CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Saint Alphonsus Medical Center Ontario

Billing Code: 99203 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$92
about 0.8× the $118 Medicare rate · typically $57–$179
modeled estimate · not a bill or quote
What this hospital charges insurers
$68
Below the fair price — a good deal
about $24 under the fair price · 0.6× Medicare
Medicare pays $118 Fair price $92 This hospital $68 Cash price $181 Hospital's list price $181

How we calculate the fair BaseRate →

How this hospital compares to other OR hospitals

One of the lower prices — 7 of 8 other OR hospitals charge more for the same procedure.

Cheapest $62 Priciest $132

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

A fair price for a New patient office visit (30-44 min) is about $92 (about 0.8× the $118 Medicare rate). Saint Alphonsus Medical Center Ontario charges insurers about $68, or about $181 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.

6 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 $56 - $146 48%
Blue Cross Blue Shieldmajor $56 - $165 48%
Aetnamajor $56 - $149 48%
Cignamajor $56 - $141 48%
Humanamajor $56 - $95 48%
Kaiser Permanentemajor $165 140%
Ambetter (Centene) $58 - $68 49%
Clover Health $56 - $66 48%
Dean Health Plan $178 151%
GEHA $124 - $146 105%
Health Net $58 - $149 49%
HealthPartners $58 - $68 49%
Meridian $56 - $68 48%
Moda Health $126 - $146 107%
Molina $58 - $132 49%
PacificSource $118 - $137 100%
Paramount $58 - $178 49%
Presbyterian $56 - $68 48%
SelectHealth $146 - $177 124%
Tufts Health Plan $58 - $68 49%
WellMed $56 - $66 48%
WellSense $58 - $68 49%
+ 363 smaller / regional plans $56 - $178
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 12 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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 351 Sw 9Th Street, Ontario, OR 97914
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals