St Anthony Hospital
2801 St Anthony Way, Pendleton, OR 97801 · 79 Priced Procedures · 71% Patient Recommendation
Typical commercial prices here match the fair market benchmark (1.00×) after accounting for local nurse/doctor wages and patient complexity.
4-Star CMS clinical quality rating paired with 1.00× fair market pricing.
Aligned Regional Benchmark Peer
St Anthony Hospital prices shoppable and inpatient services (7.3× to 5.5× Medicare, divergence 0.75×) in alignment with regional hospital peers (1.00× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 0.78× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 0% of shoppable procedures (99/100 Cash Honesty)
- CMS clinical safety score (72/100 safety score) with 71% patient recommendation
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (12.9% AGB cap)
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 2.4× markup over Medicare rates
- Commercial insurance median sits at 1.00× Fair BaseRate (7.3× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Upper-quartile procedures (Q75 1.28×) jump +28% above the median procedure ratio (Q50 1.00×)
- Consolidated metro market (HHI 4,971) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at St Anthony Hospital
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 79 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $4,331 | unverified |
| MRI, brain (with and without contrast) CPT Code: 70553 | $4,189 | unverified |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $3,854 | unverified |
| MRI, brain (no contrast) CPT Code: 70551 | $3,082 | unverified |
| MRI, lower back (no contrast) CPT Code: 72148 | $3,103 | unverified |
| Sleep study (overnight, in lab) CPT Code: 95810 | $2,725 | unverified |
| Trauma team activation HCPCS Code: G0390 | $2,533 | 1.7× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $2,439 | unverified |
| CT scan, neck (cervical spine) CPT Code: 72125 | $2,207 | unverified |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $2,207 | unverified |
| CT scan, head (with and without contrast) CPT Code: 70470 | $2,089 | unverified |
| CT scan, sinuses CPT Code: 70486 | $2,008 | unverified |
| CT scan, pelvis CPT Code: 72192 | $1,897 | unverified |
| Rabies immune globulin HCPCS Code: 90375 | $1,738 | 5.4× |
| CT scan, head (with contrast) CPT Code: 70460 | $1,761 | unverified |
| CT scan, head (no contrast) CPT Code: 70450 | $1,726 | unverified |
| CT scan, chest (no contrast) CPT Code: 71250 | $1,744 | unverified |
| Injection procedure for pain management HCPCS Code: G0260 | $1,486 | unverified |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $1,206 | unverified |
| Blood transfusion CPT Code: 36430 | $1,000 | unverified |
| Ultrasound, pelvis CPT Code: 76856 | $852 | unverified |
| Ultrasound, abdomen (complete) CPT Code: 76700 | $762 | unverified |
| Ultrasound, abdomen (limited) CPT Code: 76705 | $681 | unverified |
| Hepatitis B immune globulin HCPCS Code: 90371 | $613 | 4.1× |
| X-ray, lower back CPT Code: 72110 | $565 | unverified |
Audit a Bill or Quote at St Anthony Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $818
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (12.9% of gross = $818).
Self-Pay Cash Rate ($4,331) Beats Your Bill
St Anthony Hospital's published 45 CFR § 180 self-pay cash rate is $4,331 (vs. $4,331 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $448 Fair BaseRate ($356 Medicare)
Your bill ($6,358) is $5,910 above the denoised Fair BaseRate ($448) and 17.9× the $356 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (12.9% 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.
Clinical Quality, Patient Experience & Infection Benchmarks
Healthcare-Associated Infections (CDC NHSN / CMS HAI)
1.00 SIR = National Predicted Baseline (Lower Is Safer)CMS Price Transparency Administrative Enforcement Log
Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at St Anthony Hospital. Prior administrative notices do not necessarily reflect current compliance status.
- 2025-05-14·administrative_or_closure
Met Requirements
Recorded
Source: CMS Hospital Care Compare (149 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for St Anthony Hospital.
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
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.