CMS Price Transparency Data

Total knee replacement

Facility: Saint Alphonsus Medical Center Ontario

Billing Code: 27447 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 27447
  • Insurance Median: $502
  • Cash Discount Price: $2,481
  • vs. Medicare Baseline: 0.04x Medicare
The contracted insurance negotiated median rate for a Total knee replacement at Saint Alphonsus Medical Center Ontario is $502. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,481. Compared to the federal Medicare reimbursement reference rate of $13,116.76, this hospital’s rate is 0.04x the Medicare baseline. Located in 351 Sw 9Th Street, Ontario, OR.
Cash / Self-Pay
$2,481

Average discount available for prompt cash payment at this facility.

Insurance Median
$502

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$13,116.76

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $13,116.76 (100%)
Cash / Self-Pay: $2,481 (19%)
Insurance Median: $502 (4%)
Cash: $2,481 (19% of Medicare)
Ins. Median: $502 (4% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $13,116.76 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

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Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Cigna $127 - $1,593 1%
Bcn Domestic $131 - $1,966 1%
Blue Benefit Administrators Of Massachusetts $131 - $1,966 1%
Blue Care Network $131 - $1,966 1%
Blue Cross Blue Shield $131 - $1,966 1%
Blue Distinction Transplant $131 - $1,966 1%
Blue Shield - Ca $131 - $1,966 1%
Blue Shield - Id (Regence) $131 - $2,051 1%
Blue Shield - Ny Highmark Northeastern $131 - $1,966 1%
Blue Shield - Ny Highmark Western $131 - $1,966 1%
Blue Shield - Pa (Highmark) $131 - $1,966 1%
Blue Shield - Wa (Regence) $131 - $1,966 1%
Health Choices $131 - $1,966 1%
Kaiser Domestic $131 - $1,966 1%
Pre-Employment $131 - $1,966 1%
Wc Domestic $131 - $1,966 1%
Aetna $132 - $2,493 1%
Align Senior Care $132 - $822 1%
Ally Align Care Adv $132 - $822 1%
American Health Plan $132 - $822 1%
Aurora Special Needs $132 - $822 1%
Blue Care Network Advantage $132 - $822 1%
Blue Shield - De (Highmark) Medciare Advantage $132 - $822 1%
Care Dimensions $132 - $822 1%
Care Improvement Plus $132 - $822 1%
Care Resources Pace $132 - $822 1%
Careplus Health Plans $132 - $822 1%
Cca - Zing Health $132 - $822 1%
Cca Senior Care Options $132 - $822 1%
Central Valley Medical Services Corp Pace $132 - $822 1%
Champion Health Plan Mcr Advantage $132 - $822 1%
Clear Spring Health $132 - $822 1%
Clover Health $132 - $822 1%
Commonwealth Care Alliance $132 - $822 1%
Community Pace At Home $132 - $822 1%
Eddy Senior Care-Pace $132 - $822 1%
Eddy Seniorcare Pace $132 - $822 1%
Elementcare $132 - $822 1%
Evercare $132 - $822 1%
Everence $132 - $822 1%
Gateway Health Plan $132 - $822 1%
Genesys Pace Of Genesee County $132 - $822 1%
Georgia Health Advantage $132 - $822 1%
Gold Advantage $132 - $822 1%
Gpa Croell Redi Mix $132 - $822 1%
Health America Advantra $132 - $822 1%
Highmark Health Options Dual Plan $132 - $822 1%
Hope Select Pace $132 - $822 1%
Horizon Nj Total Care $132 - $822 1%
Hudson Headwaters Pace $132 - $822 1%
Humana $132 - $4,752 1%
Huron Valley Pace $132 - $822 1%
Innovative Integrated Health Community Plans $132 - $822 1%
Iowa Health Advantage $132 - $822 1%
Johns Hopkins Advantage Md $132 - $822 1%
Lasso Healthcare Msa $132 - $822 1%
Life St Marys Pace $132 - $822 1%
Lifecircles Pace $132 - $822 1%
Longevity Health Plan $132 - $822 1%
Longevity Ipa Of Michigan Llc Health Plan Isnp $132 - $822 1%
Martins Point Generations Advantage $132 - $822 1%
Mass General Brigham Mcr Adv $132 - $822 1%
Medicare (plans) $132 - $923 1%
Medipak Advantage $132 - $822 1%
Mercy Life $132 - $822 1%
Mercyone Cedar Valley $132 - $822 1%
Meridian Complete $132 - $822 1%
Michigan Complete Health $132 - $822 1%
Nascentia Health Plus $132 - $822 1%
New Centry Health Careplus $132 - $822 1%
Osu Prime Care Advantage $132 - $822 1%
Pace Cny $132 - $822 1%
Pace Iowa Immanuel Pathways $132 - $822 1%
Pace Of Southwest Michigan $132 - $1,506 1%
Pace Southeast $132 - $822 1%
Pace-Trinity Health $132 - $822 1%
Peak Pace Solutions $132 - $822 1%
Perennial Advantage $132 - $822 1%
Preferred Care Partners $132 - $822 1%
Presbyterian Senior Plan $132 - $822 1%
Provider Partners Health Plan Of Illinois $132 - $822 1%
Provider Partners Health Plan Of Indiana $132 - $822 1%
Pruitthealth Premier $132 - $822 1%
Reliance Community Care Partners Care Resources Pace $132 - $822 1%
Rx Allwin $132 - $822 1%
Rx Grane Grnmedd $132 - $822 1%
Rx Retiree Rx Care $132 - $822 1%
Scan Health Plan Mcr Ipa Meritage Oon $132 - $822 1%
Secure Horizons Ma Pffs $132 - $822 1%
Serenity Pace $132 - $822 1%
Siouxland Pace $132 - $822 1%
Solis Health Plans $132 - $822 1%
Sunnyview-Pace Finance Dept $132 - $822 1%
Texan Plus $132 - $822 1%
The Health Plan $132 - $822 1%
Thome Pace $132 - $822 1%
Todays Options $132 - $822 1%
Tribute Health Plans $132 - $822 1%
Um Health Advantage $132 - $822 1%
Union Health Service $132 - $822 1%
UnitedHealthcare $132 - $2,173 1%
Welbe Health $132 - $822 1%
Wellmed $132 - $822 1%
Veterans Administration $134 - $839 1%
Asuris Northwest Health $137 - $2,051 1%
Healthcare Management Admin $137 - $2,051 1%
American Health Advantage Of Idaho $138 - $864 1%
Medicaid / KanCare $139 - $3,136 1%
Champva $145 - $904 1%
Tricare $145 - $904 1%
Triwest Health Alliance $145 - $904 1%
Us Family Health Plan $145 - $904 1%
Veterans Eval Services $145 - $904 1%
Moda Health $152 - $2,287 1%
Mountain Health Co-Op $152 - $2,287 1%
Selecthealth $152 - $2,305 1%
Meritain $154 - $1,441 1%
