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Saint Alphonsus Medical Center-Ontario prices. From its own published file.

Saint Alphonsus Medical Center-Ontario in Ontario, OR publishes its standard charges as required by federal rule. Here's what it lists for common services, and how to check your bill against it.

2,899prices published
Mar 2026file last updated
$392cash price for emergency visit, highest (level 5) (list $6,469)

Common services

ServiceCash priceList priceInsurers pay
Emergency visit, moderate (level 3)
99283
$168$1,288$49.16–$1,249
Emergency visit, high (level 4)
99284
$268$3,867$83.69–$6,457
Emergency visit, highest (level 5)
99285
$392$6,469$121–$9,583
Comprehensive metabolic panel
80053
$44.85$69.00$7.39–$66.93
Basic metabolic panel
80048
$45.50$70.00$5.92–$67.90
Complete blood count (CBC)
85025
$39.00$60.00$5.44–$58.20
Blood draw (venipuncture)
36415
$12.00$34.00$2.75–$32.98
Urinalysis
81001
$16.25$25.00$2.22–$24.25
Troponin (heart test)
84484
$68.90$115$8.73–$119
EKG tracing
93005
$24.00$383$4.00–$372
Chest X-ray, 2 views
71046
$192$296$6.39–$287
CT head without contrast
70450
$1,085$1,669$51.90–$1,619
CT abdomen and pelvis with contrast
74177
$2,813$4,328$236–$4,198
MRI lower back without contrast
72148
$1,535$2,361$150–$2,290
Ultrasound, abdomen
76700
$409$629$89.14–$610
IV push, single drug
96374
$371$571$97.07–$802
IV fluids, first hour
96360
$564$868$148–$842
Ketorolac injection, 15 mg
J1885
$1.00$5.53$0.30–$36.62
Ondansetron injection
J2405
$4.10$4.10$0.07–$3.98
Colonoscopy, diagnostic
45378
$571—$118–$571
Upper GI endoscopy with biopsy
43239
$446—$95.32–$449
Knee arthroscopy
29881
$212—$16.15–$1,925

Cash price: the discounted price for self-pay patients. List price: the hospital's gross charge. Insurers pay: the lowest and highest rates it lists for insurance plans. Source: Saint Alphonsus Medical Center-Ontario price transparency page.

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