Review of medical records for care
Facility: St Charles Medical Center Prineville
Billing Code: 90889 (CPT)
This hospital only published government or network rates for this billing code — not a standard commercial price — so we can’t show a verified fair-price comparison for it. What it charges each insurer is listed below; call the hospital’s billing office to confirm the actual charge.
modeled estimate · not a bill or quote
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
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 | $75 - $247 | — |
| Blue Cross Blue Shieldmajor | $82 | — |
| Aetnamajor | $75 - $233 | — |
| Cignamajor | $75 - $168 | — |
| Humanamajor | $75 | — |
| Kaiser Permanentemajor | $75 - $232 | — |
| Devoted Health | $75 | — |
| Health Net | $75 - $251 | — |
| Moda Health | $230 | — |
| PacificSource | $107 - $146 | — |
| Providence Health Plan | $187 - $234 | — |
| UniCare | $75 | — |
| WellCare | $75 | — |
| + 61 smaller / regional plans | $75 - $267 |
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.