CMS Price Transparency Data

CT scan, pelvis

Facility: OHSU Hospital and Clinics

Billing Code: 72192 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72192
  • Insurance Median: $140
  • Cash Discount Price: $1,232
  • vs. Medicare Baseline: 1.31x Medicare
The contracted insurance negotiated median rate for a CT scan, pelvis at OHSU Hospital and Clinics is $140. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,232. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.31x the Medicare baseline. Located in 3181 Sw Sam Jackson Park Road, Portland, OR.
Cash / Self-Pay
$1,232

Average discount available for prompt cash payment at this facility.

Insurance Median
$140

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: $1,232 (1153%)
Insurance Median: $140 (131%)
Cash: $1,232 (1153% of Medicare)
Ins. Median: $140 (131% 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.

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 - $1,475 88%
Samaritan Health Plan $102 - $293 95%
Humana $117 - $124 110%
Trillium $117 110%
Moda $123 - $1,169 115%
UnitedHealthcare $124 - $478 116%
Aetna $127 - $430 119%
Health Net Health Plan Of Oregon, Inc. $135 - $1,468 126%
Providence Health Plan $141 - $378 132%
Community Health Plan Of Washington $164 - $364 154%
Tuality Health $211 198%
Blue Cross Blue Shield $365 342%
Cigna $1,071 1003%
Coventry First Health $1,422 1331%
First Choice $1,437 1345%
Molina Exchange $1,896 1775%

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