CT scan, sinuses
Facility: Saint Alphonsus Medical Center Ontario
Billing Code: 70486 (CPT)
This hospital's typical commercial price is $312 compared to the $316 fair price benchmark.
2-Star CMS clinical quality rating paired with 0.99× fair market pricing.
Highest price of the 9 OR hospitals we have prices for — worth calling around.
Black dot = this hospital, among the 9 OR hospitals with a price for this procedure. Full list below.
A fair price for a CT scan, sinuses is about $316 (about 3.0× the $107 Medicare rate). Saint Alphonsus Medical Center Ontario charges insurers about $312, or about $893 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
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 - $1,319 | 114% |
| Blue Cross Blue Shieldmajor | $122 - $1,168 | 114% |
| Aetnamajor | $126 - $1,301 | 118% |
| Cignamajor | $412 - $1,292 | 386% |
| Humanamajor | $412 - $1,209 | 386% |
| Ambetter (Centene) | $412 | 386% |
| Dean Health Plan | $1,237 | 1158% |
| GEHA | $1,301 - $1,319 | 1218% |
| Health Net | $412 - $1,154 | 386% |
| HealthPartners | $412 - $1,072 | 386% |
| Meridian | $412 | 386% |
| Moda Health | $242 - $1,333 | 227% |
| Molina | $412 | 386% |
| PacificSource | $420 - $1,292 | 393% |
| Paramount | $412 - $1,237 | 386% |
| Presbyterian | $412 | 386% |
| Priority Health | $1,292 | 1210% |
| SelectHealth | $439 - $1,237 | 411% |
| Tufts Health Plan | $412 | 386% |
| WellSense | $412 | 386% |
| + 93 smaller / regional plans | $127 - $1,305 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at Saint Alphonsus Medical Center Ontario
Compare: CT scan, sinuses at other OR hospitals
- Southern Coos Hospital & Health Center · Bandon $39
- Adventist Health Tillamook · Tillamook $44
- Samaritan North Lincoln Hospital · Lincoln City $59
- Samaritan Pacific Community Hospital · Newport $59
- Samaritan Lebanon Community Hospital · Lebanon $59
- Good Samaritan Regional Medical Center · Corvallis $60
- Samaritan Albany General Hospital · Albany $60
- Lower Umpqua Hospital District · Reedsport $64
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at Saint Alphonsus Medical Center Ontario (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $499
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $499).
Self-Pay Cash Rate ($893) Beats Your Bill
Saint Alphonsus Medical Center Ontario's published 45 CFR § 180 self-pay cash rate is $893 (vs. $312 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $316 Fair BaseRate ($107 Medicare)
Your bill ($1,374) is $1,058 above the denoised Fair BaseRate ($316) and 12.8× the $107 Medicare rate.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.