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 |
|---|---|---|---|---|
| Comp cystometrogram/void presssure 51728 CPT 51728 | $555.36 | $1,157.00 | $102.11 – $1,157.00 | 24 |
| Comp cystometrogram/void/uret pres 51729 CPT 51729 | $586.08 | $1,221.00 | $123.00 – $1,221.00 | 24 |
| Complement antigen each component c3 CPT 86160 | $88.02 | $183.38 | $12.00 – $584.67 | 14 |
| Complex cystometrogram 51726 CPT 51726 | $458.88 | $956.00 | $82.59 – $222.25 | 24 |
| Complex repair trunk 1.1-2.5cm 13120 CPT 13120 | $986.40 | $2,055.00 | $194.31 – $1,130.00 | 24 |
| Complex repair trunk 2.6-7.5cm 13101 CPT 13101 | $1,030.56 | $2,147.00 | $205.79 – $1,263.00 | 24 |
| Complex uroflowmetry (electronic) 51741 CPT 51741 | $22.08 | $46.00 | $8.48 – $46.00 | 24 |
| Complx repair enel 1.1-2.5 cm 13151 CPT 13151 | $997.92 | $2,079.00 | $227.88 – $1,346.00 | 24 |
| Complx repair enel 2.6-7.5 cm 13152 CPT 13152 | $997.92 | $2,079.00 | $272.18 – $1,580.00 | 24 |
| Complx repair enel addl 5cm/< 13153 CPT 13153 | $997.92 | $2,079.00 | $109.90 – $588.00 | 24 |
| Complx repair fccmnaxghf 13131 CPT 13131 | $593.28 | $1,236.00 | $199.54 – $1,235.00 | 24 |
| Complx repair fccmnaxghf 13132 CPT 13132 | $798.72 | $1,664.00 | $245.80 – $1,497.00 | 24 |
| Complx repair fccmnaxghf 13133 CPT 13133 | $986.40 | $2,055.00 | $99.44 – $535.00 | 24 |
| Complx repair sal addl 5 cm/> 13122 CPT 13122 | $997.92 | $2,079.00 | $65.66 – $403.00 | 24 |
| Complx repair trunk 1.1-2.5 cm 13100 CPT 13100 | $520.80 | $1,085.00 | $167.53 – $1,085.00 | 24 |
| Complx repair trunk addl 5cm/< 13102 CPT 13102 | $1,030.56 | $2,147.00 | $57.75 – $370.00 | 24 |
| Comprehensive hearing test CPT 92557 | $55.68 | $116.00 | $25.60 – $284.91 | 24 |
| Concentration infection agents any type CPT 87015 | $29.00 | $60.42 | $4.04 – $192.64 | 14 |
| Condylomata destruction 56420 CPT 56420 | $328.80 | $685.00 | $97.64 – $597.00 | 24 |
| Conization/cerv/loop electrode exc 57522 CPT 57522 | $468.00 | $975.00 | $224.76 – $975.00 | 24 |
| Conization of cervix CPT 57520 | $545.76 | $1,137.00 | $265.26 – $1,137.00 | 24 |
| Construct bowel bladder CPT 50820 | $1,986.24 | $4,138.00 | $1,145.33 – $4,138.00 | 24 |
| Consultation pathology during surgery CPT 88329 | $84.00 | $175.00 | $27.64 – $175.00 | 21 |
| Consultation pathology during surgery cytological exam initial site CPT 88333 | $475.20 | $990.00 | $48.49 – $1,783.96 | 21 |
| Consultation pathology during surgery frozen section each additional block CPT 88332 | $45.12 | $94.00 | $28.92 – $98.78 | 21 |
| Consultation pathology during surgery frozen section first tissue block CPT 88331 | $105.32 | $219.42 | $48.49 – $377.25 | 21 |
| Consultation/report referred material w/preparation of slides CPT 88323 | $302.40 | $630.00 | $48.49 – $272.00 | 21 |
| Consultation/report referred slides prepared elsewhere CPT 88321 | $147.36 | $307.00 | $44.46 – $307.00 | 21 |
| Consultation with family CPT 90887 | $109.44 | $228.00 | $58.00 – $228.00 | 9 |
| Consult comp w/report rfrd material CPT 88325 | $284.64 | $593.00 | $48.49 – $593.00 | 21 |
| Cont gluc mntr analysis i&r 95251 CPT 95251 | $52.80 | $110.00 | $34.53 – $110.00 | 24 |
