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 |
|---|---|---|---|---|
| Cta upper extremity w &/or without contrast left CPT 73206 | $505.92 | $1,054.00 | $81.33 – $267.00 | 24 |
| CT colonography dx CPT 74261 | $229.98 | $479.12 | $109.39 – $357.00 | 24 |
| CT colonography dx w/dye CPT 74262 | $412.80 | $860.00 | $114.06 – $373.00 | 24 |
| CT guidance for needle placement CPT 77012 | $1,073.76 | $2,237.00 | $66.18 – $218.00 | 24 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | $171.47 | $357.22 | $53.60 – $173.00 | 24 |
| CT limited or localized follow-up study CPT 76380 | $586.56 | $1,222.00 | $44.02 – $143.00 | 24 |
| CT lower extremity w/contrast (both sides) CPT 73701 | $780.96 | $1,627.00 | $52.69 – $173.00 | 24 |
| CT lower extremity without contrast (both sides) CPT 73700 | $693.60 | $1,445.00 | $45.79 – $149.00 | 24 |
| CT lwr extremity w/o&w/dye CPT 73702 | $1,297.44 | $2,703.00 | $55.03 – $181.00 | 24 |
| CT neck soft tissue w/contrast CPT 70491 | $1,212.96 | $2,527.00 | $62.70 – $206.00 | 24 |
| CT neck soft tissue without contrast CPT 70490 | $1,060.80 | $2,210.00 | $58.37 – $191.00 | 24 |
| CT neck soft tissue without & w/contrast CPT 70492 | $1,362.72 | $2,839.00 | $72.95 – $240.00 | 24 |
| CT orbit/sella/fossa w/wo contrast CPT 70482 | $1,362.72 | $2,839.00 | $57.37 – $189.00 | 24 |
| CT orbit/sella/ or posterior outer inner or middle ear w/contrast CPT 70481 | $1,144.80 | $2,385.00 | $51.36 – $169.00 | 24 |
| CT orbit/sella/ or posterior outer inner or middle ear without contrast CPT 70480 | $1,066.08 | $2,221.00 | $58.37 – $192.00 | 24 |
| Ctrl nosebld postir subsq 30906 CPT 30906 | $574.08 | $1,196.00 | $114.88 – $1,196.00 | 24 |
| CT scan for therapy guide CPT 77014 | $568.80 | $1,185.00 | $61.44 – $141.00 | 9 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $2,930.40 | $6,105.00 | $91.57 – $298.00 | 24 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $2,343.36 | $4,882.00 | $82.66 – $271.00 | 24 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $653.76 | $1,362.00 | $78.86 – $259.00 | 24 |
| CT thoracic spine w/contrast CPT 72129 | $1,199.04 | $2,498.00 | $55.36 – $183.00 | 24 |
| CT thoracic spine without contrast CPT 72128 | $954.72 | $1,989.00 | $45.79 – $149.00 | 24 |
| CT thorax low dose for lung screening without contrast CPT 71271 | $217.77 | $453.68 | $46.00 – $162.00 | 23 |
| CT t-spine w /wo contrast CPT 72130 | $1,253.76 | $2,612.00 | $57.70 – $190.00 | 24 |
| CT upper extremity w/contrast (both sides) CPT 73201 | $1,061.76 | $2,212.00 | $52.69 – $173.00 | 24 |
| CT upper extremity without contrast (both sides) CPT 73200 | $912.00 | $1,900.00 | $45.79 – $149.00 | 24 |
| CT uppr extremity w/o&w/dye CPT 73202 | $1,315.20 | $2,740.00 | $55.03 – $181.00 | 24 |
| Cult skin graft fnhfg 15155 CPT 15155 | $5,850.72 | $12,189.00 | $637.78 – $12,189.00 | 24 |
| Cult skin grft t/arm/leg CPT 15150 | $3,189.12 | $6,644.00 | $591.93 – $6,644.00 | 24 |
| Culture aerobic additional method definitive id each CPT 87077 | $50.88 | $106.00 | $8.08 – $337.96 | 14 |
| Culture afb any source CPT 87116 | $60.04 | $125.08 | $10.80 – $398.79 | 14 |
