Does Good Shepherd Medical Center have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Good Shepherd Medical Center. In a medical emergency, call 911.

Where is Good Shepherd Medical Center?

610 NW 11th Street, Hermiston, OR 97838, in Umatilla County, Oregon.

What is the phone number of Good Shepherd Medical Center?

(541) 667-3400, as listed by Medicare (CMS).

What is the Medicare star rating of Good Shepherd Medical Center?

CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Good Shepherd Medical Center — Hermiston, OR

Quick answers

Does Good Shepherd Medical Center have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Good Shepherd Medical Center. In a medical emergency, call 911.
Where is Good Shepherd Medical Center?: 610 NW 11th Street, Hermiston, OR 97838, in Umatilla County, Oregon.
What is the phone number of Good Shepherd Medical Center?: (541) 667-3400, as listed by Medicare (CMS).
What is the Medicare star rating of Good Shepherd Medical Center?: CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Specialties and care areas^[5][8][9]

Emergency Medicine
Obstetrics (Family Birth Center)
Oncology
Diagnostic Imaging
Surgery
Cardiopulmonary Rehabilitation
Physical Therapy
Respiratory Therapy
Speech and Language Therapy
Laboratory Medicine

Conditions treated^[5][8]

Stroke
Heart attack
Broken bones
Severe cuts
Cancer
Blood disorders
COPD
Emphysema
Persistent asthma
Pulmonary fibrosis
Interstitial lung disease
Stable angina
Swallowing disorders

Treatments^[5][8][10]

Emergency care
Cardiopulmonary rehabilitation
Intravenous (IV) therapy
Respiratory therapy
Physical therapy
Speech and language therapy
Swallowing disorder evaluation and treatment
Maternity and labor/delivery care
Epidural arrangement for labor
Sexual assault nurse examination (SANE)
Inpatient medical-surgical care (adult and pediatric)

Procedures^[4][5][9]

Day surgery
Inpatient surgery
Cesarean section
3D mammography
Bone density scan
CT scan
Echocardiography
MRI
Nuclear medicine
PET/CT
Ultrasound / 3D ultrasound
X-ray
Laboratory testing (hematology, chemistry, microbiology, blood bank, histology)

Programs and centers^[4][5][8]

Family Birth Center
Cardiopulmonary Rehabilitation
Good Shepherd Cancer Center
Day Surgery
Diagnostic Imaging
Laboratory
Medical-Surgical Unit
Therapy Services
Sexual Assault Nurse Examiner (SANE) program
CareVan Medical Transportation

Emergency care (hospital website)^[4]

Emergency room	Yes
Open 24/7	Yes

Visiting and practical information

Patient portal	MyHealth

Recognition^[8]

Level III Trauma Center

Doctors and clinicians (344)

344 doctors and other clinicians list Good Shepherd Medical Center as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

And 320 more: the button below opens the full list.

Other emergency rooms nearby

Hospitals that list emergency services, by straight-line distance (not driving distance).

Trios Health24 mi · Kennewick, WA · Acute Care Hospital
St Anthony Hospital26 mi · Pendleton, OR · Critical Access Hospital
Lourdes Medical Center29 mi · Pasco, WA · Critical Access Hospital
Kadlec Regional Medical Center30 mi · Richland, WA · Acute Care Hospital
Prosser Memorial Hospital33 mi · Prosser, WA · Critical Access Hospital

Other hospitals nearby

Lourdes Counseling Center30 mi · Richland, WA · Psychiatric Hospital

Nursing homes, hospice, home health and dialysis nearby

Medicare-certified providers within 25 miles, by straight-line distance. Hospice and home health care is given at home: their address is the office.

Nursing homes

Regency Hermiston Nursing & Rehab Center0.6 mi · Hermiston, OR · 3 of 5 stars
Regency Canyon Lakes Rehab and Nursing Center24 mi · Kennewick, WA · 5 of 5 stars

All nursing homes in the state →

Hospice providers

Vange John Memorial Hospice1.2 mi · Hermiston, OR · 5 of 5 stars

All hospice providers in the state →

Home health agencies

Good Shepherd Home Health1.2 mi · Hermiston, OR · 2 of 5 stars

All home health agencies in the state →

Dialysis facilities

DaVita Hermiston Community Dialysis Center1.2 mi · Hermiston, OR · 3 of 5 stars
DaVita Kennewick Dialysis17 mi · Kennewick, WA · 5 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

Medicare-certified ambulatory surgery centers within 25 miles, by straight-line distance.

Precision Surgery Center1.2 mi · Hermiston, OR

All outpatient surgery centers in the state →

Community care nearby

Health centers, clinics, urgent care and pharmacies closest to this hospital, by straight-line distance, from official HRSA, Medicare and NPI Registry data. In a medical emergency, call 911.

Community health centers

Mirasol Family Health Center0.1 mi · Hermiston, OR · Community health center
Columbia River Pharmacy19 mi · Boardman, OR · Community health center
Columbia River Health19 mi · Boardman, OR · Community health center

Clinics and urgent care

Family Health Associates1.2 mi · Hermiston, OR · Rural health clinic
Good Shepherd Medical Group RHC1.2 mi · Hermiston, OR · Rural health clinic
Family Health Associates - Umatilla4.6 mi · Umatilla, OR · Rural health clinic

Pharmacies

Good Shepherd Health Care Systems1.2 mi · Hermiston, OR · Clinic pharmacy
Good Shepherd Medical Service Corp1.2 mi · Hermiston, OR · Community/retail pharmacy
Mullay Enterprises, Inc.1.2 mi · Hermiston, OR · Community/retail pharmacy

Assisted living nearby

Licensed homes from the official state licence list, by straight-line distance.

Avamere at Hermiston1.2 mi · Hermiston, OR
Guardian Angel Homes1.2 mi · Hermiston, OR
Guardian Angel Homes Memory Care1.2 mi · Hermiston, OR
Sandy Rose1.2 mi · Hermiston, OR

About the Medicare star rating

CMS (the federal Medicare agency) gives many hospitals an overall rating from 1 to 5 stars, based on measures of mortality, safety, readmissions, patient experience and timely care. It is one piece of information: ask your doctor what matters for your care. See the full Medicare profile →

Medicare quality data

What Good Shepherd Medical Center reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

What this means: Patients who stayed overnight answered a national survey (HCAHPS) about their stay. More stars mean patients reported a better experience than at other hospitals. The percentages show how often patients gave the best answer, next to the national average.

Summary star rating (all survey topics)	4 of 5 stars
Overall rating of the hospital	3 of 5 stars
Would recommend the hospital	3 of 5 stars
Nurses communicated well	4 of 5 stars
Doctors communicated well	4 of 5 stars
Staff explained medicines	3 of 5 stars
Information about recovery at home	4 of 5 stars
Room and bathroom kept clean	4 of 5 stars
Quiet at night	3 of 5 stars
Rated the hospital 9 or 10 out of 10	69%National average: 72%
Would definitely recommend the hospital	65%National average: 71%
Nurses “always” communicated well	79%National average: 80%
Doctors “always” communicated well	79%National average: 80%
Staff “always” explained medicines before giving them	58%National average: 62%
Were given information about recovery at home	88%National average: 86%
Room and bathroom “always” clean	73%National average: 74%
Area around the room “always” quiet at night	55%National average: 60%
Completed surveys	270Response rate: 16%

Source: Patient survey (HCAHPS) - Hospital — CMS, released July 22, 2026; patients discharged October 2024 to September 2025.

Infections caught in the hospital

What this means: CMS compares the number of infections patients caught in this hospital with the number expected for a hospital like it. The number shown is that ratio: below 1 means fewer infections than expected, above 1 means more. “Better” or “worse” is shown only when the difference is clear in the data.

Central line bloodstream infections (CLABSI)	Not reported to Medicare
Catheter-associated urinary tract infections (CAUTI)	0.939No different from the national benchmark
Surgical site infections after colon surgery	Not reported to Medicare
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	Not reported to Medicare
Clostridioides difficile (C. diff) intestinal infections	0.703No different from the national benchmark

Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026; data from October 2024 to September 2025.

Complications and deaths

What this means: Death rates are the share of patients who died within 30 days of going into the hospital for that condition, adjusted for how sick they were. PSI-90 combines several serious complications (a lower number is better). “No different from the national rate” is the most common result and means the hospital is in line with hospitals nationwide.

Deaths within 30 days: heart attack patients	Too few cases to report
Deaths within 30 days: heart failure patients	12.7%
Deaths within 30 days: pneumonia patients	18.6%
Deaths within 30 days: COPD patients	Not reported to Medicare
Deaths within 30 days: stroke patients	15.1%
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	Not reported to Medicare
Complications after hip or knee replacement	Too few cases to report

Source: Complications and Deaths - Hospital — CMS, released September 10, 2026; data from July 2022 to June 2025.

Return visits to the hospital (readmissions)

What this means: The share of patients who had to be admitted to a hospital again within 30 days after going home, adjusted for how sick they were. A lower percentage is better.

Returned to any hospital within 30 days (all patients)	Not reported to Medicare
Readmitted within 30 days: heart attack	Too few cases to report
Readmitted within 30 days: heart failure	21.9%
Readmitted within 30 days: pneumonia	17.4%
Readmitted within 30 days: COPD	19.5%
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	Too few cases to report

Source: Unplanned Hospital Visits - Hospital — CMS, released September 10, 2026; data from July 2023 to June 2025.

Emergency room times and sepsis care

What this means: ER time is the middle (median) time from arriving at the emergency room to leaving it; busier ERs usually have longer times, so the ER volume is shown too. Leaving before being seen: a lower percentage is better. Sepsis is a life-threatening reaction to an infection; a higher percentage means more patients got every recommended early step.

Emergency room volume (patients per year)	Medium (20,000–39,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	151 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	2%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	77%National average: 65%

Source: Timely and Effective Care - Hospital — CMS, released July 22, 2026; data from January 2024 to December 2024.

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

How this hospital compares with others in the area, ranked only by official Medicare (CMS) numbers.

ER wait times in Oregon Best hospitals in Oregon

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 86 common services exactly as Good Shepherd Medical Center lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

Hospital charge: The hospital’s list price (“gross charge”) before any discount or insurance. Few people pay this amount.
Cash price: The price the hospital offers if you pay yourself, without insurance (“discounted cash price”).
Insurance rates: The lowest and highest amounts the hospital has agreed with any insurance plan for the service (“de-identified minimum and maximum”), and some of the rates it lists by insurer and plan. Your share depends on your deductible, copay and coinsurance.
Hospital and doctor fees: A service can have a hospital (facility) fee and a separate doctor (professional) fee; the total for your care can include both, plus other services.

How to use hospital prices: estimates, financial assistance and your rights →

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hgs Office Outpatient New 30 Minutes	$173	$173	$64.01 – $164.35
New patient office visit (about 30–44 minutes): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $69.20 Aetna — PPO: $164.35 BCBS Regence of OR — Medicare Advantage: $69.20 BCBS Regence of OR — PPO: $155.70 Cigna — PPO: $164.35 First Choice — All Plans: $160.89 MODA — All Plans: $164.35 ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): $64.01 Pacific Source — PPO: $164.35 Tricare West — Triwest Veterans: $69.20
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hgs PR Office Outpatient New 30 Minutes	$174	$174	$64.38 – $165.30
New patient office visit (about 30–44 minutes): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $69.60 Aetna — PPO: $165.30 BCBS Regence of OR — Medicare Advantage: $69.60 BCBS Regence of OR — PPO: $156.60 Cigna — PPO: $165.30 First Choice — All Plans: $161.82 MODA — All Plans: $165.30 ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): $64.38 Pacific Source — PPO: $165.30 Tricare West — Triwest Veterans: $69.60
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hgs PR Office Outpatient New Level 3	$364	$364	$134.68 – $345.80
New patient office visit (about 30–44 minutes): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $145.60 Aetna — PPO: $345.80 BCBS Regence of OR — Medicare Advantage: $145.60 BCBS Regence of OR — PPO: $327.60 Cigna — PPO: $345.80 First Choice — All Plans: $338.52 MODA — All Plans: $345.80 ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): $134.68 Pacific Source — PPO: $345.80 Tricare West — Triwest Veterans: $145.60
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hgs Office Outpatient New 45 Minutes	$225	$225	$83.25 – $213.75
New patient office visit (about 45–59 minutes): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $90 Aetna — PPO: $213.75 BCBS Regence of OR — Medicare Advantage: $90 BCBS Regence of OR — PPO: $202.50 Cigna — PPO: $213.75 First Choice — All Plans: $209.25 MODA — All Plans: $213.75 ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): $83.25 Pacific Source — PPO: $213.75 Tricare West — Triwest Veterans: $90
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hgs PR Office Outpatient New 45 Minutes	$295	$295	$109.15 – $280.25
New patient office visit (about 45–59 minutes): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $118 Aetna — PPO: $280.25 BCBS Regence of OR — Medicare Advantage: $118 BCBS Regence of OR — PPO: $265.50 Cigna — PPO: $280.25 First Choice — All Plans: $274.35 MODA — All Plans: $280.25 ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): $109.15 Pacific Source — PPO: $280.25 Tricare West — Triwest Veterans: $118
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hgs PR Office Outpatient New Level 4	$540	$540	$199.80 – $513
New patient office visit (about 45–59 minutes): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $216 Aetna — PPO: $513 BCBS Regence of OR — Medicare Advantage: $216 BCBS Regence of OR — PPO: $486 Cigna — PPO: $513 First Choice — All Plans: $502.20 MODA — All Plans: $513 ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): $199.80 Pacific Source — PPO: $513 Tricare West — Triwest Veterans: $216
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hgs Office Outpatient New 60 Minutes	$250	$250	$92.50 – $237.50
New patient office visit (about 60–74 minutes): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $100 Aetna — PPO: $237.50 BCBS Regence of OR — Medicare Advantage: $100 BCBS Regence of OR — PPO: $225 Cigna — PPO: $237.50 First Choice — All Plans: $232.50 MODA — All Plans: $237.50 ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): $92.50 Pacific Source — PPO: $237.50 Tricare West — Triwest Veterans: $100
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hgs PR Office Outpatient New 60 Minutes	$385	$385	$142.45 – $365.75
New patient office visit (about 60–74 minutes): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $154 Aetna — PPO: $365.75 BCBS Regence of OR — Medicare Advantage: $154 BCBS Regence of OR — PPO: $346.50 Cigna — PPO: $365.75 First Choice — All Plans: $358.05 MODA — All Plans: $365.75 ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): $142.45 Pacific Source — PPO: $365.75 Tricare West — Triwest Veterans: $154
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hgs PR Office Outpatient New Level 5	$714	$714	$264.18 – $678.30
New patient office visit (about 60–74 minutes): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $285.60 Aetna — PPO: $678.30 BCBS Regence of OR — Medicare Advantage: $285.60 BCBS Regence of OR — PPO: $642.60 Cigna — PPO: $678.30 First Choice — All Plans: $664.02 MODA — All Plans: $678.30 ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): $264.18 Pacific Source — PPO: $678.30 Tricare West — Triwest Veterans: $285.60
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hgs Outpt Visit Esb Pt Low to Mod	$96	$96	$35.52 – $91.20
Established patient office visit (about 20–29 minutes): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $38.40 Aetna — PPO: $91.20 BCBS Regence of OR — Medicare Advantage: $38.40 BCBS Regence of OR — PPO: $86.40 Cigna — PPO: $91.20 First Choice — All Plans: $89.28 MODA — All Plans: $91.20 ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): $35.52 Pacific Source — PPO: $91.20 Tricare West — Triwest Veterans: $38.40
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hgs PR Est Office/Outpatient Visit Est Level 3	$224	$224	$82.88 – $212.80
Established patient office visit (about 20–29 minutes): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $89.60 Aetna — PPO: $212.80 BCBS Regence of OR — Medicare Advantage: $89.60 BCBS Regence of OR — PPO: $201.60 Cigna — PPO: $212.80 First Choice — All Plans: $208.32 MODA — All Plans: $212.80 ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): $82.88 Pacific Source — PPO: $212.80 Tricare West — Triwest Veterans: $89.60
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hgs PR Outpt Visit Esb Pt Low to Mod Profee	$117	$117	$43.29 – $111.15
Established patient office visit (about 20–29 minutes): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $46.80 Aetna — PPO: $111.15 BCBS Regence of OR — Medicare Advantage: $46.80 BCBS Regence of OR — PPO: $105.30 Cigna — PPO: $111.15 First Choice — All Plans: $108.81 MODA — All Plans: $111.15 ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): $43.29 Pacific Source — PPO: $111.15 Tricare West — Triwest Veterans: $46.80
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hgs Outpt Visit Esb Pt Mod to High	$158	$158	$58.46 – $150.10
Established patient office visit (about 30–39 minutes): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $63.20 Aetna — PPO: $150.10 BCBS Regence of OR — Medicare Advantage: $63.20 BCBS Regence of OR — PPO: $142.20 Cigna — PPO: $150.10 First Choice — All Plans: $146.94 MODA — All Plans: $150.10 ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): $58.46 Pacific Source — PPO: $150.10 Tricare West — Triwest Veterans: $63.20
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hgs PR Est Office Outpatient Visit Level 4	$326	$326	$120.62 – $309.70
Established patient office visit (about 30–39 minutes): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $130.40 Aetna — PPO: $309.70 BCBS Regence of OR — Medicare Advantage: $130.40 BCBS Regence of OR — PPO: $293.40 Cigna — PPO: $309.70 First Choice — All Plans: $303.18 MODA — All Plans: $309.70 ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): $120.62 Pacific Source — PPO: $309.70 Tricare West — Triwest Veterans: $130.40
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hgs PR Outpt Visit Esb Pt Mod to High Profee	$179	$179	$66.23 – $170.05
Established patient office visit (about 30–39 minutes): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $71.60 Aetna — PPO: $170.05 BCBS Regence of OR — Medicare Advantage: $71.60 BCBS Regence of OR — PPO: $161.10 Cigna — PPO: $170.05 First Choice — All Plans: $166.47 MODA — All Plans: $170.05 ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): $66.23 Pacific Source — PPO: $170.05 Tricare West — Triwest Veterans: $71.60
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hgs Office Consultation New/Estab Patient Low Mdm	$255	$255	$94.35 – $242.25
Office consultation with a specialist (moderate): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $102 Aetna — PPO: $242.25 BCBS Regence of OR — Medicare Advantage: $102 BCBS Regence of OR — PPO: $229.50 Cigna — PPO: $242.25 First Choice — All Plans: $237.15 MODA — All Plans: $242.25 ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): $94.35 Pacific Source — PPO: $242.25 Tricare West — Triwest Veterans: $102
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hgs PR Office Consult Low	$249	$249	$92.13 – $236.55
Office consultation with a specialist (moderate): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $99.60 Aetna — PPO: $236.55 BCBS Regence of OR — Medicare Advantage: $99.60 BCBS Regence of OR — PPO: $224.10 Cigna — PPO: $236.55 First Choice — All Plans: $231.57 MODA — All Plans: $236.55 ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): $92.13 Pacific Source — PPO: $236.55 Tricare West — Triwest Veterans: $99.60
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hgs PR Office Consultation New/Estab Patient Low Mdm	$199	$199	$73.63 – $189.05
Office consultation with a specialist (moderate): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $79.60 Aetna — PPO: $189.05 BCBS Regence of OR — Medicare Advantage: $79.60 BCBS Regence of OR — PPO: $179.10 Cigna — PPO: $189.05 First Choice — All Plans: $185.07 MODA — All Plans: $189.05 ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): $73.63 Pacific Source — PPO: $189.05 Tricare West — Triwest Veterans: $79.60
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hgs Office Consultation New/Estab Patient Mod Mdm	$295	$295	$109.15 – $280.25
Office consultation with a specialist (moderate to high): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $118 Aetna — PPO: $280.25 BCBS Regence of OR — Medicare Advantage: $118 BCBS Regence of OR — PPO: $265.50 Cigna — PPO: $280.25 First Choice — All Plans: $274.35 MODA — All Plans: $280.25 ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): $109.15 Pacific Source — PPO: $280.25 Tricare West — Triwest Veterans: $118
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hgs PR Office Consult Mod	$559	$559	$206.83 – $531.05
Office consultation with a specialist (moderate to high): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $223.60 Aetna — PPO: $531.05 BCBS Regence of OR — Medicare Advantage: $223.60 BCBS Regence of OR — PPO: $503.10 Cigna — PPO: $531.05 First Choice — All Plans: $519.87 MODA — All Plans: $531.05 ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): $206.83 Pacific Source — PPO: $531.05 Tricare West — Triwest Veterans: $223.60
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hgs PR Office Consultation New/Estab Patient Mod Mdm	$310	$310	$114.70 – $294.50
Office consultation with a specialist (moderate to high): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $124 Aetna — PPO: $294.50 BCBS Regence of OR — Medicare Advantage: $124 BCBS Regence of OR — PPO: $279 Cigna — PPO: $294.50 First Choice — All Plans: $288.30 MODA — All Plans: $294.50 ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): $114.70 Pacific Source — PPO: $294.50 Tricare West — Triwest Veterans: $124
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Initial Preventive Medicine New Pt Age 18-39yrs	$366	$366	Not listed in the file
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PREV VISIT NEW AGE 18-39	Not listed in the file	Not listed in the file	Not listed in the file
Preventive checkup, new patient, age 18–39: 10 of 13 insurance plan rates Aetna — Medicare Advantage: 40% (a percentage in the contract, not a dollar amount) Aetna — PPO: 95% (a percentage in the contract, not a dollar amount) BCBS Regence of OR — Medicare Advantage: 40% (a percentage in the contract, not a dollar amount) BCBS Regence of OR — PPO: 90% (a percentage in the contract, not a dollar amount) Cigna — PPO: 95% (a percentage in the contract, not a dollar amount) First Choice — All Plans: 93% (a percentage in the contract, not a dollar amount) MODA — All Plans: 95% (a percentage in the contract, not a dollar amount) ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): 37% (a percentage in the contract, not a dollar amount) Pacific Source — PPO: 95% (a percentage in the contract, not a dollar amount) Tricare West — Triwest Veterans: 40% (a percentage in the contract, not a dollar amount)
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Initial Preventive Medicine New Patient 40-64yrs	$423	$423	Not listed in the file
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PREV VISIT NEW AGE 40-64	Not listed in the file	Not listed in the file	Not listed in the file
Preventive checkup, new patient, age 40–64: 10 of 13 insurance plan rates Aetna — Medicare Advantage: 40% (a percentage in the contract, not a dollar amount) Aetna — PPO: 95% (a percentage in the contract, not a dollar amount) BCBS Regence of OR — Medicare Advantage: 40% (a percentage in the contract, not a dollar amount) BCBS Regence of OR — PPO: 90% (a percentage in the contract, not a dollar amount) Cigna — PPO: 95% (a percentage in the contract, not a dollar amount) First Choice — All Plans: 93% (a percentage in the contract, not a dollar amount) MODA — All Plans: 95% (a percentage in the contract, not a dollar amount) ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): 37% (a percentage in the contract, not a dollar amount) Pacific Source — PPO: 95% (a percentage in the contract, not a dollar amount) Tricare West — Triwest Veterans: 40% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency Department Visit Low Mdm	$194	$194	$71.78 – $184.30
Emergency room visit (moderate): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $77.60 Aetna — PPO: $184.30 BCBS Regence of OR — Medicare Advantage: $77.60 BCBS Regence of OR — PPO: $174.60 Cigna — PPO: $184.30 First Choice — All Plans: $180.42 MODA — All Plans: $184.30 ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): $71.78 Pacific Source — PPO: $184.30 Tricare West — Triwest Veterans: $77.60
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hgs PR Emerg Dept Visit Moderate Severity	$140	$140	$51.80 – $133
Emergency room visit (moderate): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $56 Aetna — PPO: $133 BCBS Regence of OR — Medicare Advantage: $56 BCBS Regence of OR — PPO: $126 Cigna — PPO: $133 First Choice — All Plans: $130.20 MODA — All Plans: $133 ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): $51.80 Pacific Source — PPO: $133 Tricare West — Triwest Veterans: $56
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hgs PR Emergency Department Visit Moderate Severity	$183	$183	$67.71 – $173.85
Emergency room visit (moderate): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $73.20 Aetna — PPO: $173.85 BCBS Regence of OR — Medicare Advantage: $73.20 BCBS Regence of OR — PPO: $164.70 Cigna — PPO: $173.85 First Choice — All Plans: $170.19 MODA — All Plans: $173.85 ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): $67.71 Pacific Source — PPO: $173.85 Tricare West — Triwest Veterans: $73.20
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency Department Visit Moderate Mdm	$370	$370	$136.90 – $351.50
Emergency room visit (moderately high): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $148 Aetna — PPO: $351.50 BCBS Regence of OR — Medicare Advantage: $148 BCBS Regence of OR — PPO: $333 Cigna — PPO: $351.50 First Choice — All Plans: $344.10 MODA — All Plans: $351.50 ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): $136.90 Pacific Source — PPO: $351.50 Tricare West — Triwest Veterans: $148
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hgs PR Emerg Dept Visit High/Urgent Severity	$249	$249	$92.13 – $236.55
Emergency room visit (moderately high): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $99.60 Aetna — PPO: $236.55 BCBS Regence of OR — Medicare Advantage: $99.60 BCBS Regence of OR — PPO: $224.10 Cigna — PPO: $236.55 First Choice — All Plans: $231.57 MODA — All Plans: $236.55 ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): $92.13 Pacific Source — PPO: $236.55 Tricare West — Triwest Veterans: $99.60
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hgs PR Emergency Department Visit High/Urgent Severity	$350	$350	$129.50 – $332.50
Emergency room visit (moderately high): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $140 Aetna — PPO: $332.50 BCBS Regence of OR — Medicare Advantage: $140 BCBS Regence of OR — PPO: $315 Cigna — PPO: $332.50 First Choice — All Plans: $325.50 MODA — All Plans: $332.50 ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): $129.50 Pacific Source — PPO: $332.50 Tricare West — Triwest Veterans: $140
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency Department Visit High Mdm	$544	$544	$201.28 – $516.80
Emergency room visit (high): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $217.60 Aetna — PPO: $516.80 BCBS Regence of OR — Medicare Advantage: $217.60 BCBS Regence of OR — PPO: $489.60 Cigna — PPO: $516.80 First Choice — All Plans: $505.92 MODA — All Plans: $516.80 ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): $201.28 Pacific Source — PPO: $516.80 Tricare West — Triwest Veterans: $217.60
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hgs PR Emerg Dept Visit High Severity&Threat	$363	$363	$134.31 – $344.85
Emergency room visit (high): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $145.20 Aetna — PPO: $344.85 BCBS Regence of OR — Medicare Advantage: $145.20 BCBS Regence of OR — PPO: $326.70 Cigna — PPO: $344.85 First Choice — All Plans: $337.59 MODA — All Plans: $344.85 ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): $134.31 Pacific Source — PPO: $344.85 Tricare West — Triwest Veterans: $145.20
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hgs PR Emergency Dept Visit High Severity&Threat Funcj	$518	$518	$191.66 – $492.10
Emergency room visit (high): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $207.20 Aetna — PPO: $492.10 BCBS Regence of OR — Medicare Advantage: $207.20 BCBS Regence of OR — PPO: $466.20 Cigna — PPO: $492.10 First Choice — All Plans: $481.74 MODA — All Plans: $492.10 ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): $191.66 Pacific Source — PPO: $492.10 Tricare West — Triwest Veterans: $207.20

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hgs Basic Metabolic Panel/Ch7	$21	$21	$6.77 – $19.95
Basic metabolic panel (blood test): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $8.40 Aetna — PPO: $19.95 BCBS Regence of OR — Medicare Advantage: $8.40 BCBS Regence of OR — PPO: $18.90 Cigna — PPO: $19.95 First Choice — All Plans: $19.53 MODA — All Plans: $19.95 ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): $6.77 Pacific Source — PPO: $19.95 Tricare West — Triwest Veterans: $8.40
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hgs Comprehensive Metabolic Panel	$25	$25	$8.45 – $23.75
Comprehensive metabolic panel (blood test): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $10 Aetna — PPO: $23.75 BCBS Regence of OR — Medicare Advantage: $10 BCBS Regence of OR — PPO: $22.50 Cigna — PPO: $23.75 First Choice — All Plans: $23.25 MODA — All Plans: $23.75 ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): $8.45 Pacific Source — PPO: $23.75 Tricare West — Triwest Veterans: $10
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hgs Prenatal Panel II	$225	$225	$38.25 – $213.75
Obstetric blood test panel: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $90 Aetna — PPO: $213.75 BCBS Regence of OR — Medicare Advantage: $90 BCBS Regence of OR — PPO: $202.50 Cigna — PPO: $213.75 First Choice — All Plans: $209.25 MODA — All Plans: $213.75 ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): $38.25 Pacific Source — PPO: $213.75 Tricare West — Triwest Veterans: $90
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hgs Lipid Panel	$15	$15	$6 – $14.25
Cholesterol panel (lipid panel): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $6 Aetna — PPO: $14.25 BCBS Regence of OR — Medicare Advantage: $6 BCBS Regence of OR — PPO: $13.50 Cigna — PPO: $14.25 First Choice — All Plans: $13.95 MODA — All Plans: $14.25 ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): $10.71 Pacific Source — PPO: $14.25 Tricare West — Triwest Veterans: $6
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hgs Renal Function Panel	$89	$89	$6.94 – $84.55
Kidney function panel: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $35.60 Aetna — PPO: $84.55 BCBS Regence of OR — Medicare Advantage: $35.60 BCBS Regence of OR — PPO: $80.10 Cigna — PPO: $84.55 First Choice — All Plans: $82.77 MODA — All Plans: $84.55 ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): $6.94 Pacific Source — PPO: $84.55 Tricare West — Triwest Veterans: $35.60
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hgs Hepatic Function Panel A	$78	$78	$6.54 – $74.10
Liver function panel: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $31.20 Aetna — PPO: $74.10 BCBS Regence of OR — Medicare Advantage: $31.20 BCBS Regence of OR — PPO: $70.20 Cigna — PPO: $74.10 First Choice — All Plans: $72.54 MODA — All Plans: $74.10 ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): $6.54 Pacific Source — PPO: $74.10 Tricare West — Triwest Veterans: $31.20
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS AUTO W/SCOPE	Not listed in the file	Not listed in the file	$2.54
Urine test (automated, with microscope): 10 of 13 insurance plan rates ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): $2.54 Aetna — Medicare Advantage: 40% (a percentage in the contract, not a dollar amount) Aetna — PPO: 95% (a percentage in the contract, not a dollar amount) BCBS Regence of OR — Medicare Advantage: 40% (a percentage in the contract, not a dollar amount) BCBS Regence of OR — PPO: 90% (a percentage in the contract, not a dollar amount) Cigna — PPO: 95% (a percentage in the contract, not a dollar amount) First Choice — All Plans: 93% (a percentage in the contract, not a dollar amount) MODA — All Plans: 95% (a percentage in the contract, not a dollar amount) Pacific Source — PPO: 95% (a percentage in the contract, not a dollar amount) Tricare West — Triwest Veterans: 40% (a percentage in the contract, not a dollar amount)
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hgs Urine Dipstick Clinic	$30	$30	$2.78 – $28.50
Urine test (manual, without microscope): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $12 Aetna — PPO: $28.50 BCBS Regence of OR — Medicare Advantage: $12 BCBS Regence of OR — PPO: $27 Cigna — PPO: $28.50 First Choice — All Plans: $27.90 MODA — All Plans: $28.50 ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): $2.78 Pacific Source — PPO: $28.50 Tricare West — Triwest Veterans: $12
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Urnls Dip Stick/Tablet Rgnt Non-Auto W/O Micrscp	$10	$10	Not listed in the file
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hgs Urinalysis Dipstick	$38	$38	$1.80 – $36.10
Urine test (automated, without microscope): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $15.20 Aetna — PPO: $36.10 BCBS Regence of OR — Medicare Advantage: $15.20 BCBS Regence of OR — PPO: $34.20 Cigna — PPO: $36.10 First Choice — All Plans: $35.34 MODA — All Plans: $36.10 ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): $1.80 Pacific Source — PPO: $36.10 Tricare West — Triwest Veterans: $15.20
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hgs Urine Dipstick Clinic POC	$30	$30	$1.80 – $28.50
Urine test (automated, without microscope): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $12 Aetna — PPO: $28.50 BCBS Regence of OR — Medicare Advantage: $12 BCBS Regence of OR — PPO: $27 Cigna — PPO: $28.50 First Choice — All Plans: $27.90 MODA — All Plans: $28.50 ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): $1.80 Pacific Source — PPO: $28.50 Tricare West — Triwest Veterans: $12
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Urnls Dip Stick/Tablet Rgnt Auto W/O Microscopy	$9	$9	Not listed in the file
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hgs Prostate Spec Ag (Screen)	$133	$133	$14.71 – $126.35
PSA (prostate specific antigen) blood test: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $53.20 Aetna — PPO: $126.35 BCBS Regence of OR — Medicare Advantage: $53.20 BCBS Regence of OR — PPO: $119.70 Cigna — PPO: $126.35 First Choice — All Plans: $123.69 MODA — All Plans: $126.35 ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): $14.71 Pacific Source — PPO: $126.35 Tricare West — Triwest Veterans: $53.20
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hgs Prostatic Spec Ag, Ultrasens	$148	$148	$14.71 – $140.60
PSA (prostate specific antigen) blood test: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $59.20 Aetna — PPO: $140.60 BCBS Regence of OR — Medicare Advantage: $59.20 BCBS Regence of OR — PPO: $133.20 Cigna — PPO: $140.60 First Choice — All Plans: $137.64 MODA — All Plans: $140.60 ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): $14.71 Pacific Source — PPO: $140.60 Tricare West — Triwest Veterans: $59.20
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hgs Prostatic Specific Antigen Dia	$241	$241	$14.71 – $228.95
PSA (prostate specific antigen) blood test: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $96.40 Aetna — PPO: $228.95 BCBS Regence of OR — Medicare Advantage: $96.40 BCBS Regence of OR — PPO: $216.90 Cigna — PPO: $228.95 First Choice — All Plans: $224.13 MODA — All Plans: $228.95 ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): $14.71 Pacific Source — PPO: $228.95 Tricare West — Triwest Veterans: $96.40
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hgs Thyroid-Stimulating Hormone	$116	$116	$13.44 – $110.20
Thyroid stimulating hormone (TSH) test: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $46.40 Aetna — PPO: $110.20 BCBS Regence of OR — Medicare Advantage: $46.40 BCBS Regence of OR — PPO: $104.40 Cigna — PPO: $110.20 First Choice — All Plans: $107.88 MODA — All Plans: $110.20 ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): $13.44 Pacific Source — PPO: $110.20 Tricare West — Triwest Veterans: $46.40
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hgs Complete Blood Count	$15	$15	$6 – $14.25
Complete blood count (CBC) with differential: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $6 Aetna — PPO: $14.25 BCBS Regence of OR — Medicare Advantage: $6 BCBS Regence of OR — PPO: $13.50 Cigna — PPO: $14.25 First Choice — All Plans: $13.95 MODA — All Plans: $14.25 ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): $6.22 Pacific Source — PPO: $14.25 Tricare West — Triwest Veterans: $6
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hgs Hemogram	$56	$56	$5.18 – $53.20
Complete blood count (CBC), automated: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $22.40 Aetna — PPO: $53.20 BCBS Regence of OR — Medicare Advantage: $22.40 BCBS Regence of OR — PPO: $50.40 Cigna — PPO: $53.20 First Choice — All Plans: $52.08 MODA — All Plans: $53.20 ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): $5.18 Pacific Source — PPO: $53.20 Tricare West — Triwest Veterans: $22.40
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hgs Prothrombin Time	$19	$19	$3.43 – $18.05
Blood clotting time test (prothrombin time, PT): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $7.60 Aetna — PPO: $18.05 BCBS Regence of OR — Medicare Advantage: $7.60 BCBS Regence of OR — PPO: $17.10 Cigna — PPO: $18.05 First Choice — All Plans: $17.67 MODA — All Plans: $18.05 ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): $3.43 Pacific Source — PPO: $18.05 Tricare West — Triwest Veterans: $7.60
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hgs Prothrombin Time-Fac	$87	$87	$3.43 – $82.65
Blood clotting time test (prothrombin time, PT): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $34.80 Aetna — PPO: $82.65 BCBS Regence of OR — Medicare Advantage: $34.80 BCBS Regence of OR — PPO: $78.30 Cigna — PPO: $82.65 First Choice — All Plans: $80.91 MODA — All Plans: $82.65 ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): $3.43 Pacific Source — PPO: $82.65 Tricare West — Triwest Veterans: $34.80
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prothrombin Time	$19	$19	$3.43 – $18.05
Blood clotting time test (prothrombin time, PT): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $7.60 Aetna — PPO: $18.05 BCBS Regence of OR — Medicare Advantage: $7.60 BCBS Regence of OR — PPO: $17.10 Cigna — PPO: $18.05 First Choice — All Plans: $17.67 MODA — All Plans: $18.05 ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): $3.43 Pacific Source — PPO: $18.05 Tricare West — Triwest Veterans: $7.60
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hgs Aptt	$23	$23	$4.81 – $21.85
Blood clotting test (partial thromboplastin time, PTT): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $9.20 Aetna — PPO: $21.85 BCBS Regence of OR — Medicare Advantage: $9.20 BCBS Regence of OR — PPO: $20.70 Cigna — PPO: $21.85 First Choice — All Plans: $21.39 MODA — All Plans: $21.85 ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): $4.81 Pacific Source — PPO: $21.85 Tricare West — Triwest Veterans: $9.20

Imaging (X-ray, CT, MRI, ultrasound, mammogram)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC HEAD CT LIMITED WITHOUT CONTRAST	$4,074	$4,074	$1,507.38 – $3,870.30
CT scan of the head or brain, without contrast: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $1,629.60 Aetna — PPO: $3,870.30 BCBS Regence of OR — Medicare Advantage: $1,629.60 BCBS Regence of OR — PPO: $3,666.60 Cigna — PPO: $3,870.30 First Choice — All Plans: $3,788.82 MODA — All Plans: $3,870.30 ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): $1,507.38 Pacific Source — PPO: $3,870.30 Tricare West — Triwest Veterans: $1,629.60
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC HEAD CT WITHOUT CONTRAST	$3,956	$3,956	$1,463.72 – $3,758.20
CT scan of the head or brain, without contrast: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $1,582.40 Aetna — PPO: $3,758.20 BCBS Regence of OR — Medicare Advantage: $1,582.40 BCBS Regence of OR — PPO: $3,560.40 Cigna — PPO: $3,758.20 First Choice — All Plans: $3,679.08 MODA — All Plans: $3,758.20 ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): $1,463.72 Pacific Source — PPO: $3,758.20 Tricare West — Triwest Veterans: $1,582.40
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 26 In the file: HC HGS PR CT HEAD W/OUT CONTRAST PROFEE	$363	$363	Not listed in the file
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MR BRAIN WITH/WITHOUT CONTRAST	$10,123	$10,123	$3,745.51 – $9,616.85
MRI of the brain, before and after contrast: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $4,049.20 Aetna — PPO: $9,616.85 BCBS Regence of OR — Medicare Advantage: $4,049.20 BCBS Regence of OR — PPO: $9,110.70 Cigna — PPO: $9,616.85 First Choice — All Plans: $9,414.39 MODA — All Plans: $9,616.85 ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): $3,745.51 Pacific Source — PPO: $9,616.85 Tricare West — Triwest Veterans: $4,049.20
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 26 In the file: HC HGS PR MRI HEAD W AND W/O CONT PROFEE	$837	$837	Not listed in the file
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CHEST 2 VIEWS	$980	$980	$362.60 – $931
Chest X-ray, 2 views: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $392 Aetna — PPO: $931 BCBS Regence of OR — Medicare Advantage: $392 BCBS Regence of OR — PPO: $882 Cigna — PPO: $931 First Choice — All Plans: $911.40 MODA — All Plans: $931 ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): $362.60 Pacific Source — PPO: $931 Tricare West — Triwest Veterans: $392
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Radiologic Exam Chest 2 Views	$409	$409	$151.33 – $388.55
Chest X-ray, 2 views: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $163.60 Aetna — PPO: $388.55 BCBS Regence of OR — Medicare Advantage: $163.60 BCBS Regence of OR — PPO: $368.10 Cigna — PPO: $388.55 First Choice — All Plans: $380.37 MODA — All Plans: $388.55 ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): $151.33 Pacific Source — PPO: $388.55 Tricare West — Triwest Veterans: $163.60
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 26 In the file: HC HGS PR CHEST PA & LAT 2 VIEWS-PROFEE	$95	$95	Not listed in the file
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC SPINE LUMBAR MINIMUM 4 VIEWS	$1,528	$1,528	$565.36 – $1,451.60
X-ray of the lower spine, at least 4 views: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $611.20 Aetna — PPO: $1,451.60 BCBS Regence of OR — Medicare Advantage: $611.20 BCBS Regence of OR — PPO: $1,375.20 Cigna — PPO: $1,451.60 First Choice — All Plans: $1,421.04 MODA — All Plans: $1,451.60 ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): $565.36 Pacific Source — PPO: $1,451.60 Tricare West — Triwest Veterans: $611.20
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Radex Spine Lumbosacral Minimum 4 Views	$55	$55	Not listed in the file
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 26 In the file: HC HGS PR SPINE LUMBER 4-5 VIEWS PROFEE	$122	$122	Not listed in the file
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MR CINE MOTION LUMBAR	$11,924	$11,924	$4,411.88 – $11,327.80
MRI of the lower back (lumbar spine), without contrast: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $4,769.60 Aetna — PPO: $11,327.80 BCBS Regence of OR — Medicare Advantage: $4,769.60 BCBS Regence of OR — PPO: $10,731.60 Cigna — PPO: $11,327.80 First Choice — All Plans: $11,089.32 MODA — All Plans: $11,327.80 ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): $4,411.88 Pacific Source — PPO: $11,327.80 Tricare West — Triwest Veterans: $4,769.60
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MR SPINE LUMBAR WITHOUT CONTRAST	$7,898	$7,898	$2,922.26 – $7,503.10
MRI of the lower back (lumbar spine), without contrast: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $3,159.20 Aetna — PPO: $7,503.10 BCBS Regence of OR — Medicare Advantage: $3,159.20 BCBS Regence of OR — PPO: $7,108.20 Cigna — PPO: $7,503.10 First Choice — All Plans: $7,345.14 MODA — All Plans: $7,503.10 ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): $2,922.26 Pacific Source — PPO: $7,503.10 Tricare West — Triwest Veterans: $3,159.20
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: MRI Spinal Canal Lumbar W/O Contrast Material	$296	$296	Not listed in the file
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PELVIS CT WITH CONTRAST	$5,625	$5,625	$2,081.25 – $5,343.75
CT scan of the pelvis, with contrast: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $2,250 Aetna — PPO: $5,343.75 BCBS Regence of OR — Medicare Advantage: $2,250 BCBS Regence of OR — PPO: $5,062.50 Cigna — PPO: $5,343.75 First Choice — All Plans: $5,231.25 MODA — All Plans: $5,343.75 ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): $2,081.25 Pacific Source — PPO: $5,343.75 Tricare West — Triwest Veterans: $2,250
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 26 In the file: HC HGS PR PELVIC CT W/DYE PROFEE	$502	$502	Not listed in the file
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LOWER EXTREMITY JOINT WITHOUT CONTRAST	$8,281	$8,281	$3,063.97 – $7,866.95
MRI of a leg joint (such as the knee), without contrast: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $3,312.40 Aetna — PPO: $7,866.95 BCBS Regence of OR — Medicare Advantage: $3,312.40 BCBS Regence of OR — PPO: $7,452.90 Cigna — PPO: $7,866.95 First Choice — All Plans: $7,701.33 MODA — All Plans: $7,866.95 ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): $3,063.97 Pacific Source — PPO: $7,866.95 Tricare West — Triwest Veterans: $3,312.40
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MR LOWER EXTREMITY ANKLE UNILATERAL WITHOUT CONTRAST	$8,531	$8,531	$3,156.47 – $8,104.45
MRI of a leg joint (such as the knee), without contrast: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $3,412.40 Aetna — PPO: $8,104.45 BCBS Regence of OR — Medicare Advantage: $3,412.40 BCBS Regence of OR — PPO: $7,677.90 Cigna — PPO: $8,104.45 First Choice — All Plans: $7,933.83 MODA — All Plans: $8,104.45 ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): $3,156.47 Pacific Source — PPO: $8,104.45 Tricare West — Triwest Veterans: $3,412.40
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MR LOWER EXTREMITY HIP UNILATERAL WITHOUT CONTRAST	$8,281	$8,281	$3,063.97 – $7,866.95
MRI of a leg joint (such as the knee), without contrast: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $3,312.40 Aetna — PPO: $7,866.95 BCBS Regence of OR — Medicare Advantage: $3,312.40 BCBS Regence of OR — PPO: $7,452.90 Cigna — PPO: $7,866.95 First Choice — All Plans: $7,701.33 MODA — All Plans: $7,866.95 ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): $3,063.97 Pacific Source — PPO: $7,866.95 Tricare West — Triwest Veterans: $3,312.40
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT ABD & PELVIS W/CONTRAST	$8,096	$8,096	$2,995.52 – $7,691.20
CT scan of the abdomen and pelvis, with contrast: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $3,238.40 Aetna — PPO: $7,691.20 BCBS Regence of OR — Medicare Advantage: $3,238.40 BCBS Regence of OR — PPO: $7,286.40 Cigna — PPO: $7,691.20 First Choice — All Plans: $7,529.28 MODA — All Plans: $7,691.20 ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): $2,995.52 Pacific Source — PPO: $7,691.20 Tricare West — Triwest Veterans: $3,238.40
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 26 In the file: HC HGS PR CT ABD/PEL W/CONT PROFEE	$563	$563	Not listed in the file
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ABDOMEN COMPLETE ULTRASOUND	$2,287	$2,287	$846.19 – $2,172.65
Ultrasound of the abdomen, complete: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $914.80 Aetna — PPO: $2,172.65 BCBS Regence of OR — Medicare Advantage: $914.80 BCBS Regence of OR — PPO: $2,058.30 Cigna — PPO: $2,172.65 First Choice — All Plans: $2,126.91 MODA — All Plans: $2,172.65 ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): $846.19 Pacific Source — PPO: $2,172.65 Tricare West — Triwest Veterans: $914.80
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: US Abdominal Real Time W/Image Documentation	$147	$147	Not listed in the file
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 26 In the file: HC HGS PR ULTRASOUND ABDOMEN COMP PROFEE	$317	$317	Not listed in the file
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OB COMPLETE >1ST TRIMESTER SINGLE GESTATION ULTRASOUND	$2,657	$2,657	$983.09 – $2,524.15
Pregnancy ultrasound (after the first trimester): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $1,062.80 Aetna — PPO: $2,524.15 BCBS Regence of OR — Medicare Advantage: $1,062.80 BCBS Regence of OR — PPO: $2,391.30 Cigna — PPO: $2,524.15 First Choice — All Plans: $2,471.01 MODA — All Plans: $2,524.15 ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): $983.09 Pacific Source — PPO: $2,524.15 Tricare West — Triwest Veterans: $1,062.80
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: US Preg Uterus After 1st Trimest 1/1st Gestation	$326	$326	Not listed in the file
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 26 In the file: HC HGS PR ULTRASOUND OBSTETRIC COMP PROF	$693	$693	Not listed in the file
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC TRANSVAGINAL (NON-OB) ULTRASOUND	$1,880	$1,880	$695.60 – $1,786
Transvaginal ultrasound: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $752 Aetna — PPO: $1,786 BCBS Regence of OR — Medicare Advantage: $752 BCBS Regence of OR — PPO: $1,692 Cigna — PPO: $1,786 First Choice — All Plans: $1,748.40 MODA — All Plans: $1,786 ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): $695.60 Pacific Source — PPO: $1,786 Tricare West — Triwest Veterans: $752
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: US Transvaginal	$124	$124	Not listed in the file
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 26 In the file: HC HGS PR ULTRASOUND NON-OB TRANSVAG PRO	$269	$269	Not listed in the file
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Digital Mammography Diagnostic Unilateral	$610	$610	$225.70 – $579.50
Diagnostic mammogram, one breast: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $244 Aetna — PPO: $579.50 BCBS Regence of OR — Medicare Advantage: $244 BCBS Regence of OR — PPO: $549 Cigna — PPO: $579.50 First Choice — All Plans: $567.30 MODA — All Plans: $579.50 ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): $225.70 Pacific Source — PPO: $579.50 Tricare West — Triwest Veterans: $244
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GG In the file: Digital Mammography Diagnostic Reclass Unilateral	$506	$506	Not listed in the file
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 26 In the file: Hgs PR Diag Mammography Digital Profe	$172	$172	Not listed in the file
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Digital Mammography Diagnostic Bilateral	$723	$723	$267.51 – $686.85
Diagnostic mammogram, both breasts: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $289.20 Aetna — PPO: $686.85 BCBS Regence of OR — Medicare Advantage: $289.20 BCBS Regence of OR — PPO: $650.70 Cigna — PPO: $686.85 First Choice — All Plans: $672.39 MODA — All Plans: $686.85 ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): $267.51 Pacific Source — PPO: $686.85 Tricare West — Triwest Veterans: $289.20
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GG In the file: Digital Mammography Diagnostic Reclass Bilateral	$617	$617	Not listed in the file
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 26 In the file: Hgs PR Diag Mammography Digital Profe	$187	$187	Not listed in the file
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Digital Mammography Screening Bilateral	$669	$669	$247.53 – $635.55
Screening mammogram, both breasts: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $267.60 Aetna — PPO: $635.55 BCBS Regence of OR — Medicare Advantage: $267.60 BCBS Regence of OR — PPO: $602.10 Cigna — PPO: $635.55 First Choice — All Plans: $622.17 MODA — All Plans: $635.55 ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): $247.53 Pacific Source — PPO: $635.55 Tricare West — Triwest Veterans: $267.60
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 52 In the file: Digital Mammography Screening Unilateral	$477	$477	Not listed in the file
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 26 In the file: Hgs PR Mammo Screening Profee	$151	$151	Not listed in the file

