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 |
|---|---|---|---|---|
| Breast reconstruction 19357 CPT 19357 | $1,776.48 | $3,701.00 | $1,043.86 – $3,701.00 | 24 |
| Breast reconstr w/lat flap 19361 CPT 19361 | $2,375.52 | $4,949.00 | $1,337.66 – $4,949.00 | 24 |
| Breast reduction CPT 19318 | $1,670.40 | $3,480.00 | $949.52 – $3,480.00 | 24 |
| Brentuximab vedotin 50 mg intravenous solution HCPCS J9042 | $23,472.00 | $48,900.00 | $268.73 – $155,907.87 | 14 |
| Brief alcohol misuse counsel HCPCS G0443 | $32.16 | $67.00 | $25.97 – $224.95 | 22 |
| Brief comunicaj tech-bsd svc CPT 98016 | $18.24 | $38.00 | $12.82 – $38.00 | 18 |
| Bronchoscopy clear airways 31645 CPT 31645 | $418.08 | $871.00 | $130.27 – $871.00 | 24 |
| Bronchoscopy w/biopsy(s) 31625 CPT 31625 | $530.88 | $1,106.00 | $137.52 – $1,106.00 | 24 |
| Br punct aspir ea add, l CPT 19001 | $240.00 | $500.00 | $17.53 – $84.00 | 24 |
| Bso omentectomy w/tah 58956 CPT 58956 | $2,088.00 | $4,350.00 | $1,211.89 – $4,350.00 | 24 |
| Budesonide non-comp unit HCPCS J7626 | $28.46 | $59.29 | $54.67 – $164.45 | 4 |
| Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr HCPCS J1939 | $55.24 | $115.09 | $122.00 – $366.94 | 4 |
| Bundled special stain group 1 microorganisms CPT 88312 | $81.92 | $170.66 | $24.92 – $115.39 | 21 |
| Bundled special stain group 2 CPT 88313 | $123.64 | $257.58 | $11.24 – $294.61 | 21 |
| Bupivacaine 0.1 % epidural pca - 1 hour dose limit HCPCS J0665 | $64.63 | $134.64 | $142.14 – $427.52 | 4 |
| Bupren/nal 3.1 to 6mg bupren HCPCS J0573 | $785.47 | $1,636.40 | $1,734.58 – $5,217.33 | 3 |
| Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet HCPCS J0572 | $253.85 | $528.86 | $197.88 – $595.19 | 3 |
| Buprenorphine 8 mg-naloxone 2 mg sublingual tablet HCPCS J0574 | $785.47 | $1,636.40 | $53.12 – $159.77 | 3 |
| Buprenorphine and metabolite - sendout CPT 80348 | $224.88 | $468.50 | $505.98 – $1,493.72 | 3 |
| Buprenorphine oral 1mg HCPCS J0571 | $312.00 | $650.00 | $410.81 – $1,235.66 | 3 |
| Butorphanol tartrate 1 mg HCPCS J0595 | $38.35 | $79.89 | $84.68 – $254.71 | 4 |
| Bx bone trocar/ndl deep CPT 20225 | $1,019.04 | $2,123.00 | $110.55 – $1,200.00 | 24 |
| Bx breast 1st lesion mr imag CPT 19085 | $1,153.92 | $2,404.00 | $147.75 – $2,404.00 | 24 |
| Bx breast 1st lesion strtctc CPT 19081 | $2,399.52 | $4,999.00 | $134.73 – $1,575.00 | 24 |
| Bx breast add lesion mr imag CPT 19086 | $892.32 | $1,859.00 | $73.76 – $1,859.00 | 24 |
| Bx breast add lesion strtctc CPT 19082 | $649.44 | $1,353.00 | $67.75 – $1,210.00 | 24 |
| Bx breast add lesion Ultrasound imag CPT 19084 | $693.12 | $1,444.00 | $63.51 – $1,191.00 | 24 |
| Bx breast perq without image 19100 CPT 19100 | $228.00 | $475.00 | $58.77 – $475.00 | 24 |
| Bx breast pq tomo guide CPT 19499 | $89.04 | $185.50 | $58.00 – $8,669.65 | 5 |
| Bx/curett of cervix w/scope 57454 CPT 57454 | $259.68 | $541.00 | $114.82 – $541.00 | 24 |
| Bx/exc lymph node/open/deep cervic 38510 CPT 38510 | $809.76 | $1,687.00 | $365.03 – $1,687.00 | 24 |
| Bx/exc lymph node/open/superfic 38500 CPT 38500 | $7,264.80 | $15,135.00 | $236.20 – $1,076.00 | 24 |
| Bx leg/ankle soft tissue deep 27614 CPT 27614 | $906.24 | $1,888.00 | $381.98 – $1,888.00 | 24 |
| Bx liver with other CPT 47001 | $156.48 | $326.00 | $87.80 – $326.00 | 24 |
| Bx muscle CPT 20200 | $330.72 | $689.00 | $86.39 – $689.00 | 24 |
| Bx of breast open 19101 CPT 19101 | $503.04 | $1,048.00 | $208.26 – $1,048.00 | 24 |
| Bx of cervix w/scope leep 57460 CPT 57460 | $480.96 | $1,002.00 | $136.72 – $1,002.00 | 24 |
| Bx pancreas pq ndl CPT 48102 | $1,620.48 | $3,376.00 | $198.75 – $3,376.00 | 24 |
| Bx prst8 ndl sat sampling CPT 55706 | $6,772.80 | $14,110.00 | $4,196.29 – $44,986.91 | 13 |
| Bx shoulder tissues supf 23065 CPT 23065 | $346.56 | $722.00 | $142.92 – $722.00 | 24 |
| Bx skin incisnl ea sep/add l les CPT 11107 | $108.96 | $227.00 | $24.43 – $227.00 | 24 |
| Bx skin punch ea sep/ addl les CPT 11105 | $91.20 | $190.00 | $20.66 – $190.00 | 24 |
| Bx skin tangential ea sep/ addl les CPT 11103 | $77.28 | $161.00 | $17.29 – $161.00 | 24 |
| Bx soft tiss pelvis+hip area supf 27040 CPT 27040 | $1,010.40 | $2,105.00 | $178.14 – $2,105.00 | 24 |
| Bx soft tiss pelvis/hip deep 27041 CPT 27041 | $2,358.72 | $4,914.00 | $634.03 – $2,275.00 | 24 |
| Bx thyroid/percutan core needle 60100 CPT 60100 | $1,028.16 | $2,142.00 | $842.99 – $6,829.34 | 13 |
| Bx vag mucos smpl (sep proc) CPT 57100 | $159.36 | $332.00 | $56.22 – $332.00 | 24 |
| Bx vulva or perineum/1 lesion 56605 CPT 56605 | $148.32 | $309.00 | $49.85 – $309.00 | 24 |
| Bx vulva or perineum/ea add lesion 56606 CPT 56606 | $58.08 | $121.00 | $24.47 – $121.00 | 24 |
| Bypass temp external fem-fem CPT 37799 | $2,485.44 | $5,178.00 | $58.00 – $5,178.00 | 5 |
| C-1 esterase, berinert HCPCS J0597 | $9,479.72 | $19,749.41 | $76.05 – $62,967.04 | 14 |
| C1 esterase inhibitor func - sendout CPT 86161 | $69.71 | $145.22 | $12.00 – $463.00 | 14 |
| Cabazitaxel 10 mg/ml (first dilution) intravenous solution HCPCS J9043 | $27,209.34 | $56,686.12 | $231.05 – $180,732.36 | 14 |
| Caffeine citrate 20 mg/ml inj for po HCPCS J0706 | $92.16 | $192.01 | $203.53 – $612.19 | 4 |
| Calcitonin (salmon) 200 unit/ml injection solution HCPCS J0630 | $7,525.68 | $15,678.50 | $16,619.21 – $49,987.76 | 4 |
| Calcium 24 hour urine CPT 82340 | $23.40 | $48.76 | $2.94 – $155.46 | 14 |
| Calcium gluconate 100 mg/ml (10 %) intravenous solution HCPCS J0612 | $70.13 | $146.10 | $154.87 – $465.81 | 4 |
| Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution HCPCS J0613 | $104.40 | $217.50 | $125.88 – $378.61 | 4 |
| Calcium ionized CPT 82330 | $91.58 | $190.80 | $13.68 – $608.33 | 14 |
| Calcium total CPT 82310 | $16.79 | $34.98 | $1.81 – $111.53 | 14 |
| Calprotectin fecal CPT 83993 | $167.40 | $348.74 | $19.63 – $1,111.89 | 14 |
| Candida dna CPT 87480 | $39.41 | $82.10 | $16.46 – $261.76 | 14 |
| Canthotomy 67715 CPT 67715 | $396.96 | $827.00 | $100.20 – $827.00 | 24 |
| Capecitabine, oral, 50 mg HCPCS J8522 | $13,017.41 | $27,119.60 | $0.03 – $86,465.42 | 14 |
| Capsulotomy mpj ea joint (sep proc) CPT 28270 | $743.52 | $1,549.00 | $312.45 – $1,549.00 | 24 |
| Carbamazepine total therapeutic drug level CPT 80156 | $87.51 | $182.32 | $14.57 – $581.29 | 14 |