| Culture anaerobic additional method definitive id each CPT 87076 | $18.32 | $38.16 | $3.08 – $58.00 | 9 |
| Culture anaerobic except blood CPT 87075 | $72.25 | $150.52 | $9.47 – $479.90 | 14 |
| Culture bact stool aero addl path ea CPT 87046 | $73.27 | $152.64 | $9.44 – $486.66 | 14 |
| Culture body fluid CPT 87070 | $59.53 | $124.02 | $8.62 – $395.41 | 14 |
| Culture fungi definitive id mold CPT 87107 | $19.69 | $41.02 | $4.23 – $130.78 | 14 |
| Culture fungi definitive id yeast CPT 87106 | $52.92 | $110.24 | $10.32 – $351.48 | 14 |
| Culture fungi other (except blood) CPT 87102 | $98.20 | $204.58 | $8.41 – $652.26 | 14 |
| Culture fungi skin/hair/nail CPT 87101 | $32.56 | $67.84 | $5.23 – $216.29 | 14 |
| Culture mycoplasma any source CPT 87109 | $29.36 | $61.17 | $9.41 – $61.17 | 9 |
| Culture screening strep group a CPT 87081 | $66.14 | $137.80 | $6.54 – $314.30 | 21 |
| Culture typing glc/hplc CPT 87143 | $23.89 | $49.77 | $6.23 – $58.00 | 9 |
| Culture typing immunologic CPT 87147 | $9.89 | $20.60 | $1.07 – $65.68 | 14 |
| Culture urine each isolate CPT 87088 | $21.37 | $44.52 | $2.18 – $141.94 | 21 |
| Curette/treat cornea CPT 65435 | $125.28 | $261.00 | $59.65 – $261.00 | 24 |
| Cv line/pic reposition CPT 36597 | $2,235.36 | $4,657.00 | $50.59 – $349.00 | 24 |
| Cv stress test i&r only 93018 CPT 93018 | $21.12 | $44.00 | $13.58 – $58.00 | 24 |
| Cv stress test/supervision only 93016 CPT 93016 | $31.68 | $66.00 | $20.59 – $66.00 | 24 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $63.44 | $132.16 | $140.09 – $421.37 | 4 |
| Cyclic citrullinated peptide antibody CPT 86200 | $76.32 | $159.00 | $12.95 – $506.94 | 14 |
| Cyclophosphamide 1 gram intravenous powder for solution HCPCS J9075 | $821.76 | $1,712.00 | $0.77 – $5,458.37 | 14 |
| Cyclosporine 2 hour CPT 80158 | $91.58 | $190.80 | $34.44 – $190.80 | 9 |
| Cyclosporine modified 25 mg capsule HCPCS J7515 | $217.68 | $453.50 | $480.71 – $1,445.89 | 3 |
| Cyp2c19 gene com variants CPT 81225 | $291.84 | $608.00 | $48.49 – $1,771.47 | 9 |
| Cystatin c CPT 82610 | $36.39 | $75.82 | $14.04 – $241.74 | 14 |
| Cystine urine quantitative CPT 82131 | $206.57 | $430.36 | $48.49 – $430.36 | 9 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $459.84 | $958.00 | $14.82 – $48.00 | 24 |
| Cystorrhaphy wound comp 51865 CPT 51865 | $1,361.28 | $2,836.00 | $787.16 – $2,836.00 | 24 |
| Cystorrhaphy wound simple 51860 CPT 51860 | $1,137.12 | $2,369.00 | $661.49 – $2,369.00 | 24 |
| Cystoscopy and radiotracer CPT 52250 | $359.04 | $748.00 | $206.02 – $748.00 | 24 |
| Cystoscopy and treatment CPT 52214 | $1,135.20 | $2,365.00 | $147.61 – $2,365.00 | 24 |
| Cystoscopy and treatment CPT 52224 | $1,186.08 | $2,471.00 | $170.72 – $2,471.00 | 24 |
| Cystoscopy and treatment CPT 52234 | $369.12 | $769.00 | $210.93 – $769.00 | 24 |
| Cystoscopy and treatment CPT 52235 | $433.44 | $903.00 | $247.55 – $903.00 | 24 |
| Cystoscopy and treatment CPT 52240 | $588.00 | $1,225.00 | $334.67 – $1,225.00 | 24 |
| Cystoscopy and treatment CPT 52260 | $316.80 | $660.00 | $180.48 – $660.00 | 24 |
