Hospital Albany, OR

Mid-Valley Healthcare INC

Mid-Valley Healthcare INC in Lebanon, OR publishes cash prices for 61 common procedures listed here, from its own machine-readable price file updated Jan 31, 2026. Click a procedure to compare it with other hospitals nearby.

525 North Santiam Highway, Lebanon, OR 97355 Collected Sep 23, 2026 Source price file

Scans and imaging

Procedure	Cash price	List price	Off list
CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT ABD AND PELVIS W/CONTRAST	$1,920.00	$2,400.00	20%
CT scan of the head or brain, no contrast dye CPT 70450 HC CRANIAL UNENHANCED	$920.00	$1,150.00	20%
CT scan of the pelvis, with contrast dye CPT 72193 HC PELVIS ENHANCED	$1,152.00	$1,440.00	20%
Diagnostic mammogram, both breasts both sides CPT 77066 HC DIGITAL MAMMOGRAPHY DIAG BILAT W OR W/O CAD	$424.00	$530.00	20%
MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN WO	$2,224.00	$2,780.00	20%
MRI of the brain, with and without contrast dye CPT 70553 HC MRI BRAIN W&WO	$2,672.00	$3,340.00	20%
MRI of the lower back, no contrast dye CPT 72148 HC MRI LUMBAR WO	$1,776.00	$2,220.00	20%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 PC OB US >/= 14 WKS SNGL FETUS	$424.80	$531.00	20%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC OB US >/=14 WKS SINGLE FETUS	$920.00	$1,150.00	20%
Screening mammogram, both breasts CPT 77067 HC DIGITAL MAMMOGRAPHY SCREENING W OR W/O CAD	$400.00	$500.00	20%
Sleep study in a lab (polysomnography) CPT 95810 HC POLYSOMINOGRAPHY SLEEP STUDY	$4,288.00	$5,360.00	20%
Transvaginal pelvic ultrasound CPT 76830 PC TRANSVAGINAL US NON-OB	$377.60	$472.00	20%
Transvaginal pelvic ultrasound CPT 76830 HC NON OB US TRANSVAGINAL	$504.00	$630.00	20%
Ultrasound of the abdomen, complete CPT 76700 PC US EXAM ABDOM COMPLETE	$124.00	$155.00	20%
Ultrasound of the abdomen, complete CPT 76700 HC ABDOMEN COMPLETE	$744.00	$930.00	20%
X-ray of the lower back, 4 or more views CPT 72110 PC X-RAY EXAM OF LOWER SPINE	$127.20	$159.00	20%
X-ray of the lower back, 4 or more views CPT 72110 HC XRAY LUMBOSACRAL MINIMUM 4 VIEWS	$360.00	$450.00	20%

Lab tests

Procedure	Cash price	List price	Off list
Basic metabolic panel (blood test) CPT 80048 HC BASIC METABOLIC PANEL PL	$48.00	$60.00	20%
Basic metabolic panel (blood test) CPT 80048 HC BASIC METABOLIC PANEL	$48.00	$60.00	20%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL, EXTENDED, ARUP #0020468 PNL - LIPID PANEL	$20.00	$25.00	20%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 PC LIPID PANEL	$25.60	$32.00	20%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PROFILE W/ REFLEX, LEGACY	$80.00	$100.00	20%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPOFIT BY NMR PART 2	$80.00	$100.00	20%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL	$80.00	$100.00	20%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC ADVANCED LIPID PANEL W/ INFLAMMMATION, CARDIO IQ, QUEST #9422	$80.00	$100.00	20%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC ADVANCED LIPID PANEL, CARDIO IQ, QUEST #92145 PNL - LIPID PAN	$80.00	$100.00	20%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID CASCADE	$80.00	$100.00	20%
Complete blood count (CBC) with differential CPT 85025 PC CBC WITH PLATELET CT WITH AUTO DIF	$15.20	$19.00	20%
Complete blood count (CBC) with differential CPT 85025 HC CBC W/AUTO DIFFERENTIAL	$58.40	$73.00	20%
Complete blood count (CBC) with differential CPT 85025 HC CBC W/AUTO DIFFERENTIAL PL	$80.00	$100.00	20%
Complete blood count (CBC) with differential CPT 85025 HC COMPLETE BLOOD COUNT W/AUTO DI	$80.00	$100.00	20%
Complete blood count (CBC) with differential CPT 85025 HC COMPLETE BLOOD CT (HYBE)	$80.00	$100.00	20%
Complete blood count (CBC), no differential CPT 85027 HC CBC NO DIFF PL	$11.20	$14.00	20%
Complete blood count (CBC), no differential CPT 85027 PC HEMOGRAM AND PLATELET CT AUTO	$12.80	$16.00	20%
Complete blood count (CBC), no differential CPT 85027 HC CBC NO DIFF(PNL)	$26.40	$33.00	20%
Complete blood count (CBC), no differential CPT 85027 HC CBC NO DIFF	$32.80	$41.00	20%
Complete blood count (CBC), no differential CPT 85027 HC CBC NO DIFF(PNL) PL	$38.40	$48.00	20%
Comprehensive metabolic panel (blood test) CPT 80053 HC COMPREHENSIVE METABOLIC PANEL	$88.00	$110.00	20%
Comprehensive metabolic panel (blood test) CPT 80053 HC COMPREHENSIVE METABOLIC PANEL PL	$88.00	$110.00	20%
Kidney function blood test panel CPT 80069 HC RENAL FUNCTION PANEL	$58.40	$73.00	20%
Liver function blood test panel CPT 80076 HC HEPATIC FUNCTION PANEL	$41.60	$52.00	20%
Obstetric blood test panel CPT 80055 HC PRENATAL PANEL OBSTETRIC PANEL	$160.00	$200.00	20%
PSA (prostate-specific antigen) blood test, free CPT 84154 HC PSA TOTAL W/ FREE PSA, ARUP #0080206 PNL - FREE	$22.40	$28.00	20%
PSA (prostate-specific antigen) blood test, free CPT 84154 HC REFLEXED TO FREE PSA (INCL. FREE %), ARUP #0050338	$22.40	$28.00	20%
PSA (prostate-specific antigen) blood test, free CPT 84154 HC PSA FREE	$80.00	$100.00	20%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC PROSTATE SPECIFIC ANTIGEN, TOTAL W/ REFLEX TO FREE PSA (INCLU	$20.80	$26.00	20%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA TOTAL W/ FREE PSA, ARUP #0080206 PNL - TOTAL	$22.40	$28.00	20%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA, ULTRASENSITIVE ARUP #0098581	$31.20	$39.00	20%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA TOTAL-PL	$58.40	$73.00	20%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA ULTRASENSITIVE	$58.40	$73.00	20%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA DIAGNOSTIC	$75.20	$94.00	20%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC PROSTATE SPECIFIC ANTIGEN-DIAG	$88.00	$110.00	20%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC PROSTATE-SPECIFIC ANTIGEN (PSA), ULTRASENSITIVE, LABCORP #140	$152.00	$190.00	20%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC THROMBOTIC RISK REFLEX PANEL, ARUP #3017156 PNL - THROMBOPLAS	$8.00	$10.00	20%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC LUPUS ANTICOAGULANT REFLEXIVE PANEL, ARUP #3017009 PNL - THRO	$10.40	$13.00	20%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC PARTIAL THROMBOPLASTIN TIME, ARUP #0030235	$12.00	$15.00	20%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC INHIBITOR ASSAY, PTT W/ REFLEX TO PTT 1:1 MIX, W/ REFLEX TO 1	$13.60	$17.00	20%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC ANTIPHOSPHOLIPID SYNDROME REFLEXIVE PANEL, ARUP #2003222 PNL	$16.80	$21.00	20%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC APTT (TRAP)	$16.80	$21.00	20%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC APTT(LUPUS SCR)	$16.80	$21.00	20%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC PATIAL THROMBOPLASTIN ACTIVATED	$18.40	$23.00	20%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC APTT THROM PREG PT	$18.40	$23.00	20%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC APTT	$21.60	$27.00	20%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC PARTIAL THROMBOPLASTIN	$24.00	$30.00	20%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC THROMBOTIC RISK INHERITANCE ITIOLOGIES, ARUP #0030177 PNL - P	$28.80	$36.00	20%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC REFLEXED TO PTT RATIO, TREATED, ARUP #3017033	$36.80	$46.00	20%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC PTT	$66.40	$83.00	20%
Prothrombin time (PT/INR) clotting test CPT 85610 HC THROMBOTIC RISK REFLEX PANEL, ARUP #3017156 PNL - PROTHROMBIN	$5.60	$7.00	20%
Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME INR	$6.40	$8.00	20%
Prothrombin time (PT/INR) clotting test CPT 85610 PC PROTIME	$8.00	$10.00	20%
Prothrombin time (PT/INR) clotting test CPT 85610 HC LUPUS ANTICOAGULANT REFLEXIVE PANEL, ARUP #3017009 PNL - PROT	$10.40	$13.00	20%
Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME-JUP PNL	$12.00	$15.00	20%
Prothrombin time (PT/INR) clotting test CPT 85610 HC INHIBITOR ASSAY, PT W/ REFLEX TO PT 1:1 MIX, ARUP #2003260	$16.00	$20.00	20%
Prothrombin time (PT/INR) clotting test CPT 85610 HC ANTIPHOSPHOLIPID SYNDROME REFLEXIVE PANEL, ARUP #2003222 PNL	$16.80	$21.00	20%
Prothrombin time (PT/INR) clotting test CPT 85610 HC THROMBOTIC RISK INHERITANCE ITIOLOGIES, ARUP #0030177 PNL - P	$28.80	$36.00	20%
Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME	$41.60	$52.00	20%
Prothrombin time (PT/INR) clotting test CPT 85610 HC PT TEST	$41.60	$52.00	20%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC THYROID STIMULATING HORMONE, ARUP #0070145	$20.80	$26.00	20%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC THYROID STIMULATING HORMONE 3RD GENERATION, ARUP #0070225	$24.00	$30.00	20%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC URTICARIA-INDUC ACTIV W/ THYROID ANTIBODIES & STIM HORMONE (2	$58.40	$73.00	20%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH PL	$66.40	$83.00	20%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH W/ HAMA, QUEST #19537 PNL	$66.40	$83.00	20%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH	$88.00	$110.00	20%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH W/ HAMA PRETREATMENT PNL	$88.00	$110.00	20%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC ASSAY THYROID STIMULATING HORMNE CHRONIC URTICARIA	$96.00	$120.00	20%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC THYROID CASCADING REFLEX, QUEST #15102	$110.40	$138.00	20%
Urinalysis with microscope exam, automated CPT 81001 PC URINALYSIS AUTOMATED W MICROSCOPY	$6.40	$8.00	20%
Urinalysis with microscope exam, automated CPT 81001 HC URINALYSIS WITH MICROSCOPIC PL	$16.80	$21.00	20%
Urinalysis with microscope exam, automated CPT 81001 HC URINALYSIS WITH MICROSCOPIC	$49.60	$62.00	20%
Urinalysis with microscope exam, manual CPT 81000 PC UA NON-AUTOMATED W MICROSCOPY	$8.00	$10.00	20%
Urinalysis with microscope exam, manual CPT 81000 HC REDUCING SUBSTANCES URINE	$30.40	$38.00	20%
Urinalysis without microscope exam, automated CPT 81003 HC SPECIFIC GRAVITY, URINE	$17.60	$22.00	20%
Urinalysis without microscope exam, automated CPT 81003 HC ROUTINE URINALYSIS	$39.20	$49.00	20%
Urinalysis without microscope exam, automated CPT 81003 HC URINALYSIS ROUTINE-NO MICRO	$75.20	$94.00	20%
Urinalysis without microscope exam, automated CPT 81003 HC SPECIFIC GRAVITY, RANDOM, URINE, ARUP SENDOUT (MAYO #SGUR)	$86.40	$108.00	20%
Urinalysis without microscope exam, manual CPT 81002 PC URINALYSIS DIPSTICK NON-AUTOMATED W/O MICROSCOPY	$6.40	$8.00	20%
Urinalysis without microscope exam, manual CPT 81002 HC UA DIP	$24.00	$30.00	20%

Surgery and procedures

Procedure	Cash price	List price	Off list
Cesarean delivery, including prenatal and postpartum care CPT 59510 PC OB CARE CESAREAN DELIVERY	$6,237.60	$7,797.00	20%
Colonoscopy with polyp removal CPT 45385 PC COLONOSCOPY POLYP REMOVAL	$1,282.40	$1,603.00	20%
Colonoscopy with tissue sample CPT 45380 PC COLONOSCOPY W/REM TUMORS BY FORCEP	$1,282.40	$1,603.00	20%
Colonoscopy, diagnostic CPT 45378 PC COLONOSCOPY FIBEROPTIC	$1,156.00	$1,445.00	20%
Gallbladder removal, laparoscopic CPT 47562 PC LAPAROSCOPY CHOLECYSTECTOMY	$1,808.00	$2,260.00	20%
Knee arthroscopy with meniscus trim CPT 29881 PC ARTHROSCOPY KNEE W/MENISECT MED OR	$1,804.00	$2,255.00	20%
Left heart catheterization, diagnostic one side CPT 93452 HC LEFT HRT CATH INCL INJ LT VENT	$8,200.00	$10,250.00	20%
Lower-back epidural injection, with imaging guidance CPT 62323 PC NJX INTERLAMINAR LMBR/SAC W GUDIE	$923.20	$1,154.00	20%
Lower-back epidural injection, without imaging guidance CPT 62322 PC NJX INTERLAMINAR LMBR/SAC WO GUIDE	$492.80	$616.00	20%
Removal of a breast lump, open surgery CPT 19120 PC EXCISE OF CYST BREAST MALE/FEMALE	$1,247.20	$1,559.00	20%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 PC ARTHROSCOPY SHLDER DECOMP SUBACRI	$560.80	$701.00	20%
Tonsil and adenoid removal, child under 12 CPT 42820 PC TONSILECTOMY/ADENOID < 12	$820.00	$1,025.00	20%
Total hip replacement CPT 27130 PC HIP REPLACEMENT TOTAL	$4,220.00	$5,275.00	20%
Total knee replacement CPT 27447 PC ARTHROPLASTY KNEE CONDYL MED & LAT	$4,216.00	$5,270.00	20%
Upper endoscopy (EGD) with biopsy CPT 43239 HC UPPER GI ENDO W/BIOPSY 1OR MOR	$232.00	$290.00	20%
Upper endoscopy (EGD) with biopsy CPT 43239 PC UPPER GI ENDO W/BIOPSY 1 OR MORE	$1,156.00	$1,445.00	20%
Upper endoscopy (EGD), diagnostic CPT 43235 PC ESOPHAGOGASTRODUODENOSCOPY DIAGNOSTIC	$802.40	$1,003.00	20%
Vaginal birth after cesarean (VBAC), including prenatal and postpartum care CPT 59610 PC VBAC W/TOTAL OB CARE	$5,901.60	$7,377.00	20%
Vaginal delivery, including prenatal and postpartum care CPT 59400 PC OB NORMAL CARE	$5,668.80	$7,086.00	20%

Doctor visits and therapy

Procedure	Cash price	List price	Off list
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 PC EKG WITH REPORT (ECG)	$41.60	$52.00	20%
Family therapy with the patient, 50 minutes CPT 90847 HC FAMILY PSYCHOTX W/ PT 15 MIN	$52.80	$66.00	20%
Family therapy with the patient, 50 minutes CPT 90847 HC FAMILY PSYTX W/PT 50 MIN	$216.00	$270.00	20%
Family therapy with the patient, 50 minutes CPT 90847 PC FAMILY PSYCHOTHERAPY W PT 50 MIN	$263.20	$329.00	20%
Family therapy without the patient, 50 minutes CPT 90846 HC FAMILY PSYCHOTX / NO PT 15 MIN	$51.20	$64.00	20%
Family therapy without the patient, 50 minutes CPT 90846 HC FAMILY PSYTX WO /PT 50 MIN	$216.00	$270.00	20%
Family therapy without the patient, 50 minutes CPT 90846 PC FAMILY PSYCHOTHERAPY W/O PT 50 MIN	$254.40	$318.00	20%
Group psychotherapy session CPT 90853 PC GROUP PSYCHOTHERAPY	$68.80	$86.00	20%
New patient office visit, about 30 minutes CPT 99203 HC E&M NEW PT LOW LEVEL 30 MINS OR MORE	$54.40	$68.00	20%
New patient office visit, about 30 minutes CPT 99203 PC E&M NEW PT LOW LEVEL 30 MINS OR MORE	$236.80	$296.00	20%
New patient office visit, about 45 minutes CPT 99204 HC E&M NEW PT MODERATE LEVEL 45 MINS OR MORE	$81.60	$102.00	20%
New patient office visit, about 45 minutes CPT 99204 PC E&M NEW PT MODERATE LEVEL 45 MINS OR MORE	$352.80	$441.00	20%
New patient office visit, about 60 minutes CPT 99205 HC E&M NEW PT HIGH LEVEL 60 MINS OR MORE	$107.20	$134.00	20%
New patient office visit, about 60 minutes CPT 99205 PC E&M NEW PT HIGH LEVEL 60 MINS OR MORE	$466.40	$583.00	20%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PC THERAPEUTIC EXERCISE	$68.00	$85.00	20%
Preventive checkup, new patient aged 18–39 CPT 99385 HC N/P PREVENTATIVE MED 18-39 YRS	$60.80	$76.00	20%
Preventive checkup, new patient aged 18–39 CPT 99385 PC N/P PREVENTATIVE MEDICINE 18-39	$300.80	$376.00	20%
Preventive checkup, new patient aged 40–64 CPT 99386 HC N/P PREVENTATIVE MED 40-64 YRS	$68.80	$86.00	20%
Preventive checkup, new patient aged 40–64 CPT 99386 PC N/P PREVENTATIVE MEDICINE 40-64	$346.40	$433.00	20%
Psychotherapy session, 30 minutes CPT 90832 HC PSYCH 30 MIN W PT/FAMILY	$38.40	$48.00	20%
Psychotherapy session, 30 minutes CPT 90832 HC PSYTX W PT 30 MINS	$160.00	$200.00	20%
Psychotherapy session, 30 minutes CPT 90832 PC PSYCHOTHERAPY W PT 30 MINS	$194.40	$243.00	20%
Psychotherapy session, 45 minutes CPT 90834 HC PSYCH 45 MIN W PT/FAMILY	$51.20	$64.00	20%
Psychotherapy session, 45 minutes CPT 90834 HC PSYTX W PT 45 MINS	$216.00	$270.00	20%
Psychotherapy session, 45 minutes CPT 90834 PC PSYCHOTHERAPY W PT 45 MINS	$256.80	$321.00	20%
Psychotherapy session, 60 minutes CPT 90837 HC PSYCH 60 MIN W PT/FAMILY	$75.20	$94.00	20%
Psychotherapy session, 60 minutes CPT 90837 HC PSYTX W PT 60 MINS	$264.00	$330.00	20%
Psychotherapy session, 60 minutes CPT 90837 PC PSYCHOTHERAPY W PT 60 MINS	$376.80	$471.00	20%

Source file: https://samaritanhealth.pt.panaceainc.com/MRFDownload/samaritanhealth/lebanon