CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Saint Alphonsus Medical Center Ontario

Billing Code: 45380 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 45380
  • Insurance Median: $233
  • Cash Discount Price: $802
  • vs. Medicare Baseline: 0.19x Medicare
The contracted insurance negotiated median rate for a Colonoscopy with biopsy at Saint Alphonsus Medical Center Ontario is $233. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $802. Compared to the federal Medicare reimbursement reference rate of $1,222.56, this hospital’s rate is 0.19x the Medicare baseline. Located in 351 Sw 9Th Street, Ontario, OR.
Cash / Self-Pay
$802

Average discount available for prompt cash payment at this facility.

Insurance Median
$233

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$1,222.56

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $1,222.56 (100%)
Cash / Self-Pay: $802 (66%)
Insurance Median: $233 (19%)
Cash: $802 (66% of Medicare)
Ins. Median: $233 (19% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $1,222.56 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 $57 - $340 5%
Aetna $78 - $579 6%
Albany County Correctional Facility $78 - $340 6%
Ambetter / Centene $78 - $340 6%
Amish Mennonite $78 - $340 6%
Ascension St. Vincent Public Safety Medical $78 - $340 6%
Bcccp-Michigan $78 - $340 6%
Bccp $78 - $340 6%
Blue Cross Blue Shield $78 - $458 6%
Bmc Healthnet $78 - $340 6%
Breast Grant-Connecticut $78 - $340 6%
Broward County Dept Of Health $78 - $340 6%
California Health And Wellness $78 - $340 6%
Can Community Health Inc $78 - $340 6%
Cardinal Innovations Lme $78 - $340 6%
Care Connections Of Northern Iowa $78 - $340 6%
Care Oregon Ohp $78 - $340 6%
Cencal Health Plan $78 - $340 6%
Cenpatico $78 - $340 6%
Chhuny $78 - $340 6%
Childrens Comm Health Plan $78 - $340 6%
Childrens Medical Services Title 19 $78 - $340 6%
Cigna $78 - $372 6%
City Of Philadelphia $78 - $340 6%
Cmh Allegan County $78 - $340 6%
Cmh Ausable Valley $78 - $340 6%
Cmh Barry County $78 - $340 6%
Cmh Bay-Arenac County $78 - $340 6%
Cmh Berrien County $78 - $340 6%
Cmh Cass County $78 - $340 6%
Cmh Central Mi County $78 - $340 6%
Cmh Clinton-Eaton-Ingham County $78 - $340 6%
Cmh Detroit Wayne Integrated Health Network $78 - $340 6%
Cmh Genesee County $78 - $340 6%
Cmh Ionia County $78 - $340 6%
Cmh Jackson County/Lifeways $78 - $340 6%
Cmh Kalamazoo $78 - $340 6%
Cmh Kent County $78 - $340 6%
Cmh Lenawee County $78 - $340 6%
Cmh Livingston County $78 - $340 6%
Cmh Macomb $78 - $340 6%
Cmh Misc $78 - $340 6%
Cmh Monroe County $78 - $340 6%
Cmh Montcalm County $78 - $340 6%
Cmh Muskegon County $78 - $340 6%
Cmh Newaygo County $78 - $340 6%
Cmh North Country $78 - $340 6%
Cmh Northern Lakes County $78 - $340 6%
Cmh Oakland County $78 - $340 6%
Cmh Ottawa County $78 - $340 6%
Cmh Van Buren County $78 - $340 6%
Cmh Washtenaw County $78 - $340 6%
Cmh Wayne County/Carelink $78 - $340 6%
Cmh Wayne Cty/Com Liv Svcs $78 - $340 6%
Cmh West Mi County $78 - $340 6%
Community Benefit Health $78 - $340 6%
Community Care Behavorial Health $78 - $340 6%
Community Care Partners $78 - $340 6%
Community Health Choice $78 - $340 6%
Connections Csp $78 - $340 6%
County Coroner $78 - $340 6%
County Funding Generic $78 - $340 6%
Covid19 Hrsa Uninsured Testing And Treatment Fund $78 - $340 6%
Dean Wi Badgercare $78 - $340 6%
Delaware County Department Of Health $78 - $340 6%
Delaware First Health $78 - $340 6%
Delta Dental Nj $78 - $340 6%
Dph Tb Program $78 - $340 6%
Dscc $78 - $340 6%
Eastpointe Lme $78 - $340 6%
Family Health Network $78 - $340 6%
Freedom First Healthcare $78 - $340 6%
Fresno County Ccs $78 - $340 6%
Ghc Scw Wi Badgercare $78 - $340 6%
Harbor Health $78 - $340 6%
Health Safety Net $78 - $340 6%
Healthy Blue Ne $78 - $340 6%
Hennepin Health $78 - $340 6%
Humana $78 - $693 6%
Id County Ada $78 - $340 6%
Id County Canyon $78 - $340 6%
Id County Cat Fund $78 - $340 6%
Id County Other $78 - $340 6%
Id County Payette $78 - $340 6%
Idaho Dept Health And Wellfare $78 - $340 6%
Idaho Womens Health Check $78 - $340 6%
Indiana Breast Cervical Cancer $78 - $340 6%
Inland Empire Health Plan $78 - $340 6%
Intercommunity Health Ohp $78 - $340 6%
Iowa Total Care $78 - $340 6%
Jai Medical System $78 - $340 6%
Kern Family Health Plan $78 - $340 6%
Keystone First $78 - $340 6%
Keystone First Chip $78 - $340 6%
La Care Health Plan $78 - $340 6%
Lakeland Care Inc $78 - $340 6%
Managed Health Services - Indiana $78 - $340 6%
Maryland Breast & Cervical Program $78 - $340 6%
Maryland Healthy Smiles - Scion Dental $78 - $340 6%
Maryland Physicians Care $78 - $340 6%
Massachusetts Behavioral Health Partnership $78 - $340 6%
Mdwise $78 - $340 6%
Medi-Cal $78 - $340 6%
Medi-Cal Healthnet $78 - $340 6%
Medstar Dc Healthy Family $78 - $340 6%
Medstar Md Health Choice $78 - $340 6%
Mo Home State Health Plan $78 - $340 6%
Molina Centennial Care $78 - $340 6%
Nascentia Health Options $78 - $340 6%
Nebraska Total Care $78 - $340 6%
New York Cancer Services Program $78 - $340 6%
Nextlevel Health $78 - $340 6%
Oregon Screenwise $78 - $170 6%
Pace Of Southwest Michigan $78 - $340 6%
Paramount Advantage $78 - $340 6%
Parkland Community Health Plan $78 - $340 6%
Partners Behavioral Lme $78 - $340 6%
Peach State Healthplan $78 - $340 6%
Philadelphia County Funding $78 - $340 6%
Presbyterian Centennial Care $78 - $340 6%
Prestige Health Choice $78 - $340 6%
Priority Partners $78 - $340 6%
Robert F Sing Program $78 - $340 6%
Rx 340B Pass Along $78 - $340 6%
Rx Assistance/Rx Manufacturer Assistance 0 Copay $78 - $340 6%
Rx Medi-Cal $78 - $340 6%
Rx Meridian Rx $78 - $340 6%
Ryan White Florida Mssrp $78 - $340 6%
Sandhills Center Lme $78 - $340 6%
Screening For Life $78 - $340 6%
St Joseph County Hlth Dpt $78 - $340 6%
Stephenson Cty Health $78 - $340 6%
Sunshine State Health Plan $78 - $340 6%
Superior Health $78 - $340 6%
Tenncare $78 - $340 6%
Texas Children'S Health Plan $78 - $340 6%
Trillium Community Ohp $78 - $340 6%
Tufts Health Public Plans $78 - $340 6%
UnitedHealthcare $78 - $449 6%
Vaya Health Lme $78 - $340 6%
Washtenaw Health Plan $78 - $340 6%
Wellsense Health Plan $78 - $340 6%
Wi Womens Wellness $78 - $340 6%
Align Senior Care $85 - $233 7%
Ally Align Care Adv $85 - $233 7%
American Health Plan $85 - $233 7%
Aurora Special Needs $85 - $233 7%