| Contrast baths charges CPT 97034 | $44.77 | $93.28 | $13.90 – $93.28 | 24 |
| Contrast x-ray gallbladder CPT 74290 | $205.05 | $427.18 | $14.48 – $48.00 | 24 |
| Contrast x-ray of ankle CPT 73615 | $242.40 | $505.00 | $27.62 – $86.00 | 24 |
| Contrast x-ray of hip CPT 73525 | $245.28 | $511.00 | $27.96 – $90.00 | 24 |
| Contrast x-ray of knee joint CPT 73580 | $458.40 | $955.00 | $31.00 – $97.00 | 24 |
| Contrast x-ray of wrist CPT 73115 | $788.64 | $1,643.00 | $26.63 – $85.00 | 24 |
| Control nosebleed pack+caut 30905 CPT 30905 | $535.20 | $1,115.00 | $95.24 – $447.32 | 24 |
| Control of nosebleed ant comp 30903 CPT 30903 | $372.48 | $776.00 | $66.99 – $447.32 | 24 |
| Control of nosebleedantersmpl 30901 CPT 30901 | $239.52 | $499.00 | $47.85 – $499.00 | 24 |
| Control oropharyngeal hemorr/simp 42960 CPT 42960 | $940.32 | $1,959.00 | $141.73 – $517.00 | 24 |
| Control throat bleeding CPT 42961 | $648.00 | $1,350.00 | $363.99 – $1,350.00 | 24 |
| Control throat bleeding CPT 42962 | $796.80 | $1,660.00 | $446.69 – $1,660.00 | 24 |
| Contrst x-ray uppr gi tract CPT 74249 | $606.72 | $1,264.00 | $46.00 – $1,264.00 | 8 |
| Coombs direct CPT 86880 | $65.64 | $136.74 | $5.39 – $435.97 | 14 |
| Coombs indirect qualitative each reagent red cell reference CPT 86885 | $197.92 | $412.34 | $5.72 – $1,314.66 | 14 |
| Coombs indirect titer reference CPT 86886 | $176.55 | $367.82 | $19.05 – $367.82 | 9 |
| Core ndl bx lng/med perq CPT 32408 | $1,019.04 | $2,123.00 | $1,966.13 – $6,768.76 | 13 |
| Cor hlx vlgs double osteot CPT 28299 | $1,545.60 | $3,220.00 | $551.37 – $3,220.00 | 24 |
| Cor hlx vlgs dstl mtar osteo CPT 28296 | $1,349.76 | $2,812.00 | $475.43 – $2,812.00 | 24 |
| Cor hlx vlgs prx phlx osteot CPT 28298 | $1,276.32 | $2,659.00 | $472.70 – $2,659.00 | 24 |
| Coronary thrombolysis/iv infusion 92977 CPT 92977 | $608.64 | $1,268.00 | $58.00 – $1,268.00 | 9 |
| Correct bunion/keller/mcbride/mayo 28292 CPT 28292 | $1,069.92 | $2,229.00 | $451.43 – $2,229.00 | 24 |
| Correct cock-up 5th toe/plast clos 28286 CPT 28286 | $676.80 | $1,410.00 | $273.48 – $1,410.00 | 24 |
| Correct finger deformity CPT 26567 | $1,113.60 | $2,320.00 | $685.18 – $2,320.00 | 24 |
| Correct inverted nipple(s) CPT 19355 | $1,158.24 | $2,413.00 | $546.03 – $2,413.00 | 24 |
| Corrj halux rigdus w/implt CPT 28291 | $1,052.16 | $2,192.00 | $435.12 – $2,192.00 | 24 |
| Corrj halux rigdus without implt CPT 28289 | $1,052.64 | $2,193.00 | $429.81 – $2,193.00 | 24 |
| Cortisol total am CPT 82533 | $113.97 | $237.44 | $16.30 – $757.03 | 14 |
| Cosyntropin 0.25 mg solution for injection HCPCS J0834 | $283.33 | $590.27 | $625.69 – $1,881.96 | 4 |
| Co-treatment - group 15 mins, st CPT 92508 | $47.32 | $98.58 | $23.90 – $98.58 | 24 |
| Counseling smoke cess interm >10mins CPT 99407 | $35.04 | $73.00 | $21.63 – $82.96 | 24 |
| Counseling visit to discuss need for ldct g0296 HCPCS G0296 | $35.52 | $74.00 | $22.06 – $224.95 | 22 |
| Covid-19 administration immunization im inj 1st/only component CPT 90480 | $62.40 | $130.00 | $20.80 – $89.99 | 6 |
| #covid19rsv-rsv CPT 87634 | $137.96 | $287.42 | $70.20 – $916.38 | 14 |
| #coxa-coxsackie a serotype a16 CPT 86658 | $24.86 | $51.79 | $6.75 – $58.00 | 9 |
| C-peptide CPT 84681 | $114.99 | $239.56 | $20.81 – $763.79 | 14 |
| C-reactive protein CPT 86140 | $40.70 | $84.80 | $4.39 – $270.37 | 14 |
| C-reactive protein high sensitivity CPT 86141 | $64.62 | $134.62 | $12.95 – $429.21 | 14 |
| C-reactive protein, quantitative CPT 86406 | $20.91 | $43.57 | $4.64 – $58.00 | 9 |
| Create eardrum opening CPT 69436 | $246.72 | $514.00 | $141.57 – $514.00 | 24 |
| Create passage to kidney CPT 52334 | $4,850.40 | $10,105.00 | $158.91 – $572.00 | 24 |
| Creatine kinase CPT 82550 | $24.42 | $50.88 | $3.31 – $162.22 | 14 |
| Creatine kinase isoenzymes CPT 82552 | $26.31 | $54.82 | $2.50 – $58.00 | 9 |
| Creatine kinase mb CPT 82553 | $34.09 | $71.02 | $8.20 – $71.02 | 9 |
| Creatinine CPT 82565 | $21.88 | $45.58 | $2.33 – $145.32 | 14 |
| Creatinine 24 hour urine CPT 82570 | $27.48 | $57.24 | $0.88 – $182.50 | 21 |
| Creatinine clearance urine CPT 82575 | $35.62 | $74.20 | $7.02 – $236.57 | 14 |
| #creutz-prot.,western blot CPT 84182 | $117.53 | $244.86 | $29.21 – $780.69 | 14 |
| Crisis psychotherapy 90839 CPT 90839 | $188.16 | $392.00 | $58.00 – $393.02 | 24 |
| Crisis psychotherapy additional 30 mins 90840 CPT 90840 | $93.60 | $195.00 | $58.00 – $195.00 | 24 |
| Critical care 30-74 minutes CPT 99291 | $1,552.80 | $3,235.00 | $194.37 – $1,829.01 | 24 |
| Critical care each additional 30 minutes CPT 99292 | $463.68 | $966.00 | $97.85 – $319.00 | 24 |
| Cryoablate prostate CPT 55873 | $8,659.68 | $18,041.00 | $670.87 – $18,041.00 | 24 |
| Cryocautery of cervix 57511 CPT 57511 | $307.68 | $641.00 | $128.00 – $641.00 | 24 |
| Cryoprecipitate each unit HCPCS P9012 | $272.64 | $568.00 | $77.06 – $1,810.95 | 13 |
| Cryosurgery penis lesion(s) 54056 CPT 54056 | $223.20 | $465.00 | $97.70 – $465.00 | 24 |
| Cryotherapy of acne 17340 CPT 17340 | $80.64 | $168.00 | $41.33 – $168.00 | 24 |
| Crystal identification light microscopy CPT 89060 | $58.51 | $121.90 | $4.10 – $131.65 | 23 |
| C-Section Delivery (full care) CPT 59510 | $4,130.40 | $8,605.00 | $2,341.70 – $8,605.00 | 24 |
| C-section delivery incl p/p care 59515 CPT 59515 | $2,054.40 | $4,280.00 | $1,151.91 – $4,280.00 | 24 |
| CT 3d report other modality w/workstation CPT 76377 | $57.12 | $119.00 | $36.54 – $113.42 | 24 |
| Cta abdomen without & /or w/contrast CPT 74175 | $1,865.28 | $3,886.00 | $82.00 – $270.00 | 24 |
| Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast CPT 75635 | $1,821.12 | $3,794.00 | $107.96 – $352.00 | 24 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | $799.20 | $1,665.00 | $85.57 – $280.00 | 24 |
| Cta neck without &/or w/contrast CPT 70498 | $1,698.72 | $3,539.00 | $79.19 – $260.00 | 24 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $2,474.88 | $5,156.00 | $99.48 – $326.00 | 24 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $1,636.32 | $3,409.00 | $82.33 – $271.00 | 24 |
| CT Angiogram of the Head CPT 70496 | $1,627.20 | $3,390.00 | $79.19 – $260.00 | 24 |
| CT angio pelvis CPT 72191 | $505.92 | $1,054.00 | $81.33 – $267.00 | 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.