| Carbon dioxide CPT 82374 | $26.46 | $55.12 | $2.69 – $58.00 | 9 |
| Carboplatin 10 mg/ml desensitization HCPCS J9045 | $255.36 | $532.00 | $563.92 – $1,696.18 | 4 |
| Carboxyhemoglobin quantitative CPT 82375 | $48.84 | $101.76 | $12.32 – $324.44 | 14 |
| Carcinoembryonic ag (cea) CPT 82378 | $79.88 | $166.42 | $18.96 – $530.60 | 21 |
| Cardiac perf spect sgl/ef/wm rst/strs CPT 78451 | $1,893.60 | $3,945.00 | $62.57 – $201.00 | 24 |
| Cardiac rehabilitation op phase 2 w/continous ecg monitoring CPT 93798 | $129.24 | $269.24 | $153.46 – $858.42 | 13 |
| Cardiac rehabilitation op phase 2 without continous ecg monitoring CPT 93797 | $87.00 | $181.26 | $153.46 – $577.91 | 13 |
| Cardiac Stress Test CPT 93015 | $109.92 | $229.00 | $58.00 – $229.00 | 24 |
| Cardiolipin antibody iga CPT 86147 | $112.95 | $235.32 | $25.45 – $750.27 | 14 |
| Cardioversion elective electrical conversion arrhythmia external CPT 92960 | $1,110.24 | $2,313.00 | $58.00 – $1,463.49 | 24 |
| Caregiver health risk assmt CPT 96161 | $4.80 | $10.00 | $3.33 – $82.96 | 24 |
| Care mgmt svc bhvl hlth cond CPT 99484 | $70.56 | $147.00 | $38.13 – $147.00 | 24 |
| Carfilzomib 10 mg intravenous solution HCPCS J9047 | $6,839.40 | $14,248.76 | $56.24 – $7,837.22 | 14 |
| Carotene CPT 82380 | $33.07 | $68.90 | $6.35 – $219.67 | 14 |
| Carotid Artery Ultrasound (Duplex) CPT 93880 | $570.72 | $1,189.00 | $36.68 – $605.00 | 24 |
| Carpal Tunnel Release Surgery CPT 64721 | $2,129.28 | $4,436.00 | $412.46 – $1,443.00 | 24 |
| Car seat/bed test 60 minutes CPT 94780 | $53.93 | $112.36 | $20.06 – $112.36 | 24 |
| Car seat/bed test additional 30 minutes CPT 94781 | $75.30 | $156.88 | $6.91 – $156.88 | 24 |
| Ca screen;flexi sigmoidscope HCPCS G0104 | $284.64 | $593.00 | $52.26 – $2,059.13 | 22 |
| Caspofungin acetate HCPCS J0637 | $588.96 | $1,227.00 | $1,200.66 – $3,611.39 | 4 |
| Cast sup lng arm splint fbrg HCPCS Q4018 | $22.56 | $47.00 | $24.44 – $79.90 | 12 |
| Cast sup lng arm splnt ped f HCPCS Q4020 | $11.52 | $24.00 | $12.48 – $58.00 | 12 |
| Cast sup lng leg ped fbrgls HCPCS Q4032 | $58.08 | $121.00 | $58.00 – $205.70 | 12 |
| Cast sup lng leg splnt fbrgl HCPCS Q4042 | $52.80 | $110.00 | $57.20 – $187.00 | 12 |
| Cast sup lng leg splnt ped f HCPCS Q4044 | $26.40 | $55.00 | $28.60 – $93.50 | 12 |
| Cast sup long arm adult fbrg HCPCS Q4006 | $45.12 | $94.00 | $48.88 – $159.80 | 12 |
| Cast sup long arm ped fbrgls HCPCS Q4008 | $22.56 | $47.00 | $24.44 – $79.90 | 12 |
| Cast sup long leg fiberglass HCPCS Q4030 | $116.16 | $242.00 | $58.00 – $411.40 | 12 |
| Cast sup shrt leg ped fbrgls HCPCS Q4040 | $31.68 | $66.00 | $34.32 – $112.20 | 12 |
| Cast sup sht arm adult fbrgl HCPCS Q4010 | $29.76 | $62.00 | $32.24 – $105.40 | 12 |
| Cast sup sht arm ped fbrglas HCPCS Q4012 | $14.88 | $31.00 | $16.12 – $58.00 | 12 |
| Cast sup sht arm splint fbrg HCPCS Q4022 | $18.72 | $39.00 | $20.28 – $66.30 | 12 |
| Cast sup sht arm splint plst HCPCS Q4021 | $10.56 | $22.00 | $11.44 – $58.00 | 12 |
| Cast sup sht arm splnt ped f HCPCS Q4024 | $9.60 | $20.00 | $10.40 – $58.00 | 12 |
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.