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ecg Routine Ecg W/Least 12 Lds W/I&R	$65	$65	$24.05 – $61.75
Electrocardiogram (ECG/EKG) with reading: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $26 Aetna — PPO: $61.75 BCBS Regence of OR — Medicare Advantage: $26 BCBS Regence of OR — PPO: $58.50 Cigna — PPO: $61.75 First Choice — All Plans: $60.45 MODA — All Plans: $61.75 ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): $24.05 Pacific Source — PPO: $61.75 Tricare West — Triwest Veterans: $26
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LEFT HRT CATH W/VENTRCLGRPHY	Not listed in the file	Not listed in the file	Not listed in the file
Left heart catheterization (diagnostic): 10 of 13 insurance plan rates Aetna — Medicare Advantage: 40% (a percentage in the contract, not a dollar amount) Aetna — PPO: 95% (a percentage in the contract, not a dollar amount) BCBS Regence of OR — Medicare Advantage: 40% (a percentage in the contract, not a dollar amount) BCBS Regence of OR — PPO: 90% (a percentage in the contract, not a dollar amount) Cigna — PPO: 95% (a percentage in the contract, not a dollar amount) First Choice — All Plans: 93% (a percentage in the contract, not a dollar amount) MODA — All Plans: 95% (a percentage in the contract, not a dollar amount) ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): 37% (a percentage in the contract, not a dollar amount) Pacific Source — PPO: 95% (a percentage in the contract, not a dollar amount) Tricare West — Triwest Veterans: 40% (a percentage in the contract, not a dollar amount)
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ELECTROPHYSIOLOGY EVALUATION	Not listed in the file	Not listed in the file	Not listed in the file
Heart rhythm study (electrophysiology evaluation): 10 of 13 insurance plan rates Aetna — Medicare Advantage: 40% (a percentage in the contract, not a dollar amount) Aetna — PPO: 95% (a percentage in the contract, not a dollar amount) BCBS Regence of OR — Medicare Advantage: 40% (a percentage in the contract, not a dollar amount) BCBS Regence of OR — PPO: 90% (a percentage in the contract, not a dollar amount) Cigna — PPO: 95% (a percentage in the contract, not a dollar amount) First Choice — All Plans: 93% (a percentage in the contract, not a dollar amount) MODA — All Plans: 95% (a percentage in the contract, not a dollar amount) ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): 37% (a percentage in the contract, not a dollar amount) Pacific Source — PPO: 95% (a percentage in the contract, not a dollar amount) Tricare West — Triwest Veterans: 40% (a percentage in the contract, not a dollar amount)
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPRE EP EVAL ABLTJ ATR FIB	Not listed in the file	Not listed in the file	Not listed in the file
Heart rhythm study with ablation for atrial fibrillation: 10 of 13 insurance plan rates Aetna — Medicare Advantage: 40% (a percentage in the contract, not a dollar amount) Aetna — PPO: 95% (a percentage in the contract, not a dollar amount) BCBS Regence of OR — Medicare Advantage: 40% (a percentage in the contract, not a dollar amount) BCBS Regence of OR — PPO: 90% (a percentage in the contract, not a dollar amount) Cigna — PPO: 95% (a percentage in the contract, not a dollar amount) First Choice — All Plans: 93% (a percentage in the contract, not a dollar amount) MODA — All Plans: 95% (a percentage in the contract, not a dollar amount) ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): 37% (a percentage in the contract, not a dollar amount) Pacific Source — PPO: 95% (a percentage in the contract, not a dollar amount) Tricare West — Triwest Veterans: 40% (a percentage in the contract, not a dollar amount)
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complex 13 Ch Psg Adult	$4,134	$4,134	$1,529.58 – $3,927.30
Sleep study (overnight, in a sleep lab): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $1,653.60 Aetna — PPO: $3,927.30 BCBS Regence of OR — Medicare Advantage: $1,653.60 BCBS Regence of OR — PPO: $3,720.60 Cigna — PPO: $3,927.30 First Choice — All Plans: $3,844.62 MODA — All Plans: $3,927.30 ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): $1,529.58 Pacific Source — PPO: $3,927.30 Tricare West — Triwest Veterans: $1,653.60
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Hospital (facility) fee In the file: Psg Complex IP Portable Adult	$4,134	$4,134	$1,529.58 – $3,927.30
Sleep study (overnight, in a sleep lab): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $1,653.60 Aetna — PPO: $3,927.30 BCBS Regence of OR — Medicare Advantage: $1,653.60 BCBS Regence of OR — PPO: $3,720.60 Cigna — PPO: $3,927.30 First Choice — All Plans: $3,844.62 MODA — All Plans: $3,927.30 ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): $1,529.58 Pacific Source — PPO: $3,927.30 Tricare West — Triwest Veterans: $1,653.60
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psg Complex Pediatric Age 6 to 18	$4,134	$4,134	$1,529.58 – $3,927.30
Sleep study (overnight, in a sleep lab): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $1,653.60 Aetna — PPO: $3,927.30 BCBS Regence of OR — Medicare Advantage: $1,653.60 BCBS Regence of OR — PPO: $3,720.60 Cigna — PPO: $3,927.30 First Choice — All Plans: $3,844.62 MODA — All Plans: $3,927.30 ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): $1,529.58 Pacific Source — PPO: $3,927.30 Tricare West — Triwest Veterans: $1,653.60

