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Hospital Profile Critical Access Hospitals Voluntary non-profit - Private

St Charles Medical Center Prineville

384 SE COMBS FLAT RD, Prineville, OR 97754

CMS Overall Rating ★★★☆☆
Factual Overview

St Charles Medical Center Prineville is a Critical Access Hospitals (Voluntary non-profit - Private) operating in Prineville, OR. Mapped commercial insurance prices across 87 procedures average 2.90x the Medicare baseline. The facility holds a CMS quality rating of 3/5 stars with a patient recommendation score of 74%.

Facility Overview

Setting: rural Bed Count: 16 Beds Teaching Status: Non-Teaching Annual Discharges: 534

Patient Experience

Recommendation Rate: 74% High Patient Rating: 74% ER Wait Time (Med): 123 min Readmission Rate: same

Pricing & Transparency

Procedures Mapped: 87 codes Avg Markup vs Medicare: 2.90x Price File In Index: Yes MRF Version: 3.0.0
Procedure & Code Cash Price Actions
Heart stent placement (inpatient stay)
MS-DRG Code: 322
 $66,783 Calc
Blood transfusion
CPT Code: 36430
 $1,506 Calc
Digestive disorders treatment (inpatient stay)
MS-DRG Code: 392
 $7,594 Calc
Upper endoscopy with biopsy
CPT Code: 43239
 $1,502 Calc
Spinal fusion, single level (inpatient stay)
MS-DRG Code: 451
 $118,609 Calc
Hip or knee replacement (inpatient stay)
MS-DRG Code: 470
 $76,338 Calc
Gallbladder removal (laparoscopic)
CPT Code: 47562
 $11,624 Calc
Cataract surgery with lens implant
CPT Code: 66984
 $5,725 Calc
CT scan, head (no contrast)
CPT Code: 70450
 $1,586 Calc
CT scan, head (with contrast)
CPT Code: 70460
 $1,779 Calc
CT scan, head (with and without contrast)
CPT Code: 70470
 $2,431 Calc
CT scan, sinuses
CPT Code: 70486
 $1,273 Calc
MRI, brain (no contrast)
CPT Code: 70551
 $2,344 Calc
MRI, brain (with and without contrast)
CPT Code: 70553
 $5,001 Calc
X-ray, chest (single view)
CPT Code: 71045
 $160 Calc
X-ray, chest (two views)
CPT Code: 71046
 $214 Calc
CT scan, chest (no contrast)
CPT Code: 71250
 $1,867 Calc
X-ray, neck (cervical spine)
CPT Code: 72040
 $350 Calc
X-ray, lower back
CPT Code: 72110
 $518 Calc
CT scan, neck (cervical spine)
CPT Code: 72125
 $1,887 Calc
CT scan, lower back (lumbar spine)
CPT Code: 72131
 $2,042 Calc
MRI, lower back (no contrast)
CPT Code: 72148
 $2,703 Calc
X-ray, pelvis
CPT Code: 72170
 $295 Calc
CT scan, pelvis
CPT Code: 72192
 $1,586 Calc
X-ray, shoulder
CPT Code: 73030
 $209 Calc
X-ray, hand
CPT Code: 73130
 $230 Calc
X-ray, hip
CPT Code: 73502
 $158 Calc
X-ray, ankle
CPT Code: 73610
 $329 Calc
X-ray, foot
CPT Code: 73630
 $300 Calc
MRI, knee or other leg joint
CPT Code: 73721
 $1,812 Calc
CT scan, abdomen and pelvis (no contrast)
CPT Code: 74176
 $3,260 Calc
CT scan, abdomen and pelvis (with contrast)
CPT Code: 74177
 $3,895 Calc
Ultrasound, thyroid and neck
CPT Code: 76536
 $506 Calc
Ultrasound, abdomen (complete)
CPT Code: 76700
 $726 Calc
Ultrasound, abdomen (limited)
CPT Code: 76705
 $466 Calc
Ultrasound, pelvis
CPT Code: 76856
 $486 Calc
Blood test, basic metabolic panel
CPT Code: 80048
 $37 Calc
Blood test, comprehensive metabolic panel
CPT Code: 80053
 $36 Calc
Blood test, cholesterol (lipid panel)
CPT Code: 80061
 $36 Calc
Blood test, liver function panel
CPT Code: 80076
 $72 Calc
Urinalysis (automated, with microscopy)
CPT Code: 81001
 $71 Calc
Blood test, amylase
CPT Code: 82150
 $35 Calc
Blood test, vitamin D
CPT Code: 82306
 $176 Calc
Blood test, calcium
CPT Code: 82310
 $33 Calc
Blood test, creatinine (kidney)
CPT Code: 82565
 $38 Calc
Blood test, vitamin B12
CPT Code: 82607
 $158 Calc
Blood test, ferritin (iron stores)
CPT Code: 82728
 $63 Calc
Blood test, glucose (blood sugar)
CPT Code: 82947
 $10 Calc
Blood test, average blood sugar (A1c)
CPT Code: 83036
 $46 Calc
Blood test, lipase
CPT Code: 83690
 $105 Calc
Blood test, magnesium
CPT Code: 83735
 $36 Calc
Blood test, potassium
CPT Code: 84132
 $33 Calc
Blood test, PSA (prostate screen)
CPT Code: 84153
 $67 Calc
Blood test, sodium
CPT Code: 84295
 $35 Calc
Blood test, thyroid (TSH)
CPT Code: 84443
 $84 Calc
Blood test, urea nitrogen (BUN, kidney)
CPT Code: 84520
 $22 Calc
Blood test, hemoglobin
CPT Code: 85018
 $24 Calc
Blood test, complete blood count (CBC)
CPT Code: 85025
 $27 Calc
Blood test, clotting time (PT/INR)
CPT Code: 85610
 $28 Calc
Blood test, clotting time (PTT)
CPT Code: 85730
 $37 Calc
Hepatitis C antibody test
CPT Code: 86803
 $81 Calc
Blood antibody screen
CPT Code: 86850
 $30 Calc
Culture, blood
CPT Code: 87040
 $294 Calc
Culture, bacterial
CPT Code: 87070
 $140 Calc
Sepsis treatment (inpatient stay)
MS-DRG Code: 871
 $24,153 Calc
Psychiatric evaluation (first visit)
CPT Code: 90791
 $854 Calc
Psychotherapy session (45 minutes)
CPT Code: 90834
 $335 Calc
Psychotherapy session (60 minutes)
CPT Code: 90837
 $413 Calc
Family therapy session
CPT Code: 90847
 $551 Calc
Group therapy session
CPT Code: 90853
 $276 Calc
Review of medical records for care
CPT Code: 90889
 $214 Calc
Speech therapy (language evaluation)
CPT Code: 92507
 $438 Calc
Speech therapy (group session)
CPT Code: 92508
 $163 Calc
Electrocardiogram (EKG, tracing only)
CPT Code: 93005
 $286 Calc
Echocardiogram (heart ultrasound)
CPT Code: 93306
 $1,867 Calc
Ultrasound, leg veins (duplex)
CPT Code: 93970
 $1,251 Calc
Breathing treatment (nebulizer)
CPT Code: 94640
 $359 Calc
Physical therapy (therapeutic exercise)
CPT Code: 97110
 $113 Calc
Physical therapy (neuromuscular re-education)
CPT Code: 97112
 $120 Calc
Physical therapy (gait training)
CPT Code: 97116
 $113 Calc
Physical therapy (manual therapy)
CPT Code: 97140
 $113 Calc
Occupational therapy (therapeutic activities)
CPT Code: 97530
 $113 Calc
Occupational therapy (self-care training)
CPT Code: 97535
 $113 Calc
Orthotic fitting and training
CPT Code: 97760
 $113 Calc
Prosthetic fitting and training
CPT Code: 97761
 $113 Calc
Office visit, established patient (20-29 min)
CPT Code: 99213
 $369 Calc
Office visit, established patient (30-39 min)
CPT Code: 99214
 $493 Calc