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 |
|---|---|---|---|---|
| X-ray foot 2 views (both sides) CPT 73620 | $150.60 | $313.76 | $7.57 – $68.00 | 24 |
| X-ray forearm 2 views (both sides) CPT 73090 | $155.18 | $323.30 | $7.57 – $69.00 | 24 |
| X-ray hand 2 views (both sides) CPT 73120 | $149.08 | $310.58 | $7.91 – $76.00 | 24 |
| X-ray heel/calcaneus > 2 views (both sides) CPT 73650 | $163.32 | $340.26 | $7.57 – $67.00 | 24 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $214.71 | $447.32 | $13.15 – $42.00 | 24 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $137.38 | $286.20 | $10.58 – $98.00 | 24 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | $210.13 | $437.78 | $13.81 – $128.00 | 24 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $241.92 | $504.00 | $14.48 – $150.00 | 24 |
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | $136.87 | $285.14 | $8.91 – $29.00 | 24 |
| X-ray humerus >= 2 views left CPT 73060 | $125.16 | $260.76 | $7.91 – $78.00 | 24 |
| X-ray knee 1-2 views (both sides) CPT 73560 | $128.73 | $268.18 | $7.91 – $84.00 | 24 |
| X-ray knee 3 views (both sides) CPT 73562 | $180.12 | $375.24 | $9.24 – $102.00 | 24 |
| X-ray knee ap standing bilateral CPT 73565 | $87.51 | $182.32 | $8.24 – $102.00 | 24 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $114.48 | $238.50 | $7.57 – $77.00 | 24 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $114.48 | $238.50 | $10.58 – $96.00 | 24 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $332.64 | $693.00 | $12.48 – $40.00 | 24 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $341.76 | $712.00 | $14.15 – $150.00 | 24 |
| X-ray mandible complete > 4 views CPT 70110 | $231.50 | $482.30 | $11.58 – $38.00 | 24 |
| X-ray mandible ltd <4 views CPT 70100 | $114.48 | $238.50 | $8.91 – $97.00 | 24 |
| X-ray nasal bones complete > 3 views CPT 70160 | $1,019.04 | $2,123.00 | $8.24 – $95.00 | 24 |
| X-ray neck soft tissue CPT 70360 | $127.71 | $266.06 | $8.58 – $73.00 | 24 |
| X-ray nose to rectum for foreign body child CPT 76010 | $114.48 | $238.50 | $8.24 – $27.00 | 24 |
| X-ray of mammary ducts CPT 77054 | $211.66 | $440.96 | $20.72 – $67.00 | 24 |
| X-ray pelvis 1-2 views CPT 72170 | $154.17 | $321.18 | $8.24 – $63.00 | 24 |
| X-ray pelvis complete > 3 views CPT 72190 | $254.88 | $531.00 | $12.15 – $97.00 | 24 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $448.32 | $934.00 | $24.49 – $77.00 | 24 |
| X-ray ribs 2 views left CPT 71100 | $182.66 | $380.54 | $10.24 – $84.00 | 24 |
| X-ray ribs 3 views bilateral CPT 71110 | $282.24 | $588.00 | $13.25 – $97.00 | 24 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | $207.08 | $431.42 | $12.48 – $95.00 | 24 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $230.49 | $480.18 | $14.82 – $119.00 | 24 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $215.22 | $448.38 | $10.24 – $92.00 | 24 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $160.27 | $333.90 | $8.24 – $78.00 | 24 |
| X-ray scapula complete (both sides) CPT 73010 | $151.62 | $315.88 | $8.91 – $49.00 | 24 |
| X-ray sella turcica CPT 70240 | $55.46 | $115.54 | $8.91 – $29.00 | 24 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $127.20 | $265.00 | $7.24 – $46.00 | 24 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $246.24 | $513.00 | $10.24 – $33.00 | 24 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $349.92 | $729.00 | $23.63 – $78.00 | 24 |
| X-ray skull < 4 views CPT 70250 | $156.71 | $326.48 | $8.58 – $28.00 | 24 |
| X-ray skull > 4 views complete CPT 70260 | $273.60 | $570.00 | $12.91 – $43.00 | 24 |
| X-ray slg plne bdy sect without urogr CPT 76100 | $878.40 | $1,830.00 | $26.73 – $87.00 | 24 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $263.04 | $548.00 | $36.88 – $120.00 | 24 |
| X-ray small intestine follow-through study CPT 74248 | $52.41 | $109.18 | $31.64 – $104.00 | 24 |
| X-ray spine single view CPT 72020 | $219.29 | $456.86 | $7.57 – $53.00 | 24 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $146.53 | $305.28 | $10.24 – $99.00 | 24 |
| X-ray sternum > 2 views CPT 71120 | $160.27 | $333.90 | $9.24 – $78.00 | 24 |
| X-ray surgical specimen CPT 76098 | $349.92 | $729.00 | $14.48 – $48.00 | 24 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $299.52 | $624.00 | $24.39 – $80.00 | 24 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $114.48 | $238.50 | $11.24 – $37.00 | 24 |
| X-ray thoracic spine 2 views CPT 72070 | $201.99 | $420.82 | $9.58 – $75.00 | 24 |
| X-ray thoracic spine 3 views CPT 72072 | $234.56 | $488.66 | $10.24 – $93.00 | 24 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $235.07 | $489.72 | $9.91 – $79.00 | 24 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $170.45 | $355.10 | $12.48 – $40.00 | 24 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $212.68 | $443.08 | $14.81 – $48.00 | 24 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | $143.48 | $298.92 | $7.57 – $77.00 | 24 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | $131.78 | $274.54 | $6.24 – $74.00 | 24 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $572.64 | $1,193.00 | $41.21 – $134.00 | 24 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $703.68 | $1,466.00 | $37.30 – $120.00 | 24 |
| X-ray wrist 2 views (both sides) CPT 73100 | $110.92 | $231.08 | $8.24 – $83.00 | 24 |
| Xtrnl ecg rec up to 48 hrs CPT 93224 | $109.92 | $229.00 | $58.00 – $229.00 | 24 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $158.47 | $330.15 | $349.96 – $1,052.62 | 4 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $849.60 | $1,770.00 | $975.20 – $2,933.24 | 4 |
| Zoster vaccine-live inj CPT 90736 | $209.28 | $436.00 | $58.00 – $436.00 | 5 |
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.