CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Saint Alphonsus Medical Center Ontario

Billing Code: 77067 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$164
about 1.3× the $126 Medicare rate · typically $77–$329
modeled estimate · not a bill or quote
What this hospital charges insurers
$145
Below the fair price — a good deal
about $19 under the fair price · 1.2× Medicare
Medicare pays $126 Fair price $164 This hospital $145 Cash price $211 Hospital's list price $325

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 $39 Priciest $145

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

A fair price for a Screening mammogram (both breasts) is about $164 (about 1.3× the $126 Medicare rate). Saint Alphonsus Medical Center Ontario charges insurers about $145, or about $211 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 $89 - $320 70%
Blue Cross Blue Shieldmajor $89 - $283 70%
Aetnamajor $92 - $315 73%
Cignamajor $95 - $313 75%
Humanamajor $95 - $293 75%
Ambetter (Centene) $95 - $100 75%
Dean Health Plan $284 - $300 225%
GEHA $299 - $320 237%
Health Net $95 - $280 75%
HealthPartners $95 - $260 75%
Meridian $95 - $100 75%
Moda Health $163 - $323 129%
Molina $95 - $100 75%
PacificSource $190 - $313 150%
Paramount $95 - $300 75%
Presbyterian $95 - $100 75%
Priority Health $297 - $313 235%
SelectHealth $193 - $300 153%
Tufts Health Plan $95 - $100 75%
WellSense $95 - $100 75%
+ 93 smaller / regional plans $92 - $316
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