Blue Care Network Advantage $85 - $233 7%
Blue Shield - De (Highmark) Medciare Advantage $85 - $233 7%
Care Dimensions $85 - $233 7%
Care Improvement Plus $85 - $233 7%
Care Resources Pace $85 - $233 7%
Careplus Health Plans $85 - $233 7%
Cca - Zing Health $85 - $233 7%
Cca Senior Care Options $85 - $233 7%
Central Valley Medical Services Corp Pace $85 - $233 7%
Champion Health Plan Mcr Advantage $85 - $233 7%
Clear Spring Health $85 - $233 7%
Clover Health $85 - $233 7%
Commonwealth Care Alliance $85 - $233 7%
Community Pace At Home $85 - $233 7%
Eddy Senior Care-Pace $85 - $233 7%
Eddy Seniorcare Pace $85 - $233 7%
Elementcare $85 - $233 7%
Evercare $85 - $233 7%
Everence $85 - $233 7%
Gateway Health Plan $85 - $233 7%
Genesys Pace Of Genesee County $85 - $233 7%
Georgia Health Advantage $85 - $233 7%
Gold Advantage $85 - $233 7%
Gpa Croell Redi Mix $85 - $233 7%
Health America Advantra $85 - $233 7%
Highmark Health Options Dual Plan $85 - $233 7%
Hope Select Pace $85 - $233 7%
Horizon Nj Total Care $85 - $233 7%
Hudson Headwaters Pace $85 - $233 7%
Huron Valley Pace $85 - $233 7%
Innovative Integrated Health Community Plans $85 - $233 7%
Iowa Health Advantage $85 - $233 7%
Johns Hopkins Advantage Md $85 - $233 7%
Lasso Healthcare Msa $85 - $233 7%
Life St Marys Pace $85 - $233 7%
Lifecircles Pace $85 - $233 7%
Longevity Health Plan $85 - $233 7%
Longevity Ipa Of Michigan Llc Health Plan Isnp $85 - $233 7%
Martins Point Generations Advantage $85 - $233 7%
Mass General Brigham Mcr Adv $85 - $233 7%
Medicare (plans) $85 - $261 7%
Medipak Advantage $85 - $233 7%
Mercy Life $85 - $233 7%
Mercyone Cedar Valley $85 - $233 7%
Meridian Complete $85 - $233 7%
Michigan Complete Health $85 - $233 7%
Nascentia Health Plus $85 - $233 7%
New Centry Health Careplus $85 - $233 7%
Osu Prime Care Advantage $85 - $233 7%
Pace Cny $85 - $233 7%
Pace Iowa Immanuel Pathways $85 - $233 7%
Pace Southeast $85 - $233 7%
Pace-Trinity Health $85 - $233 7%
Peak Pace Solutions $85 - $233 7%
Perennial Advantage $85 - $233 7%
Preferred Care Partners $85 - $233 7%
Presbyterian Senior Plan $85 - $233 7%
Provider Partners Health Plan Of Illinois $85 - $233 7%
Provider Partners Health Plan Of Indiana $85 - $233 7%
Pruitthealth Premier $85 - $233 7%
Reliance Community Care Partners Care Resources Pace $85 - $233 7%
Rx Allwin $85 - $233 7%
Rx Grane Grnmedd $85 - $233 7%
Rx Retiree Rx Care $85 - $233 7%
Scan Health Plan Mcr Ipa Meritage Oon $85 - $233 7%
Secure Horizons Ma Pffs $85 - $233 7%
Serenity Pace $85 - $233 7%
Siouxland Pace $85 - $233 7%
Solis Health Plans $85 - $233 7%
Sunnyview-Pace Finance Dept $85 - $233 7%
Texan Plus $85 - $233 7%
The Health Plan $85 - $233 7%
Thome Pace $85 - $233 7%
Todays Options $85 - $233 7%
Tribute Health Plans $85 - $233 7%
Um Health Advantage $85 - $233 7%
Union Health Service $85 - $233 7%
Welbe Health $85 - $233 7%
Wellmed $85 - $233 7%
Veterans Administration $87 - $237 7%
American Health Advantage Of Idaho $88 - $244 7%
Champva $93 - $203 8%
Tricare $93 - $203 8%
Triwest Health Alliance $93 - $203 8%
Us Family Health Plan $93 - $203 8%
Veterans Eval Services $93 - $203 8%
Webtpa $156 - $427 13%
Molina Marketplace $169 - $463 14%
Pacificsource Health Plans $191 - $463 16%
Moda Health $192 - $416 16%
Mountain Health Co-Op $192 - $416 16%
Selecthealth $192 - $512 16%
Bcn Domestic $203 - $458 17%
Blue Benefit Administrators Of Massachusetts $203 - $458 17%
Blue Care Network $203 - $458 17%
Blue Distinction Transplant $203 - $458 17%
Blue Shield - Ca $203 - $458 17%
Blue Shield - Id (Regence) $203 - $464 17%
Blue Shield - Ny Highmark Northeastern $203 - $458 17%
Blue Shield - Ny Highmark Western $203 - $458 17%
Blue Shield - Pa (Highmark) $203 - $458 17%
Blue Shield - Wa (Regence) $203 - $458 17%
Health Choices $203 - $458 17%
Kaiser Domestic $203 - $458 17%
Pre-Employment $203 - $458 17%
Wc Domestic $203 - $458 17%
Asuris Northwest Health $210 - $464 17%
Healthcare Management Admin $210 - $464 17%
Geha $214 - $449 18%
First Choice Health $244 - $433 20%
Providence $244 - $433 20%
Allied National Global Care $246 - $486 20%
Asrm - Reliance Standard Life Insurance $246 - $486 20%
Christian Care Ministry $246 - $486 20%
Dean Health $246 - $486 20%
Fallon Health $246 - $486 20%
Family Life Insurance Company $246 - $486 20%
Ghc Scw $246 - $486 20%
International Benefit Administrators $246 - $486 20%
Lifetime Benefit Solutions $246 - $486 20%
Manhattan Life $246 - $486 20%
Medi Share $246 - $486 20%
Multiplan $246 - $486 20%
Pai $246 - $486 20%
Pan-American Life $246 - $486 20%
Paramount Hmo $246 - $486 20%
Phcs $246 - $486 20%
Trinity Health Share $246 - $486 20%
Andrie Inc $269 - $579 22%
East Greenbush Central School District $269 - $579 22%
Genex Wc $269 - $579 22%
Healthsmart Workers Comp $269 - $579 22%
Jag Source $269 - $579 22%
New York State Insurance Fund $269 - $579 22%
Njm Insurance Group $269 - $579 22%
Rx Heatlhcomp $269 - $579 22%
Rx Restat $269 - $579 22%
Rx Saif Opdp Wc $269 - $579 22%
Rx Worker'S Comp $269 - $579 22%
Wc Accident Fund $269 - $579 22%
Wc Ace $269 - $579 22%
Wc Acs Federal Employees $269 - $579 22%
Wc Acuity $269 - $579 22%
Wc Advantage $269 - $579 22%
Wc Aegis $269 - $579 22%
Wc Aig $269 - $579 22%
Wc Aims $269 - $579 22%
Wc Alaska National Ins $269 - $579 22%
Wc Align Network $269 - $579 22%
Wc Allied $269 - $579 22%
Wc Am Trust N America $269 - $579 22%
Wc American Claims Mgmt $269 - $579 22%
Wc Amerisure $269 - $579 22%
Wc Amtrust $269 - $579 22%
Wc Asu Risk Mgt $269 - $579 22%
Wc Benetech $269 - $579 22%
Wc Berkley Admin $269 - $579 22%
Wc Broadspire $269 - $579 22%
Wc Broward County $269 - $579 22%
Wc Bunch & Associates $269 - $579 22%
Wc California State Comp Ins $269 - $579 22%
Wc California State Ins Fund $269 - $579 22%
Wc Capitol Area Health Consortium $269 - $579 22%
Wc Ccmsi $269 - $579 22%
Wc Chartis $269 - $579 22%
Wc Chubb $269 - $579 22%
Wc Cirma $269 - $579 22%
Wc City Of Albany $269 - $579 22%
Wc City Of Sioux City $269 - $579 22%
Wc Claims Mgmt Inc $269 - $579 22%
Wc Cna $269 - $579 22%
Wc Comp One Admin C/O Manageability $269 - $579 22%
Wc Compone Admin $269 - $579 22%
Wc Corvel $269 - $579 22%
Wc Ct Healthcare Trust $269 - $579 22%
Wc Donegal Insurance Group $269 - $579 22%
Wc Emc Insurance Company $269 - $579 22%
Wc Employee Mutual $269 - $579 22%
Wc Enablecomp $269 - $579 22%
Wc Encore Health Network $269 - $579 22%
Wc Erie $269 - $579 22%
Wc Esis $269 - $579 22%
Wc Evolutions $269 - $579 22%
Wc Fcci $269 - $579 22%
Wc Fed Ex $269 - $579 22%
Wc Federal Black Lung $269 - $579 22%
Wc Federated $269 - $579 22%
Wc Finley Occupational Health $269 - $579 22%
Wc First Agency/Occunet $269 - $579 22%
Wc Ford Motor $269 - $579 22%
Wc Fresno Unified Emp $269 - $579 22%
Wc Gallagher Bassett $269 - $579 22%
Wc General Motors $269 - $579 22%
Wc Generic $269 - $579 22%
Wc Genex Care For Ohio $269 - $579 22%
Wc Great West Casualty $269 - $579 22%
Wc Guarantee Insurance $269 - $579 22%
Wc Guard Insurance Company $269 - $579 22%
Wc Hab $269 - $579 22%
Wc Hartford $269 - $579 22%
Wc Hastings $269 - $579 22%
Wc Health Management $269 - $579 22%
Wc Heritage Summit $269 - $579 22%
Wc Hireright $269 - $579 22%
Wc Horizon $269 - $579 22%
Wc Icw Group $269 - $579 22%
Wc Idaho State Ins Fund $269 - $579 22%
Wc Intercare Insurance $269 - $579 22%
Wc Intermountain $269 - $579 22%
Wc Johns Eastern $269 - $579 22%
Wc Kemberton $269 - $579 22%
Wc Key Ins & Benefit Solutions $269 - $579 22%
Wc Liberty Mutual $269 - $579 22%
Wc Mac Risk Management $269 - $579 22%
Wc Massachusetts $269 - $579 22%
Wc Mdia $269 - $579 22%
Wc Meadowbrook Claim $269 - $579 22%
Wc Medical Administrators $269 - $579 22%
Wc Meijers $269 - $579 22%
Wc Memic $269 - $579 22%
Wc Mercy Workcare $269 - $579 22%
Wc Michigan $269 - $579 22%
Wc Michigan Millers Mutual $269 - $579 22%
Wc Mitchell Frankenmuth $269 - $579 22%
Wc Mra $269 - $579 22%
Wc Nationwide $269 - $579 22%
Wc Nca Comp $269 - $579 22%
Wc New York $269 - $579 22%
Wc New York Special Funds $269 - $579 22%
Wc North American Rishces $269 - $579 22%
Wc Northeast Health $269 - $579 22%
Wc Notre Dame $269 - $579 22%
Wc Novanet $269 - $579 22%
Wc O'Hara Corp $269 - $579 22%
Wc Occ Health Allen $269 - $579 22%
Wc Ohio Bureau $269 - $579 22%
Wc One Call Medical $269 - $579 22%
Wc Paradigm $269 - $579 22%
Wc Peerless $269 - $579 22%
Wc Pma $269 - $579 22%
Wc Praxis Health Network $269 - $579 22%
Wc Price Chopper $269 - $579 22%
Wc Procura Management $269 - $579 22%
Wc Qualcare $269 - $579 22%
Wc Quiktrip $269 - $579 22%
Wc Reny Company $269 - $579 22%
Wc Rev Claims $269 - $579 22%
Wc Risico $269 - $579 22%
Wc Rural Mutual $269 - $579 22%
Wc Saif Oregon $269 - $579 22%
Wc Secura $269 - $579 22%
Wc Sedgwick $269 - $579 22%
Wc Sentry $269 - $579 22%
Wc Sheakley Unicomp $269 - $579 22%
Wc Smile Lodge $269 - $579 22%
Wc Society $269 - $579 22%
Wc Srs $269 - $579 22%
Wc Taconic (Mro) $269 - $579 22%
Wc Taconic Farms $269 - $579 22%
Wc Travelers $269 - $579 22%
Wc Triad Group $269 - $579 22%
Wc Tristar $269 - $579 22%
Wc Troy Ny $269 - $579 22%
Wc Tyson $269 - $579 22%
Wc Unified Health Services $269 - $579 22%
Wc United Heartland $269 - $579 22%
Wc Us Dept Of Labor $269 - $579 22%
Wc Velocity $269 - $579 22%
Wc Walmart $269 - $579 22%
Wc West Bend $269 - $579 22%
Wc West Bend Mutual/Argent $269 - $579 22%
Wc Winnebago Industries $269 - $579 22%
Wc Yankee Trails $269 - $579 22%
Wc York Risk $269 - $579 22%
Wc Zenith $269 - $579 22%
Wc Zurich $269 - $579 22%

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