CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Saint Alphonsus Medical Center Ontario

Billing Code: 73721 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$492
about 2.0× the $244 Medicare rate · typically $186–$794
modeled estimate · not a bill or quote
What this hospital charges insurers
$696
Above the fair price
about $204 over the fair price · 2.9× Medicare
Medicare pays $244 Fair price $492 This hospital $696 Cash price $1,867 Hospital's list price $2,873

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 $69 Priciest $696

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

A fair price for a MRI, knee or other leg joint is about $492 (about 2.0× the $244 Medicare rate). Saint Alphonsus Medical Center Ontario charges insurers about $696, or about $1,867 in cash — above the fair price. Located in Ontario, OR.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $492. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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 $278 - $3,309 114%
Blue Cross Blue Shieldmajor $278 - $2,930 114%
Aetnamajor $287 - $3,264 118%
Cignamajor $689 - $3,240 283%
Humanamajor $689 - $3,033 283%
Ambetter (Centene) $689 - $1,034 283%
Dean Health Plan $2,068 - $3,102 848%
GEHA $2,176 - $3,309 893%
Health Net $689 - $2,895 283%
HealthPartners $689 - $2,689 283%
Meridian $689 - $1,034 283%
Moda Health $552 - $3,344 226%
Molina $689 - $1,034 283%
PacificSource $1,379 - $3,240 566%
Paramount $689 - $3,102 283%
Presbyterian $689 - $1,034 283%
Priority Health $2,160 - $3,240 886%
SelectHealth $271 - $3,102 111%
Tufts Health Plan $689 - $1,034 283%
WellSense $689 - $1,034 283%
+ 93 smaller / regional plans $290 - $3,275
Government programs also on file: Medicare, Medicaid.
Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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.

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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