CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Samaritan Lebanon Community Hospital

Billing Code: 74177 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$188

about 0.5× the $356 Medicare rate · typically $124–$715

modeled estimate · not a bill or quote

What this hospital charges insurers

$127

Below the fair price — a good deal

about $61 under the fair price · 0.4× Medicare

Medicare pays $356 Fair price $188 This hospital $127 Cash price $1,081 Hospital's list price $1,351

How we calculate the fair BaseRate →

How this hospital compares to other OR hospitals

Lowest price of the 9 OR hospitals we have prices for — a strong deal.

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 $188 (about 0.5× the $356 Medicare rate). Samaritan Lebanon Community Hospital charges insurers about $127, or about $1,081 in cash — below the fair price — a good deal. Located in Lebanon, 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	$93 - $2,157	26%
Aetnamajor	$146 - $2,280	41%
Cignamajor	$84 - $2,328	24%
Humanamajor	$82 - $96	23%
Devoted Health	$82 - $800	23%
Health Net	$82 - $2,328	23%
Moda Health	$100 - $242	28%
PacificSource	$74 - $780	21%
+ 4 smaller / regional plans	$82 - $2,328

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 1,081), 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 Samaritan Lebanon Community Hospital 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 Samaritan Lebanon Community Hospital

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

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