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 |
|---|---|---|---|---|
| Cast sup sht leg splnt fbrgl HCPCS Q4046 | $28.80 | $60.00 | $31.20 – $102.00 | 12 |
| Cast sup sht leg splnt ped f HCPCS Q4048 | $14.40 | $30.00 | $15.60 – $58.00 | 12 |
| Cast sup sht leg splnt plstr HCPCS Q4045 | $18.24 | $38.00 | $19.76 – $64.60 | 12 |
| Catecholamines,fractionated, urine CPT 82382 | $26.97 | $56.18 | $15.34 – $58.00 | 9 |
| Cath cv dl inj 7fx16cm HCPCS C1751 | $496.80 | $1,035.00 | $46.00 – $620.00 | 9 |
| Catheterization collection of specimen single patient all places of service HCPCS P9612 | $13.44 | $28.00 | $14.56 – $58.00 | 10 |
| Catheter w/bag 3-way HCPCS A4313 | $62.08 | $129.33 | $22.00 – $412.34 | 13 |
| Cath groshong MRI 8fr plstc port HCPCS C1788 | $63.52 | $132.34 | $142.93 – $421.94 | 2 |
| Cath place 1st order venous 36011 CPT 36011 | $1,197.12 | $2,494.00 | $131.19 – $2,494.00 | 24 |
| Cath/saline/contrast/sis/hysteosal 58340 CPT 58340 | $369.60 | $770.00 | $50.64 – $198.22 | 24 |
| Cauterization chemical granulation tissue CPT 17250 | $360.96 | $752.00 | $34.64 – $278.00 | 24 |
| Cauterization of cervix 57510 CPT 57510 | $257.76 | $537.00 | $98.72 – $537.00 | 24 |
| Cciiv4 vac no prsv 0.5 ml im CPT 90674 | $10.54 | $21.96 | $11.42 – $58.00 | 5 |
| Cdna analysis for variants CPT 81403 | $363.84 | $758.00 | $48.49 – $667.46 | 9 |
| Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr HCPCS J0690 | $51.84 | $108.01 | $19.54 – $58.76 | 4 |
| Cefepime 1 gram solution for injection HCPCS J0692 | $79.20 | $165.00 | $135.26 – $406.83 | 4 |
| Cefotaxime sodium injection HCPCS J0698 | $9.29 | $19.35 | $20.51 – $61.69 | 4 |
| Cefoxitin 1 gram intravenous solution HCPCS J0694 | $92.05 | $191.77 | $154.52 – $464.76 | 4 |
| Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr HCPCS J0713 | $69.09 | $143.94 | $131.36 – $395.09 | 4 |
| Ceftriaxone 1 gram solution for injection HCPCS J0696 | $72.58 | $151.20 | $21.52 – $64.72 | 4 |
| Cell count body fluid CPT 89050 | $22.39 | $46.64 | $2.20 – $148.70 | 14 |
| Cemiplimab-rwlc 50 mg/ml intravenous solution HCPCS J9119 | $20,412.97 | $42,527.03 | $29.76 – $135,588.93 | 14 |
| Cervical lymphadenectomy 38720 CPT 38720 | $2,055.84 | $4,283.00 | $1,155.88 – $4,283.00 | 24 |
| Cervical or vaginal cancer screening g0101 HCPCS G0101 | $60.48 | $126.00 | $23.99 – $224.95 | 22 |
| Cesarean section delivery only 59514 CPT 59514 | $1,385.76 | $2,887.00 | $773.50 – $2,887.00 | 24 |
| Cetuximab 100 mg/50 ml intravenous solution HCPCS J9055 | $3,166.66 | $6,597.20 | $80.46 – $10,676.34 | 14 |
| #cf-97variants CPT 81220 | $272.64 | $568.00 | $48.49 – $3,161.49 | 9 |
| Change cystostomy tube; complex 51710 CPT 51710 | $208.32 | $434.00 | $71.37 – $434.00 | 24 |
| Change cystostomy tube simple CPT 51705 | $473.28 | $986.00 | $45.85 – $311.00 | 24 |
| Change nephroureteral cath CPT 50387 | $827.04 | $1,723.00 | $69.89 – $1,723.00 | 24 |
| Change of windpipe airway 31502 CPT 31502 | $53.28 | $111.00 | $29.57 – $111.00 | 24 |
| Change stent via transureth CPT 50385 | $1,522.56 | $3,172.00 | $184.28 – $3,172.00 | 24 |
| Change ureter stent percut CPT 50382 | $1,499.04 | $3,123.00 | $211.01 – $3,123.00 | 24 |
| Chemodenerv 1 extrem 1-4 ea 64643 CPT 64643 | $143.04 | $298.00 | $57.46 – $298.00 | 24 |
| Chemodenerv 1 extrem 5/> ea 64645 CPT 64645 | $184.80 | $385.00 | $67.05 – $385.00 | 24 |
| Chemodenerv 1 extrem 5/> mus 64644 CPT 64644 | $273.12 | $569.00 | $99.45 – $569.00 | 24 |
| Chemodenerv 1 extremity 1-4 64642 CPT 64642 | $235.20 | $490.00 | $92.21 – $490.00 | 24 |
| Chemodenervation anal musc CPT 46505 | $482.40 | $1,005.00 | $240.54 – $1,005.00 | 24 |
| Chemodenervation/face muscl/unilat 64612 CPT 64612 | $211.68 | $441.00 | $105.13 – $441.00 | 24 |
| Chemodenerv musc migraine 64615 CPT 64615 | $236.16 | $492.00 | $102.96 – $492.00 | 24 |
| Chemodenerv musc neck dyston 64616 CPT 64616 | $213.60 | $445.00 | $94.44 – $445.00 | 24 |
| Chemotherapy injection 96542 CPT 96542 | $199.68 | $416.00 | $35.11 – $731.37 | 24 |
| Chest 2 vws w oblique CPT 71048 | $367.20 | $765.00 | $14.48 – $46.00 | 24 |
| Chest apical lordotic proj CPT 71047 | $198.43 | $413.40 | $12.58 – $42.00 | 24 |
| Chest CT scan (with and without contrast) CPT 71270 | $1,355.52 | $2,824.00 | $56.70 – $186.00 | 24 |
| Chest CT scan (with contrast) CPT 71260 | $1,103.04 | $2,298.00 | $53.03 – $174.00 | 24 |
| Chest CT scan (without contrast) CPT 71250 | $917.28 | $1,911.00 | $48.79 – $162.00 | 24 |
| Chest X-ray CPT 71046 | $178.59 | $372.06 | $9.91 – $75.00 | 24 |
| Chest X-ray (single view) CPT 71045 | $149.59 | $311.64 | $8.24 – $56.00 | 24 |
| Chg pr pul rehab for copd patients CPT 94626 | $121.09 | $252.28 | $10.50 – $130.63 | 18 |
| Chlamydia culture CPT 87110 | $27.48 | $57.24 | $11.22 – $58.00 | 9 |
| Chlamydia type CPT 87140 | $13.74 | $28.62 | $1.59 – $91.25 | 14 |
| Chloride CPT 82435 | $36.63 | $76.32 | $3.51 – $76.32 | 9 |
| Chloride 24 hour urine CPT 82436 | $11.70 | $24.38 | $1.40 – $77.73 | 14 |
| Chloroprocaine hcl injection HCPCS J2401 | $97.42 | $202.95 | $215.13 – $647.07 | 4 |
| Chlorpromazine 0.125 mg/ml IV syringe - cnr HCPCS J3230 | $121.09 | $252.27 | $267.41 – $804.31 | 4 |
| Chlorpromazine 100 mg tablet HCPCS Q0161 | $1,296.72 | $2,701.50 | $2,863.59 – $8,613.19 | 3 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | $210.64 | $438.84 | $12.72 – $42.00 | 24 |
| Cholesterol CPT 82465 | $15.77 | $32.86 | $1.43 – $58.00 | 9 |
| Cholesterol body fluid CPT 84999 | $39.18 | $81.62 | $42.44 – $81.62 | 5 |
| Cholesterol (Lipid) Test CPT 80061 | $44.77 | $93.28 | $2.98 – $297.40 | 21 |
| Cholinesterase CPT 82480 | $53.42 | $111.30 | $7.87 – $354.86 | 14 |
| Chromatography CPT 83021 | $67.67 | $140.98 | $18.06 – $449.49 | 14 |
| Chromo high res and frag x - sendout CPT 81243 | $168.92 | $351.92 | $48.49 – $351.92 | 9 |
| Chromosome analysis 15-20 cell count CPT 88262 | $271.68 | $566.00 | $125.49 – $1,804.58 | 13 |
| Chromosome analysis 5 CPT 88261 | $271.68 | $566.00 | $48.49 – $1,496.16 | 9 |
| Chromosome karyotype study CPT 88280 | $57.49 | $119.78 | $40.09 – $119.78 | 9 |
| Chromosome study additional CPT 88289 | $65.69 | $136.86 | $47.12 – $136.86 | 9 |
| Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744 | $26.40 | $55.00 | $58.30 – $175.36 | 4 |