| Cystoscopy and treatment CPT 52265 | $568.80 | $1,185.00 | $139.99 – $1,185.00 | 24 |
| Cystoscopy and treatment CPT 52276 | $396.48 | $826.00 | $227.12 – $826.00 | 24 |
| Cystoscopy and treatment CPT 52283 | $540.00 | $1,125.00 | $173.87 – $1,125.00 | 24 |
| Cystoscopy and treatment CPT 52285 | $535.20 | $1,115.00 | $168.33 – $1,115.00 | 24 |
| Cystoscopy and treatment CPT 52300 | $420.00 | $875.00 | $240.41 – $875.00 | 24 |
| Cystoscopy and treatment CPT 52301 | $435.36 | $907.00 | $248.22 – $907.00 | 24 |
| Cystoscopy and treatment CPT 52305 | $417.12 | $869.00 | $238.08 – $869.00 | 24 |
| Cystoscopy and treatment CPT 52310 | $487.68 | $1,016.00 | $130.91 – $1,016.00 | 24 |
| Cystoscopy and treatment CPT 52315 | $716.64 | $1,493.00 | $235.64 – $1,493.00 | 24 |
| Cystoscopy and treatment CPT 52320 | $369.12 | $769.00 | $210.51 – $769.00 | 24 |
| Cystoscopy and treatment CPT 52330 | $918.24 | $1,913.00 | $224.80 – $1,913.00 | 24 |
| Cystoscopy (Bladder Scope) CPT 52000 | $1,155.84 | $2,408.00 | $69.10 – $763.00 | 24 |
| Cystoscopy chemodenervation CPT 52287 | $591.36 | $1,232.00 | $144.58 – $1,232.00 | 24 |
| Cystoscopy implant stent CPT 52282 | $505.92 | $1,054.00 | $288.26 – $1,054.00 | 24 |
| Cystoscopy inject material CPT 52327 | $387.84 | $808.00 | $218.63 – $808.00 | 24 |
| Cystoscopy removal of clots CPT 52001 | $669.12 | $1,394.00 | $245.89 – $1,394.00 | 24 |
| Cystoscopy & revise urethra CPT 52275 | $821.28 | $1,711.00 | $213.17 – $1,711.00 | 24 |
| Cystoscopy & ureter catheter CPT 52005 | $463.20 | $965.00 | $116.57 – $965.00 | 24 |
| Cystostomy cystotomy w/drainage 51040 CPT 51040 | $447.84 | $933.00 | $266.90 – $933.00 | 24 |
| Cystouretero & or pyeloscope CPT 52351 | $454.56 | $947.00 | $259.27 – $947.00 | 24 |
| Cysto/uretero stricture tx CPT 52344 | $554.40 | $1,155.00 | $315.57 – $1,155.00 | 24 |
| Cystouretero w/biopsy CPT 52354 | $624.96 | $1,302.00 | $356.00 – $1,302.00 | 24 |
| Cystouretero w/excise tumor CPT 52355 | $700.32 | $1,459.00 | $398.30 – $1,459.00 | 24 |
| Cysto/uretero w/lithotripsy CPT 52356 | $623.04 | $1,298.00 | $354.67 – $1,298.00 | 24 |
| Cystouretero w/lithotripsy CPT 52353 | $587.52 | $1,224.00 | $334.20 – $1,224.00 | 24 |
| Cystouretero w/stone remove CPT 52352 | $530.88 | $1,106.00 | $302.94 – $1,106.00 | 24 |
| Cysto/uretero w/up stricture CPT 52345 | $591.36 | $1,232.00 | $336.67 – $1,232.00 | 24 |
| Cystourethro cut ejacul duct CPT 52402 | $397.44 | $828.00 | $224.20 – $828.00 | 24 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | $3,481.92 | $7,254.00 | $132.90 – $1,038.00 | 24 |
| Cystourethroscopy w/biopsy(s) 52204 CPT 52204 | $575.52 | $1,199.00 | $123.43 – $1,199.00 | 24 |
| Cysto w/up stricture tx CPT 52342 | $464.16 | $967.00 | $264.75 – $967.00 | 24 |
| Cysto w/ureter stricture tx CPT 52341 | $426.72 | $889.00 | $243.74 – $889.00 | 24 |
| Cytarabine 20 mg/ml injection solution HCPCS J9100 | $60.18 | $125.38 | $132.90 – $399.75 | 4 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $63.09 | $131.44 | $14.39 – $419.07 | 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.