CMS Price Transparency Data
Diagnostic procedure preparation
Facility: Saint Alphonsus Medical Center Ontario
Billing Code: G0279 (HCPCS)
The BaseRate · fair price medium confidence
A fair price for this
$40
about 1.0× the $40 Medicare rate · typically $17–$76
modeled estimate · not a bill or quote
Medicare pays $40 Fair price $40 Cash price $49 Hospital's list price $75
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 | $12 - $86 | 30% |
| Blue Cross Blue Shieldmajor | $12 - $176 | 30% |
| Aetnamajor | $13 - $85 | 32% |
| Cignamajor | $18 - $85 | 45% |
| Humanamajor | $18 - $79 | 45% |
| Ambetter (Centene) | $18 - $27 | 45% |
| Dean Health Plan | $54 - $81 | 134% |
| GEHA | $57 - $86 | 141% |
| Health Net | $18 - $76 | 45% |
| HealthPartners | $18 - $70 | 45% |
| Meridian | $18 - $27 | 45% |
| Moda Health | $36 - $87 | 89% |
| Molina | $18 - $27 | 45% |
| PacificSource | $36 - $85 | 89% |
| Paramount | $18 - $81 | 45% |
| Presbyterian | $18 - $27 | 45% |
| Priority Health | $56 - $85 | 139% |
| SelectHealth | $41 - $81 | 101% |
| Tufts Health Plan | $18 - $27 | 45% |
| WellSense | $18 - $27 | 45% |
| + 93 smaller / regional plans | $13 - $189 |
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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Other Procedures at Saint Alphonsus Medical Center Ontario
Compare: Diagnostic procedure preparation at other OR hospitals
- Legacy Silverton Medical Center · Silverton $15
- Providence Newberg Medical Center · Newberg $15
- Providence Medford Medical Center · Medford $15
- Legacy Emanuel Medical Center · Portland $16
- Legacy Good Samaritan Medical Center · Portland $16
- Legacy Mount Hood Medical Center · Gresham $16
- Legacy Meridian Park Medical Center · Tualatin $16
- Kaiser Sunnyside Medical Center · Clackamas $17
Insurance negotiated median for the same procedure, sorted lowest first.