| Circum 28 days or older CPT 54161 | $301.44 | $628.00 | $176.63 – $628.00 | 24 |
| Circumcise/surg/28 days or < 54160 CPT 54160 | $338.88 | $706.00 | $128.84 – $706.00 | 24 |
| Circumcision (newborn) CPT 54150 | $227.04 | $473.00 | $81.73 – $473.00 | 24 |
| Cisplatin 1 mg/ml desensitization HCPCS J9060 | $127.10 | $264.80 | $280.69 – $844.26 | 4 |
| Claviculectomy partial CPT 23120 | $915.84 | $1,908.00 | $549.03 – $1,908.00 | 24 |
| Clean out mastoid cavity CPT 69222 | $332.64 | $693.00 | $123.55 – $693.00 | 24 |
| Clearance of airways CPT 31720 | $240.48 | $501.00 | $260.68 – $1,597.34 | 13 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | $58.82 | $122.55 | $84.01 – $252.67 | 4 |
| Closed carpo/metacarpal disl thumb w/manip CPT 26641 | $666.72 | $1,389.00 | $374.70 – $1,389.00 | 24 |
| Closed carpo/metacarpal fx disl thumb w/manip CPT 26645 | $2,758.56 | $5,747.00 | $381.43 – $5,747.00 | 24 |
| Closed tx humerus fx with manip 23605 CPT 23605 | $2,758.56 | $5,747.00 | $429.22 – $1,550.00 | 24 |
| Closed tx humerus fx without manip 23600 CPT 23600 | $531.84 | $1,108.00 | $325.10 – $1,108.00 | 24 |
| Closed tx humerus fx w/manip 24505 CPT 24505 | $2,684.64 | $5,593.00 | $460.79 – $1,665.00 | 24 |
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | $240.96 | $502.00 | $107.84 – $502.00 | 24 |
| Closed tx orbit without manipulj CPT 21400 | $336.96 | $702.00 | $170.41 – $702.00 | 24 |
| Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266 | $2,684.64 | $5,593.00 | $540.72 – $1,886.00 | 24 |
| Closed tx/talus fracture without manip 28430 CPT 28430 | $379.68 | $791.00 | $212.57 – $791.00 | 24 |
| Close lac/mouth vest/2.5 cm or < 40830 CPT 40830 | $342.72 | $714.00 | $136.04 – $714.00 | 24 |
| Clos txnose fx without stablz 21315 CPT 21315 | $2,326.08 | $4,846.00 | $52.12 – $488.00 | 24 |
| Closure enterostomy lg/sm intestine 44620 CPT 44620 | $1,316.16 | $2,742.00 | $772.87 – $2,742.00 | 24 |
| Closure enterostomy lg/sm intestine anast 44626 CPT 44626 | $2,412.00 | $5,025.00 | $632.10 – $3,216.62 | 24 |
| Closure enterostomy lg/sm intestine oth/thn 44625 CPT 44625 | $1,536.00 | $3,200.00 | $898.02 – $3,200.00 | 24 |
| Closure laceration vestibule mouth > 2.5 cm cmplx CPT 40831 | $327.84 | $683.00 | $189.63 – $683.00 | 24 |
| Clot factor xii hageman CPT 85280 | $39.69 | $82.68 | $16.00 – $82.68 | 9 |
| Clot factor xiii fibrin stab CPT 85290 | $32.12 | $66.91 | $10.93 – $66.91 | 9 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | $530.40 | $1,105.00 | $293.64 – $1,105.00 | 24 |
| Clsd tx bimalleol ank fx without manip 27808 CPT 27808 | $535.68 | $1,116.00 | $313.42 – $1,116.00 | 24 |
| Clsd tx carpo/metacarpl disl thmb manip ea without anes CPT 26670 | $558.72 | $1,164.00 | $348.04 – $915.00 | 24 |
| Clsd tx clavicle dislocation without manip 23540 CPT 23540 | $381.12 | $794.00 | $251.34 – $794.00 | 24 |
| Clsd tx/clavicular fx without manip 23500 CPT 23500 | $357.60 | $745.00 | $240.07 – $745.00 | 24 |
| Clsd tx/dis phalan fx without manip/ea 26750 CPT 26750 | $301.92 | $629.00 | $204.20 – $629.00 | 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.