CMS Price Transparency Data

X-ray, chest (single view)

Facility: Legacy Good Samaritan Medical Center

Billing Code: 71045 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$118
about 1.3× the $89 Medicare rate · typically $94–$149
modeled estimate · not a bill or quote
Medicare pays $89 Fair price $118 Cash price $40 Hospital's list price $61

How we calculate the fair BaseRate →

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Kaiser Permanente UnitedHealthcareHumana

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
Blue Cross Blue Shieldmajor $225 - $330 253%
Aetnamajor $30 - $102 34%
Cignamajor $238 268%
Kaiser Permanentemajor $97 - $193 109%
Health Net $103 116%
Moda Health $108 - $374 121%
PacificSource $38 - $86 43%
+ 3 smaller / regional plans $100 - $106

Self-Pay How to get the cash price

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A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 1015 Nw 22Nd Avenue, W121, Portland, OR 97210
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals