CMS Price Transparency Data

CT scan, pelvis

Facility: Samaritan Pacific Community Hospital

Billing Code: 72192 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$81

about 0.8× the $107 Medicare rate · typically $71–$151

modeled estimate · not a bill or quote

What this hospital charges insurers

$76

About the fair price

about $5 under the fair price · 0.7× Medicare

Medicare pays $107 Fair price $81 This hospital $76 Cash price $532 Hospital's list price $665

How we calculate the fair BaseRate →

How this hospital compares to other OR hospitals

One of the lower prices — 5 of 8 other OR hospitals charge more for the same procedure.

Cheapest $53 Priciest $117

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, pelvis is about $81 (about 0.8× the $107 Medicare rate). Samaritan Pacific Community Hospital charges insurers about $76, or about $532 in cash — about the fair price. Located in Newport, OR.

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✓ Humana UnitedHealthcareKaiser 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
Blue Cross Blue Shieldmajor	$56 - $1,034	52%
Aetnamajor	$87 - $1,092	81%
Cignamajor	$50 - $1,116	47%
Humanamajor	$48 - $1,121	45%
Devoted Health	$48 - $436	45%
Health Net	$48 - $1,116	45%
Moda Health	$60 - $1,092	56%
PacificSource	$44 - $425	41%
+ 4 smaller / regional plans	$49 - $1,116

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 532), 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: 72192.

Insurance Before you use insurance

Call your insurance company to confirm Samaritan Pacific Community Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 72192.
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 Samaritan Pacific Community Hospital

Compare: CT scan, pelvis at other OR hospitals

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