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 |
|---|---|---|---|---|
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $388.80 | $810.00 | $15.15 – $49.00 | 24 |
| Urethrlys transvag with scope CPT 53500 | $1,140.96 | $2,377.00 | $652.81 – $2,377.00 | 24 |
| Urethrocystography void s&i CPT 74455 | $267.84 | $558.00 | $15.48 – $49.00 | 24 |
| Uric acid blood CPT 84550 | $21.37 | $44.52 | $2.01 – $141.94 | 14 |
| Uric acid urine CPT 84560 | $19.84 | $41.34 | $2.10 – $131.80 | 14 |
| Urinalysis microscopic only CPT 81015 | $22.90 | $47.70 | $1.45 – $152.08 | 14 |
| Urinalysis (with microscopy) CPT 81001 | $22.39 | $46.64 | $1.48 – $148.70 | 14 |
| Urinalysis (without microscopy) CPT 81003 | $21.37 | $44.52 | $0.18 – $141.94 | 21 |
| Urine Culture Test CPT 87086 | $40.20 | $83.74 | $6.76 – $266.99 | 14 |
| Urine pregnancy test CPT 81025 | $34.60 | $72.08 | $2.41 – $229.81 | 21 |
| Urography, antegrade CPT 74425 | $857.76 | $1,787.00 | $23.39 – $75.00 | 24 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | $4,117.73 | $8,578.60 | $11.62 – $27,351.15 | 14 |
| Ustekinumab 45 mg/0.5 ml subcutaneous solution HCPCS J3357 | $69,967.34 | $145,765.30 | $77,259.90 – $232,384.67 | 3 |
| Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml CPT 91322 | $227.04 | $473.00 | $245.96 – $473.00 | 4 |
| Vaccine dtap < 7 years im CPT 90700 | $69.46 | $144.71 | $35.36 – $68.00 | 5 |
| Vaccine dtap-hep b-ipv im CPT 90723 | $96.00 | $200.00 | $58.00 – $200.00 | 5 |
| Vaccine dtap-ipv 4-6 years im CPT 90696 | $10.54 | $21.96 | $11.42 – $58.00 | 5 |
| Vaccine dtap-ipv/hib im CPT 90698 | $98.40 | $205.00 | $58.00 – $205.00 | 5 |
| Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im CPT 90647 | $37.44 | $78.00 | $40.56 – $78.00 | 5 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | $75.43 | $157.14 | $37.07 – $71.28 | 5 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | $109.44 | $228.00 | $58.00 – $228.00 | 5 |
| Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im CPT 90636 | $120.00 | $250.00 | $58.00 – $250.00 | 5 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 | $44.16 | $92.00 | $47.84 – $92.00 | 5 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | $109.44 | $228.00 | $58.00 – $228.00 | 5 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | $249.60 | $520.00 | $58.00 – $520.00 | 5 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $72.24 | $150.51 | $52.00 – $100.00 | 5 |
| Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im CPT 90651 | $10.54 | $21.96 | $11.42 – $58.00 | 5 |
| Vaccine hpv types 6/11/16/18 quadrivalent (4vhpv) 3 dose im CPT 90649 | $165.60 | $345.00 | $58.00 – $345.00 | 5 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | $114.24 | $238.00 | $58.00 – $238.00 | 5 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | $178.11 | $371.06 | $58.00 – $371.06 | 5 |
| Vaccine influenza nos 0.5ml dose im CPT 90658 | $10.54 | $21.96 | $11.42 – $58.00 | 5 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | $49.39 | $102.90 | $21.84 – $58.00 | 5 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im CPT 90685 | $10.54 | $21.96 | $11.42 – $58.00 | 5 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | $35.04 | $73.00 | $37.96 – $73.00 | 5 |
