CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: OHSU Hospital and Clinics

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $462
  • Cash Discount Price: $2,690
  • vs. Medicare Baseline: 1.30x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at OHSU Hospital and Clinics is $462. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,690. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.30x the Medicare baseline. Located in 3181 Sw Sam Jackson Park Road, Portland, OR.
Cash / Self-Pay
$2,690

Average discount available for prompt cash payment at this facility.

Insurance Median
$462

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: $2,690 (755%)
Insurance Median: $462 (130%)
Cash: $2,690 (755% of Medicare)
Ins. Median: $462 (130% 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
Samaritan Health Plan $247 - $979 69%
Care Oregon $313 - $462 88%
Intercommunity Health Network $313 88%
Kaiser Foundation Hospitals $313 - $911 88%
Medicare (plans) $313 - $627 88%
Pacific Source $313 - $3,219 88%
Humana $392 - $415 110%
Trillium $392 110%
Moda $411 - $2,551 115%
UnitedHealthcare $415 - $1,597 116%
Aetna $423 - $1,141 119%
Health Net Health Plan Of Oregon, Inc. $451 - $3,205 127%
Providence Health Plan $470 - $992 132%
Community Health Plan Of Washington $548 - $794 154%
Tuality Health $705 198%
Cigna $1,071 300%
Blue Cross Blue Shield $1,259 353%
Coventry First Health $3,104 871%
First Choice $3,135 880%
Molina Exchange $4,138 1161%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3181 Sw Sam Jackson Park Road, Portland, OR 97239
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals