Trinity Health · Ontario, OR
34
In-network payers
207
Disclosed rate categories
49
Beds
4
Care quality
Saint Alphonsus Medical Center Ontario is a 49-bed voluntary non-profit - church hospital in Ontario, OR, affiliated with Trinity Health. Below you'll find publicly disclosed negotiated rates and facility details, including 34 in-network payers and 207 disclosed rate categories.
CCN (Medicare provider number)
380052
NPI
1891891792
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Church
Beds
49
Care Quality
4
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 24 services Saint Alphonsus Medical Center Ontario 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.
Childbirth · Inpatient
MS-DRG 807
$3,700 - $12,530
from 2 insurers · median $8,115
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports obstetrics / child birth services to CMS
Childbirth · Inpatient
MS-DRG 788
$7,500 - $16,782
from 2 insurers · median $12,141
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports obstetrics / child birth services to CMS
Medicine & Surgery
CPT 29881
$861 - $16,122
from 2 insurers · median $8,491
27 Medicare claims in Level 3 Musculoskeletal Procedures (CMS 2024)
Medicine & Surgery
CPT 49505
$1,285 - $13,368
from 2 insurers · median $7,327
11 Medicare claims in Level 1 Abdominal/Peritoneal/Biliary and Related Procedures (CMS 2024)
Childbirth · Inpatient
MS-DRG 807
$3,700 - $12,530
from 2 insurers · median $8,115
CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports obstetrics / child birth services to CMS
CT imaging
CPT 74177
$564 - $1,114
from 2 insurers · median $839
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 460
$71,316
negotiated rate
Hospital reports orthopedic surgery services to CMS
Digestive procedures
CPT 45385
$808 - $4,560
from 2 insurers · median $2,684
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$274 - $2,132
from 2 insurers · median $1,203
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 473
$47,120
negotiated rate
Hospital reports orthopedic surgery services to CMS
Digestive procedures
CPT 45380
$615 - $4,489
from 2 insurers · median $2,552
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$39,775
negotiated rate
Typical for a hospital with this service line
Medicine & Surgery · Inpatient
MS-DRG 470
$36,485
negotiated rate
Hospital reports orthopedic surgery services to CMS
Digestive procedures
CPT 43239
$303 - $3,612
from 2 insurers · median $1,957
Common here, based on CMS Medicare volume
Orthopedics and pain
CPT 29880
$12,507
negotiated rate
27 Medicare claims in Level 3 Musculoskeletal Procedures (CMS 2024)
Mammography
CPT 77067
$153 - $246
from 2 insurers · median $200
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$60 - $261
from 2 insurers · median $160
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$232 - $325
from 2 insurers · median $278
Common here, based on CMS Medicare volume
Digestive procedures
CPT 49650
$21,948
negotiated rate
Typical for a hospital with this service line
MRI imaging
CPT 70553
$905 - $1,136
from 2 insurers · median $1,020
Common here, based on CMS Medicare volume
Gynecology
CPT 58558
$1,134 - $12,080
from 2 insurers · median $6,607
Typical for a hospital with this service line
Orthopedics and pain
CPT 29888
$1,868 - $35,632
from 2 insurers · median $18,750
Typical for a hospital with this service line
CT imaging
CPT 74176
$395 - $717
from 2 insurers · median $556
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$489 - $527
from 2 insurers · median $508
Common here, based on CMS Medicare volume
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* | 24 | 365% | 18 | 2 |
| Insurer B* | 15 | 66% | 0 | 15 |
| Insurer C* | 3 | - | 0 | 0 |
How we chose these services: 3 appear in this hospital's own Medicare claims, 11 are common here based on CMS Medicare volume, and 10 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 Saint Alphonsus Medical Center Ontario.
351 Sw Ninth Street, Ontario, OR 97914
(541) 881-7000
The nearest hospitals of similar type and size. Their rates are compared with Saint Alphonsus Medical Center Ontario for the same insurers and services above.
St. Luke S Nampa Medical Center
▲ Rates typically 167% higher than Saint Alphonsus Medical Center Ontario (21 services)
St. Charles Medical Center - Redmond
▲ Rates typically 11% higher than Saint Alphonsus Medical Center Ontario (20 services)
Toppenish Community Hospital
▼ Rates typically 50% lower than Saint Alphonsus Medical Center Ontario (9 services)
Northeastern Nevada Regional Hospita
▲ Rates typically 420% higher than Saint Alphonsus Medical Center Ontario (14 services)
Mid-Columbia Medical Center
▲ Rates typically 115% higher than Saint Alphonsus Medical Center Ontario (19 services)
Samaritan Hospital
▲ Rates typically 268% higher than Saint Alphonsus Medical Center Ontario (18 services)
Legacy Meridian Park Hospital
Willamette Valley Medical Center
Peacehealth Sacred Heart Medical Center University District
Adventist Health Portland
About Saint Alphonsus Medical Center Ontario's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Saint Alphonsus Medical Center Ontario range from $905 to $1,136 across 2 insurers. Aetna's rate is $905. The median at nearby comparable hospitals is $1,779. 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 Saint Alphonsus Medical Center Ontario range from $564 to $1,114 across 2 insurers. Aetna's rate is $564. The median at nearby comparable hospitals is $1,269. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Saint Alphonsus Medical Center Ontario range from $808 to $4,560 across 2 insurers. Regence BlueCross BlueShield's rate is $4,560. The median at nearby comparable hospitals is $3,493. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Saint Alphonsus Medical Center Ontario range from $3,700 to $12,530 across 2 insurers. UnitedHealthcare's rate is $3,700. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Saint Alphonsus Medical Center Ontario range from $153 to $246 across 2 insurers. Aetna's rate is $246. The median at nearby comparable hospitals is $282. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Saint Alphonsus Medical Center Ontario range from $36,485 to $36,485 across 1 insurers. Regence BlueCross BlueShield's rate is $36,485. The median at nearby comparable hospitals is $33,263. What a patient pays depends on their plan's deductible, coinsurance and network status.
Saint Alphonsus Medical Center Ontario has 49 beds. Facility type: Short Term Acute Care Hospital.
Saint Alphonsus Medical Center Ontario is located at 351 Sw Ninth Street, Ontario, OR 97914. Its main phone number is (541) 881-7000.
Saint Alphonsus Medical Center Ontario's CMS Certification Number (CCN), also called its Medicare provider number, is 380052.
The National Provider Identifier (NPI) on file for Saint Alphonsus Medical Center Ontario is 1891891792.
Saint Alphonsus Medical Center Ontario is affiliated with Trinity Health.
Saint Alphonsus Medical Center Ontario lists 34 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
207 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