CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Samaritan Albany General Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $158
Cash Discount Price: $1,081
vs. Medicare Baseline: 0.44x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Samaritan Albany General Hospital is $158. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,081. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 0.44x the Medicare baseline. Located in 1046 6Th Avenue Sw, Albany, OR.

Cash / Self-Pay

$1,081

Average discount available for prompt cash payment at this facility.

Insurance Median

$158

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: $1,081 (303%)

Insurance Median: $158 (44%)

Cash: $1,081 (303% of Medicare)

Ins. Median: $158 (44% 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.

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	$74 - $190	21%
Devoted Health	$82 - $94	23%
Healthnet	$82 - $2,328	23%
Humana	$82 - $2,340	23%
Samaritan	$82 - $1,920	23%
Cigna	$84 - $2,280	24%
Ihn	$89 - $91	25%
Regence	$93 - $1,461	26%
Moda	$100 - $242	28%
Providence	$107 - $2,328	30%
Aetna	$146 - $2,280	41%
First Choice	$195	55%

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 $1,081.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 74177.

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 74177.
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.