CMS Price Transparency Data

Blood test, lipase

Facility: Saint Alphonsus Medical Center Ontario

Billing Code: 83690 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$12
about 1.7× the $7 Medicare rate · typically $10–$12
modeled estimate · not a bill or quote
What this hospital charges insurers
$12
About the fair price
1.7× Medicare
Medicare pays $7 Fair price $12 This hospital $12 Cash price $77 Hospital's list price $118

How we calculate the fair BaseRate →

How this hospital compares to other OR hospitals

Highest price of the 9 OR hospitals we have prices for — worth calling around.

Cheapest $7 Priciest $12

Black dot = this hospital, among the 9 OR hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Blood test, lipase is about $12 (about 1.7× the $7 Medicare rate). Saint Alphonsus Medical Center Ontario charges insurers about $12, or about $77 in cash — about the fair price. Located in Ontario, OR.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $7 - $122 102%
Blue Cross Blue Shieldmajor $7 - $108 102%
Aetnamajor $7 - $120 102%
Cignamajor $33 - $119 479%
Humanamajor $33 - $112 479%
Ambetter (Centene) $33 - $38 479%
Dean Health Plan $98 - $114 1422%
GEHA $103 - $122 1495%
Health Net $7 - $102 102%
HealthPartners $33 - $99 479%
Meridian $33 - $38 479%
Moda Health $13 - $123 189%
Molina $33 - $38 479%
PacificSource $65 - $119 943%
Paramount $33 - $114 479%
Presbyterian $33 - $38 479%
Priority Health $102 - $119 1480%
SelectHealth $26 - $114 377%
Tufts Health Plan $33 - $38 479%
WellSense $33 - $38 479%
+ 93 smaller / regional plans $7 - $121
Government programs also on file: Medicare, Medicaid.
Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 351 Sw 9Th Street, Ontario, OR 97914
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals