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 |
|---|---|---|---|---|
| Clsd tx dist fib fx w/manip 27788 CPT 27788 | $673.92 | $1,404.00 | $293.64 – $1,404.00 | 24 |
| Clsd tx/dis tib/wt bear no manip 27824 CPT 27824 | $501.60 | $1,045.00 | $310.44 – $1,045.00 | 24 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | $439.20 | $915.00 | $70.67 – $335.00 | 24 |
| Clsd tx/fem shaft fx/manipulation 27502 CPT 27502 | $2,736.96 | $5,702.00 | $726.33 – $2,423.00 | 24 |
| Clsd tx finger tendon w/wo perq pin 26432 CPT 26432 | $843.36 | $1,757.00 | $533.40 – $1,757.00 | 24 |
| Clsd tx fracture of radius 25500 CPT 25500 | $456.00 | $950.00 | $267.14 – $950.00 | 24 |
| Clsd tx/fx grt toe/phalanx/phalang 28490 CPT 28490 | $224.16 | $467.00 | $130.23 – $467.00 | 24 |
| Clsd tx/fx/phalanx/phalang/manip 28515 CPT 28515 | $459.84 | $958.00 | $142.82 – $541.00 | 24 |
| Clsd tx fx radius/ulna dist without manip 25600 CPT 25600 | $541.44 | $1,128.00 | $335.64 – $1,128.00 | 24 |
| Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 | $2,758.56 | $5,747.00 | $534.65 – $1,778.00 | 24 |
| Clsd tx fx radius/ulna without manip 25560 CPT 25560 | $464.64 | $968.00 | $267.81 – $968.00 | 24 |
| Clsd tx fx radius/ulna w/manip 25565 CPT 25565 | $2,758.56 | $5,747.00 | $495.60 – $1,711.00 | 24 |
| Clsd tx/grt hum tube fx without manip 23620 CPT 23620 | $433.44 | $903.00 | $265.90 – $903.00 | 24 |
| Clsd tx hip disloc without anes 27265 CPT 27265 | $656.64 | $1,368.00 | $293.64 – $1,368.00 | 24 |
| Clsd tx humeral fract without manip 24530 CPT 24530 | $610.56 | $1,272.00 | $351.10 – $1,272.00 | 24 |
| Clsd tx humerus fract without manip 24500 CPT 24500 | $579.36 | $1,207.00 | $340.90 – $1,207.00 | 24 |
| Clsd tx iphal jnt disl w/manip req anes CPT 26775 | $629.28 | $1,311.00 | $349.03 – $1,311.00 | 24 |
| Clsd tx mandibular fx without manip 21450 CPT 21450 | $901.92 | $1,879.00 | $454.56 – $1,879.00 | 24 |
| Clsd tx/metacar/interphal artic fx 26740 CPT 26740 | $373.92 | $779.00 | $221.67 – $779.00 | 24 |
| Clsd tx/metacarpal fx/sg without manip 26600 CPT 26600 | $481.92 | $1,004.00 | $294.95 – $1,004.00 | 24 |
| Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605 | $526.56 | $1,097.00 | $293.64 – $1,097.00 | 24 |
| Clsd tx metacarp fx w/manip&ext fix ea bone 26607 CPT 26607 | $792.96 | $1,652.00 | $484.91 – $1,652.00 | 24 |
| Clsd tx metatarsal fracture w/manip 28475 CPT 28475 | $459.84 | $958.00 | $220.13 – $853.00 | 24 |
| Clsd tx/metatarsal fx without manip 28470 CPT 28470 | $344.64 | $718.00 | $205.35 – $718.00 | 24 |
| Clsd tx/nasal bone fx/stabilize 21320 CPT 21320 | $332.16 | $692.00 | $79.46 – $692.00 | 24 |
| Clsd tx of ankle fracture w/manip 28435 CPT 28435 | $586.08 | $1,221.00 | $321.00 – $1,221.00 | 24 |
| Clsd tx patella disloc without anes 27560 CPT 27560 | $594.24 | $1,238.00 | $293.64 – $1,238.00 | 24 |
| Clsd tx/patellar fx without manip 27520 CPT 27520 | $519.84 | $1,083.00 | $304.14 – $1,083.00 | 24 |
| Clsd tx prox fib/shaft fx w/manip 27781 CPT 27781 | $2,758.56 | $5,747.00 | $397.69 – $1,446.00 | 24 |
| Clsd tx/prox/mid phalnx fx/no manp 26720 CPT 26720 | $323.52 | $674.00 | $200.97 – $674.00 | 24 |
| Clsd tx/radial head/neck fx/no manip 24650 CPT 24650 | $422.88 | $881.00 | $253.39 – $881.00 | 24 |
| Clsd tx radius fracture w/manip 24655 CPT 24655 | $715.68 | $1,491.00 | $430.65 – $1,491.00 | 24 |
| Clsd tx/scapular fx without manip 23570 CPT 23570 | $375.84 | $783.00 | $247.54 – $783.00 | 24 |
| Clsd tx shoulder dislc/fx 23665 CPT 23665 | $2,758.56 | $5,747.00 | $405.66 – $1,439.00 | 24 |
| Clsd tx shoulder disloc w/anatom neck fx w/manip 23675 CPT 23675 | $2,758.56 | $5,747.00 | $496.79 – $5,747.00 | 24 |
| Clsd tx/shoulder dislo/manip/anest 23655 CPT 23655 | $641.28 | $1,336.00 | $407.81 – $1,336.00 | 24 |
| Clsd tx temporomandibular dislocat 21480 CPT 21480 | $216.48 | $451.00 | $29.08 – $451.00 | 24 |
| Clsd tx toe dislocation without anes28660 CPT 28660 | $439.20 | $915.00 | $98.19 – $410.00 | 24 |
| Clsd tx trimall ankle fx without manip 27816 CPT 27816 | $528.48 | $1,101.00 | $306.71 – $1,101.00 | 24 |
| Clsd tx trimall ankle fx w/manip 27818 CPT 27818 | $2,758.56 | $5,747.00 | $462.90 – $1,623.00 | 24 |
| Clsd tx/ulnar shaft fx without manip 25530 CPT 25530 | $424.80 | $885.00 | $249.15 – $885.00 | 24 |
| Clsd tx wrist carpal fx without manip 25630 CPT 25630 | $488.16 | $1,017.00 | $284.14 – $1,017.00 | 24 |
| Clsd tx wrist scaphoid fx without manip 25622 CPT 25622 | $492.48 | $1,026.00 | $289.83 – $1,026.00 | 24 |
| Clsd tx wrist trans-scaph fx w/manip 25680 CPT 25680 | $833.28 | $1,736.00 | $505.06 – $1,736.00 | 24 |
| Clsd tx wrist ulnar styloid fx 25650 CPT 25650 | $526.56 | $1,097.00 | $317.65 – $1,097.00 | 24 |
| Clsd/ulnar fx/prox end without manip 24670 CPT 24670 | $468.00 | $975.00 | $275.51 – $975.00 | 24 |
| Cltx carpl scphd fx w/mnpj CPT 25624 | $779.52 | $1,624.00 | $435.29 – $1,624.00 | 24 |
| Cltx gr hmrl tbrs fx w/mnpj CPT 23625 | $613.92 | $1,279.00 | $367.84 – $1,279.00 | 24 |
| Cltx hum epcndylr fx wo mnpj CPT 24560 | $530.88 | $1,106.00 | $313.02 – $1,106.00 | 24 |
| Cltx humrl cndylr fx w/mnpj CPT 24577 | $878.88 | $1,831.00 | $484.90 – $1,831.00 | 24 |
| Cltx humrl cndylr fx wo mnpj CPT 24576 | $563.04 | $1,173.00 | $330.47 – $1,173.00 | 24 |
| Cltx scap fx w/mnpj +-tractj CPT 23575 | $651.84 | $1,358.00 | $369.52 – $1,358.00 | 24 |
| Cmbn ant pst colprhy CPT 57260 | $1,194.24 | $2,488.00 | $665.13 – $2,488.00 | 24 |
| Cmptr ophth img optic nerve CPT 92133 | $32.16 | $67.00 | $16.24 – $130.63 | 24 |
| #cmvcul-virus inoculation shell CPT 87254 | $73.27 | $152.64 | $29.86 – $152.64 | 9 |
| Cmv pcr-sendout CPT 87496 | $79.88 | $166.42 | $48.49 – $166.42 | 9 |
| Cold agglutinin titer CPT 86157 | $7.12 | $14.84 | $1.20 – $58.00 | 9 |
| Colectomy/end colost/close dis seg 44143 CPT 44143 | $2,510.88 | $5,231.00 | $1,463.67 – $5,231.00 | 24 |
| Colectomy/ ileostomy without prctect 44150 CPT 44150 | $2,812.80 | $5,860.00 | $1,661.06 – $5,860.00 | 24 |
| Colectomy partial w/anastomosis 44140 CPT 44140 | $2,044.80 | $4,260.00 | $1,195.29 – $4,260.00 | 24 |
| Colectomy prtl w/coloproctostomy 44145 CPT 44145 | $2,504.64 | $5,218.00 | $1,452.68 – $5,218.00 | 24 |
| Colectomy prtl w/coloproctostomy + colostomy 44146 CPT 44146 | $3,183.84 | $6,633.00 | $1,861.45 – $6,633.00 | 24 |
| Colectomy prtl w/remove terminal ileum+ileocolos 44160 CPT 44160 | $1,891.68 | $3,941.00 | $1,107.48 – $3,941.00 | 24 |
| Colectomy prtl w/skin level cecost/colostomy 44141 CPT 44141 | $2,756.64 | $5,743.00 | $1,618.15 – $5,743.00 | 24 |
| Colectomy/w colostomy or ileostomy 44144 CPT 44144 | $2,679.36 | $5,582.00 | $1,563.30 – $5,582.00 | 24 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | $80.39 | $167.48 | $158.39 – $533.98 | 13 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | $217.26 | $452.62 | $33.50 – $96.00 | 24 |
| Collection of venous blood by venipuncture CPT 36415 | $13.74 | $28.62 | $2.67 – $91.25 | 19 |
| Collj & interpj data ea 30 d CPT 99091 | $69.12 | $144.00 | $46.70 – $144.00 | 24 |
| Colonoscopy (diagnostic) CPT 45378 | $984.00 | $2,050.00 | $160.42 – $1,081.00 | 24 |
| Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah) CPT 45384 | $1,261.92 | $2,629.00 | $197.16 – $1,550.00 | 24 |
| Colonoscopy & polypectomy 44392 CPT 44392 | $1,312.32 | $2,734.00 | $173.66 – $2,734.00 | 24 |
| Colonoscopy stoma w/snare 44394 CPT 44394 | $1,243.20 | $2,590.00 | $194.47 – $1,392.00 | 24 |
| Colonoscopy submucous njx CPT 45381 | $984.00 | $2,050.00 | $173.34 – $1,406.00 | 24 |
| Colonoscopy thru stoma spx CPT 44388 | $1,243.20 | $2,590.00 | $136.73 – $1,005.00 | 24 |
| Colonoscopy w/ablation CPT 45388 | $3,688.80 | $7,685.00 | $232.29 – $3,987.00 | 24 |
| Colonoscopy w/balloon dilat CPT 45386 | $926.40 | $1,930.00 | $182.82 – $1,930.00 | 24 |
| Colonoscopy w/band ligation CPT 45398 | $1,312.32 | $2,734.00 | $203.26 – $2,600.00 | 24 |
| Colonoscopy w/control bleed CPT 45382 | $1,913.76 | $3,987.00 | $221.60 – $2,107.00 | 24 |
| Colonoscopy w/fb removal CPT 45379 | $662.40 | $1,380.00 | $205.01 – $1,380.00 | 24 |
| Colonoscopy w/injection CPT 44404 | $641.28 | $1,336.00 | $148.94 – $1,336.00 | 24 |
| Colonoscopy (with biopsy) CPT 45380 | $1,243.20 | $2,590.00 | $173.34 – $1,377.00 | 24 |
| Colonoscopy with biopsy CPT 44389 | $1,913.76 | $3,987.00 | $149.51 – $1,307.00 | 24 |
| Colonoscopy (with polyp removal) CPT 45385 | $1,261.92 | $2,629.00 | $218.16 – $1,442.00 | 24 |
| Colonoscopy w/resection CPT 45390 | $2,002.56 | $4,172.00 | $283.52 – $1,038.00 | 24 |
| Colostomy skin level cecostomy 44320 CPT 44320 | $1,829.28 | $3,811.00 | $1,076.00 – $3,811.00 | 24 |
| Colotomy exploration/bx/foreign body removal 44025 CPT 44025 | $1,498.08 | $3,121.00 | $879.54 – $3,121.00 | 24 |
| Colpocleisis (le forte type) 57120 CPT 57120 | $817.44 | $1,703.00 | $459.79 – $1,703.00 | 24 |
| Colpopexy abdominal approach 57280 CPT 57280 | $1,477.92 | $3,079.00 | $829.16 – $3,079.00 | 24 |
| Colpopexy intraperitoneal CPT 57283 | $1,072.32 | $2,234.00 | $598.88 – $2,234.00 | 24 |
| Colporrhapy/vag injury sut/non ob 57200 CPT 57200 | $513.60 | $1,070.00 | $296.14 – $1,070.00 | 24 |
| Colposcopy/cervix/bx vagina/cervix 57421 CPT 57421 | $274.08 | $571.00 | $104.96 – $571.00 | 24 |
| Colposcopy/cervix/ conization 57461 CPT 57461 | $536.16 | $1,117.00 | $155.59 – $1,117.00 | 24 |
| Colposcopy/cervix/inc up/adjacent vag 57452 CPT 57452 | $194.88 | $406.00 | $79.82 – $406.00 | 24 |
| Colposcopy vulva 56820 CPT 56820 | $192.96 | $402.00 | $72.74 – $402.00 | 24 |
| Colposcopy vulva w/biopsy 56821 CPT 56821 | $258.72 | $539.00 | $97.35 – $539.00 | 24 |
| Colposcopy w/biopsy of cervix 57455 CPT 57455 | $249.12 | $519.00 | $92.88 – $519.00 | 24 |
| Compatibility test each unit antiglobulin technique CPT 86922 | $233.54 | $486.54 | $202.82 – $1,551.24 | 14 |
| Compatibility test each unit electronic CPT 86923 | $270.24 | $563.00 | $202.82 – $1,795.01 | 14 |
| Compatibility test each unit immediate spin technique CPT 86920 | $158.24 | $329.66 | $202.82 – $1,051.06 | 14 |
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.