| Vaccine influenza quadrivalent (iiv4) split virus 0.25 ml im CPT 90687 | $16.32 | $34.00 | $17.68 – $58.00 | 5 |
| Vaccine influenza quadrivalent live (laiv4) intranasal CPT 90672 | $43.68 | $91.00 | $47.32 – $91.00 | 5 |
| Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im CPT 90682 | $114.24 | $238.00 | $58.00 – $238.00 | 5 |
| Vaccine influenza trivalent (iiv3) 0.25ml dose im CPT 90657 | $20.64 | $43.00 | $22.36 – $58.00 | 5 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | $571.14 | $1,189.88 | $58.00 – $1,189.88 | 5 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | $395.04 | $823.00 | $58.00 – $823.00 | 5 |
| Vaccine mmr live subcutaneous CPT 90707 | $226.92 | $472.76 | $58.00 – $136.00 | 5 |
| Vaccine mmrv live subcutaneous CPT 90710 | $417.60 | $870.00 | $58.00 – $870.00 | 5 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | $207.84 | $433.00 | $58.00 – $433.00 | 5 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | $401.28 | $836.00 | $58.00 – $836.00 | 5 |
| Vaccine pneumonococcal conjugate 15 valent (pcv15) im CPT 90671 | $394.08 | $821.00 | $46.00 – $821.00 | 8 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | $37.44 | $78.00 | $40.56 – $78.00 | 5 |
| Vaccine rabies im CPT 90675 | $997.22 | $2,077.55 | $58.00 – $1,052.00 | 6 |
| Vaccine rotavirus attenuated (rv1) live 2 dose oral CPT 90681 | $98.40 | $205.00 | $58.00 – $205.00 | 5 |
| Vaccine rotavirus pentavalent (rv5) live 3 dose oral CPT 90680 | $98.40 | $205.00 | $58.00 – $205.00 | 5 |
| Vaccine tdap >=7 years im CPT 90715 | $115.43 | $240.48 | $58.00 – $125.00 | 5 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $47.52 | $99.00 | $51.48 – $99.00 | 5 |
| Vaccine varicella live subcutaneous CPT 90716 | $96.00 | $200.00 | $58.00 – $200.00 | 5 |
| Vag hyst including t/o CPT 58262 | $1,422.72 | $2,964.00 | $791.23 – $2,964.00 | 24 |
| Vaginal bx CPT 58999 | $164.16 | $342.00 | $58.00 – $447.65 | 5 |
| Vaginal Delivery (full care) CPT 59400 | $3,714.24 | $7,738.00 | $2,107.42 – $7,738.00 | 24 |
| Vaginal hysterectomy CPT 58260 | $1,287.84 | $2,683.00 | $717.22 – $2,683.00 | 24 |
| Valproic acid total therapeutic drug level CPT 80164 | $81.41 | $169.60 | $13.54 – $540.74 | 14 |
| Vancomycin hcl injection HCPCS J3370 | $247.30 | $515.20 | $145.80 – $438.55 | 4 |
| Vancomycin peak therapeutic drug level CPT 80202 | $67.67 | $140.98 | $13.54 – $449.49 | 14 |
| Varicella zoster antibody igg CPT 86787 | $60.04 | $125.08 | $12.88 – $398.79 | 21 |
| Vasectomy CPT 55250 | $513.60 | $1,070.00 | $213.56 – $1,070.00 | 24 |
| Vasopressin 20 unit/ml intravenous solution HCPCS J2598 | $226.85 | $472.60 | $500.96 – $1,506.79 | 4 |
| Vedolizumab 300 mg intravenous solution HCPCS J3380 | $20,714.68 | $43,155.59 | $20.98 – $137,592.97 | 14 |
| Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture) CPT 36410 | $27.36 | $57.00 | $7.81 – $57.00 | 24 |
| Venogram extremity supervision & interpretation unilateral CPT 75820 | $1,018.56 | $2,122.00 | $47.04 – $154.00 | 24 |
| Ven thrombosis images bilat CPT 78458 | $613.92 | $1,279.00 | $41.21 – $135.00 | 24 |
| Ventilator each subsequent day CPT 94003 | $808.32 | $1,684.00 | $57.89 – $1,367.92 | 24 |
| Ventilator initial day CPT 94002 | $1,032.96 | $2,152.00 | $58.00 – $1,367.92 | 24 |
| Version cephalic external CPT 59412 | $4,645.44 | $9,678.00 | $88.76 – $328.00 | 24 |
| Very long chain fatty acids CPT 82726 | $39.43 | $82.14 | $8.22 – $58.00 | 9 |
| Vinblastine 1 mg/ml intravenous solution HCPCS J9360 | $151.22 | $315.04 | $333.94 – $1,004.44 | 4 |
| Vincristine 1 mg/ml intravenous solution HCPCS J9370 | $105.79 | $220.40 | $181.26 – $545.20 | 4 |
| Vinorelbine 10 mg/ml intravenous solution (wrapper) HCPCS J9390 | $770.30 | $1,604.80 | $1,701.09 – $5,116.58 | 4 |
| Viper venom prothrombin time CPT 85612 | $40.70 | $84.80 | $14.83 – $84.80 | 9 |
| Visit established high 40-54 minutes/level 5 HCPCS G0463 | $129.74 | $270.30 | $58.00 – $385.27 | 18 |
| Vital capacity test CPT 94150 | $110.41 | $230.02 | $5.28 – $284.91 | 22 |
| Vitamin b-12 CPT 82607 | $81.92 | $170.66 | $15.08 – $544.12 | 14 |
| Vitamin D Test CPT 82306 | $95.15 | $198.22 | $29.60 – $631.98 | 14 |
| Voiding pressure study/intra-abd 51797 CPT 51797 | $288.96 | $602.00 | $38.67 – $602.00 | 24 |
| Vulvectomy simple partial CPT 56620 | $906.24 | $1,888.00 | $530.79 – $1,888.00 | 24 |
| Warde 1003990 aldosterone CPT 82088 | $120.08 | $250.16 | $40.75 – $797.59 | 14 |
| Warde 1005020 citrate 24 hour urine CPT 82507 | $90.57 | $188.68 | $48.49 – $188.68 | 9 |
| Warde 1005055 5-hiaa 24 hour urine CPT 83497 | $57.49 | $119.78 | $12.90 – $381.89 | 14 |
| Warde 1006955 catecholamines fractionated 24 hour urine CPT 82384 | $68.18 | $142.04 | $25.25 – $452.87 | 14 |
| Warde 1007138 vanillymandelic acid 24 hour urine CPT 84585 | $179.10 | $373.12 | $48.49 – $373.12 | 9 |
| Warde 1015200 kappa light chain free CPT 83521 | $32.95 | $68.65 | $11.86 – $68.65 | 12 |
| Warde 3004000 immunoglobulin subclass 1 CPT 82787 | $42.23 | $87.98 | $7.06 – $280.51 | 14 |
| Warde 3008005 oligoclonal bands CPT 83916 | $82.43 | $171.72 | $47.03 – $171.72 | 9 |
| Warde 3016000 west nile virus antibody CPT 86788 | $32.56 | $67.84 | $11.43 – $216.29 | 14 |
| Warde 3016000 west nile virus antibody igg CPT 86789 | $28.28 | $58.91 | $8.48 – $187.82 | 14 |
| Warde 3016300 saccharomyces cerevisiae iga antibody CPT 86671 | $47.83 | $99.64 | $12.21 – $99.64 | 9 |
| Warde 3400652 ova & parasites direct smear concentration and id CPT 87177 | $58.51 | $121.90 | $8.90 – $388.65 | 14 |
| Warde 3400852 arsenic CPT 82175 | $49.35 | $102.82 | $15.08 – $253.47 | 21 |
| Warde 3708165 mercury urine CPT 83825 | $25.44 | $53.00 | $8.62 – $168.98 | 14 |
| Warde actin (smooth muscle) antibody each CPT 86015 | $21.99 | $45.82 | $5.52 – $45.82 | 12 |
| Warde adenosine deaminase pleural fluid CPT 84311 | $27.98 | $58.30 | $4.72 – $185.88 | 14 |
| Warde adrenocorticotropic hormone (acth) CPT 82024 | $143.99 | $299.98 | $38.62 – $956.43 | 14 |
| Warde aldolase CPT 82085 | $37.65 | $78.44 | $7.62 – $250.09 | 14 |
| Warde amino acids 6 or more quantitative each specimen CPT 82139 | $397.92 | $829.00 | $16.87 – $2,643.10 | 14 |
| Warde analysis gene hfe common variants CPT 81256 | $132.29 | $275.60 | $65.36 – $878.70 | 13 |
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.