Heppner, OR
22
In-network payers
185
Disclosed rate categories
21
Beds
Pioneer Memorial Hospital is a 21-bed government - hospital district or authority hospital in Heppner, OR. Below you'll find publicly disclosed negotiated rates and facility details, including 22 in-network payers and 185 disclosed rate categories.
CCN (Medicare provider number)
381310
NPI
1376572099
Type
Critical Access Hospital
Ownership
Government - Hospital District Or Authority
Beds
21
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
The 23 services Pioneer Memorial Hospital most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
CT imaging
CPT 74177
$557 - $2,947
from 4 insurers · median $2,873
Typical for a hospital with this service line
CT imaging
CPT 70450
$557 - $971
from 4 insurers · median $890
Typical for a hospital with this service line
CT imaging
CPT 74176
$1,472 - $1,551
from 3 insurers · median $1,504
Typical for a hospital with this service line
CT imaging
CPT 71260
$1,744 - $1,875
from 3 insurers · median $1,750
Typical for a hospital with this service line
MRI imaging
CPT 72148
$2,720 - $3,074
from 3 insurers · median $3,009
Typical for a hospital with this service line
Digestive procedures
CPT 45378
$1,425 - $4,072
from 4 insurers · median $3,836
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$2,085 - $4,684
from 4 insurers · median $2,315
Typical for a hospital with this service line
MRI imaging
CPT 73721
$3,009 - $3,170
from 3 insurers · median $3,073
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$1,384 - $3,013
from 4 insurers · median $1,537
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$214 - $220
from 3 insurers · median $220
Typical for a hospital with this service line
Ultrasound
CPT 76705
$664 - $690
from 3 insurers · median $686
Typical for a hospital with this service line
MRI imaging
CPT 73221
$3,009 - $3,170
from 3 insurers · median $3,073
Typical for a hospital with this service line
Ultrasound
CPT 76856
$791 - $857
from 3 insurers · median $813
Typical for a hospital with this service line
Laboratory and pathology
CPT 80053
$13 - $129
from 4 insurers · median $126
Typical for a hospital with this service line
Ultrasound
CPT 76536
$800 - $843
from 3 insurers · median $817
Typical for a hospital with this service line
X-ray and bone density
CPT 77080
$509 - $537
from 3 insurers · median $520
Typical for a hospital with this service line
Ultrasound
CPT 76770
$845 - $890
from 3 insurers · median $849
Typical for a hospital with this service line
Laboratory and pathology
CPT 85025
$11 - $95
from 4 insurers · median $90
Typical for a hospital with this service line
X-ray and bone density
CPT 73630
$241 - $255
from 3 insurers · median $252
Typical for a hospital with this service line
X-ray and bone density
CPT 73030
$226 - $239
from 3 insurers · median $231
Typical for a hospital with this service line
MRI imaging
CPT 72157
$3,528 - $3,718
from 3 insurers · median $3,604
Typical for a hospital with this service line
Laboratory and pathology
CPT 85027
$8 - $79
from 4 insurers · median $71
Typical for a hospital with this service line
Lung function and sleep
CPT 94060
$216 - $385
from 3 insurers · median $378
Typical for a hospital with this service line
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 23 | 789% | 19 | 3 |
| Insurer B* | 23 | 765% | 22 | 1 |
| Insurer C* | 23 | 761% | 10 | 11 |
| Insurer D* | 8 | 150% | 6 | 1 |
How we chose these services: 0 appear in this hospital's own Medicare claims, 0 are common here based on CMS Medicare volume, and 23 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Pioneer Memorial Hospital.
564 East Pioneer Drive, Heppner, OR 97836
(541) 676-9133
The nearest hospitals of similar type and size. Their rates are compared with Pioneer Memorial Hospital for the same insurers and services above.
Good Shepherd Medical Center
â–² Rates typically 73% higher than Pioneer Memorial Hospital (18 services)
Chi St. Anthony Hospital - Pendleton
Rates about the same as Pioneer Memorial Hospital (23 services)
Prosser Memorial Hospital
â–¼ Rates typically 76% lower than Pioneer Memorial Hospital (23 services)
Lourdes Medical Center
â–¼ Rates typically 67% lower than Pioneer Memorial Hospital (23 services)
Klickitat Valley Health
â–¼ Rates typically 71% lower than Pioneer Memorial Hospital (22 services)
Grande Ronde Hospital
â–¼ Rates typically 77% lower than Pioneer Memorial Hospital (19 services)
St. Charles Medical Center - Prineville
Peacehealth Peace Harbor Medical Center
About Pioneer Memorial Hospital's rates and hospital price transparency.
For MRI lumbar spine without contrast (CPT 72148), published negotiated rates at Pioneer Memorial Hospital range from $2,720 to $3,074 across 3 insurers. Regence BlueCross BlueShield's rate is $3,074. The median at nearby comparable hospitals is $400. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Pioneer Memorial Hospital range from $557 to $2,947 across 4 insurers. UnitedHealthcare's rate is $2,947. The median at nearby comparable hospitals is $1,443. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Diagnostic colonoscopy (CPT 45378), published negotiated rates at Pioneer Memorial Hospital range from $1,425 to $4,072 across 4 insurers. Cigna's rate is $3,986. The median at nearby comparable hospitals is $1,147. What a patient pays depends on their plan's deductible, coinsurance and network status.
Pioneer Memorial Hospital has 21 beds. Facility type: Critical Access Hospital.
Pioneer Memorial Hospital is located at 564 East Pioneer Drive, Heppner, OR 97836. Its main phone number is (541) 676-9133.
Pioneer Memorial Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 381310.
The National Provider Identifier (NPI) on file for Pioneer Memorial Hospital is 1376572099.
Pioneer Memorial Hospital lists 22 in-network payers, including Aetna, Aspirus Health Plan, Avera Health Plans, BCBS, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
185 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
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{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers