CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Legacy Emanuel Medical Center

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $628
  • Cash Discount Price: $480
  • vs. Medicare Baseline: 1.76x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Legacy Emanuel Medical Center is $628. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $480. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.76x the Medicare baseline. Located in 2801 N Gantenbein Avenue, Portland, OR.
Cash / Self-Pay
$480

Average discount available for prompt cash payment at this facility.

Insurance Median
$628

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$356.43

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $356.43 (100%)
Cash / Self-Pay: $480 (135%)
Insurance Median: $628 (176%)
Cash: $480 (135% of Medicare)
Ins. Median: $628 (176% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $356.43 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Aetna $386 - $407 108%
Kaiser $388 - $776 109%
Atrio $399 112%
Healthnet $411 - $1,315 115%
Careoregon $419 118%
Ageright $427 120%
Moda $434 - $1,500 122%
Pacificsource $481 - $1,099 135%
Cigna $1,027 288%
Blue Cross Blue Shield $1,076 - $1,578 302%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2801 N Gantenbein Avenue, Portland, OR 97227
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals