CT imaging
CT abdomen and pelvis with contrast
CPT 74177
$621 - $4,499
from 4 insurers ยท median $2,160
Typical for a hospital with this service line
Saint Charles Health System ยท Prineville, OR
27
In-network payers
283
Disclosed rate categories
16
Beds
3
Care quality
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 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 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
CPT 74177
$621 - $4,499
from 4 insurers ยท median $2,160
Typical for a hospital with this service line
CT imaging
CPT 74176
$378 - $3,765
from 4 insurers ยท median $1,707
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$407 - $1,862
from 4 insurers ยท median $1,314
Typical for a hospital with this service line
Medicine & Surgery
CPT 47562
$9,154 - $20,451
from 3 insurers ยท median $13,427
Typical for a hospital with this service line
CT imaging
CPT 71275
$562 - $2,670
from 4 insurers ยท median $1,222
Typical for a hospital with this service line
Medicine & Surgery ยท Inpatient
MS-DRG 470
$40,368 - $88,180
from 4 insurers ยท median $41,384
Hospital reports orthopedic surgery services to CMS
Gynecology
CPT 58571
$36,494
negotiated rate
Typical for a hospital with this service line
CT imaging
CPT 70450
$220 - $1,249
from 4 insurers ยท median $327
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$68 - $378
from 4 insurers ยท median $239
Typical for a hospital with this service line
Medicine & Surgery
CPT 66984
$961 - $11,794
from 4 insurers ยท median $5,367
Typical for a hospital with this service line
Digestive procedures
CPT 49650
$1,800 - $20,451
from 2 insurers ยท median $11,126
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$742 - $4,133
from 4 insurers ยท median $1,319
Typical for a hospital with this service line
Medicine & Surgery ยท Inpatient
MS-DRG 743
$24,716 - $45,686
from 4 insurers ยท median $25,770
Hospital reports inpatient surgical services to CMS
Digestive procedures
CPT 47563
$9,036 - $19,555
from 3 insurers ยท median $13,254
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$550 - $3,286
from 4 insurers ยท median $871
Typical for a hospital with this service line
MRI imaging
CPT 70553
$655 - $3,938
from 4 insurers ยท median $1,022
Typical for a hospital with this service line
Gynecology
CPT 58661
$1,800 - $19,555
from 2 insurers ยท median $10,678
Typical for a hospital with this service line
Ear, nose and throat
CPT 69436
$5,081 - $5,851
from 2 insurers ยท median $5,466
Typical for a hospital with this service line
Mammography
CPT 77067
$314
negotiated rate
Typical for a hospital with this service line
Gynecology
CPT 58662
$1,800 - $20,451
from 2 insurers ยท median $11,126
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93971
$240 - $1,088
from 4 insurers ยท median $557
Typical for a hospital with this service line
X-ray and bone density
CPT 77080
$81 - $607
from 4 insurers ยท median $393
Typical for a hospital with this service line
Ultrasound
CPT 76705
$112 - $497
from 4 insurers ยท median $280
Typical for a hospital with this service line
Medicine & Surgery
CPT 55866
$36,494
negotiated rate
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* | 17 | 388% | 8 | 3 |
| Insurer B* | 24 | 343% | 3 | 10 |
| Insurer C* | 20 | 220% | 7 | 0 |
| Insurer D* | 16 | 171% | 5 | 5 |
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.
384 Se Combs Flat Road, Prineville, OR 97754
(541) 447-6254
About St. Charles Medical Center - Prineville's rates and hospital price transparency.
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.
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.
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.
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.
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.
St. Charles Medical Center - Prineville has 16 beds. Facility type: Critical Access Hospital.
St. Charles Medical Center - Prineville is located at 384 Se Combs Flat Road, Prineville, OR 97754. Its main phone number is (541) 447-6254.
St. Charles Medical Center - Prineville's CMS Certification Number (CCN), also called its Medicare provider number, is 381313.
The National Provider Identifier (NPI) on file for St. Charles Medical Center - Prineville is 1710160445.
St. Charles Medical Center - Prineville is affiliated with Saint Charles Health System.
St. Charles Medical Center - Prineville lists 27 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.
283 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.
For hospital finance and compliance teams
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.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"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