate HCPCS J3315 | $1,843.64 | $3,840.91 | $469.38 – $12,245.97 | 14 |
| Trnsfr/rearrngmnt adjcnt tiss any area 30.1-60sqcm CPT 14301 | $1,658.40 | $3,455.00 | $746.83 – $3,455.00 | 24 |
| Trnsfr/rearrngmnt adjcnt tiss defec ea addl 30sqcm/< CPT 14302 | $325.92 | $679.00 | $176.00 – $679.00 | 24 |
| Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/< CPT 14060 | $3,189.12 | $6,644.00 | $561.93 – $2,455.00 | 24 |
| Trnsfr/rearrngmnt adjcnt tiss eye/nose/ear/lip 10.1-30sqcm CPT 14061 | $3,985.92 | $8,304.00 | $684.43 – $3,184.00 | 24 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10sqcm/< CPT 14000 | $978.72 | $2,039.00 | $453.58 – $2,039.00 | 24 |
| Troponin quantitative CPT 84484 | $65.64 | $136.74 | $12.47 – $435.97 | 14 |
| Trurl dstrj prst8 tiss rf wv CPT 53854 | $2,529.12 | $5,269.00 | $346.07 – $5,269.00 | 24 |
| Tubal Ligation (Laparoscopic) CPT 58670 | $572.64 | $1,193.00 | $322.46 – $1,193.00 | 24 |
| Tvh >250 gms 58290 CPT 58290 | $1,762.56 | $3,672.00 | $976.11 – $3,672.00 | 24 |
| Tx atrial fib pulm vein isol CPT 93656 | $1,409.28 | $2,936.00 | $58.00 – $57,875.02 | 24 |
| Tx closed distal humerus fx CPT 24999 | $439.20 | $915.00 | $58.00 – $915.00 | 5 |
| Tx closed hip disl traumatic without anes CPT 27250 | $439.20 | $915.00 | $165.68 – $570.00 | 24 |
| Tx closed tib fx proximal w/w/o manip w/skel trac CPT 27532 | $2,050.08 | $4,271.00 | $539.48 – $2,023.00 | 24 |
| Tx closed tib shaft fx without manip CPT 27750 | $553.92 | $1,154.00 | $326.13 – $1,154.00 | 24 |
| Tx open art fx mcp/iphlngl jnt incl int fixtn ea CPT 26746 | $1,149.60 | $2,395.00 | $669.10 – $2,395.00 | 24 |
| Tx open dstl phlngl fx f/t internal fixation ea CPT 26765 | $5,679.36 | $11,832.00 | $474.51 – $1,641.00 | 24 |
| Tx phalangeal shaft fx open prox/middle ea CPT 26735 | $927.36 | $1,932.00 | $549.48 – $1,932.00 | 24 |
| Tx tarsal bone fx without manip 28450 CPT 28450 | $334.08 | $696.00 | $191.14 – $696.00 | 24 |
| Tympanic membrane repair CPT 69610 | $589.44 | $1,228.00 | $243.02 – $1,228.00 | 24 |
| Tympanostomy/ven tube/loc/top anes 69433 CPT 69433 | $311.04 | $648.00 | $117.25 – $648.00 | 24 |
| Ua w/micro/comp poc CPT 81000 | $33.07 | $68.90 | $2.77 – $219.67 | 21 |
| Ugt1a1 gene analy common variants CPT 81350 | $459.84 | $958.00 | $48.49 – $2,241.72 | 9 |
| Ultrasound abdomen aorta screening study aaa CPT 76706 | $214.71 | $447.32 | $25.30 – $82.00 | 24 |
| Ultrasound breast complete CPT 76641 | $277.92 | $579.00 | $33.30 – $327.00 | 24 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $214.71 | $447.32 | $30.97 – $271.00 | 24 |
| Ultrasound chest CPT 76604 | $214.71 | $447.32 | $27.30 – $85.00 | 24 |
| Ultrasound doppler velocimetry fetal umbilical artery CPT 76820 | $68.64 | $143.00 | $23.82 – $143.00 | 24 |
| Ultrasound dx ophth b-scan CPT 76512 | $46.08 | $96.00 | $30.25 – $96.00 | 24 |
| Ultrasound encephalogram CPT 76506 | $118.55 | $246.98 | $28.97 – $98.00 | 24 |
| Ultrasound exam k transpl w/doppler CPT 76776 | $214.71 | $447.32 | $34.31 – $113.00 | 24 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $167.90 | $349.80 | $36.30 – $273.00 | 24 |
| Ultrasound guidance for vascular access CPT 76937 | $1,075.20 | $2,240.00 | $13.38 – $44.00 | 24 |
| Ultrasound guided needle placement supervision & interpretation CPT 76942 | $471.36 | $982.00 | $31.06 – $185.00 | 24 |
| Ultrasound guide intraoperative CPT 76998 | $507.84 | $1,058.00 | $47.12 – $147.00 | 24 |
| Ultrasound hips infant dynamic CPT 76885 | $90.57 | $188.68 | $33.64 – $111.00 | 24 |
| Ultrasound infant hips ltd without stress CPT 76886 | $68.69 | $143.10 | $28.30 – $93.00 | 24 |
| Ultrasound joint complete left CPT 76881 | $594.72 | $1,239.00 | $42.31 – $136.00 | 24 |
| Ultrasound joint/nonvascular extremity limited left CPT 76882 | $281.28 | $586.00 | $31.63 – $202.00 | 24 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $234.56 | $488.66 | $46.55 – $147.00 | 24 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $151.11 | $314.82 | $38.97 – $191.00 | 24 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | $134.88 | $281.00 | $89.62 – $281.00 | 24 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $168.00 | $350.00 | $40.31 – $337.08 | 24 |
| Ultrasound pregnant uterus limited >= 1 fetuses CPT 76815 | $206.06 | $429.30 | $30.30 – $258.00 | 24 |
| Ultrasound pregnant uterus transvaginal CPT 76817 | $218.78 | $455.80 | $34.97 – $295.00 | 24 |
| Ultrasound prostate/transrectal CPT 76872 | $307.68 | $641.00 | $31.50 – $641.00 | 24 |
| Ultrasound retroperitoneal limited CPT 76775 | $195.38 | $407.04 | $26.73 – $190.00 | 24 |
| Ultrasound scrotum and contents CPT 76870 | $408.96 | $852.00 | $29.30 – $95.00 | 24 |
| Ultrasound spinal canal and contents CPT 76800 | $94.08 | $196.00 | $62.10 – $196.00 | 24 |
| Ultrasound transabd ea addl gest CPT 76812 | $165.12 | $344.00 | $84.61 – $344.00 | 24 |
| Ultrasound transvaginal non obstetric CPT 76830 | $242.40 | $505.00 | $31.97 – $380.00 | 24 |
| Unlisted chemotherapy px CPT 96549 | $78.86 | $164.30 | $58.00 – $164.30 | 5 |
| Unlisted hematology&coagj px CPT 85999 | $6.54 | $13.62 | $7.08 – $58.00 | 5 |
| Unlisted laparoscopic liver biopy 47379 CPT 47379 | $1,792.32 | $3,734.00 | $58.00 – $13,386.14 | 5 |
| Unlisted laparoscopic procedure 49659 CPT 49659 | $939.36 | $1,957.00 | $58.00 – $13,386.14 | 5 |
| Unlisted laparoscopic reduction intestine 44238 CPT 44238 | $2,189.28 | $4,561.00 | $58.00 – $13,386.14 | 5 |
| Unlisted laps px bladder CPT 51999 | $977.28 | $2,036.00 | $58.00 – $13,386.14 | 5 |
| Unlisted misc path test CPT 89240 | $36.12 | $75.26 | $39.14 – $115.39 | 6 |
| Unlisted px arthroscopy CPT 29999 | $1,815.36 | $3,782.00 | $58.00 – $3,782.00 | 5 |
| Unlisted px foot/toes CPT 28899 | $1,814.88 | $3,781.00 | $58.00 – $3,781.00 | 5 |
| Unlisted px leg/ankle CPT 27899 | $1,478.88 | $3,081.00 | $58.00 – $915.00 | 5 |
| Unlisted px male genital sys CPT 55899 | $1,222.56 | $2,547.00 | $58.00 – $2,547.00 | 5 |
| Unlisted px palate uvula CPT 42299 | $382.56 | $797.00 | $58.00 – $797.00 | 5 |
| Unlisted transfusion med px CPT 86999 | $23.91 | $49.82 | $25.91 – $64.04 | 6 |
| Unlisted ultrasound procedure CPT 76999 | $139.92 | $291.50 | $58.00 – $291.50 | 5 |
| Unlisted urinalysis px CPT 81099 | $10.68 | $22.26 | $24.04 – $70.97 | 3 |
| Upgrade pm system CPT 33214 | $719.04 | $1,498.00 | $408.08 – $1,498.00 | 24 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $1,934.40 | $4,030.00 | $104.15 – $342.00 | 24 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $1,440.48 | $3,001.00 | $81.19 – $265.00 | 24 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $1,359.36 | $2,832.00 | $67.27 – $221.00 | 24 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | $1,556.64 | $3,243.00 | $108.04 – $915.00 | 24 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | $1,279.68 | $2,666.00 | $120.76 – $1,196.00 | 24 |
| Uppr gi scope w/submuc inj CPT 43236 | $612.00 | $1,275.00 | $120.76 – $1,275.00 | 24 |
| Urea nitrogen CPT 84520 | $20.35 | $42.40 | $1.67 – $135.18 | 14 |
| Urea nitrogen 24 hour urine CPT 84540 | $10.93 | $22.77 | $1.06 – $72.60 | 21 |
| Ureteral reflux study CPT 78740 | $403.68 | $841.00 | $26.83 – $83.00 | 24 |
| Ureter endoscopy & biopsy CPT 50955 | $650.40 | $1,355.00 | $300.95 – $1,355.00 | 24 |
| Ureter endoscopy & treatment CPT 50961 | $592.80 | $1,235.00 | $271.46 – $1,235.00 | 24 |
| Ureteroureterostomy 50760 CPT 50760 | $1,716.00 | $3,575.00 | $993.09 – $3,575.00 | 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.