How many shoppable procedure prices are published for St Charles Medical Center Prineville?

St Charles Medical Center Prineville in Prineville, OR currently has 98 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do St Charles Medical Center Prineville's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, St Charles Medical Center Prineville's median negotiated commercial rate is 1.6× the regionally adjusted fair BaseRate benchmark.

What is St Charles Medical Center Prineville's CMS Care Compare overall star rating?

CMS Care Compare assigns St Charles Medical Center Prineville an overall hospital quality rating of 3 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Critical Access Hospital Voluntary non-profit - Private 16 Beds · rural Updated: 2026-04-01

St Charles Medical Center Prineville

384 Se Combs Flat Road, Prineville, OR 97754 · 98 Priced Procedures · 74% Patient Recommendation

CMS Overall Rating 3 / 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.

87/100 · Verified

87/100Self-Pay Cash Beats Insurance 42% of the Time

File Completeness100

Price Logic76

Peer Alignment79

Clean Billing83

Real Cash Discount100

High-Markup · Check Safety

5-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), St Charles Medical Center Prineville 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.

#36 of 40 in OR · 87th State Percentile#2,764 of 3,385 in U.S. · 81st National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.97× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 42% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (80/100 safety score) with 74% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (35.0% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (1.59× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Commercial insurance median sits at 1.61× Fair BaseRate (1.7× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.91×) jump +19% above the median procedure ratio (Q50 1.61×)
Consolidated metro market (HHI 10,000) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

1.7× Medicare

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

Back-Door Captive & ER1.00× Divergence

1.7× Medicare

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

Quantile Tail Spread+19% Upper Tail

Q25 0.97× · Q50 1.61× · Q75 1.91×

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

1.7× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.0× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.7× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

0.9× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.5× MedicareGood

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

0.6× MedicareGood

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

42% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 80/100Good

Procedure Prices at St Charles Medical Center Prineville

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 98 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`	$76,338	$33,548	$19,432	unverified
Heart stent placement (inpatient stay) MS-DRG Code: `322`	$66,783	$30,772	$17,936	1.7×
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	$118,609	$27,665	$30,775	0.9×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$24,153	$24,153	$19,087	unverified
Gallbladder removal (laparoscopic) CPT Code: `47562`	$11,624	$11,624	$6,109	unverified
Rabies immune globulin HCPCS Code: `90375`	$9,874	$9,874	$322	unverified
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$7,594	$7,594	$8,223	0.9×
Cataract surgery with lens implant CPT Code: `66984`	$5,725	$5,725	$2,540	unverified
Trauma team activation HCPCS Code: `G0390`	$1,795	$1,795	$1,453	1.2×
Upper endoscopy with biopsy CPT Code: `43239`	$1,502	$1,502	$987	unverified
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,867	$1,301	$583	unverified
Blood transfusion CPT Code: `36430`	$1,506	$1,050	$498	2.1×
Psychiatric evaluation (first visit) CPT Code: `90791`	$854	$854	$185	4.6×
MRI, knee or other leg joint CPT Code: `73721`	$1,812	$788	$369	2.1×
MRI, lower back (no contrast) CPT Code: `72148`	$2,703	$711	$338	unverified
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,251	$568	$272	2.1×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$3,895	$506	$448	1.1×
Family therapy session CPT Code: `90847`	$551	$522	$173	unverified
MRI, brain (with and without contrast) CPT Code: `70553`	$5,001	$495	$511	1.0×
Psychotherapy session (60 minutes) CPT Code: `90837`	$413	$413	$181	unverified
Psychotherapy session (45 minutes) CPT Code: `90834`	$335	$335	$166	unverified
Breathing treatment (nebulizer) CPT Code: `94640`	$359	$359	$201	unverified
MRI, brain (no contrast) CPT Code: `70551`	$2,344	$299	$343	0.9×
Group therapy session CPT Code: `90853`	$276	$272	$100	2.7×
CT scan, head (with and without contrast) CPT Code: `70470`	$2,431	$267	$258	1.0×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$3,260	$240	$303	0.8×
Review of medical records for care CPT Code: `90889`	$214	$214	$114	1.9×
CT scan, sinuses CPT Code: `70486`	$1,273	$206	$166	1.2×
CT scan, head (with contrast) CPT Code: `70460`	$1,779	$224	$242	0.9×
Ultrasound, thyroid and neck CPT Code: `76536`	$506	$190	$132	1.4×
Ultrasound, abdomen (complete) CPT Code: `76700`	$726	$178	$134	1.3×
CT scan, pelvis CPT Code: `72192`	$1,586	$193	$163	1.2×
CT scan, chest (no contrast) CPT Code: `71250`	$1,867	$194	$167	1.2×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$2,042	$195	$168	1.2×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,887	$196	$169	1.2×
Ultrasound, pelvis CPT Code: `76856`	$486	$166	$130	1.3×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$286	$140	$64	2.2×
Office visit, established patient (20-29 min) CPT Code: `99213`	$369	$141	$87	1.6×
Speech therapy (language evaluation) CPT Code: `92507`	$438	$139	$86	1.6×
Office visit, established patient (30-39 min) CPT Code: `99214`	$493	$150	$123	1.2×
Ultrasound, abdomen (limited) CPT Code: `76705`	$466	$136	$126	1.1×
CT scan, head (no contrast) CPT Code: `70450`	$1,586	$157	$160	1.0×
Orthotic fitting and training CPT Code: `97760`	$113	$93	$51	1.8×
Prosthetic fitting and training CPT Code: `97761`	$113	$82	$45	1.8×
X-ray, hip CPT Code: `73502`	$158	$85	$93	0.9×
X-ray, lower back CPT Code: `72110`	$518	$90	$112	0.8×
Typhoid vaccine HCPCS Code: `90675`	$902	$627	$347	1.8×
Colorectal cancer screening HCPCS Code: `G0010`	$131	$131	$49	2.7×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$143	$143	$56	2.6×
Flu vaccine injection HCPCS Code: `G0008`	$131	$120	$48	2.5×
Pneumonia vaccine injection HCPCS Code: `G0009`	$131	$111	$49	2.3×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$67	$67	$20	3.4×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$87	$87	$39	2.2×
Drug screening test HCPCS Code: `G0480`	$108	$108	$116	0.9×
Blood test, vitamin D CPT Code: `82306`	$176	$59	$31	1.9×
Physical therapy (gait training) CPT Code: `97116`	$113	$58	$33	1.8×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$113	$70	$40	1.8×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$120	$65	$38	1.7×
Occupational therapy (self-care training) CPT Code: `97535`	$113	$65	$38	1.7×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$113	$58	$35	1.7×
Speech therapy (group session) CPT Code: `92508`	$163	$44	$27	1.6×
Physical therapy (manual therapy) CPT Code: `97140`	$113	$55	$34	1.6×
X-ray, hand CPT Code: `73130`	$230	$69	$93	0.7×
X-ray, ankle CPT Code: `73610`	$329	$69	$93	0.7×
X-ray, neck (cervical spine) CPT Code: `72040`	$350	$67	$93	0.7×
X-ray, shoulder CPT Code: `73030`	$209	$65	$92	0.7×
X-ray, foot CPT Code: `73630`	$300	$65	$92	0.7×
X-ray, chest (two views) CPT Code: `71046`	$214	$65	$93	0.7×
X-ray, chest (single view) CPT Code: `71045`	$160	$51	$92	0.6×
Blood test, creatinine (kidney) CPT Code: `82565`	$38	$10	$5	2.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$10	$8	$4	2.0×
Blood test, lipase CPT Code: `83690`	$105	$14	$7	2.0×
Blood test, vitamin B12 CPT Code: `82607`	$158	$30	$16	1.9×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$36	$21	$14	1.5×
X-ray, pelvis CPT Code: `72170`	$295	$45	$110	0.4×
Blood test, PSA (prostate screen) CPT Code: `84153`	$67	$37	$19	unverified
Blood test, calcium CPT Code: `82310`	$33	$10	$5	2.0×
Blood test, potassium CPT Code: `84132`	$33	$10	$5	2.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$27	$16	$8	2.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$37	$12	$6	2.0×
Culture, blood CPT Code: `87040`	$294	$21	$11	1.9×
Culture, bacterial CPT Code: `87070`	$140	$17	$9	1.9×
Blood test, amylase CPT Code: `82150`	$35	$13	$7	1.9×
Blood test, magnesium CPT Code: `83735`	$36	$13	$7	1.9×
Blood test, liver function panel CPT Code: `80076`	$72	$16	$9	1.8×
Blood test, hemoglobin CPT Code: `85018`	$24	$5	$3	1.7×
Hepatitis C antibody test CPT Code: `86803`	$81	$22	$15	1.5×
Blood test, thyroid (TSH) CPT Code: `84443`	$84	$21	$18	1.2×
Hospital observation (per hour) HCPCS Code: `G0378`	$37	$37	$86	0.4×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$36	$11	$11	1.0×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$71	$3	$3	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$46	$10	$10	1.0×
Blood test, sodium CPT Code: `84295`	$35	$5	$5	1.0×
Blood test, basic metabolic panel CPT Code: `80048`	$37	$8	$9	0.9×
Blood antibody screen CPT Code: `86850`	$30	$30	$46	unverified
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$22	$4	$4	1.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$28	$4	$5	0.8×
Blood test, ferritin (iron stores) CPT Code: `82728`	$63	$27	$14	unverified

Showing top 25 high-impact procedures of 98 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 35.0%

Audit a Bill or Quote at St Charles Medical Center Prineville (Zero PHI Required)

CMS CCN: 381313

CPT 470

Select Procedure to Audit:

Fair BaseRate™ $19,432

Medicare Rate $14,044

Self-Pay Cash $76,338

Insurer Median $33,548

1. Amount on Your Bill or Quote ($) Pre-filled with St Charles Medical Center Prineville’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: $33,389 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $33,389

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (35.0% of gross = $33,389).

Step 2 · Cash vs. Insurance Arbitrage Save $19,085 Paying Cash

Self-Pay Cash Rate ($76,338) Beats Your Bill

St Charles Medical Center Prineville's published 45 CFR § 180 self-pay cash rate is $76,338 (vs. $33,548 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$75,991 Above Fair BaseRate

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

Your bill ($95,423) is $75,991 above the denoised Fair BaseRate ($19,432) and 6.8× 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)

EIN: 930602940

Filing Period: 200103

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 (35.0% 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 Overall5/5 Stars (5/5)

Safety Composite80/100

Would Recommend74%

Rated 9 or 10 (HCAHPS)74%

Median ER Wait123 min

Left ER Before Seen2%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Source: CMS Hospital Care Compare (107 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

Higher-Quality, Above-Median Price Tier Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for St Charles Medical Center Prineville.

Price Index: 1.01× regional baseline

Quality: 79/100 CMS composite

Median Household Income$81,675U.S. Census ACS

Local Uninsured Share6.9%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 87/100 · Verified CMS CCN 381313 EIN 930602940

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 381313) ↗ Verify IRS Form 990 (EIN 930602940) ↗ CMS HCRIS Cost Reports ↗

Published MRF File93-0602940_StCharlesHealthSystem_Prineville_standardcharges.zip!93-0602940_StCharlesHealthSystem_Prineville_standardcharges.csv

Publication / Vintage2026-04-01 · 71.02 MB

Validated Rate Rows21,168 (CMS v3.0.0)

File Integrity Digest44c3bd7e10385491cd15…

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