How many shoppable procedure prices are published for Saint Alphonsus Medical Center Ontario?

Saint Alphonsus Medical Center Ontario in Ontario, OR currently has 111 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Saint Alphonsus Medical Center Ontario's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Saint Alphonsus Medical Center Ontario's median negotiated commercial rate is 1.6× the regionally adjusted fair BaseRate benchmark.

What is Saint Alphonsus Medical Center Ontario's CMS Care Compare overall star rating?

CMS Care Compare assigns Saint Alphonsus Medical Center Ontario an overall hospital quality rating of 2 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Church 35 Beds · rural Updated: 2026-03-31

Saint Alphonsus Medical Center Ontario

351 Sw 9Th Street, Ontario, OR 97914 · 111 Priced Procedures · 68% Patient Recommendation

CMS Overall Rating 2 / 5 Stars

High Markup · Shop Alternatives

1.59×vs. Fair Market Price

Typical commercial prices here are +59% above the fair benchmark (1.59×) even after accounting for local nurse/doctor wages and patient complexity.

66/100 · Caution

66/100Self-Pay Cash Beats Insurance 62% of the Time

File Completeness56

Price Logic45

Peer Alignment69

Clean Billing87

Real Cash Discount86

High-Markup · Check Safety

4-Star CMS clinical quality rating paired with 1.59× fair market pricing.

Behavioral Pricing FingerprintHigh-HHI Market Leverage

Consolidated System Premium Pricer

Operating in a concentrated regional market (CBSA HHI 10,000), Saint Alphonsus Medical Center Ontario commands a 1.59× BaseRate commercial premium across insurers. Self-pay cash quotes, in-state peer hospitals, and freestanding outpatient facilities offer critical leverage against consolidated system pricing.

#35 of 40 in OR · 85th State Percentile#2,763 of 3,385 in U.S. · 81st National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.05× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 62% of shoppable procedures (86/100 Cash Honesty)
2-Star CMS clinical rating with 68% patient recommendation (73/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (31.2% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 2.2× markup over Medicare rates
Commercial insurance median sits at 1.65× Fair BaseRate (1.8× Medicare), so insured patients should always compare the self-pay cash price before paying.
Specialty infusion drugs (J-codes) average 1.1× Medicare — verify per-unit billing on itemized statements
Consolidated metro market (HHI 10,000) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

1.8× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER1.00× Divergence

1.8× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+11% Upper Tail

Q25 1.05× · Q50 1.65× · Q75 1.83×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

1.8× MedicareGood

Outpatient Surgery & ORBack-Door Captive

2.2× MedicareFair

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.9× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

1.2× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

2.6× MedicareFair

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

1.1× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

62% Cash Edge · 86/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

2 CMS · 73/100Fair

Procedure Prices at Saint Alphonsus Medical Center Ontario

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 111 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$33,259	$35,615	$19,432	1.8×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$26,685	$34,546	$19,087	1.8×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$13,517	$14,161	$8,223	unverified
Total knee replacement CPT Code: `27447`	$2,481	$2,481	$13,523	0.2×
Trauma team activation HCPCS Code: `G0390`	$2,767	$2,391	$1,453	1.6×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$1,449	$1,449	$3,372	0.4×
Inguinal hernia repair CPT Code: `49505`	$1,157	$1,157	$3,629	0.3×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$2,813	$1,093	$448	2.4×
MRI, brain (with and without contrast) CPT Code: `70553`	$2,508	$1,093	$511	unverified
Total hip replacement CPT Code: `27130`	$1,016	$1,016	$13,413	0.1×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$941	$917	$272	unverified
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,088	$696	$303	2.3×
MRI, lower back (no contrast) CPT Code: `72148`	$1,535	$696	$338	2.1×
MRI, brain (no contrast) CPT Code: `70551`	$1,594	$696	$343	2.0×
MRI, knee or other leg joint CPT Code: `73721`	$1,867	$696	$369	1.9×
Blood transfusion CPT Code: `36430`	$683	$683	$498	unverified
CT scan, head (with contrast) CPT Code: `70460`	$1,375	$522	$242	2.2×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,572	$522	$258	2.0×
Rabies immune globulin HCPCS Code: `90375`	$9,641	$544	$322	1.7×
Breast lump removal CPT Code: `19120`	—	$492	$3,875	0.1×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$416	$416	$6,109	0.1×
Injection procedure for pain management HCPCS Code: `G0260`	$1,972	$363	$855	0.4×
Sleep study (overnight, in lab) CPT Code: `95810`	$350	$350	$1,021	0.3×
X-ray, foot CPT Code: `73630`	$297	$297	$92	3.2×
Ultrasound, abdomen (limited) CPT Code: `76705`	$368	$312	$126	2.5×
Ultrasound, pelvis CPT Code: `76856`	$459	$312	$130	2.4×
Ultrasound, thyroid and neck CPT Code: `76536`	$346	$312	$132	2.4×
Ultrasound, abdomen (complete) CPT Code: `76700`	$409	$312	$134	2.3×
CT scan, head (no contrast) CPT Code: `70450`	$1,085	$312	$160	1.9×
Hepatitis B immune globulin HCPCS Code: `90371`	$388	$292	$151	1.9×
CT scan, pelvis CPT Code: `72192`	$993	$312	$163	1.9×
CT scan, sinuses CPT Code: `70486`	$893	$312	$166	1.9×
CT scan, chest (no contrast) CPT Code: `71250`	$1,134	$312	$167	1.9×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,299	$312	$168	1.9×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,299	$312	$169	1.8×
X-ray, hand CPT Code: `73130`	$258	$258	$93	2.8×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$228	$228	$583	0.4×
Colonoscopy (diagnostic) CPT Code: `45378`	$655	$248	$981	0.3×
Colonoscopy with biopsy CPT Code: `45380`	$802	$233	$1,256	0.2×
X-ray, chest (single view) CPT Code: `71045`	$168	$258	$92	unverified
Office visit, established patient (30-39 min) CPT Code: `99214`	$246	$171	$123	1.4×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$348	$176	$148	1.2×
Upper endoscopy with biopsy CPT Code: `43239`	$449	$185	$987	0.2×
Psychiatric evaluation (first visit) CPT Code: `90791`	$172	$172	$185	unverified
Speech therapy (language evaluation) CPT Code: `92507`	$253	$120	$86	1.4×
Screening mammogram (both breasts) CPT Code: `77067`	$211	$145	$123	1.2×
Hospital observation (per hour) HCPCS Code: `G0378`	$137	$87	$86	1.0×
X-ray, chest (two views) CPT Code: `71046`	—	—	$93	unverified
X-ray, neck (cervical spine) CPT Code: `72040`	—	—	$93	—
X-ray, lower back CPT Code: `72110`	—	—	$112	—
X-ray, shoulder CPT Code: `73030`	—	—	$92	—
X-ray, hip CPT Code: `73502`	—	—	$93	—
X-ray, ankle CPT Code: `73610`	—	—	$93	—
Typhoid vaccine HCPCS Code: `90675`	$1,142	$1,142	$347	3.3×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$536	$117	$203	0.6×
Blood antibody screen CPT Code: `86850`	$109	$109	$46	unverified
Blood test, vitamin D CPT Code: `82306`	$92	$52	$31	1.7×
Orthotic fitting and training CPT Code: `97760`	$73	$75	$51	1.5×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$266	$77	$111	0.7×
Pneumococcal vaccine HCPCS Code: `90732`	$91	$91	$140	0.7×
Prosthetic fitting and training CPT Code: `97761`	$73	$65	$45	1.4×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$68	$57	$40	1.4×
Physical therapy (functional capacity test) CPT Code: `97750`	$66	$53	$38	1.4×
Occupational therapy (self-care training) CPT Code: `97535`	$68	$51	$38	1.3×
New patient office visit (30-44 min) CPT Code: `99203`	$181	$68	$110	0.6×
Extended office visit (prolonged) HCPCS Code: `G2212`	$66	$35	$33	1.1×
Flu vaccine injection HCPCS Code: `G0008`	$36	$42	$48	0.9×
Pneumonia vaccine injection HCPCS Code: `G0009`	$35	$42	$49	0.9×
Office visit, established patient (20-29 min) CPT Code: `99213`	$146	$48	$87	0.6×
Colorectal cancer screening HCPCS Code: `G0010`	$52	$52	$49	unverified
Diagnostic procedure preparation HCPCS Code: `G0279`	$49	$49	$35	unverified
Blood test, clotting time (PTT) CPT Code: `85730`	$74	$11	$6	1.8×
Blood test, calcium CPT Code: `82310`	$25	$9	$5	1.8×
Blood test, creatinine (kidney) CPT Code: `82565`	$25	$9	$5	1.8×
Blood test, glucose (blood sugar) CPT Code: `82947`	$26	$7	$4	1.8×
Blood test, complete blood count (CBC) CPT Code: `85025`	$39	$14	$8	1.8×
Blood test, ferritin (iron stores) CPT Code: `82728`	$80	$24	$14	1.7×
Blood test, lipase CPT Code: `83690`	$77	$12	$7	1.7×
Blood test, magnesium CPT Code: `83735`	$32	$12	$7	1.7×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$49	$34	$20	1.7×
Blood test, PSA (prostate screen) CPT Code: `84153`	$53	$32	$19	1.7×
Blood test, basic metabolic panel CPT Code: `80048`	$46	$15	$9	1.7×
Hepatitis C antibody test CPT Code: `86803`	$72	$25	$15	1.7×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$48	$23	$14	1.6×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$64	$46	$35	1.3×
Culture, bacterial CPT Code: `87070`	$66	$15	$9	1.7×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$45	$18	$11	1.6×
Culture, blood CPT Code: `87040`	$137	$18	$11	1.6×
Blood test, vitamin B12 CPT Code: `82607`	$58	$26	$16	1.6×
Blood test, thyroid (TSH) CPT Code: `84443`	$69	$29	$18	1.6×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$70	$53	$38	1.4×
Physical therapy (gait training) CPT Code: `97116`	$68	$46	$33	1.4×
Hepatitis B vaccine HCPCS Code: `90744`	$83	$48	$37	1.3×
Physical therapy (manual therapy) CPT Code: `97140`	$62	$42	$34	1.2×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$76	$50	$56	0.9×
Blood test, potassium CPT Code: `84132`	$32	$8	$5	1.6×
Blood test, amylase CPT Code: `82150`	$31	$11	$7	1.6×
Blood test, liver function panel CPT Code: `80076`	$47	$14	$9	1.6×
Electrical stimulation therapy HCPCS Code: `G0283`	$59	$19	$14	1.4×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$30	$10	$10	1.0×
Blood test, sodium CPT Code: `84295`	$26	$5	$5	1.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$17	$5	$5	1.0×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$24	$25	1.0×
Flu vaccine (high dose) HCPCS Code: `90656`	$38	$23	$25	0.9×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$142	$24	$39	0.6×
X-ray, pelvis CPT Code: `72170`	$134	$30	$110	0.3×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$24	$16	$64	0.3×
Breathing treatment (nebulizer) CPT Code: `94640`	$43	$23	$201	0.1×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$16	$6	$3	unverified
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$25	$7	$4	unverified
Blood test, hemoglobin CPT Code: `85018`	$20	$4	$3	unverified

Showing top 25 high-impact procedures of 111 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 31.2%

Audit a Bill or Quote at Saint Alphonsus Medical Center Ontario (Zero PHI Required)

CMS CCN: 380052

CPT 470

Select Procedure to Audit:

Fair BaseRate™ $19,432

Medicare Rate $14,044

Self-Pay Cash $33,259

Insurer Median $35,615

1. Amount on Your Bill or Quote ($) Pre-filled with Saint Alphonsus Medical Center Ontario’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $26,686 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $26,686

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (31.2% of gross = $26,686).

Step 2 · Cash vs. Insurance Arbitrage Save $52,217 Paying Cash

Self-Pay Cash Rate ($33,259) Beats Your Bill

Saint Alphonsus Medical Center Ontario's published 45 CFR § 180 self-pay cash rate is $33,259 (vs. $35,615 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$66,044 Above Fair BaseRate

Negotiate Toward $19,432 Fair BaseRate ($14,044 Medicare)

Your bill ($85,476) is $66,044 above the denoised Fair BaseRate ($19,432) and 6.1× the $14,044 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) 501(c)(3) Nonprofit Hospital

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (31.2% of gross charges)

Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall4/5 Stars (4/5)

Safety Composite73/100

Would Recommend68%

Rated 9 or 10 (HCAHPS)73%

Median ER Wait120 min

Left ER Before Seen1%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

C. diff Hospital-Onset Infectionsame

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Saint Alphonsus Medical Center Ontario. Prior administrative notices do not necessarily reflect current compliance status.

2025-04-04·administrative_or_closure
Met Requirements
Recorded
2023-06-02·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare (227 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Regional Value & Quality Leader Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Saint Alphonsus Medical Center Ontario.

Price Index: 1.00× regional baseline

Quality: 68/100 CMS composite

Median Household Income$49,902U.S. Census ACS

Local Uninsured Share9.7%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 66/100 · Caution CMS CCN 380052

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

MRF Portal Indexed (CMS_45_CFR_180_FILING.json) Verify on CMS Medicare.gov (CCN 380052) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-03-31

Validated Rate Rows27,079 (CMS v3.0.0)

File Integrity DigestVerified · CCN 380052

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy