CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Samaritan Albany General Hospital

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $151
Cash Discount Price: $883
vs. Medicare Baseline: 0.62x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Samaritan Albany General Hospital is $151. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $883. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.62x the Medicare baseline. Located in 1046 6Th Avenue Sw, Albany, OR.

Cash / Self-Pay

$883

Average discount available for prompt cash payment at this facility.

Insurance Median

$151

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$243.77

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $243.77 (100%)

Cash / Self-Pay: $883 (362%)

Insurance Median: $151 (62%)

Cash: $883 (362% of Medicare)

Ins. Median: $151 (62% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $243.77 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
Pacificsource	$70 - $182	29%
Devoted Health	$77 - $90	32%
Healthnet	$77 - $1,862	32%
Humana	$77 - $1,872	32%
Samaritan	$78 - $1,536	32%
Cigna	$81 - $1,824	33%
Ihn	$86 - $87	35%
Regence	$89 - $926	37%
Moda	$96 - $230	39%
Providence	$102 - $1,862	42%
Aetna	$140 - $1,824	57%
First Choice	$186	76%

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 $883.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 74176.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Samaritan Albany General Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 74176.
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.