Saint Alphonsus Medical Center Ontario

Ontario, OR

Posts prices for 34 of the 66 common shoppable procedures we track. Price file retrieved 2026-09-04.

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ProcedurePosted cashPosted gross× Medicare
CT head/brain without contrast (70450) $1,084.85 $1,669 9.3×
MRI brain without contrast (70551) $1,593.80 $2,452 6.0×
MRI brain with contrast (70552) $2,048.80 $3,152 5.3×
MRI brain without and with contrast (70553) $2,507.70 $3,858 6.5×
X-ray lower spine, 4+ views (72110) $401.70 $618 3.5×
MRI lumbar spine without contrast (72148) $1,534.65 $2,361 5.8×
CT pelvis with contrast (72193) $1,482.65 $2,281 7.6×
MRI lower-extremity joint without contrast (73721)
range across 6 matching MRF lines
$1,493.70–$2,240.55 $2,298–$3,447 varies
CT abdomen and pelvis with contrast (74177) $2,813.20 $4,328 7.3×
Ultrasound, abdomen complete (76700) $408.85 $629 3.5×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $319.80 $492 2.8×
Ultrasound, transvaginal (76830) $410.15 $631 3.5×
Mammography, one breast (diagnostic) (77065) $232.05 $357 2.7×
Mammography, both breasts (diagnostic) (77066) $348.40 $536 3.2×
Mammography, screening (bilateral) (77067)
range across 2 matching MRF lines
$205.40–$216.45 $316–$333 varies
Basic metabolic panel (80048) $45.50 $70 5.4×
Comprehensive metabolic panel (80053) $44.85 $69 4.2×
Obstetric panel (80055) $100.10 $154 2.1×
Lipid panel (80061)
range across 5 matching MRF lines
$32.50–$112.45 $50–$173 varies
Renal function panel (80069) $65 $100 7.5×
Hepatic function panel (80076) $46.80 $72 5.7×
Urinalysis, non-automated, with microscopy (81000) $6.50 $10 1.6×
Urinalysis, non-automated, without microscopy (81002) $16.90 $26 4.9×
PSA, total (84153)
range across 3 matching MRF lines
$46.80–$59.80 $72–$92 varies
Thyroid stimulating hormone (TSH) (84443)
range across 8 matching MRF lines
$62.40–$76.05 $96–$117 varies
CBC with automated differential (85025) $39 $60 5.0×
CBC, automated (85027) $32.50 $50 5.0×
Prothrombin time (PT) (85610)
range across 3 matching MRF lines
$21.45–$35.10 $33–$54 varies
Partial thromboplastin time (PTT) (85730)
range across 7 matching MRF lines
$68.90–$82.55 $106–$127 varies
Psychotherapy, 30 minutes (90832) $105.95 $163 0.5×
Sleep study (attended polysomnography) (95810) $3,029 $4,660 3.2×
Physical therapy, therapeutic exercise (per 15 min) (97110) $64.35 $99 2.2×
Preventive visit, new patient (age 18–39) (99385) $85.15 $131 —
Preventive visit, new patient (age 40–64) (99386) $86.45 $133 —

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.

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Download the machine-readable file (ZIP, 264.3 MB) ↓ — captured 2026-09-04

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