CMS Price Transparency Data

Ultrasound, pelvis

Facility: Saint Alphonsus Medical Center Ontario

Billing Code: 76856 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$261
about 2.4× the $107 Medicare rate · typically $76–$314
modeled estimate · not a bill or quote
What this hospital charges insurers
$312
Above the fair price
about $51 over the fair price · 2.9× Medicare
Medicare pays $107 Fair price $261 This hospital $312 Cash price $459 Hospital's list price $706

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 $36 Priciest $312

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

A fair price for a Ultrasound, pelvis is about $261 (about 2.4× the $107 Medicare rate). Saint Alphonsus Medical Center Ontario charges insurers about $312, or about $459 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 $261. 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 $122 - $678 114%
Blue Cross Blue Shieldmajor $122 - $600 114%
Aetnamajor $126 - $669 118%
Cignamajor $212 - $664 198%
Humanamajor $212 - $621 198%
Ambetter (Centene) $212 198%
Dean Health Plan $635 595%
GEHA $669 - $678 626%
Health Net $212 - $593 198%
HealthPartners $212 - $551 198%
Meridian $212 198%
Moda Health $242 - $685 227%
Molina $212 198%
PacificSource $231 - $664 216%
Paramount $212 - $635 198%
Presbyterian $212 198%
Priority Health $664 622%
SelectHealth $306 - $635 286%
Tufts Health Plan $212 198%
WellSense $212 198%
+ 93 smaller / regional plans $127 - $671
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