CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: OHSU Hospital and Clinics

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71250
Insurance Median: $143
Cash Discount Price: $1,210
vs. Medicare Baseline: 1.34x Medicare

The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at OHSU Hospital and Clinics is $143. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,210. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.34x the Medicare baseline. Located in 3181 Sw Sam Jackson Park Road, Portland, OR.

Cash / Self-Pay

$1,210

Average discount available for prompt cash payment at this facility.

Insurance Median

$143

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)

Cash / Self-Pay: $1,210 (1133%)

Insurance Median: $143 (134%)

Cash: $1,210 (1133% of Medicare)

Ins. Median: $143 (134% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Care Oregon	$94 - $139	88%
Intercommunity Health Network	$94	88%
Kaiser Foundation Hospitals	$94 - $273	88%
Medicare (plans)	$94 - $188	88%
Pacific Source	$94 - $1,448	88%
Humana	$117 - $124	110%
Trillium	$117	110%
Moda	$123 - $1,147	115%
UnitedHealthcare	$124 - $478	116%
Aetna	$127 - $432	119%
Health Net Health Plan Of Oregon, Inc.	$135 - $1,441	126%
Providence Health Plan	$141 - $380	132%
Samaritan Health Plan	$145 - $293	136%
Community Health Plan Of Washington	$164 - $357	154%
Tuality Health	$211	198%
Blue Cross Blue Shield	$365	342%
Cigna	$1,071	1003%
Coventry First Health	$1,396	1307%
First Choice	$1,410	1320%
Molina Exchange	$1,861	1742%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $1,210.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 71250.

Insurance In-Network Protection Plan

Contact your insurance company to confirm OHSU Hospital and Clinics is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 71250.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.