Saint Alphonsus Medical Center Ontario

351 Sw 9Th Street, Ontario, OR 97914 · (541) 881-7000

Acute Care HospitalsVoluntary non-profit - ChurchCMS rating 2/5Ontario, OR-ID metro Part of Trinity Health · 52 hospitals Website ↗

Price file

Prices published

File dated 2026-03-31

85,432 price rows for 50 procedures

Published prices

cash · negotiated range · list

Basic metabolic panel (blood test)

CPT 80048 · lowest of 2 lines · metro median $46

$46

cash

$6 to $68

706 negotiated rates

$70

list

CT scan of the abdomen and pelvis, with contrast

CPT 74177 · lowest of 2 lines · metro median $2,813

$2,813

cash

$236 to $4,198

706 negotiated rates

$4,328

list

CT scan of the head, no contrast

CPT 70450 · lowest of 2 lines · metro median $1,085

$1,085

cash

$84 to $1,619

706 negotiated rates

$1,669

list

CT scan of the pelvis, with contrast

CPT 72193 · lowest of 2 lines · metro median $1,483

$1,483

cash

$177 to $2,213

706 negotiated rates

$2,281

list

Cesarean section hospital stay, no complications

MS-DRG 788 · lowest of 2 lines · metro median $13,881

$13,881

cash

$8,989 to $18,346

160 negotiated rates

—

list

Chlamydia test (DNA)

CPT 87491 · lowest of 8 lines · metro median $114

$114

cash

$25 to $198

2824 negotiated rates

$176

list

Colonoscopy (diagnostic)

CPT 45378 · lowest of 4 lines · metro median $571

$571

cash

$53 to $571

3064 negotiated rates

$739

list

Colonoscopy with biopsy

CPT 45380 · lowest of 4 lines · metro median $693

$693

cash

$57 to $693

3068 negotiated rates

$804

list

Colonoscopy with polyp removal

CPT 45385 · lowest of 4 lines · metro median $984

$984

cash

$71 to $857

3064 negotiated rates

$1,022

list

Complete blood count (CBC) with differential

CPT 85025 · lowest of 4 lines · metro median $39

$39

cash

$5 to $58

1412 negotiated rates

$60

list

Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 2 lines · metro median $45

$45

cash

$7 to $67

706 negotiated rates

$69

list

Diagnostic mammogram (both breasts)

CPT 77066 · lowest of 2 lines · metro median $348

$348

cash

$108 to $520

706 negotiated rates

$536

list

Electrocardiogram (ECG) with interpretation

CPT 93000 · lowest of 4 lines · metro median $32

$32

cash

$9 to $51

82 negotiated rates

$32

list

Established patient office visit (about 40 minutes)

CPT 99215 · lowest of 4 lines · metro median $320

$320

cash

$95 to $385

132 negotiated rates

$320

list

Gallbladder removal (laparoscopic)

CPT 47562 · lowest of 4 lines · metro median $1,876

$1,876

cash

$202 to $1,464

3062 negotiated rates

$2,598

list

Gonorrhea test (DNA)

CPT 87591 · lowest of 4 lines · metro median $85

$85

cash

$25 to $139

1412 negotiated rates

$131

list

Hip or knee replacement, no major complications

MS-DRG 470 · lowest of 2 lines · metro median $33,259

$33,259

cash

$16,818 to $36,261

162 negotiated rates

—

list

Hospital stay for digestive disorders, no complications

MS-DRG 392 · lowest of 2 lines · metro median $13,517

$13,517

cash

$7,543 to $15,394

160 negotiated rates

—

list

Inguinal hernia repair (age 5 and up)

CPT 49505 · lowest of 4 lines · metro median $1,383

$1,383

cash

$162 to $1,030

3066 negotiated rates

$2,059

list

Knee arthroscopy with meniscus repair

CPT 29881 · lowest of 4 lines · metro median $1,449

$1,449

cash

$164 to $1,283

3062 negotiated rates

$2,315

list

Lipid panel (cholesterol test)

CPT 80061 · lowest of 10 lines · metro median $33

$33

cash

$9 to $168

3530 negotiated rates

$50

list

Liver function panel

CPT 80076 · lowest of 2 lines · metro median $47

$47

cash

$6 to $70

706 negotiated rates

$72

list

MRI of the brain, with and without contrast

CPT 70553 · lowest of 2 lines · metro median $2,508

$2,508

cash

$250 to $3,742

706 negotiated rates

$3,858

list

MRI of the knee or other lower joint, no contrast

CPT 73721 · lowest of 6 lines · metro median $1,494

$1,494

cash

$159 to $3,344

2118 negotiated rates

$2,298

list

MRI of the lower back (lumbar spine), no contrast

CPT 72148 · lowest of 2 lines · metro median $1,535

$1,535

cash

$150 to $2,290

706 negotiated rates

$2,361

list

MRI of the neck (cervical spine), no contrast

CPT 72141 · lowest of 2 lines · metro median $1,593

$1,593

cash

$150 to $2,377

706 negotiated rates

$2,451

list

New patient office visit (about 30 minutes)

CPT 99203 · lowest of 6 lines · metro median $181

$181

cash

$46 to $178

2602 negotiated rates

$85

list

New patient office visit (about 45 minutes)

CPT 99204 · lowest of 6 lines · metro median $295

$295

cash

$75 to $295

2580 negotiated rates

$157

list

New patient office visit (about 60 minutes)

CPT 99205 · lowest of 6 lines · metro median $475

$475

cash

$127 to $508

2330 negotiated rates

$475

list

PSA test (prostate)

CPT 84153 · lowest of 6 lines · metro median $47

$47

cash

$13 to $89

2118 negotiated rates

$72

list

Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 14 lines · metro median $69

$69

cash

$4 to $123

4942 negotiated rates

$106

list

Physical therapy, therapeutic exercise (15 minutes)

CPT 97110 · lowest of 4 lines · metro median $64

$64

cash

$17 to $96

1412 negotiated rates

$99

list

Pregnancy ultrasound (after first trimester)

CPT 76805 · lowest of 2 lines · metro median $320

$320

cash

$104 to $477

706 negotiated rates

$492

list

Preventive visit, new patient age 18 to 39

CPT 99385 · lowest of 6 lines · metro median $85

$85

cash

$35 to $212

772 negotiated rates

$131

list

Preventive visit, new patient age 40 to 64

CPT 99386 · lowest of 6 lines · metro median $86

$86

cash

$36 to $248

772 negotiated rates

$133

list

Prothrombin time (blood clotting test)

CPT 85610 · lowest of 10 lines · metro median $9

cash

$3 to $52

2198 negotiated rates

list

Psychotherapy, 30 minutes

CPT 90832 · lowest of 2 lines · metro median $106

$106

cash

$28 to $597

678 negotiated rates

$163

list

Removal of a breast lump (biopsy by excision)

CPT 19120 · lowest of 4 lines · metro median $1,263

$1,263

cash

$130 to $908

3068 negotiated rates

$1,263

list

Screening mammogram (both breasts)

CPT 77067 · lowest of 4 lines · metro median $205

$205

cash

$85 to $323

1412 negotiated rates

$316

list

Shoulder arthroscopy with decompression

CPT 29826 · lowest of 4 lines · metro median $1,025

$1,025

cash

$94 to $1,488

3066 negotiated rates

$1,488

list

Sleep study (overnight, attended)

CPT 95810 · lowest of 2 lines · metro median $3,029

$3,029

cash

$792 to $4,520

706 negotiated rates

$4,660

list

TSH test (thyroid)

CPT 84443 · lowest of 16 lines · metro median $62

$62

cash

$12 to $113

5648 negotiated rates

$96

list

Tonsils and adenoids removal (under age 12)

CPT 42820 · lowest of 4 lines · metro median $851

$851

cash

$83 to $598

3062 negotiated rates

$1,163

list

Transvaginal ultrasound

CPT 76830 · lowest of 2 lines · metro median $410

$410

cash

$91 to $612

706 negotiated rates

$631

list

Ultrasound of the abdomen (complete)

CPT 76700 · lowest of 2 lines · metro median $409

$409

cash

$89 to $610

706 negotiated rates

$629

list

Upper endoscopy (EGD)

CPT 43235 · lowest of 4 lines · metro median $401

$401

cash

$35 to $401

3068 negotiated rates

$491

list

Upper endoscopy with biopsy

CPT 43239 · lowest of 4 lines · metro median $446

$446

cash

$39 to $446

3068 negotiated rates

$554

list

Urinalysis with microscope

CPT 81001 · lowest of 2 lines · metro median $16

$16

cash

$2 to $24

706 negotiated rates

$25

list

Vaginal delivery hospital stay, no complications

MS-DRG 807 · lowest of 2 lines · metro median $5,524

$5,524

cash

$6,283 to $13,659

160 negotiated rates

—

list

X-ray of the lower spine (4 or more views)

CPT 72110 · lowest of 2 lines · metro median $402

$402

cash

$40 to $599

706 negotiated rates

$618

list

Source files

The machine-readable files this hospital lists in its cms-hpt.txt. Every price above comes from one of them.

https://hpt.trinity-health.org/271789847_saint-alphonsus-medical-center-ontario_standardcharges.zip
Saint Alphonsus Medical Center-Ontario · parsed · tall v3.0.0 · file dated 2026-03-31 · 252 MB · 42716 price rows read · read Nov 2026
https://hpt.trinity-health.org/271789847_saint-alphonsus-medical-center-ontario_standardcharges.zip
Saint Alphonsus Medical Center-Ontario · parsed · tall v3.0.0 · file dated 2026-03-31 · 252 MB · 42716 price rows read · read Nov 2026
https://hpt.trinity-health.org/820200895_saint-alphonsus-regional-medical-center-boise_standardcharges.zip
Saint Alphonsus Regional Medical Center · discovered