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Critical Access HospitalVoluntary Non-Profit - Private

St. Charles Medical Center - Prineville

Saint Charles Health System ยท Prineville, OR

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

27

In-network payers

283

Disclosed rate categories

16

Beds

3

Care quality

About this hospital

St. Charles Medical Center - Prineville is a 16-bed voluntary non-profit - private hospital in Prineville, OR, affiliated with Saint Charles Health System. Below you'll find publicly disclosed negotiated rates and facility details, including 27 in-network payers and 283 disclosed rate categories.

CCN (Medicare provider number)

381313

NPI

1710160445

Type

Critical Access Hospital

Ownership

Voluntary Non-Profit - Private

Beds

16

Care Quality

3

Insurance Accepted

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.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
Aspirus Health PlanAvera Health PlansBanner HealthCenteneEMI HealthHarvard Pilgrim Health Care (Point32Health)

Prices for common services

The 24 services St. Charles Medical Center - Prineville 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

CT abdomen and pelvis with contrast

CPT 74177

$621 - $4,499

from 4 insurers ยท median $2,160

Aetna$621
Insurer A*$1,252
Insurer B*$3,068
Insurer C*$4,499
Medicare $356Nearby hospitals $2,3568% below nearby hospitals

Typical for a hospital with this service line

CT imaging

CT of the abdomen and pelvis, without contrast

CPT 74176

$378 - $3,765

from 4 insurers ยท median $1,707

Aetna$378
Insurer A*$847
Insurer B*$2,567
Insurer C*$3,765
Medicare $244Nearby hospitals $1,5987% above nearby hospitals

Typical for a hospital with this service line

Cardiology and vascular testing

Complete echocardiogram with Doppler and color flow

CPT 93306

$407 - $1,862

from 4 insurers ยท median $1,314

Cigna$1,066
Insurer A*$407
Insurer B*$1,563
Insurer C*$1,862
Medicare $558Nearby hospitals $1,56716% below nearby hospitals

Typical for a hospital with this service line

Medicine & Surgery

Laparoscopic cholecystectomy

CPT 47562

$9,154 - $20,451

from 3 insurers ยท median $13,427

Regence BCBS$20,451
Insurer A*$9,154
Insurer B*$13,427
Medicare $6,176

Typical for a hospital with this service line

CT imaging

CT angiography of chest blood vessels

CPT 71275

$562 - $2,670

from 4 insurers ยท median $1,222

Aetna$562
Insurer A*$624
Insurer B*$1,820
Insurer C*$2,670
Medicare $179Nearby hospitals $1,44115% below nearby hospitals

Typical for a hospital with this service line

Medicine & Surgery ยท Inpatient

Major lower-extremity joint replacement without MCC

MS-DRG 470

$40,368 - $88,180

from 4 insurers ยท median $41,384

Regence BCBS$41,038
Insurer A*$40,368
Insurer B*$41,730
Insurer C*est.$88,180
Medicare $12,855

Hospital reports orthopedic surgery services to CMS

Gynecology

Laparoscopic hysterectomy with tube or ovary removal, uterus up to 250 g

CPT 58571

$36,494

negotiated rate

Regence BCBS$36,494
Medicare $10,860

Typical for a hospital with this service line

CT imaging

CT head or brain without contrast

CPT 70450

$220 - $1,249

from 4 insurers ยท median $327

Aetna$220
Insurer A*$281
Insurer B*$373
Insurer C*$1,249
Medicare $107Nearby hospitals $61347% below nearby hospitals

Typical for a hospital with this service line

X-ray and bone density

Chest X-ray, two views

CPT 71046

$68 - $378

from 4 insurers ยท median $239

Aetna$68
Insurer A*$169
Insurer B*$309
Insurer C*$378
Medicare $89Nearby hospitals $20019% above nearby hospitals

Typical for a hospital with this service line

Medicine & Surgery

Cataract removal with lens insertion

CPT 66984

$961 - $11,794

from 4 insurers ยท median $5,367

Regence BCBS$11,794
Insurer A*$961
Insurer B*$4,508
Insurer C*$6,225
Medicare $2,358Nearby hospitals $4,12730% above nearby hospitals

Typical for a hospital with this service line

Digestive procedures

Laparoscopic repair of an initial inguinal hernia

CPT 49650

$1,800 - $20,451

from 2 insurers ยท median $11,126

UnitedHealthcare$1,800
Insurer A*$20,451
Medicare $6,176Nearby hospitals $1,800518% above nearby hospitals

Typical for a hospital with this service line

Digestive procedures

Colonoscopy with polyp removal

CPT 45385

$742 - $4,133

from 4 insurers ยท median $1,319

UnitedHealthcare$790
Insurer A*$742
Insurer B*$1,848
Insurer C*$4,133
Medicare $1,223Nearby hospitals $91644% above nearby hospitals

Typical for a hospital with this service line

Medicine & Surgery ยท Inpatient

Uterine and adnexa procedure for non-malignancy without CC or MCC

MS-DRG 743

$24,716 - $45,686

from 4 insurers ยท median $25,770

Regence BCBS$25,881
Insurer A*$24,716
Insurer B*$25,659
Insurer C*est.$45,686
Medicare $8,362

Hospital reports inpatient surgical services to CMS

Digestive procedures

Laparoscopic gallbladder removal with bile-duct imaging

CPT 47563

$9,036 - $19,555

from 3 insurers ยท median $13,254

UnitedHealthcare$13,254
Insurer A*$9,036
Insurer B*$19,555
Medicare $6,176

Typical for a hospital with this service line

Digestive procedures

Upper GI endoscopy with biopsy

CPT 43239

$550 - $3,286

from 4 insurers ยท median $871

UnitedHealthcare$550
Insurer A*$558
Insurer B*$1,183
Insurer C*$3,286
Medicare $927Nearby hospitals $1,69349% below nearby hospitals

Typical for a hospital with this service line

MRI imaging

MRI brain before and after contrast

CPT 70553

$655 - $3,938

from 4 insurers ยท median $1,022

Cigna$3,938
Insurer A*$655
Insurer B*$792
Insurer C*$1,252
Medicare $356Nearby hospitals $1,75742% below nearby hospitals

Typical for a hospital with this service line

Gynecology

Laparoscopic removal of an ovary or fallopian tube

CPT 58661

$1,800 - $19,555

from 2 insurers ยท median $10,678

Regence BCBS$19,555
Insurer A*$1,800
Medicare $6,176Nearby hospitals $1,800493% above nearby hospitals

Typical for a hospital with this service line

Ear, nose and throat

Ear-tube insertion under general anesthesia

CPT 69436

$5,081 - $5,851

from 2 insurers ยท median $5,466

Aetna$5,851
Insurer A*$5,081
Medicare $1,585

Typical for a hospital with this service line

Mammography

Screening mammography, bilateral

CPT 77067

$314

negotiated rate

Regence BCBS$314
Medicare $92Nearby hospitals $42626% below nearby hospitals

Typical for a hospital with this service line

Gynecology

Laparoscopic removal of pelvic lesions

CPT 58662

$1,800 - $20,451

from 2 insurers ยท median $11,126

Regence BCBS$20,451
Insurer A*$1,800
Medicare $6,176Nearby hospitals $1,800518% above nearby hospitals

Typical for a hospital with this service line

Cardiology and vascular testing

Ultrasound of veins in one limb or a limited bilateral study

CPT 93971

$240 - $1,088

from 4 insurers ยท median $557

Cigna$742
Insurer A*$240
Insurer B*$373
Insurer C*$1,088
Medicare $107Nearby hospitals $41235% above nearby hospitals

Typical for a hospital with this service line

X-ray and bone density

Bone-density scan of the spine and hip

CPT 77080

$81 - $607

from 4 insurers ยท median $393

Aetna$81
Insurer A*$373
Insurer B*$414
Insurer C*$607
Medicare $107Nearby hospitals $3706% above nearby hospitals

Typical for a hospital with this service line

Ultrasound

Limited ultrasound of the abdomen

CPT 76705

$112 - $497

from 4 insurers ยท median $280

UnitedHealthcare$112
Insurer A*$178
Insurer B*$383
Insurer C*$497
Medicare $107Nearby hospitals $296In line with nearby hospitals

Typical for a hospital with this service line

Medicine & Surgery

Laparoscopic radical prostatectomy

CPT 55866

$36,494

negotiated rate

Regence BCBS$36,494
Medicare $10,860

Typical for a hospital with this service line

How the insurers pay at St. Charles Medical Center - Prineville

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.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*17
388%
83
Insurer B*24
343%
310
Insurer C*20
220%
70
Insurer D*16
171%
55

How we chose these services: 0 appear in this hospital's own Medicare claims, 0 are common here based on CMS Medicare volume, and 24 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 St. Charles Medical Center - Prineville.

Location

384 Se Combs Flat Road, Prineville, OR 97754

(541) 447-6254

Get directions

Frequently asked questions

About St. Charles Medical Center - Prineville's rates and hospital price transparency.

How much does an MRI cost at St. Charles Medical Center - Prineville?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at St. Charles Medical Center - Prineville range from $655 to $3,938 across 4 insurers. Cigna's rate is $3,938. The median at nearby comparable hospitals is $1,757. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at St. Charles Medical Center - Prineville?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at St. Charles Medical Center - Prineville range from $621 to $4,499 across 4 insurers. Aetna's rate is $621. The median at nearby comparable hospitals is $2,356. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at St. Charles Medical Center - Prineville?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at St. Charles Medical Center - Prineville range from $742 to $4,133 across 4 insurers. UnitedHealthcare's rate is $790. The median at nearby comparable hospitals is $916. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at St. Charles Medical Center - Prineville?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at St. Charles Medical Center - Prineville range from $314 to $314 across 1 insurers. Regence BlueCross BlueShield's rate is $314. The median at nearby comparable hospitals is $426. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at St. Charles Medical Center - Prineville?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at St. Charles Medical Center - Prineville range from $40,368 to $88,180 across 4 insurers. Regence BlueCross BlueShield's rate is $41,038. What a patient pays depends on their plan's deductible, coinsurance and network status.

How many beds does St. Charles Medical Center - Prineville have?

St. Charles Medical Center - Prineville has 16 beds. Facility type: Critical Access Hospital.

Where is St. Charles Medical Center - Prineville and what is its phone number?

St. Charles Medical Center - Prineville is located at 384 Se Combs Flat Road, Prineville, OR 97754. Its main phone number is (541) 447-6254.

What is St. Charles Medical Center - Prineville's CCN (Medicare provider number)?

St. Charles Medical Center - Prineville's CMS Certification Number (CCN), also called its Medicare provider number, is 381313.

What is St. Charles Medical Center - Prineville's NPI number?

The National Provider Identifier (NPI) on file for St. Charles Medical Center - Prineville is 1710160445.

What health system is St. Charles Medical Center - Prineville part of?

St. Charles Medical Center - Prineville is affiliated with Saint Charles Health System.

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.

Compliance MRF

Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "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
      }
    ]
  }]
}
  • CMS template layout, in JSON or CSV
  • Gross, discounted cash, payer-specific and de-identified min / max charges
  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
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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.

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CodingPricingPayer contractsCompliance
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  • Missing, duplicate and outdated charge lines identified
  • Charges set below payer allowables caught before lesser-of clauses cut payment
  • Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
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