St Charles Medical Center Prineville

384 Se Combs Flat Road, Prineville, OR 97754 · (541) 447-6254

Critical Access HospitalsVoluntary non-profit - PrivateCMS rating 3/5Bend, OR metro Website ↗Website taken from the domain of its price file

Price file

Prices published

File dated 2026-04-01

13,584 price rows for 45 procedures

Published prices

cash · negotiated range · list

Basic metabolic panel (blood test)

CPT 80048 · lowest of 3 lines · metro median $33

$33

cash

$7 to $46

246 negotiated rates

$42

list

CT scan of the abdomen and pelvis, with contrast

CPT 74177 · metro median $3,895

$3,895

cash

$246 to $4,772

615 negotiated rates

$4,869

list

CT scan of the head, no contrast

CPT 70450 · metro median $1,586

$1,586

cash

$87 to $1,943

246 negotiated rates

$1,983

list

CT scan of the pelvis, with contrast

CPT 72193 · metro median $2,024

$2,024

cash

$185 to $2,479

230 negotiated rates

$2,530

list

Cataract surgery with lens implant

CPT 66984 · metro median $5,725

$5,725

cash

$2,004 to $7,731

109 negotiated rates

$7,156

list

Cesarean section hospital stay, no complications

MS-DRG 788 · metro median $28,913

$28,913

cash

$5,349 to $18,233

43 negotiated rates

$36,141

list

Chlamydia test (DNA)

CPT 87491 · lowest of 2 lines · metro median $92

$110

cash

$28 to $161

492 negotiated rates

$138

list

Colonoscopy with polyp removal

CPT 45385 · metro median $2,347

$2,347

cash

$821 to $3,877

109 negotiated rates

$2,933

list

Complete blood count (CBC) with differential

CPT 85025 · lowest of 3 lines · metro median $25

$25

cash

$6 to $34

246 negotiated rates

$31

list

Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 3 lines · metro median $27

$27

cash

$8 to $47

369 negotiated rates

$33

list

Established patient office visit (about 40 minutes)

CPT 99215 · metro median $1,556

$1,556

cash

$101 to $1,945

339 negotiated rates

$1,945

list

Family psychotherapy with the patient

CPT 90847 · metro median $661

$661

cash

$154 to $826

226 negotiated rates

$826

list

Family psychotherapy without the patient

CPT 90846 · metro median $294

$294

cash

$103 to $551

226 negotiated rates

$367

list

Gallbladder removal (laparoscopic)

CPT 47562 · metro median $11,659

$11,659

cash

$4,016 to $18,660

327 negotiated rates

$14,574

list

Gonorrhea test (DNA)

CPT 87591 · lowest of 2 lines · metro median $92

$110

cash

$28 to $161

492 negotiated rates

$138

list

Group psychotherapy

CPT 90853 · metro median $276

$276

cash

$96 to $345

113 negotiated rates

$345

list

Hip or knee replacement, no major complications

MS-DRG 470 · metro median $76,338

$76,338

cash

$5,349 to $44,771

43 negotiated rates

$95,423

list

Hospital stay for digestive disorders, no complications

MS-DRG 392 · metro median $21,529

$7,594

cash

$5,349 to $16,997

29 negotiated rates

$9,493

list

Hysterectomy for non-cancer reasons, no complications

MS-DRG 743 · metro median $39,550

$39,550

cash

$5,349 to $25,101

43 negotiated rates

$49,438

list

Left heart catheterization

CPT 93452 · metro median $10,927

$10,927

cash

$3,824 to $13,658

109 negotiated rates

$13,658

list

Lipid panel (cholesterol test)

CPT 80061 · lowest of 3 lines · metro median $10

$10

cash

$3 to $48

246 negotiated rates

$10

list

Liver function panel

CPT 80076 · lowest of 2 lines · metro median $33

$33

cash

$7 to $42

123 negotiated rates

$42

list

MRI of the brain, with and without contrast

CPT 70553 · metro median $5,001

$5,001

cash

$260 to $6,126

1107 negotiated rates

$6,251

list

MRI of the knee or other lower joint, no contrast

CPT 73721 · metro median $2,283

$2,283

cash

$166 to $2,797

984 negotiated rates

$2,854

list

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

CPT 72148 · metro median $2,703

$2,703

cash

$156 to $3,311

123 negotiated rates

$3,378

list

MRI of the neck (cervical spine), no contrast

CPT 72141 · metro median $2,439

$2,439

cash

$155 to $2,988

123 negotiated rates

$3,049

list

Neck (cervical) spinal fusion, no complications

MS-DRG 473 · metro median $84,249

$84,249

cash

$5,349 to $53,390

43 negotiated rates

$105,311

list

PSA test (prostate)

CPT 84153 · lowest of 3 lines · metro median $58

$58

cash

$15 to $84

246 negotiated rates

$73

list

Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 3 lines · metro median $20

$20

cash

$3 to $98

1107 negotiated rates

$25

list

Physical therapy, therapeutic exercise (15 minutes)

CPT 97110 · metro median $113

$113

cash

$24 to $157

738 negotiated rates

$141

list

Pregnancy ultrasound (after first trimester)

CPT 76805 · metro median $308

$308

cash

$93 to $575

238 negotiated rates

$385

list

Prothrombin time (blood clotting test)

CPT 85610 · lowest of 4 lines · metro median $29

$29

cash

$3 to $67

1353 negotiated rates

$36

list

Psychotherapy, 30 minutes

CPT 90832 · metro median $209

$209

cash

$73 to $522

113 negotiated rates

$261

list

Psychotherapy, 45 minutes

CPT 90834 · metro median $335

$335

cash

$117 to $522

113 negotiated rates

$419

list

Psychotherapy, 60 minutes

CPT 90837 · metro median $413

$413

cash

$145 to $522

113 negotiated rates

$517

list

Spinal injection, lower back, no imaging guidance

CPT 62322 · metro median $1,401

$1,401

cash

$171 to $1,751

104 negotiated rates

$1,751

list

Spinal injection, lower back, with imaging guidance

CPT 62323 · metro median $1,384

$1,384

cash

$484 to $2,307

109 negotiated rates

$1,730

list

TSH test (thyroid)

CPT 84443 · lowest of 3 lines · metro median $53

$53

cash

$13 to $105

246 negotiated rates

$67

list

Transvaginal ultrasound

CPT 76830 · metro median $467

$467

cash

$89 to $572

238 negotiated rates

$584

list

Ultrasound of the abdomen (complete)

CPT 76700 · metro median $726

$726

cash

$93 to $890

246 negotiated rates

$908

list

Upper endoscopy (EGD)

CPT 43235 · metro median $1,769

$1,769

cash

$457 to $2,955

218 negotiated rates

$2,211

list

Upper endoscopy with biopsy

CPT 43239 · lowest of 2 lines · metro median $1,502

$1,502

cash

$526 to $2,955

218 negotiated rates

$1,878

list

Urinalysis with microscope

CPT 81001 · lowest of 2 lines · metro median $33

$33

cash

$3 to $41

246 negotiated rates

$41

list

Vaginal delivery hospital stay, no complications

MS-DRG 807 · metro median $18,356

$18,356

cash

$4,466 to $13,953

43 negotiated rates

$22,945

list

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

CPT 72110 · metro median $518

$518

cash

$42 to $635

246 negotiated rates

$648

list

Source files

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

https://stcharleshealthcare.org/pricetransparency/93-0602940_StCharlesHealthSystem_Prineville_standardcharges.zip
St. Charles Prineville · parsed · tall v3.0.0 · file dated 2026-04-01 · 71 MB · 13584 price rows read · read Nov 2026