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ther Exer 1:1 Ea 15m Pt PR	$124	$124	$45.88 – $117.80
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $49.60 Aetna — PPO: $117.80 BCBS Regence of OR — Medicare Advantage: $49.60 BCBS Regence of OR — PPO: $111.60 Cigna — PPO: $117.80 First Choice — All Plans: $115.32 MODA — All Plans: $117.80 ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): $45.88 Pacific Source — PPO: $117.80 Tricare West — Triwest Veterans: $49.60
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Therapeutic Exercise Acute Ot	$127	$127	$46.99 – $120.65
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $50.80 Aetna — PPO: $120.65 BCBS Regence of OR — Medicare Advantage: $50.80 BCBS Regence of OR — PPO: $114.30 Cigna — PPO: $120.65 First Choice — All Plans: $118.11 MODA — All Plans: $120.65 ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): $46.99 Pacific Source — PPO: $120.65 Tricare West — Triwest Veterans: $50.80
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Therapeutic Exercise Acute Pt	$132	$132	$48.84 – $125.40
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $52.80 Aetna — PPO: $125.40 BCBS Regence of OR — Medicare Advantage: $52.80 BCBS Regence of OR — PPO: $118.80 Cigna — PPO: $125.40 First Choice — All Plans: $122.76 MODA — All Plans: $125.40 ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): $48.84 Pacific Source — PPO: $125.40 Tricare West — Triwest Veterans: $52.80
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt Eval Low	$349	$349	$129.13 – $331.55
Physical therapy evaluation (low complexity): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $139.60 Aetna — PPO: $331.55 BCBS Regence of OR — Medicare Advantage: $139.60 BCBS Regence of OR — PPO: $314.10 Cigna — PPO: $331.55 First Choice — All Plans: $324.57 MODA — All Plans: $331.55 ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): $129.13 Pacific Source — PPO: $331.55 Tricare West — Triwest Veterans: $139.60
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt Specialty Evaluation	$332	$332	$122.84 – $315.40
Physical therapy evaluation (low complexity): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $132.80 Aetna — PPO: $315.40 BCBS Regence of OR — Medicare Advantage: $132.80 BCBS Regence of OR — PPO: $298.80 Cigna — PPO: $315.40 First Choice — All Plans: $308.76 MODA — All Plans: $315.40 ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): $122.84 Pacific Source — PPO: $315.40 Tricare West — Triwest Veterans: $132.80
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt Eval Mod	$338	$338	$125.06 – $321.10
Physical therapy evaluation (moderate complexity): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $135.20 Aetna — PPO: $321.10 BCBS Regence of OR — Medicare Advantage: $135.20 BCBS Regence of OR — PPO: $304.20 Cigna — PPO: $321.10 First Choice — All Plans: $314.34 MODA — All Plans: $321.10 ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): $125.06 Pacific Source — PPO: $321.10 Tricare West — Triwest Veterans: $135.20
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt Eval High	$338	$338	$125.06 – $321.10
Physical therapy evaluation (high complexity): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $135.20 Aetna — PPO: $321.10 BCBS Regence of OR — Medicare Advantage: $135.20 BCBS Regence of OR — PPO: $304.20 Cigna — PPO: $321.10 First Choice — All Plans: $314.34 MODA — All Plans: $321.10 ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): $125.06 Pacific Source — PPO: $321.10 Tricare West — Triwest Veterans: $135.20
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Psychotherapy W/Patient 30 Minutes	$215	$215	Not listed in the file
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 30 MINUTES	Not listed in the file	Not listed in the file	Not listed in the file
Psychotherapy, 30 minutes: 10 of 13 insurance plan rates Aetna — Medicare Advantage: 40% (a percentage in the contract, not a dollar amount) Aetna — PPO: 95% (a percentage in the contract, not a dollar amount) BCBS Regence of OR — Medicare Advantage: 40% (a percentage in the contract, not a dollar amount) BCBS Regence of OR — PPO: 90% (a percentage in the contract, not a dollar amount) Cigna — PPO: 95% (a percentage in the contract, not a dollar amount) First Choice — All Plans: 93% (a percentage in the contract, not a dollar amount) MODA — All Plans: 95% (a percentage in the contract, not a dollar amount) ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): 37% (a percentage in the contract, not a dollar amount) Pacific Source — PPO: 95% (a percentage in the contract, not a dollar amount) Tricare West — Triwest Veterans: 40% (a percentage in the contract, not a dollar amount)
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psychotherapy W/Patient 45 Minutes	$312	$312	$115.44 – $296.40
Psychotherapy, 45 minutes: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $124.80 Aetna — PPO: $296.40 BCBS Regence of OR — Medicare Advantage: $124.80 BCBS Regence of OR — PPO: $280.80 Cigna — PPO: $296.40 First Choice — All Plans: $290.16 MODA — All Plans: $296.40 ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): $115.44 Pacific Source — PPO: $296.40 Tricare West — Triwest Veterans: $124.80
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Psychotherapy W/Patient 60 Minutes	$420	$420	Not listed in the file
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 60 MINUTES	Not listed in the file	Not listed in the file	Not listed in the file
Psychotherapy, 60 minutes: 10 of 13 insurance plan rates Aetna — Medicare Advantage: 40% (a percentage in the contract, not a dollar amount) Aetna — PPO: 95% (a percentage in the contract, not a dollar amount) BCBS Regence of OR — Medicare Advantage: 40% (a percentage in the contract, not a dollar amount) BCBS Regence of OR — PPO: 90% (a percentage in the contract, not a dollar amount) Cigna — PPO: 95% (a percentage in the contract, not a dollar amount) First Choice — All Plans: 93% (a percentage in the contract, not a dollar amount) MODA — All Plans: 95% (a percentage in the contract, not a dollar amount) ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): 37% (a percentage in the contract, not a dollar amount) Pacific Source — PPO: 95% (a percentage in the contract, not a dollar amount) Tricare West — Triwest Veterans: 40% (a percentage in the contract, not a dollar amount)
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Family Psychotherapy W/O Patient Present 50 Mins	$307	$307	Not listed in the file
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYTX W/O PT 50 MIN	Not listed in the file	Not listed in the file	Not listed in the file
Family psychotherapy, without the patient: 10 of 13 insurance plan rates Aetna — Medicare Advantage: 40% (a percentage in the contract, not a dollar amount) Aetna — PPO: 95% (a percentage in the contract, not a dollar amount) BCBS Regence of OR — Medicare Advantage: 40% (a percentage in the contract, not a dollar amount) BCBS Regence of OR — PPO: 90% (a percentage in the contract, not a dollar amount) Cigna — PPO: 95% (a percentage in the contract, not a dollar amount) First Choice — All Plans: 93% (a percentage in the contract, not a dollar amount) MODA — All Plans: 95% (a percentage in the contract, not a dollar amount) ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): 37% (a percentage in the contract, not a dollar amount) Pacific Source — PPO: 95% (a percentage in the contract, not a dollar amount) Tricare West — Triwest Veterans: 40% (a percentage in the contract, not a dollar amount)
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYTX W/PT 50 MIN	Not listed in the file	Not listed in the file	Not listed in the file
Family psychotherapy, with the patient: 10 of 13 insurance plan rates Aetna — Medicare Advantage: 40% (a percentage in the contract, not a dollar amount) Aetna — PPO: 95% (a percentage in the contract, not a dollar amount) BCBS Regence of OR — Medicare Advantage: 40% (a percentage in the contract, not a dollar amount) BCBS Regence of OR — PPO: 90% (a percentage in the contract, not a dollar amount) Cigna — PPO: 95% (a percentage in the contract, not a dollar amount) First Choice — All Plans: 93% (a percentage in the contract, not a dollar amount) MODA — All Plans: 95% (a percentage in the contract, not a dollar amount) ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): 37% (a percentage in the contract, not a dollar amount) Pacific Source — PPO: 95% (a percentage in the contract, not a dollar amount) Tricare West — Triwest Veterans: 40% (a percentage in the contract, not a dollar amount)
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Group Psychotherapy	$80	$80	Not listed in the file
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GROUP PSYCHOTHERAPY	Not listed in the file	Not listed in the file	Not listed in the file
Group psychotherapy: 10 of 13 insurance plan rates Aetna — Medicare Advantage: 40% (a percentage in the contract, not a dollar amount) Aetna — PPO: 95% (a percentage in the contract, not a dollar amount) BCBS Regence of OR — Medicare Advantage: 40% (a percentage in the contract, not a dollar amount) BCBS Regence of OR — PPO: 90% (a percentage in the contract, not a dollar amount) Cigna — PPO: 95% (a percentage in the contract, not a dollar amount) First Choice — All Plans: 93% (a percentage in the contract, not a dollar amount) MODA — All Plans: 95% (a percentage in the contract, not a dollar amount) ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): 37% (a percentage in the contract, not a dollar amount) Pacific Source — PPO: 95% (a percentage in the contract, not a dollar amount) Tricare West — Triwest Veterans: 40% (a percentage in the contract, not a dollar amount)

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Exc Cyst/Aberrant Breast Tissue Open 1/> Lesion	$1,574	$1,574	$582.38 – $1,495.30
Removal of breast growth (open surgery): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $629.60 Aetna — PPO: $1,495.30 BCBS Regence of OR — Medicare Advantage: $629.60 BCBS Regence of OR — PPO: $1,416.60 Cigna — PPO: $1,495.30 First Choice — All Plans: $1,463.82 MODA — All Plans: $1,495.30 ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): $582.38 Pacific Source — PPO: $1,495.30 Tricare West — Triwest Veterans: $629.60
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hgs PR Removal of Breast Lesion	$2,112	$2,112	$781.44 – $2,006.40
Removal of breast growth (open surgery): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $844.80 Aetna — PPO: $2,006.40 BCBS Regence of OR — Medicare Advantage: $844.80 BCBS Regence of OR — PPO: $1,900.80 Cigna — PPO: $2,006.40 First Choice — All Plans: $1,964.16 MODA — All Plans: $2,006.40 ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): $781.44 Pacific Source — PPO: $2,006.40 Tricare West — Triwest Veterans: $844.80
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft	$4,014	$4,014	$1,485.18 – $3,813.30
Total hip replacement: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $1,605.60 Aetna — PPO: $3,813.30 BCBS Regence of OR — Medicare Advantage: $1,605.60 BCBS Regence of OR — PPO: $3,612.60 Cigna — PPO: $3,813.30 First Choice — All Plans: $3,733.02 MODA — All Plans: $3,813.30 ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): $1,485.18 Pacific Source — PPO: $3,813.30 Tricare West — Triwest Veterans: $1,605.60
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Arthrp Kne Condyle&Platu Medial&Lat Compartments	$5,138	$5,138	$1,901.06 – $4,881.10
Total knee replacement: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $2,055.20 Aetna — PPO: $4,881.10 BCBS Regence of OR — Medicare Advantage: $2,055.20 BCBS Regence of OR — PPO: $4,624.20 Cigna — PPO: $4,881.10 First Choice — All Plans: $4,778.34 MODA — All Plans: $4,881.10 ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): $1,901.06 Pacific Source — PPO: $4,881.10 Tricare West — Triwest Veterans: $2,055.20
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Surgical Arthroscopy Sho W/Coracoacrm Ligm Rls	$2,401	$2,401	$888.37 – $2,280.95
Shoulder arthroscopy: shaving of shoulder bone: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $960.40 Aetna — PPO: $2,280.95 BCBS Regence of OR — Medicare Advantage: $960.40 BCBS Regence of OR — PPO: $2,160.90 Cigna — PPO: $2,280.95 First Choice — All Plans: $2,232.93 MODA — All Plans: $2,280.95 ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): $888.37 Pacific Source — PPO: $2,280.95 Tricare West — Triwest Veterans: $960.40
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Arthrs Knee Surg W/Meniscectomy Med/Lat W/Shvg	$2,027	$2,027	$749.99 – $1,925.65
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $810.80 Aetna — PPO: $1,925.65 BCBS Regence of OR — Medicare Advantage: $810.80 BCBS Regence of OR — PPO: $1,824.30 Cigna — PPO: $1,925.65 First Choice — All Plans: $1,885.11 MODA — All Plans: $1,925.65 ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): $749.99 Pacific Source — PPO: $1,925.65 Tricare West — Triwest Veterans: $810.80
Removal of tonsils and adenoids (under age 12) CPT 42820 · Inpatient or outpatient · Doctor (professional) fee In the file: Tonsillectomy & Adenoidectomy <Age 12	$888	$888	Not listed in the file
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVE TONSILS AND ADENOIDS	Not listed in the file	Not listed in the file	Not listed in the file
Removal of tonsils and adenoids (under age 12): 10 of 13 insurance plan rates Aetna — Medicare Advantage: 40% (a percentage in the contract, not a dollar amount) Aetna — PPO: 95% (a percentage in the contract, not a dollar amount) BCBS Regence of OR — Medicare Advantage: 40% (a percentage in the contract, not a dollar amount) BCBS Regence of OR — PPO: 90% (a percentage in the contract, not a dollar amount) Cigna — PPO: 95% (a percentage in the contract, not a dollar amount) First Choice — All Plans: 93% (a percentage in the contract, not a dollar amount) MODA — All Plans: 95% (a percentage in the contract, not a dollar amount) ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): 37% (a percentage in the contract, not a dollar amount) Pacific Source — PPO: 95% (a percentage in the contract, not a dollar amount) Tricare West — Triwest Veterans: 40% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Egd Transoral Diagnostic	$2,176	$2,176	$805.12 – $2,067.20
Upper GI endoscopy (diagnostic): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $870.40 Aetna — PPO: $2,067.20 BCBS Regence of OR — Medicare Advantage: $870.40 BCBS Regence of OR — PPO: $1,958.40 Cigna — PPO: $2,067.20 First Choice — All Plans: $2,023.68 MODA — All Plans: $2,067.20 ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): $805.12 Pacific Source — PPO: $2,067.20 Tricare West — Triwest Veterans: $870.40
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Esophagogastroduodenoscopy Transoral Diagnostic	$1,033	$1,033	$382.21 – $981.35
Upper GI endoscopy (diagnostic): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $413.20 Aetna — PPO: $981.35 BCBS Regence of OR — Medicare Advantage: $413.20 BCBS Regence of OR — PPO: $929.70 Cigna — PPO: $981.35 First Choice — All Plans: $960.69 MODA — All Plans: $981.35 ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): $382.21 Pacific Source — PPO: $981.35 Tricare West — Triwest Veterans: $413.20
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hgs PR Esophagogastroduodenoscopy Transoral Diagnostic	$983	$983	$363.71 – $933.85
Upper GI endoscopy (diagnostic): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $393.20 Aetna — PPO: $933.85 BCBS Regence of OR — Medicare Advantage: $393.20 BCBS Regence of OR — PPO: $884.70 Cigna — PPO: $933.85 First Choice — All Plans: $914.19 MODA — All Plans: $933.85 ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): $363.71 Pacific Source — PPO: $933.85 Tricare West — Triwest Veterans: $393.20
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Egd Transoral Biopsy Single/Multiple	$1,148	$1,148	$424.76 – $1,090.60
Upper GI endoscopy with biopsy: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $459.20 Aetna — PPO: $1,090.60 BCBS Regence of OR — Medicare Advantage: $459.20 BCBS Regence of OR — PPO: $1,033.20 Cigna — PPO: $1,090.60 First Choice — All Plans: $1,067.64 MODA — All Plans: $1,090.60 ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): $424.76 Pacific Source — PPO: $1,090.60 Tricare West — Triwest Veterans: $459.20
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hgs PR Egd Transoral Biopsy Single/Multiple	$1,094	$1,094	$404.78 – $1,039.30
Upper GI endoscopy with biopsy: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $437.60 Aetna — PPO: $1,039.30 BCBS Regence of OR — Medicare Advantage: $437.60 BCBS Regence of OR — PPO: $984.60 Cigna — PPO: $1,039.30 First Choice — All Plans: $1,017.42 MODA — All Plans: $1,039.30 ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): $404.78 Pacific Source — PPO: $1,039.30 Tricare West — Triwest Veterans: $437.60
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy Flx Dx W/Collj Spec When Pfrmd	$1,359	$1,359	$502.83 – $1,291.05
Colonoscopy (diagnostic): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $543.60 Aetna — PPO: $1,291.05 BCBS Regence of OR — Medicare Advantage: $543.60 BCBS Regence of OR — PPO: $1,223.10 Cigna — PPO: $1,291.05 First Choice — All Plans: $1,263.87 MODA — All Plans: $1,291.05 ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): $502.83 Pacific Source — PPO: $1,291.05 Tricare West — Triwest Veterans: $543.60
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hgs PR Colonoscopy Flexible Prox Splenic Flexur	$1,294	$1,294	$478.78 – $1,229.30
Colonoscopy (diagnostic): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $517.60 Aetna — PPO: $1,229.30 BCBS Regence of OR — Medicare Advantage: $517.60 BCBS Regence of OR — PPO: $1,164.60 Cigna — PPO: $1,229.30 First Choice — All Plans: $1,203.42 MODA — All Plans: $1,229.30 ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): $478.78 Pacific Source — PPO: $1,229.30 Tricare West — Triwest Veterans: $517.60
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy W/Biopsy Single/Multiple	$1,552	$1,552	$574.24 – $1,474.40
Colonoscopy with biopsy: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $620.80 Aetna — PPO: $1,474.40 BCBS Regence of OR — Medicare Advantage: $620.80 BCBS Regence of OR — PPO: $1,396.80 Cigna — PPO: $1,474.40 First Choice — All Plans: $1,443.36 MODA — All Plans: $1,474.40 ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): $574.24 Pacific Source — PPO: $1,474.40 Tricare West — Triwest Veterans: $620.80
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hgs PR Colonoscopy W/Biopsy	$1,476	$1,476	$546.12 – $1,402.20
Colonoscopy with biopsy: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $590.40 Aetna — PPO: $1,402.20 BCBS Regence of OR — Medicare Advantage: $590.40 BCBS Regence of OR — PPO: $1,328.40 Cigna — PPO: $1,402.20 First Choice — All Plans: $1,372.68 MODA — All Plans: $1,402.20 ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): $546.12 Pacific Source — PPO: $1,402.20 Tricare West — Triwest Veterans: $590.40
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colsc Flx W/Rmvl of Tumor Polyp Lesion Snare Tq	$1,744	$1,744	$645.28 – $1,656.80
Colonoscopy with removal of polyps (snare): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $697.60 Aetna — PPO: $1,656.80 BCBS Regence of OR — Medicare Advantage: $697.60 BCBS Regence of OR — PPO: $1,569.60 Cigna — PPO: $1,656.80 First Choice — All Plans: $1,621.92 MODA — All Plans: $1,656.80 ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): $645.28 Pacific Source — PPO: $1,656.80 Tricare West — Triwest Veterans: $697.60
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hgs PR Colonoscopy W/Remov Tumor/Polyp Snare	$1,661	$1,661	$614.57 – $1,577.95
Colonoscopy with removal of polyps (snare): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $664.40 Aetna — PPO: $1,577.95 BCBS Regence of OR — Medicare Advantage: $664.40 BCBS Regence of OR — PPO: $1,494.90 Cigna — PPO: $1,577.95 First Choice — All Plans: $1,544.73 MODA — All Plans: $1,577.95 ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): $614.57 Pacific Source — PPO: $1,577.95 Tricare West — Triwest Veterans: $664.40
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/ENDOSCOPE US	Not listed in the file	Not listed in the file	Not listed in the file
Ultrasound of the lower bowel by endoscope: 10 of 13 insurance plan rates Aetna — Medicare Advantage: 40% (a percentage in the contract, not a dollar amount) Aetna — PPO: 95% (a percentage in the contract, not a dollar amount) BCBS Regence of OR — Medicare Advantage: 40% (a percentage in the contract, not a dollar amount) BCBS Regence of OR — PPO: 90% (a percentage in the contract, not a dollar amount) Cigna — PPO: 95% (a percentage in the contract, not a dollar amount) First Choice — All Plans: 93% (a percentage in the contract, not a dollar amount) MODA — All Plans: 95% (a percentage in the contract, not a dollar amount) ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): 37% (a percentage in the contract, not a dollar amount) Pacific Source — PPO: 95% (a percentage in the contract, not a dollar amount) Tricare West — Triwest Veterans: 40% (a percentage in the contract, not a dollar amount)
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colon ca scrn not hi rsk ind	$1,178	$1,178	$435.86 – $1,119.10
Screening colonoscopy (not high risk): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $471.20 Aetna — PPO: $1,119.10 BCBS Regence of OR — Medicare Advantage: $471.20 BCBS Regence of OR — PPO: $1,060.20 Cigna — PPO: $1,119.10 First Choice — All Plans: $1,095.54 MODA — All Plans: $1,119.10 ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): $435.86 Pacific Source — PPO: $1,119.10 Tricare West — Triwest Veterans: $471.20
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hgs PR Colon Ca Scrn Not Hi Rsk Ind	$1,121	$1,121	$414.77 – $1,064.95
Screening colonoscopy (not high risk): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $448.40 Aetna — PPO: $1,064.95 BCBS Regence of OR — Medicare Advantage: $448.40 BCBS Regence of OR — PPO: $1,008.90 Cigna — PPO: $1,064.95 First Choice — All Plans: $1,042.53 MODA — All Plans: $1,064.95 ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): $414.77 Pacific Source — PPO: $1,064.95 Tricare West — Triwest Veterans: $448.40
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hgs PR Lap Cholecystectomy	$2,089	$2,089	$772.93 – $1,984.55
Gallbladder removal by laparoscope: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $835.60 Aetna — PPO: $1,984.55 BCBS Regence of OR — Medicare Advantage: $835.60 BCBS Regence of OR — PPO: $1,880.10 Cigna — PPO: $1,984.55 First Choice — All Plans: $1,942.77 MODA — All Plans: $1,984.55 ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): $772.93 Pacific Source — PPO: $1,984.55 Tricare West — Triwest Veterans: $835.60
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Laparoscopy Surg Cholecystectomy	$2,195	$2,195	$812.15 – $2,085.25
Gallbladder removal by laparoscope: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $878 Aetna — PPO: $2,085.25 BCBS Regence of OR — Medicare Advantage: $878 BCBS Regence of OR — PPO: $1,975.50 Cigna — PPO: $2,085.25 First Choice — All Plans: $2,041.35 MODA — All Plans: $2,085.25 ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): $812.15 Pacific Source — PPO: $2,085.25 Tricare West — Triwest Veterans: $878
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Rpr 1st Ingun Hrna Age 5 Yrs/> Reducible	$1,739	$1,739	$643.43 – $1,652.05
Groin (inguinal) hernia repair, age 5 or older: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $695.60 Aetna — PPO: $1,652.05 BCBS Regence of OR — Medicare Advantage: $695.60 BCBS Regence of OR — PPO: $1,565.10 Cigna — PPO: $1,652.05 First Choice — All Plans: $1,617.27 MODA — All Plans: $1,652.05 ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): $643.43 Pacific Source — PPO: $1,652.05 Tricare West — Triwest Veterans: $695.60
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hgs Prostate Needle Biopsy Any Approach	$5,822	$5,822	$2,154.14 – $5,530.90
Prostate biopsy: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $2,328.80 Aetna — PPO: $5,530.90 BCBS Regence of OR — Medicare Advantage: $2,328.80 BCBS Regence of OR — PPO: $5,239.80 Cigna — PPO: $5,530.90 First Choice — All Plans: $5,414.46 MODA — All Plans: $5,530.90 ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): $2,154.14 Pacific Source — PPO: $5,530.90 Tricare West — Triwest Veterans: $2,328.80
Prostate biopsy CPT 55700 · Inpatient or outpatient · Doctor (professional) fee In the file: Prostate Needle Biopsy Any Approach	$604	$604	Not listed in the file
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Prostate Needle Biopsy Any Approach	$193	$193	Not listed in the file
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hgs PR Laps Surg Prst8ect Rpbic Rad W/Nrv Sparing Robot	$3,847	$3,847	$1,423.39 – $3,654.65
Prostate removal by laparoscope (radical prostatectomy): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $1,538.80 Aetna — PPO: $3,654.65 BCBS Regence of OR — Medicare Advantage: $1,538.80 BCBS Regence of OR — PPO: $3,462.30 Cigna — PPO: $3,654.65 First Choice — All Plans: $3,577.71 MODA — All Plans: $3,654.65 ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): $1,423.39 Pacific Source — PPO: $3,654.65 Tricare West — Triwest Veterans: $1,538.80
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Inpatient or outpatient · Doctor (professional) fee In the file: Laps Surg Prst8ect Rpbic Rad W/Nerve Sparing	$3,529	$3,529	Not listed in the file
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hysteroscopy Bx Endometrium&/Polypc W/WO D&C	$1,282	$1,282	$474.34 – $1,217.90
Hysteroscopy with biopsy of the uterus lining: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $512.80 Aetna — PPO: $1,217.90 BCBS Regence of OR — Medicare Advantage: $512.80 BCBS Regence of OR — PPO: $1,153.80 Cigna — PPO: $1,217.90 First Choice — All Plans: $1,192.26 MODA — All Plans: $1,217.90 ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): $474.34 Pacific Source — PPO: $1,217.90 Tricare West — Triwest Veterans: $512.80
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC INJ INTERLAMINAR LMBR/SAC W/ FLUORO	$2,633	$2,633	$974.21 – $2,501.35
Spinal injection, lower back (epidural), with imaging guidance: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $1,053.20 Aetna — PPO: $2,501.35 BCBS Regence of OR — Medicare Advantage: $1,053.20 BCBS Regence of OR — PPO: $2,369.70 Cigna — PPO: $2,501.35 First Choice — All Plans: $2,448.69 MODA — All Plans: $2,501.35 ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): $974.21 Pacific Source — PPO: $2,501.35 Tricare West — Triwest Veterans: $1,053.20
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn	$784	$784	Not listed in the file
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Njx Aa&/Strd Tfrml Epi Lumbar/Sacral 1 Level	$614	$614	$227.18 – $583.30
Nerve root injection, lower back, with imaging guidance: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $245.60 Aetna — PPO: $583.30 BCBS Regence of OR — Medicare Advantage: $245.60 BCBS Regence of OR — PPO: $552.60 Cigna — PPO: $583.30 First Choice — All Plans: $571.02 MODA — All Plans: $583.30 ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): $227.18 Pacific Source — PPO: $583.30 Tricare West — Triwest Veterans: $245.60
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Neuroplasty &/Transpos Median Nrv Carpal Tunne	$1,203	$1,203	$445.11 – $1,142.85
Carpal tunnel release: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $481.20 Aetna — PPO: $1,142.85 BCBS Regence of OR — Medicare Advantage: $481.20 BCBS Regence of OR — PPO: $1,082.70 Cigna — PPO: $1,142.85 First Choice — All Plans: $1,118.79 MODA — All Plans: $1,142.85 ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): $445.11 Pacific Source — PPO: $1,142.85 Tricare West — Triwest Veterans: $481.20
Carpal tunnel release CPT 64721 · Inpatient or outpatient · Doctor (professional) fee In the file: Neuroplasty &/Transpos Median Nrv Carpal Tunne	$609	$609	Not listed in the file
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Neuroplasty &/Transpos Median Nrv Carpal Tunne	$1,132	$1,132	Not listed in the file
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hgs Post-Cataract Laser Surgery	$1,662	$1,662	$614.94 – $1,578.90
Laser treatment of clouding after cataract surgery: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $664.80 Aetna — PPO: $1,578.90 BCBS Regence of OR — Medicare Advantage: $664.80 BCBS Regence of OR — PPO: $1,495.80 Cigna — PPO: $1,578.90 First Choice — All Plans: $1,545.66 MODA — All Plans: $1,578.90 ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): $614.94 Pacific Source — PPO: $1,578.90 Tricare West — Triwest Veterans: $664.80
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 26 In the file: Hgs PR Post-Cataract Laser Surgery Profee	$870	$870	Not listed in the file
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XCAPSL CTRC RMVL W/O ECP	Not listed in the file	Not listed in the file	Not listed in the file
Cataract removal with lens implant: 10 of 13 insurance plan rates Aetna — Medicare Advantage: 40% (a percentage in the contract, not a dollar amount) Aetna — PPO: 95% (a percentage in the contract, not a dollar amount) BCBS Regence of OR — Medicare Advantage: 40% (a percentage in the contract, not a dollar amount) BCBS Regence of OR — PPO: 90% (a percentage in the contract, not a dollar amount) Cigna — PPO: 95% (a percentage in the contract, not a dollar amount) First Choice — All Plans: 93% (a percentage in the contract, not a dollar amount) MODA — All Plans: 95% (a percentage in the contract, not a dollar amount) ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): 37% (a percentage in the contract, not a dollar amount) Pacific Source — PPO: 95% (a percentage in the contract, not a dollar amount) Tricare West — Triwest Veterans: 40% (a percentage in the contract, not a dollar amount)
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 26 In the file: Hgs PR Xcapls Ctrc Rmvl Insj Io Lens Prosth W/O Ecp Profee	$1,419	$1,419	Not listed in the file

Pregnancy and childbirth

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hgs PR Obstetrical Care	$6,324	$6,324	$2,339.88 – $6,007.80
Vaginal delivery, with care before and after: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $2,529.60 Aetna — PPO: $6,007.80 BCBS Regence of OR — Medicare Advantage: $2,529.60 BCBS Regence of OR — PPO: $5,691.60 Cigna — PPO: $6,007.80 First Choice — All Plans: $5,881.32 MODA — All Plans: $6,007.80 ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): $2,339.88 Pacific Source — PPO: $6,007.80 Tricare West — Triwest Veterans: $2,529.60
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OB Care Antepartum Vag Dlvr & Postpartum	$6,640	$6,640	$2,456.80 – $6,308
Vaginal delivery, with care before and after: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $2,656 Aetna — PPO: $6,308 BCBS Regence of OR — Medicare Advantage: $2,656 BCBS Regence of OR — PPO: $5,976 Cigna — PPO: $6,308 First Choice — All Plans: $6,175.20 MODA — All Plans: $6,308 ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): $2,456.80 Pacific Source — PPO: $6,308 Tricare West — Triwest Veterans: $2,656
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hgs PR Routine OB Care, Cesarean, Incl Antepartum	$6,408	$6,408	$2,370.96 – $6,087.60
Cesarean delivery (C-section), with care before and after: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $2,563.20 Aetna — PPO: $6,087.60 BCBS Regence of OR — Medicare Advantage: $2,563.20 BCBS Regence of OR — PPO: $5,767.20 Cigna — PPO: $6,087.60 First Choice — All Plans: $5,959.44 MODA — All Plans: $6,087.60 ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): $2,370.96 Pacific Source — PPO: $6,087.60 Tricare West — Triwest Veterans: $2,563.20
Cesarean delivery (C-section), with care before and after CPT 59510 · Inpatient or outpatient · Doctor (professional) fee In the file: OB Antepartum Care Cesarean Dlvr & Postpartum	$6,406	$6,406	Not listed in the file
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Routine OB Care Vag Dlvry & Postpartum Care Vb	$6,713	$6,713	Not listed in the file
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: VBAC DELIVERY	Not listed in the file	Not listed in the file	Not listed in the file
Vaginal delivery after a previous C-section, with care before and after: 10 of 13 insurance plan rates Aetna — Medicare Advantage: 40% (a percentage in the contract, not a dollar amount) Aetna — PPO: 95% (a percentage in the contract, not a dollar amount) BCBS Regence of OR — Medicare Advantage: 40% (a percentage in the contract, not a dollar amount) BCBS Regence of OR — PPO: 90% (a percentage in the contract, not a dollar amount) Cigna — PPO: 95% (a percentage in the contract, not a dollar amount) First Choice — All Plans: 93% (a percentage in the contract, not a dollar amount) MODA — All Plans: 95% (a percentage in the contract, not a dollar amount) ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): 37% (a percentage in the contract, not a dollar amount) Pacific Source — PPO: 95% (a percentage in the contract, not a dollar amount) Tricare West — Triwest Veterans: 40% (a percentage in the contract, not a dollar amount)

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC	Not listed in the file	Not listed in the file	$7,360
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $7,360 BCBS Regence of OR — Medicare Advantage: $7,360 Tricare West — Triwest Veterans: $7,360 United Healthcare — Medicare: $7,360 Aetna — PPO: 95% (a percentage in the contract, not a dollar amount) BCBS Regence of OR — PPO: 90% (a percentage in the contract, not a dollar amount) Cigna — PPO: 95% (a percentage in the contract, not a dollar amount) First Choice — All Plans: 93% (a percentage in the contract, not a dollar amount) MODA — All Plans: 95% (a percentage in the contract, not a dollar amount) ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): 37% (a percentage in the contract, not a dollar amount)
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC	Not listed in the file	Not listed in the file	$7,360
Hip or knee replacement (major joint of the leg), without major complications: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $7,360 BCBS Regence of OR — Medicare Advantage: $7,360 Tricare West — Triwest Veterans: $7,360 United Healthcare — Medicare: $7,360 Aetna — PPO: 95% (a percentage in the contract, not a dollar amount) BCBS Regence of OR — PPO: 90% (a percentage in the contract, not a dollar amount) Cigna — PPO: 95% (a percentage in the contract, not a dollar amount) First Choice — All Plans: 93% (a percentage in the contract, not a dollar amount) MODA — All Plans: 95% (a percentage in the contract, not a dollar amount) ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): 37% (a percentage in the contract, not a dollar amount)
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$7,360
Neck (cervical) spinal fusion, without complications: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $7,360 BCBS Regence of OR — Medicare Advantage: $7,360 Tricare West — Triwest Veterans: $7,360 United Healthcare — Medicare: $7,360 Aetna — PPO: 95% (a percentage in the contract, not a dollar amount) BCBS Regence of OR — PPO: 90% (a percentage in the contract, not a dollar amount) Cigna — PPO: 95% (a percentage in the contract, not a dollar amount) First Choice — All Plans: 93% (a percentage in the contract, not a dollar amount) MODA — All Plans: 95% (a percentage in the contract, not a dollar amount) ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): 37% (a percentage in the contract, not a dollar amount)
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$7,360
Uterus and ovary surgery (not for cancer), without complications: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $7,360 BCBS Regence of OR — Medicare Advantage: $7,360 Tricare West — Triwest Veterans: $7,360 United Healthcare — Medicare: $7,360 Aetna — PPO: 95% (a percentage in the contract, not a dollar amount) BCBS Regence of OR — PPO: 90% (a percentage in the contract, not a dollar amount) Cigna — PPO: 95% (a percentage in the contract, not a dollar amount) First Choice — All Plans: 93% (a percentage in the contract, not a dollar amount) MODA — All Plans: 95% (a percentage in the contract, not a dollar amount) ODS (EOCCO) — Eastern Oregon Coordinated Care (Medicaid): 37% (a percentage in the contract, not a dollar amount)

Source: Good Shepherd Medical Center’s standard charges file (mrfs.hyvehealthcare.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on June 19, 2026; retrieved November 5, 2026. The hospital’s price transparency page →

Found through the hospital’s cms-hpt.txt file, as required by the federal hospital price transparency rule (CMS). We show a selection of common services; the file has every item and service.

Hospital information

Hospital type	Critical Access Hospital
Address	610 NW 11th Street, Hermiston, OR 97838
County	Umatilla County
State	Oregon
Phone	(541) 667‑3400
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	Not rated by CMS
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	381325
Name in Medicare records	GOOD SHEPHERD MEDICAL CENTER
Profile level	Medicare data + hospital website
Official website	gshealth.org
Corrections	Report an error or suggest an update →

Sources

Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-07-22, retrieved 2026-10-29
Medicare Care Compare — official Medicare profile of this hospital
U.S. Census Bureau Geocoder — map position used for distances

From the hospital’s website

Numbers match the citations above. Checked 2026-11-02.

Good Shepherd Locations in Umatilla County, OR — gshealth.org
Good Shepherd Departments in Umatilla County, OR — gshealth.org
Emergency Services — gshealth.org
Diagnostic Imaging in Umatilla County, OR | Good Shepherd Health Care System — gshealth.org
Medical-Surgical Unit in Umatilla County, OR — gshealth.org

Good Shepherd Medical Center

Summary

Profile from official sources

At a glance