CMS Price Transparency Data

CT scan, lower back (lumbar spine)

Facility: Saint Alphonsus Medical Center Ontario

Billing Code: 72131 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$317
about 3.0× the $107 Medicare rate · typically $111–$434
modeled estimate · not a bill or quote
What this hospital charges insurers
$312
About the fair price
about $5 under the fair price · 2.9× Medicare
Medicare pays $107 Fair price $317 This hospital $312 Cash price $1,299 Hospital's list price $1,998

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 $51 Priciest $312

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 CT scan, lower back (lumbar spine) is about $317 (about 3.0× the $107 Medicare rate). Saint Alphonsus Medical Center Ontario charges insurers about $312, or about $1,299 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 $122 - $1,918 114%
Blue Cross Blue Shieldmajor $122 - $1,698 114%
Aetnamajor $126 - $1,892 118%
Cignamajor $599 - $1,878 561%
Humanamajor $599 - $1,758 561%
Ambetter (Centene) $599 561%
Dean Health Plan $1,798 1683%
GEHA $1,892 - $1,918 1771%
Health Net $599 - $1,678 561%
HealthPartners $599 - $1,558 561%
Meridian $599 561%
Moda Health $242 - $1,938 227%
Molina $599 561%
PacificSource $386 - $1,878 361%
Paramount $599 - $1,798 561%
Presbyterian $599 561%
Priority Health $1,878 1758%
SelectHealth $410 - $1,798 384%
Tufts Health Plan $599 561%
WellSense $599 561%
+ 93 smaller / regional plans $127 - $1,898
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