86/100
#170 nationally
Mid-Columbia Medical Center
1700 E 19Th Street, The Dalles, OR 97058 · (541) 296-1111
Charges close to what care is actually paid for
For every $1 of care Medicare actually paid for here, Mid-Columbia Medical Center billed $2.69 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 2.7x
- volume-weighted across all its priced work
- Procedures priced
- 26
- inpatient and outpatient combined
- Rank in OR
- #2
- lower markup ranks higher
- CMS quality stars
- 4/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 91% of U.S. hospitals.
Better than 87% of U.S. hospitals.
Better than 79% of U.S. hospitals.
Better than 88% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
98 | $13,595 | $2,981 | -30% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
92 | $20,755 | $5,654 | -24% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
72 | $13,951 | $3,876 | -32% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
63 | $37,596 | $23,074 | -42% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
32 | $27,899 | $13,710 | -36% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
31 | $24,957 | $6,416 | -29% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
30 | $2,439 | $760 | -22% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
29 | $25,950 | $13,016 | -46% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
26 | $7,808 | $1,803 | -23% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
26 | $27,285 | $7,955 | -32% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
$18,644 | $3,544 | about average |
|
Level 2 Laparoscopy and Related Services
APC 5362 · Hospital outpatient visit |
$51,052 | $11,432 | -15% |
|
Level 2 Pacemaker and Similar Procedures
APC 5222 · Hospital outpatient visit |
$30,858 | $9,441 | -18% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
$2,439 | $760 | -22% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$7,808 | $1,803 | -23% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
$17,603 | $3,847 | -24% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
$20,755 | $5,654 | -24% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
$40,304 | $17,637 | -27% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$9,031 | $3,297 | -56% |
|
Gastrointestinal Bleeding (severe)
MS-DRG 377 · Inpatient stay |
$31,727 | $18,841 | -55% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
$5,144 | $2,147 | -55% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$22,070 | $14,086 | -53% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
$20,847 | $10,960 | -47% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
$25,950 | $13,016 | -46% |
|
Gastrointestinal Bleeding (with complications)
MS-DRG 378 · Inpatient stay |
$22,932 | $10,465 | -44% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
$37,596 | $23,074 | -42% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.