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MID-COLUMBIA MEDICAL CENTER

The Dalles, OR · CCN 380001 · Rates published

5,572 distinct procedures filed
36 distinct payers
174,037 rate rows
2026-05-13 last MRF observed

169,101 of 174,037 rate rows are consumer-grade (97.2%)

4,936 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 4,568
per-diem day rate — not a per-procedure price 236
exceeds 10× this hospital's gross charge — excluded from medians 55
exceeds 3× this hospital's gross charge for a DRG stay — excluded 51
percent-of-charges filed in the dollar field — excluded from medians 18
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 7
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 1
↓ Download audit trail (JSON)
Source MRF file https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbMidColumbia&type=CDMWithoutLabel&fileType=CSV
Found on page https://apps.para-hcfs.com/PTT/FinalLinks/Adventist_Columbia_Gorge.aspx
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-08-14
Content fingerprint b1c4756ed82cb24b… · 57,598,170 bytes · first seen 2026-07-31

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
J7352
HCPCS
Afamelanotide Implant, 1 Mg 34 $2,500.00 $964,342.78 $194,181.24 nat. median
$3,403

outlier · 57.1×
283
MS_DRG
Acute Myocardial Infarction, Expired With Mcc 34 $16,474.51 $189,089.30 $139,926.09 nat. median
$19,554

outlier · 7.2×
870
MS_DRG
Septicemia Or Severe Sepsis With Mv >96 Hours 34 $52,173.27 $157,774.80 $118,573.21 nat. median
$65,958

1.8× median
329
MS_DRG
Major Small And Large Bowel Procedures With Mcc 34 $24,593.88 $130,479.16 $96,554.58 nat. median
$44,514

outlier · 2.2×
J0202
HCPCS
Injection, Alemtuzumab, 1 Mg 34 $2,440.42 $432,234.04 $87,035.18 nat. median
$3,876

outlier · 22.5×
853
MS_DRG
Infectious And Parasitic Diseases With O.r. Procedures With Mcc 34 $23,594.38 $110,774.78 $83,955.62 nat. median
$47,707

1.8× median
J9281
HCPCS
Mitomycin Pyelocalyceal Instillation, 1 Mg 34 $323.17 $390,273.43 $78,585.93 nat. median
$532

outlier · 147.7×
331
MS_DRG
Major Small And Large Bowel Procedures Without Cc/mcc 34 $3,969.70 $105,085.42 $77,763.21 nat. median
$17,453

outlier · 4.5×
J3357
HCPCS
Ustekinumab, For Subcutaneous Injection, 1 Mg 24 $2,500.00 $464,743.51 $75,797.96 nat. median
$12,959

outlier · 5.8×
521
MS_DRG
Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 34 $19,466.37 $94,022.97 $69,577.00 nat. median
$28,835

outlier · 2.4×
J9266
HCPCS
Injection, Pegaspargase, Per Single Dose Vial 34 $2,500.00 $342,297.80 $68,925.51 nat. median
$32,688

outlier · 2.1×
326
MS_DRG
Stomach, Esophageal And Duodenal Procedures With Mcc 34 $17,031.13 $90,192.68 $68,356.56 nat. median
$48,124

1.4× median
862
MS_DRG
Postoperative And Post-traumatic Infections With Mcc 34 $15,167.90 $87,718.88 $64,911.97 nat. median
$18,015

outlier · 3.6×
417
MS_DRG
Laparoscopic Cholecystectomy Without C.d.e. With Mcc 34 $7,293.86 $82,561.21 $61,095.30 nat. median
$23,528

outlier · 2.6×
J2350
HCPCS
Injection, Ocrelizumab, 1 Mg 34 $59.60 $303,042.88 $61,021.08 nat. median
$331

outlier · 184.5×
616
MS_DRG
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 34 $19,024.55 $76,225.27 $57,770.73 nat. median
$35,240

1.6× median
330
MS_DRG
Major Small And Large Bowel Procedures With Cc 34 $3,705.05 $78,047.84 $57,755.40 nat. median
$24,077

outlier · 2.4×
511
MS_DRG
Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 34 $17,294.58 $76,235.09 $56,413.96 nat. median
$20,373

outlier · 2.8×
356
MS_DRG
Other Digestive System O.r. Procedures With Mcc 34 $13,645.38 $74,721.53 $55,556.66 nat. median
$42,341

1.3× median
J3245
HCPCS
Injection, Tildrakizumab, 1 Mg 34 $118.20 $274,816.63 $55,337.42 nat. median
$256

outlier · 216.1×
J1290
HCPCS
Injection, Ecallantide, 1 Mg 34 $578.75 $272,939.71 $54,959.48 nat. median
$845

outlier · 65.1×
J3241
HCPCS
Injection, Teprotumumab-trbw, 10 Mg 34 $367.91 $257,140.22 $51,778.07 nat. median
$682

outlier · 75.9×
823
MS_DRG
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 34 $28,581.84 $77,987.45 $51,153.24 nat. median
$44,650

1.1× median
335
MS_DRG
Peritoneal Adhesiolysis With Mcc 34 $14,688.35 $66,932.35 $50,727.68 nat. median
$34,738

1.5× median
208
MS_DRG
Respiratory System Diagnosis With Ventilator Support <=96 Hours 34 $8,498.68 $67,619.41 $50,038.37 nat. median
$26,590

1.9× median
J9334
HCPCS
Injection, Efgartigimod Alfa, 2 Mg And Hyaluronidase-qvfc 34 $34.33 $236,275.06 $47,576.63 nat. median
$77

outlier · 619.9×
493
MS_DRG
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 34 $3,947.90 $63,237.43 $46,795.69 nat. median
$24,545

1.9× median
658
MS_DRG
Kidney And Ureter Procedures For Neoplasm Without Cc/mcc 33 $12,906.48 $59,925.36 $45,417.12 nat. median
$16,124

outlier · 2.8×
481
MS_DRG
Hip And Femur Procedures Except Major Joint With Cc 34 $9,791.62 $59,918.45 $44,339.65 nat. median
$21,418

outlier · 2.1×
327
MS_DRG
Stomach, Esophageal And Duodenal Procedures With Cc 34 $3,175.76 $59,828.21 $44,272.87 nat. median
$24,507

1.8× median
368
MS_DRG
Major Esophageal Disorders With Mcc 34 $8,720.81 $59,786.40 $44,241.93 nat. median
$16,526

outlier · 2.7×
185
MS_DRG
Major Chest Trauma Without Cc/mcc 34 $6,541.40 $59,511.69 $44,038.64 nat. median
$8,636

outlier · 5.1×
718
MS_DRG
Other Male Reproductive System O.r. Procedures Except Malignancy Without Cc/mcc 34 $3,175.76 $58,339.26 $43,171.05 nat. median
$13,330

outlier · 3.2×
856
MS_DRG
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 34 $10,321.22 $77,373.39 $41,979.95 nat. median
$43,549

1.0× median
902
MS_DRG
Wound Debridements For Injuries With Cc 34 $8,733.34 $56,276.64 $41,644.71 nat. median
$19,153

outlier · 2.2×
580
MS_DRG
Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 34 $11,052.86 $56,253.08 $41,627.28 nat. median
$17,681

outlier · 2.4×
432
MS_DRG
Cirrhosis And Alcoholic Hepatitis With Mcc 34 $16,369.72 $55,343.84 $40,954.44 nat. median
$19,576

outlier · 2.1×
669
MS_DRG
Transurethral Procedures With Cc 34 $12,908.14 $55,244.88 $40,881.21 nat. median
$15,834

outlier · 2.6×
480
MS_DRG
Hip And Femur Procedures Except Major Joint With Mcc 34 $9,896.93 $53,002.34 $40,170.19 nat. median
$29,103

1.4× median
907
MS_DRG
Other O.r. Procedures For Injuries With Mcc 34 $15,878.80 $65,306.49 $39,482.21 nat. median
$37,685

1.0× median
769
MS_DRG
Postpartum And Post Abortion Diagnoses With O.r. Procedures 34 $6,351.52 $52,881.07 $39,131.99 nat. median
$15,978

outlier · 2.4×
398
MS_DRG
Appendix Procedures With Cc 34 $3,705.05 $52,717.44 $39,010.90 nat. median
$15,838

outlier · 2.5×
657
MS_DRG
Kidney And Ureter Procedures For Neoplasm With Cc 34 $793.94 $51,847.15 $38,366.89 nat. median
$18,829

outlier · 2.0×
922
MS_DRG
Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc 34 $14,549.93 $51,342.18 $37,993.21 nat. median
$17,140

outlier · 2.2×
835
MS_DRG
Acute Leukemia With Cc 34 $6,351.52 $50,756.89 $37,560.10 nat. median
$21,215

1.8× median
J9043
HCPCS
Injection, Cabazitaxel, 1 Mg 34 $231.05 $180,732.36 $36,392.49 nat. median
$709

outlier · 51.4×
522
MS_DRG
Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 34 $4,763.64 $47,972.69 $36,190.17 nat. median
$21,659

1.7× median
787
MS_DRG
Cesarean Section Without Sterilization With Cc 34 $9,200.00 $46,950.59 $34,743.44 nat. median
$11,354

outlier · 3.1×
64
MS_DRG
Intracranial Hemorrhage Or Cerebral Infarction With Mcc 34 $10,426.27 $45,806.03 $34,461.63 nat. median
$20,032

1.7× median
86
MS_DRG
Traumatic Stupor And Coma <1 Hour With Cc 34 $8,236.20 $45,931.89 $33,989.60 nat. median
$13,379

outlier · 2.5×

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