CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: Saint Alphonsus Medical Center Ontario

Billing Code: 45378 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 45378
  • Insurance Median: $248
  • Cash Discount Price: $655
  • vs. Medicare Baseline: 0.26x Medicare
The contracted insurance negotiated median rate for a Colonoscopy (diagnostic) at Saint Alphonsus Medical Center Ontario is $248. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $655. Compared to the federal Medicare reimbursement reference rate of $950.1, this hospital’s rate is 0.26x the Medicare baseline. Located in 351 Sw 9Th Street, Ontario, OR.
Cash / Self-Pay
$655

Average discount available for prompt cash payment at this facility.

Insurance Median
$248

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$950.1

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $950.1 (100%)
Cash / Self-Pay: $655 (69%)
Insurance Median: $248 (26%)
Cash: $655 (69% of Medicare)
Ins. Median: $248 (26% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $950.1 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

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Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Medicaid / KanCare $53 - $268 6%
Oregon Screenwise $71 - $134 7%
Aetna $79 - $458 8%
Align Senior Care $79 - $183 8%
Ally Align Care Adv $79 - $183 8%
American Health Plan $79 - $183 8%
Aurora Special Needs $79 - $183 8%
Blue Care Network Advantage $79 - $183 8%
Blue Cross Blue Shield $79 - $354 8%
Blue Shield - De (Highmark) Medciare Advantage $79 - $183 8%
Care Dimensions $79 - $183 8%
Care Improvement Plus $79 - $183 8%
Care Resources Pace $79 - $183 8%
Careplus Health Plans $79 - $183 8%
Cca - Zing Health $79 - $183 8%
Cca Senior Care Options $79 - $183 8%
Central Valley Medical Services Corp Pace $79 - $183 8%
Champion Health Plan Mcr Advantage $79 - $183 8%
Cigna $79 - $271 8%
Clear Spring Health $79 - $183 8%
Clover Health $79 - $183 8%
Commonwealth Care Alliance $79 - $183 8%
Community Pace At Home $79 - $183 8%
Eddy Senior Care-Pace $79 - $183 8%
Eddy Seniorcare Pace $79 - $183 8%
Elementcare $79 - $183 8%
Evercare $79 - $183 8%
Everence $79 - $183 8%
Gateway Health Plan $79 - $183 8%
Genesys Pace Of Genesee County $79 - $183 8%
Georgia Health Advantage $79 - $183 8%
Gold Advantage $79 - $183 8%
Gpa Croell Redi Mix $79 - $183 8%
Health America Advantra $79 - $183 8%
Highmark Health Options Dual Plan $79 - $183 8%
Hope Select Pace $79 - $183 8%
Horizon Nj Total Care $79 - $183 8%
Hudson Headwaters Pace $79 - $183 8%
Humana $79 - $571 8%
Huron Valley Pace $79 - $183 8%
Innovative Integrated Health Community Plans $79 - $183 8%
Iowa Health Advantage $79 - $183 8%
Johns Hopkins Advantage Md $79 - $183 8%
Lasso Healthcare Msa $79 - $183 8%
Life St Marys Pace $79 - $183 8%
Lifecircles Pace $79 - $183 8%
Longevity Health Plan $79 - $183 8%
Longevity Ipa Of Michigan Llc Health Plan Isnp $79 - $183 8%
Martins Point Generations Advantage $79 - $183 8%
Mass General Brigham Mcr Adv $79 - $183 8%
Medicare (plans) $79 - $205 8%
Medipak Advantage $79 - $183 8%
Mercy Life $79 - $183 8%
Mercyone Cedar Valley $79 - $183 8%
Meridian Complete $79 - $183 8%
Michigan Complete Health $79 - $183 8%
Nascentia Health Plus $79 - $183 8%
New Centry Health Careplus $79 - $183 8%
Osu Prime Care Advantage $79 - $183 8%
Pace Cny $79 - $183 8%
Pace Iowa Immanuel Pathways $79 - $183 8%
Pace Of Southwest Michigan $79 - $268 8%
Pace Southeast $79 - $183 8%
Pace-Trinity Health $79 - $183 8%
Peak Pace Solutions $79 - $183 8%
Perennial Advantage $79 - $183 8%
Preferred Care Partners $79 - $183 8%
Presbyterian Senior Plan $79 - $183 8%
Provider Partners Health Plan Of Illinois $79 - $183 8%
Provider Partners Health Plan Of Indiana $79 - $183 8%
Pruitthealth Premier $79 - $183 8%
Reliance Community Care Partners Care Resources Pace $79 - $183 8%
Rx Allwin $79 - $183 8%
Rx Grane Grnmedd $79 - $183 8%
Rx Retiree Rx Care $79 - $183 8%
Scan Health Plan Mcr Ipa Meritage Oon $79 - $183 8%
Secure Horizons Ma Pffs $79 - $183 8%
Serenity Pace $79 - $183 8%
Siouxland Pace $79 - $183 8%
Solis Health Plans $79 - $183 8%
Sunnyview-Pace Finance Dept $79 - $183 8%
Texan Plus $79 - $183 8%
The Health Plan $79 - $183 8%
Thome Pace $79 - $183 8%
Todays Options $79 - $183 8%
Tribute Health Plans $79 - $183 8%
Um Health Advantage $79 - $183 8%
Union Health Service $79 - $183 8%
UnitedHealthcare $79 - $349 8%
Welbe Health $79 - $183 8%
Wellmed $79 - $183 8%
Veterans Administration $80 - $186 8%
American Health Advantage Of Idaho $82 - $192 9%
Champva $86 - $160 9%
Tricare $86 - $160 9%
Triwest Health Alliance $86 - $160 9%
Us Family Health Plan $86 - $160 9%
Veterans Eval Services $86 - $160 9%
Albany County Correctional Facility $143 - $268 15%
Ambetter / Centene $143 - $268 15%
Amish Mennonite $143 - $268 15%
Ascension St. Vincent Public Safety Medical $143 - $268 15%
Bcccp-Michigan $143 - $268 15%
Bccp $143 - $268 15%
Bmc Healthnet $143 - $268 15%
Breast Grant-Connecticut $143 - $268 15%
Broward County Dept Of Health $143 - $268 15%
California Health And Wellness $143 - $268 15%
Can Community Health Inc $143 - $268 15%
Cardinal Innovations Lme $143 - $268 15%
Care Connections Of Northern Iowa $143 - $268 15%
Care Oregon Ohp $143 - $268 15%
Cencal Health Plan $143 - $268 15%
Cenpatico $143 - $268 15%
Chhuny $143 - $268 15%
Childrens Comm Health Plan $143 - $268 15%
Childrens Medical Services Title 19 $143 - $268 15%
City Of Philadelphia $143 - $268 15%
Cmh Allegan County $143 - $268 15%
Cmh Ausable Valley $143 - $268 15%
Cmh Barry County $143 - $268 15%
Cmh Bay-Arenac County $143 - $268 15%
Cmh Berrien County $143 - $268 15%
Cmh Cass County $143 - $268 15%
Cmh Central Mi County $143 - $268 15%
Cmh Clinton-Eaton-Ingham County $143 - $268 15%
Cmh Detroit Wayne Integrated Health Network $143 - $268 15%
Cmh Genesee County $143 - $268 15%
Cmh Ionia County $143 - $268 15%
Cmh Jackson County/Lifeways $143 - $268 15%
Cmh Kalamazoo $143 - $268 15%
Cmh Kent County $143 - $268 15%
Cmh Lenawee County $143 - $268 15%
Cmh Livingston County $143 - $268 15%
Cmh Macomb $143 - $268 15%
Cmh Misc $143 - $268 15%
Cmh Monroe County $143 - $268 15%
Cmh Montcalm County $143 - $268 15%
Cmh Muskegon County $143 - $268 15%
Cmh Newaygo County $143 - $268 15%
Cmh North Country $143 - $268 15%
Cmh Northern Lakes County $143 - $268 15%
Cmh Oakland County $143 - $268 15%
Cmh Ottawa County $143 - $268 15%
Cmh Van Buren County $143 - $268 15%
Cmh Washtenaw County $143 - $268 15%
Cmh Wayne County/Carelink $143 - $268 15%
Cmh Wayne Cty/Com Liv Svcs $143 - $268 15%
Cmh West Mi County $143 - $268 15%
Community Benefit Health $143 - $268 15%
Community Care Behavorial Health $143 - $268 15%
Community Care Partners $143 - $268 15%
Community Health Choice $143 - $268 15%
Connections Csp $143 - $268 15%
County Coroner $143 - $268 15%
County Funding Generic $143 - $268 15%
Covid19 Hrsa Uninsured Testing And Treatment Fund $143 - $268 15%
Dean Wi Badgercare $143 - $268 15%
Delaware County Department Of Health $143 - $268 15%
Delaware First Health $143 - $268 15%
Delta Dental Nj $143 - $268 15%
Dph Tb Program $143 - $268 15%
Dscc $143 - $268 15%
Eastpointe Lme $143 - $268 15%
Family Health Network $143 - $268 15%
Freedom First Healthcare $143 - $268 15%
Fresno County Ccs $143 - $268 15%
Ghc Scw Wi Badgercare $143 - $268 15%
Harbor Health $143 - $268 15%
Health Safety Net $143 - $268 15%
Healthy Blue Ne $143 - $268 15%
Hennepin Health $143 - $268 15%
Id County Ada $143 - $268 15%
Id County Canyon $143 - $268 15%
Id County Cat Fund $143 - $268 15%
Id County Other $143 - $268 15%
Id County Payette $143 - $268 15%
Idaho Dept Health And Wellfare $143 - $268 15%
Idaho Womens Health Check $143 - $268 15%
Indiana Breast Cervical Cancer $143 - $268 15%
Inland Empire Health Plan $143 - $268 15%
Intercommunity Health Ohp $143 - $268 15%
Iowa Total Care $143 - $268 15%
Jai Medical System $143 - $268 15%
Kern Family Health Plan $143 - $268 15%
Keystone First $143 - $268 15%
Keystone First Chip $143 - $268 15%
La Care Health Plan $143 - $268 15%
Lakeland Care Inc $143 - $268 15%
Managed Health Services - Indiana $143 - $268 15%
Maryland Breast & Cervical Program $143 - $268 15%
Maryland Healthy Smiles - Scion Dental $143 - $268 15%
Maryland Physicians Care $143 - $268 15%
Massachusetts Behavioral Health Partnership $143 - $268 15%
Mdwise $143 - $268 15%
Medi-Cal $143 - $268 15%
Medi-Cal Healthnet $143 - $268 15%
Medstar Dc Healthy Family $143 - $268 15%
Medstar Md Health Choice $143 - $268 15%
Mo Home State Health Plan $143 - $268 15%
Molina Centennial Care $143 - $268 15%
Nascentia Health Options $143 - $268 15%
Nebraska Total Care $143 - $268 15%
New York Cancer Services Program $143 - $268 15%
Nextlevel Health $143 - $268 15%
Paramount Advantage $143 - $268 15%
Parkland Community Health Plan $143 - $268 15%
Partners Behavioral Lme $143 - $268 15%
Peach State Healthplan $143 - $268 15%
Philadelphia County Funding $143 - $268 15%
Presbyterian Centennial Care $143 - $268 15%
Prestige Health Choice $143 - $268 15%
Priority Partners $143 - $268 15%
Robert F Sing Program $143 - $268 15%
Rx 340B Pass Along $143 - $268 15%
Rx Assistance/Rx Manufacturer Assistance 0 Copay $143 - $268 15%
Rx Medi-Cal $143 - $268 15%
Rx Meridian Rx $143 - $268 15%
Ryan White Florida Mssrp $143 - $268 15%
Sandhills Center Lme $143 - $268 15%
Screening For Life $143 - $268 15%
St Joseph County Hlth Dpt $143 - $268 15%
Stephenson Cty Health $143 - $268 15%
Sunshine State Health Plan $143 - $268 15%
Superior Health $143 - $268 15%
Tenncare $143 - $268 15%
Texas Children'S Health Plan $143 - $268 15%
Trillium Community Ohp $143 - $268 15%
Tufts Health Public Plans $143 - $268 15%
Vaya Health Lme $143 - $268 15%
Washtenaw Health Plan $143 - $268 15%
Wellsense Health Plan $143 - $268 15%
Wi Womens Wellness $143 - $268 15%
Webtpa $144 - $336 15%
Molina Marketplace $156 - $364 16%
Moda Health $176 - $343 19%
Mountain Health Co-Op $176 - $326 19%
Pacificsource Health Plans $176 - $387 19%
Selecthealth $176 - $405 19%
Bcn Domestic $187 - $354 20%
Blue Benefit Administrators Of Massachusetts $187 - $354 20%
Blue Care Network $187 - $354 20%
Blue Distinction Transplant $187 - $354 20%
Blue Shield - Ca $187 - $354 20%
Blue Shield - Id (Regence) $187 - $363 20%
Blue Shield - Ny Highmark Northeastern $187 - $354 20%
Blue Shield - Ny Highmark Western $187 - $354 20%
Blue Shield - Pa (Highmark) $187 - $354 20%
Blue Shield - Wa (Regence) $187 - $354 20%
Health Choices $187 - $354 20%
Kaiser Domestic $187 - $354 20%
Pre-Employment $187 - $354 20%
Wc Domestic $187 - $354 20%
Asuris Northwest Health $193 - $363 20%
Healthcare Management Admin $193 - $363 20%
Geha $198 - $349 21%
First Choice Health $204 - $364 21%
Providence $204 - $364 21%
Allied National Global Care $226 - $379 24%
Asrm - Reliance Standard Life Insurance $226 - $379 24%
Christian Care Ministry $226 - $379 24%
Dean Health $226 - $379 24%
Fallon Health $226 - $379 24%
Family Life Insurance Company $226 - $379 24%
Ghc Scw $226 - $379 24%
International Benefit Administrators $226 - $379 24%
Lifetime Benefit Solutions $226 - $379 24%
Manhattan Life $226 - $379 24%
Medi Share $226 - $379 24%
Multiplan $226 - $379 24%
Pai $226 - $379 24%
Pan-American Life $226 - $379 24%
Paramount Hmo $226 - $379 24%
Phcs $226 - $379 24%
Trinity Health Share $226 - $379 24%
Andrie Inc $248 - $458 26%
East Greenbush Central School District $248 - $458 26%
Genex Wc $248 - $458 26%
Healthsmart Workers Comp $248 - $458 26%
Jag Source $248 - $458 26%
New York State Insurance Fund $248 - $458 26%
Njm Insurance Group $248 - $458 26%
Rx Heatlhcomp $248 - $458 26%
Rx Restat $248 - $458 26%
Rx Saif Opdp Wc $248 - $458 26%
Rx Worker'S Comp $248 - $458 26%
Wc Accident Fund $248 - $458 26%
Wc Ace $248 - $458 26%
Wc Acs Federal Employees $248 - $458 26%
Wc Acuity $248 - $458 26%
Wc Advantage $248 - $458 26%
Wc Aegis $248 - $458 26%
Wc Aig $248 - $458 26%
Wc Aims $248 - $458 26%
Wc Alaska National Ins $248 - $458 26%
Wc Align Network $248 - $458 26%
Wc Allied $248 - $458 26%
Wc Am Trust N America $248 - $458 26%
Wc American Claims Mgmt $248 - $458 26%
Wc Amerisure $248 - $458 26%
Wc Amtrust $248 - $458 26%
Wc Asu Risk Mgt $248 - $458 26%
Wc Benetech $248 - $458 26%
Wc Berkley Admin $248 - $458 26%
Wc Broadspire $248 - $458 26%
Wc Broward County $248 - $458 26%
Wc Bunch & Associates $248 - $458 26%
Wc California State Comp Ins $248 - $458 26%
Wc California State Ins Fund $248 - $458 26%
Wc Capitol Area Health Consortium $248 - $458 26%
Wc Ccmsi $248 - $458 26%
Wc Chartis $248 - $458 26%
Wc Chubb $248 - $458 26%
Wc Cirma $248 - $458 26%
Wc City Of Albany $248 - $458 26%
Wc City Of Sioux City $248 - $458 26%
Wc Claims Mgmt Inc $248 - $458 26%
Wc Cna $248 - $458 26%
Wc Comp One Admin C/O Manageability $248 - $458 26%
Wc Compone Admin $248 - $458 26%
Wc Corvel $248 - $458 26%
Wc Ct Healthcare Trust $248 - $458 26%
Wc Donegal Insurance Group $248 - $458 26%
Wc Emc Insurance Company $248 - $458 26%
Wc Employee Mutual $248 - $458 26%
Wc Enablecomp $248 - $458 26%
Wc Encore Health Network $248 - $458 26%
Wc Erie $248 - $458 26%
Wc Esis $248 - $458 26%
Wc Evolutions $248 - $458 26%
Wc Fcci $248 - $458 26%
Wc Fed Ex $248 - $458 26%
Wc Federal Black Lung $248 - $458 26%
Wc Federated $248 - $458 26%
Wc Finley Occupational Health $248 - $458 26%
Wc First Agency/Occunet $248 - $458 26%
Wc Ford Motor $248 - $458 26%
Wc Fresno Unified Emp $248 - $458 26%
Wc Gallagher Bassett $248 - $458 26%
Wc General Motors $248 - $458 26%
Wc Generic $248 - $458 26%
Wc Genex Care For Ohio $248 - $458 26%
Wc Great West Casualty $248 - $458 26%
Wc Guarantee Insurance $248 - $458 26%
Wc Guard Insurance Company $248 - $458 26%
Wc Hab $248 - $458 26%
Wc Hartford $248 - $458 26%
Wc Hastings $248 - $458 26%
Wc Health Management $248 - $458 26%
Wc Heritage Summit $248 - $458 26%
Wc Hireright $248 - $458 26%
Wc Horizon $248 - $458 26%
Wc Icw Group $248 - $458 26%
Wc Idaho State Ins Fund $248 - $458 26%
Wc Intercare Insurance $248 - $458 26%
Wc Intermountain $248 - $458 26%
Wc Johns Eastern $248 - $458 26%
Wc Kemberton $248 - $458 26%
Wc Key Ins & Benefit Solutions $248 - $458 26%
Wc Liberty Mutual $248 - $458 26%
Wc Mac Risk Management $248 - $458 26%
Wc Massachusetts $248 - $458 26%
Wc Mdia $248 - $458 26%
Wc Meadowbrook Claim $248 - $458 26%
Wc Medical Administrators $248 - $458 26%
Wc Meijers $248 - $458 26%
Wc Memic $248 - $458 26%
Wc Mercy Workcare $248 - $458 26%
Wc Michigan $248 - $458 26%
Wc Michigan Millers Mutual $248 - $458 26%
Wc Mitchell Frankenmuth $248 - $458 26%
Wc Mra $248 - $458 26%
Wc Nationwide $248 - $458 26%
Wc Nca Comp $248 - $458 26%
Wc New York $248 - $458 26%
Wc New York Special Funds $248 - $458 26%
Wc North American Rishces $248 - $458 26%
Wc Northeast Health $248 - $458 26%
Wc Notre Dame $248 - $458 26%
Wc Novanet $248 - $458 26%
Wc O'Hara Corp $248 - $458 26%
Wc Occ Health Allen $248 - $458 26%
Wc Ohio Bureau $248 - $458 26%
Wc One Call Medical $248 - $458 26%
Wc Paradigm $248 - $458 26%
Wc Peerless $248 - $458 26%
Wc Pma $248 - $458 26%
Wc Praxis Health Network $248 - $458 26%
Wc Price Chopper $248 - $458 26%
Wc Procura Management $248 - $458 26%
Wc Qualcare $248 - $458 26%
Wc Quiktrip $248 - $458 26%
Wc Reny Company $248 - $458 26%
Wc Rev Claims $248 - $458 26%
Wc Risico $248 - $458 26%
Wc Rural Mutual $248 - $458 26%
Wc Saif Oregon $248 - $458 26%
Wc Secura $248 - $458 26%
Wc Sedgwick $248 - $458 26%
Wc Sentry $248 - $458 26%
Wc Sheakley Unicomp $248 - $458 26%
Wc Smile Lodge $248 - $458 26%
Wc Society $248 - $458 26%
Wc Srs $248 - $458 26%
Wc Taconic (Mro) $248 - $458 26%
Wc Taconic Farms $248 - $458 26%
Wc Travelers $248 - $458 26%
Wc Triad Group $248 - $458 26%
Wc Tristar $248 - $458 26%
Wc Troy Ny $248 - $458 26%
Wc Tyson $248 - $458 26%
Wc Unified Health Services $248 - $458 26%
Wc United Heartland $248 - $458 26%
Wc Us Dept Of Labor $248 - $458 26%
Wc Velocity $248 - $458 26%
Wc Walmart $248 - $458 26%
Wc West Bend $248 - $458 26%
Wc West Bend Mutual/Argent $248 - $458 26%
Wc Winnebago Industries $248 - $458 26%
Wc Yankee Trails $248 - $458 26%
Wc York Risk $248 - $458 26%
Wc Zenith $248 - $458 26%
Wc Zurich $248 - $458 26%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

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