Albany County Correctional Facility $161 - $1,506 1%
Ambetter / Centene $161 - $1,506 1%
Amish Mennonite $161 - $1,506 1%
Ascension St. Vincent Public Safety Medical $161 - $1,506 1%
Bcccp-Michigan $161 - $1,506 1%
Bccp $161 - $1,506 1%
Bmc Healthnet $161 - $1,506 1%
Breast Grant-Connecticut $161 - $1,506 1%
Broward County Dept Of Health $161 - $1,506 1%
California Health And Wellness $161 - $1,506 1%
Can Community Health Inc $161 - $1,506 1%
Cardinal Innovations Lme $161 - $1,506 1%
Care Connections Of Northern Iowa $161 - $1,506 1%
Care Oregon Ohp $161 - $1,506 1%
Cencal Health Plan $161 - $1,506 1%
Cenpatico $161 - $1,506 1%
Chhuny $161 - $1,506 1%
Childrens Comm Health Plan $161 - $1,506 1%
Childrens Medical Services Title 19 $161 - $1,506 1%
City Of Philadelphia $161 - $1,506 1%
Cmh Allegan County $161 - $1,506 1%
Cmh Ausable Valley $161 - $1,506 1%
Cmh Barry County $161 - $1,506 1%
Cmh Bay-Arenac County $161 - $1,506 1%
Cmh Berrien County $161 - $1,506 1%
Cmh Cass County $161 - $1,506 1%
Cmh Central Mi County $161 - $1,506 1%
Cmh Clinton-Eaton-Ingham County $161 - $1,506 1%
Cmh Detroit Wayne Integrated Health Network $161 - $1,506 1%
Cmh Genesee County $161 - $1,506 1%
Cmh Ionia County $161 - $1,506 1%
Cmh Jackson County/Lifeways $161 - $1,506 1%
Cmh Kalamazoo $161 - $1,506 1%
Cmh Kent County $161 - $1,506 1%
Cmh Lenawee County $161 - $1,506 1%
Cmh Livingston County $161 - $1,506 1%
Cmh Macomb $161 - $1,506 1%
Cmh Misc $161 - $1,506 1%
Cmh Monroe County $161 - $1,506 1%
Cmh Montcalm County $161 - $1,506 1%
Cmh Muskegon County $161 - $1,506 1%
Cmh Newaygo County $161 - $1,506 1%
Cmh North Country $161 - $1,506 1%
Cmh Northern Lakes County $161 - $1,506 1%
Cmh Oakland County $161 - $1,506 1%
Cmh Ottawa County $161 - $1,506 1%
Cmh Van Buren County $161 - $1,506 1%
Cmh Washtenaw County $161 - $1,506 1%
Cmh Wayne County/Carelink $161 - $1,506 1%
Cmh Wayne Cty/Com Liv Svcs $161 - $1,506 1%
Cmh West Mi County $161 - $1,506 1%
Community Benefit Health $161 - $1,506 1%
Community Care Behavorial Health $161 - $1,506 1%
Community Care Partners $161 - $1,506 1%
Community Health Choice $161 - $1,506 1%
Connections Csp $161 - $1,506 1%
County Coroner $161 - $1,506 1%
County Funding Generic $161 - $1,506 1%
Covid19 Hrsa Uninsured Testing And Treatment Fund $161 - $1,506 1%
Dean Wi Badgercare $161 - $1,506 1%
Delaware County Department Of Health $161 - $1,506 1%
Delaware First Health $161 - $1,506 1%
Delta Dental Nj $161 - $1,506 1%
Dph Tb Program $161 - $1,506 1%
Dscc $161 - $1,506 1%
Eastpointe Lme $161 - $1,506 1%
Family Health Network $161 - $1,506 1%
Freedom First Healthcare $161 - $1,506 1%
Fresno County Ccs $161 - $1,506 1%
Ghc Scw Wi Badgercare $161 - $1,506 1%
Harbor Health $161 - $1,506 1%
Health Safety Net $161 - $1,506 1%
Healthy Blue Ne $161 - $1,506 1%
Hennepin Health $161 - $1,506 1%
Id County Ada $161 - $1,506 1%
Id County Canyon $161 - $1,506 1%
Id County Cat Fund $161 - $1,506 1%
Id County Other $161 - $1,506 1%
Id County Payette $161 - $1,506 1%
Idaho Dept Health And Wellfare $161 - $1,506 1%
Idaho Womens Health Check $161 - $1,506 1%
Indiana Breast Cervical Cancer $161 - $1,506 1%
Inland Empire Health Plan $161 - $1,506 1%
Intercommunity Health Ohp $161 - $1,506 1%
Iowa Total Care $161 - $1,506 1%
Jai Medical System $161 - $1,506 1%
Kern Family Health Plan $161 - $1,506 1%
Keystone First $161 - $1,506 1%
Keystone First Chip $161 - $1,506 1%
La Care Health Plan $161 - $1,506 1%
Lakeland Care Inc $161 - $1,506 1%
Managed Health Services - Indiana $161 - $1,506 1%
Maryland Breast & Cervical Program $161 - $1,506 1%
Maryland Healthy Smiles - Scion Dental $161 - $1,506 1%
Maryland Physicians Care $161 - $1,506 1%
Massachusetts Behavioral Health Partnership $161 - $1,506 1%
Mdwise $161 - $1,506 1%
Medi-Cal $161 - $1,506 1%
Medi-Cal Healthnet $161 - $1,506 1%
Medstar Dc Healthy Family $161 - $1,506 1%
Medstar Md Health Choice $161 - $1,506 1%
Mo Home State Health Plan $161 - $1,506 1%
Molina Centennial Care $161 - $1,506 1%
Nascentia Health Options $161 - $1,506 1%
Nebraska Total Care $161 - $1,506 1%
New York Cancer Services Program $161 - $1,506 1%
Nextlevel Health $161 - $1,506 1%
Paramount Advantage $161 - $1,506 1%
Parkland Community Health Plan $161 - $1,506 1%
Partners Behavioral Lme $161 - $1,506 1%
Peach State Healthplan $161 - $1,506 1%
Philadelphia County Funding $161 - $1,506 1%
Presbyterian Centennial Care $161 - $1,506 1%
Prestige Health Choice $161 - $1,506 1%
Priority Partners $161 - $1,506 1%
Robert F Sing Program $161 - $1,506 1%
Rx 340B Pass Along $161 - $1,506 1%
Rx Assistance/Rx Manufacturer Assistance 0 Copay $161 - $1,506 1%
Rx Medi-Cal $161 - $1,506 1%
Rx Meridian Rx $161 - $1,506 1%
Ryan White Florida Mssrp $161 - $1,506 1%
Sandhills Center Lme $161 - $1,506 1%
Screening For Life $161 - $1,506 1%
St Joseph County Hlth Dpt $161 - $1,506 1%
Stephenson Cty Health $161 - $1,506 1%
Sunshine State Health Plan $161 - $1,506 1%
Superior Health $161 - $1,506 1%
Tenncare $161 - $1,506 1%
Texas Children'S Health Plan $161 - $1,506 1%
Trillium Community Ohp $161 - $1,506 1%
Tufts Health Public Plans $161 - $1,506 1%
Vaya Health Lme $161 - $1,506 1%
Washtenaw Health Plan $161 - $1,506 1%
Webtpa $161 - $1,510 1%
Wellsense Health Plan $161 - $1,506 1%
Wi Womens Wellness $161 - $1,506 1%
Molina Marketplace $174 - $1,635 1%
First Choice Health $206 - $1,927 2%
Providence $206 - $1,927 2%
Pacificsource Health Plans $211 - $2,376 2%
Geha $232 - $2,173 2%
Allied National Global Care $289 - $2,713 2%
Asrm - Reliance Standard Life Insurance $289 - $2,713 2%
Christian Care Ministry $289 - $2,713 2%
Dean Health $289 - $2,713 2%
Fallon Health $289 - $2,713 2%
Family Life Insurance Company $289 - $2,713 2%
Ghc Scw $289 - $2,713 2%
International Benefit Administrators $289 - $2,713 2%
Lifetime Benefit Solutions $289 - $2,713 2%
Manhattan Life $289 - $2,713 2%
Medi Share $289 - $2,713 2%
Multiplan $289 - $2,713 2%
Pai $289 - $2,713 2%
Pan-American Life $289 - $2,713 2%
Paramount Hmo $289 - $2,713 2%
Phcs $289 - $2,713 2%
Trinity Health Share $289 - $2,713 2%
Andrie Inc $332 - $2,493 3%
East Greenbush Central School District $332 - $2,493 3%
Genex Wc $332 - $2,493 3%
Healthsmart Workers Comp $332 - $2,493 3%
Jag Source $332 - $2,493 3%
New York State Insurance Fund $332 - $2,493 3%
Njm Insurance Group $332 - $2,493 3%
Rx Heatlhcomp $332 - $2,493 3%
Rx Restat $332 - $2,493 3%
Rx Saif Opdp Wc $332 - $2,493 3%
Rx Worker'S Comp $332 - $2,493 3%
Wc Accident Fund $332 - $2,493 3%
Wc Ace $332 - $2,493 3%
Wc Acs Federal Employees $332 - $2,493 3%
Wc Acuity $332 - $2,493 3%
Wc Advantage $332 - $2,493 3%
Wc Aegis $332 - $2,493 3%
Wc Aig $332 - $2,493 3%
Wc Aims $332 - $2,493 3%
Wc Alaska National Ins $332 - $2,493 3%
Wc Align Network $332 - $2,493 3%
Wc Allied $332 - $2,493 3%
Wc Am Trust N America $332 - $2,493 3%
Wc American Claims Mgmt $332 - $2,493 3%
Wc Amerisure $332 - $2,493 3%
Wc Amtrust $332 - $2,493 3%
Wc Asu Risk Mgt $332 - $2,493 3%
Wc Benetech $332 - $2,493 3%
Wc Berkley Admin $332 - $2,493 3%
Wc Broadspire $332 - $2,493 3%
Wc Broward County $332 - $2,493 3%
Wc Bunch & Associates $332 - $2,493 3%
Wc California State Comp Ins $332 - $2,493 3%
Wc California State Ins Fund $332 - $2,493 3%
Wc Capitol Area Health Consortium $332 - $2,493 3%
Wc Ccmsi $332 - $2,493 3%
Wc Chartis $332 - $2,493 3%
Wc Chubb $332 - $2,493 3%
Wc Cirma $332 - $2,493 3%
Wc City Of Albany $332 - $2,493 3%
Wc City Of Sioux City $332 - $2,493 3%
Wc Claims Mgmt Inc $332 - $2,493 3%
Wc Cna $332 - $2,493 3%
Wc Comp One Admin C/O Manageability $332 - $2,493 3%
Wc Compone Admin $332 - $2,493 3%
Wc Corvel $332 - $2,493 3%
Wc Ct Healthcare Trust $332 - $2,493 3%
Wc Donegal Insurance Group $332 - $2,493 3%
Wc Emc Insurance Company $332 - $2,493 3%
Wc Employee Mutual $332 - $2,493 3%
Wc Enablecomp $332 - $2,493 3%
Wc Encore Health Network $332 - $2,493 3%
Wc Erie $332 - $2,493 3%
Wc Esis $332 - $2,493 3%
Wc Evolutions $332 - $2,493 3%
Wc Fcci $332 - $2,493 3%
Wc Fed Ex $332 - $2,493 3%
Wc Federal Black Lung $332 - $2,493 3%
Wc Federated $332 - $2,493 3%
Wc Finley Occupational Health $332 - $2,493 3%
Wc First Agency/Occunet $332 - $2,493 3%
Wc Ford Motor $332 - $2,493 3%
Wc Fresno Unified Emp $332 - $2,493 3%
Wc Gallagher Bassett $332 - $2,493 3%
Wc General Motors $332 - $2,493 3%
Wc Generic $332 - $2,493 3%
Wc Genex Care For Ohio $332 - $2,493 3%
Wc Great West Casualty $332 - $2,493 3%
Wc Guarantee Insurance $332 - $2,493 3%
Wc Guard Insurance Company $332 - $2,493 3%
Wc Hab $332 - $2,493 3%
Wc Hartford $332 - $2,493 3%
Wc Hastings $332 - $2,493 3%
Wc Health Management $332 - $2,493 3%
Wc Heritage Summit $332 - $2,493 3%
Wc Hireright $332 - $2,493 3%
Wc Horizon $332 - $2,493 3%
Wc Icw Group $332 - $2,493 3%
Wc Idaho State Ins Fund $332 - $2,493 3%
Wc Intercare Insurance $332 - $2,493 3%
Wc Intermountain $332 - $2,493 3%
Wc Johns Eastern $332 - $2,493 3%
Wc Kemberton $332 - $2,493 3%
Wc Key Ins & Benefit Solutions $332 - $2,493 3%
Wc Liberty Mutual $332 - $2,493 3%
Wc Mac Risk Management $332 - $2,493 3%
Wc Massachusetts $332 - $2,493 3%
Wc Mdia $332 - $2,493 3%
Wc Meadowbrook Claim $332 - $2,493 3%
Wc Medical Administrators $332 - $2,493 3%
Wc Meijers $332 - $2,493 3%
Wc Memic $332 - $2,493 3%
Wc Mercy Workcare $332 - $2,493 3%
Wc Michigan $332 - $2,493 3%
Wc Michigan Millers Mutual $332 - $2,493 3%
Wc Mitchell Frankenmuth $332 - $2,493 3%
Wc Mra $332 - $2,493 3%
Wc Nationwide $332 - $2,493 3%
Wc Nca Comp $332 - $2,493 3%
Wc New York $332 - $2,493 3%
Wc New York Special Funds $332 - $2,493 3%
Wc North American Rishces $332 - $2,493 3%
Wc Northeast Health $332 - $2,493 3%
Wc Notre Dame $332 - $2,493 3%
Wc Novanet $332 - $2,493 3%
Wc O'Hara Corp $332 - $2,493 3%
Wc Occ Health Allen $332 - $2,493 3%
Wc Ohio Bureau $332 - $2,493 3%
Wc One Call Medical $332 - $2,493 3%
Wc Paradigm $332 - $2,493 3%
Wc Peerless $332 - $2,493 3%
Wc Pma $332 - $2,493 3%
Wc Praxis Health Network $332 - $2,493 3%
Wc Price Chopper $332 - $2,493 3%
Wc Procura Management $332 - $2,493 3%
Wc Qualcare $332 - $2,493 3%
Wc Quiktrip $332 - $2,493 3%
Wc Reny Company $332 - $2,493 3%
Wc Rev Claims $332 - $2,493 3%
Wc Risico $332 - $2,493 3%
Wc Rural Mutual $332 - $2,493 3%
Wc Saif Oregon $332 - $2,493 3%
Wc Secura $332 - $2,493 3%
Wc Sedgwick $332 - $2,493 3%
Wc Sentry $332 - $2,493 3%
Wc Sheakley Unicomp $332 - $2,493 3%
Wc Smile Lodge $332 - $2,493 3%
Wc Society $332 - $2,493 3%
Wc Srs $332 - $2,493 3%
Wc Taconic (Mro) $332 - $2,493 3%
Wc Taconic Farms $332 - $2,493 3%
Wc Travelers $332 - $2,493 3%
Wc Triad Group $332 - $2,493 3%
Wc Tristar $332 - $2,493 3%
Wc Troy Ny $332 - $2,493 3%
Wc Tyson $332 - $2,493 3%
Wc Unified Health Services $332 - $2,493 3%
Wc United Heartland $332 - $2,493 3%
Wc Us Dept Of Labor $332 - $2,493 3%
Wc Velocity $332 - $2,493 3%
Wc Walmart $332 - $2,493 3%
Wc West Bend $332 - $2,493 3%
Wc West Bend Mutual/Argent $332 - $2,493 3%
Wc Winnebago Industries $332 - $2,493 3%
Wc Yankee Trails $332 - $2,493 3%
Wc York Risk $332 - $2,493 3%
Wc Zenith $332 - $2,493 3%
Wc Zurich $332 - $2,493 3%
Oregon Screenwise $502 4%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

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