Saint Alphonsus Medical Center - Ontario
Ontario, OR
Addresses
Filing revisions
1 known revision on file.
| Revision date | Payer-specific rates |
|---|---|
| Mar 31, 2026 | Yes |
Example procedure pricing
- Total knee replacement β CPT 27447$636
- MRI brain w/ contrast β CPT 70553$1.4k
- Upper GI endoscopy β CPT 43239$193
- Knee arthroscopy β CPT 29881$373
- Colonoscopy β CPT 45378$220
- Colonoscopy with biopsy β CPT 45380$244
- Appendectomy β CPT 44970$277
- Hip replacement β CPT 27130$677
- Gallbladder removal β CPT 47562$305
- Screening mammogram β CPT 77067$133
- CT scan, abdomen and pelvis β CPT 74177$1.6k
- Tonsillectomy β CPT 42820$237
- MRI, knee β CPT 73721$1.0k
- MRI, lumbar spine β CPT 72148$884
- Chest X-ray β CPT 71046$140
- Emergency dept visit, level 4 β CPT 99284$854
- Hernia repair β CPT 49505$258
- Carpal tunnel release β CPT 64721$416
- Shoulder arthroscopy with rotator cuff repair β CPT 29827$402
- Colorectal cancer screening β HCPCS G0121$191
- Major joint replacement, inpatient stay β MS-DRG 470$33.5k
- Heart failure hospitalization β MS-DRG 291$23.0k
- Pneumonia hospitalization β MS-DRG 194$14.8k
- Digestive disorder hospitalization β MS-DRG 392$14.0k
- Kidney failure hospitalization β MS-DRG 683$16.1k
- Sepsis hospitalization β MS-DRG 871$35.0k
- Stroke hospitalization β MS-DRG 065$18.1k
- Outpatient clinic visit, level 1 β HCPCS G0463$45
EIN: 271789847
Last updated: Mar 31, 2026
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Hospital ID: 2e1d20ef2d1763cc26d6757396de298f7ca269d04f1eb5aee8b0059bdde036a1