CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Santiam Hospital & Clinics

Billing Code: 74177 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$388

about 1.1× the $356 Medicare rate · typically $388–$440

modeled estimate · not a bill or quote

What this hospital charges insurers

$392

About the fair price

about $4 over the fair price · 1.1× Medicare

Medicare pays $356 Fair price $388 This hospital $392 Cash price $1,818 Hospital's list price $1,818

How we calculate the fair BaseRate →

How this hospital compares to other OR hospitals

Highest price of the 9 OR hospitals we have prices for — worth calling around.

Cheapest $127 Priciest $392

Black dot = this hospital, among the 9 OR hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a CT scan, abdomen and pelvis (with contrast) is about $388 (about 1.1× the $356 Medicare rate). Santiam Hospital & Clinics charges insurers about $392, or about $1,818 in cash — about the fair price. Located in Stayton, OR.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser Permanente

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
UnitedHealthcaremajor	$392 - $2,589	110%
Blue Cross Blue Shieldmajor	$392 - $10,018	110%
Aetnamajor	$429 - $2,392	120%
Cignamajor	$466 - $2,598	131%
Humanamajor	$392	110%
Kaiser Permanentemajor	$177 - $2,554	50%
Devoted Health	$415	116%
Health Net	$404 - $2,928	113%
Moda Health	$470 - $2,620	132%
+ 11 smaller / regional plans	$177 - $2,928

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 1,818), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 74177.

Insurance Before you use insurance

Call your insurance company to confirm Santiam Hospital & Clinics is in-network.
Ask your insurer whether prior approval is required for CPT code 74177.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

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

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Santiam Hospital & Clinics

Compare: CT scan, abdomen and pelvis (with contrast) at other OR hospitals

Insurance negotiated median for the same procedure, sorted lowest first.