CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Saint Alphonsus Medical Center Ontario

Billing Code: 77066 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$196
about 1.2× the $157 Medicare rate · typically $95–$391
modeled estimate · not a bill or quote
What this hospital charges insurers
$176
Below the fair price — a good deal
about $20 under the fair price · 1.1× Medicare
Medicare pays $157 Fair price $196 This hospital $176 Cash price $348 Hospital's list price $536

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 $50 Priciest $176

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

A fair price for a Diagnostic mammogram (both breasts) is about $196 (about 1.2× the $157 Medicare rate). Saint Alphonsus Medical Center Ontario charges insurers about $176, or about $348 in cash — below the fair price — a good deal. 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 $108 - $515 69%
Blue Cross Blue Shieldmajor $108 - $456 69%
Aetnamajor $111 - $508 71%
Cignamajor $161 - $504 103%
Humanamajor $161 - $472 103%
Ambetter (Centene) $161 103%
Dean Health Plan $482 307%
GEHA $508 - $515 324%
Health Net $161 - $450 103%
HealthPartners $161 - $418 103%
Meridian $161 103%
Moda Health $197 - $520 125%
Molina $161 103%
PacificSource $322 - $504 205%
Paramount $161 - $482 103%
Presbyterian $161 103%
Priority Health $504 321%
SelectHealth $248 - $482 158%
Tufts Health Plan $161 103%
WellSense $161 103%
+ 93 smaller / regional plans $112 - $509
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