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Lung Cancer Screening

Lung cancer is the leading cause of death from cancer in the United States. One reason is that most people don’t have symptoms of lung cancer until it is advanced, and very difficult to treat. 

Smoking is the single biggest cause of lung cancer. But there is some good news for current and former heavy smokers.

Screening saves lives

In this video, Dr. Jordan Fein explains lung cancer screening. 

Who should be screened?

People ages 55-80 with a 30-pack-year smoking history who currently smoke or who quit within the last 15 years. Learn more.

Schedule your appointment today: 503-413-8050


Legacy's lung screening program

Lung Cancer Alliance Screening Center of Excellence sealLegacy Cancer Institute has been screening patients since 2012. We use the most advanced CT scanner, which shows even the smallest details. The lung CT scans are read by doctors who specialize in reading chest images, and who are fellowship-trained in thoracic (chest cavity) radiology.  

Before the scan, you will meet with a nurse practitioner to make sure you will benefit from the screening, and that you understand how the screening works.

Legacy Cancer Institute is a comprehensive cancer program that includes doctors who specialize in all aspects of diagnosing and treating lung cancer. 

We are designated as a Center of Excellence by the Lung Cancer Alliance, and rank among the nation's best cancer programs based on our outcomes for patients and the quality of our care.

  • Learn more about our lung cancer screening program.
  • Learn more about our award-winning lung cancer program.  


More and more insurance plans, including Medicare, cover lung cancer screening. If your insurance won't pay for it, let us know. You may be eligible for financial help. If your first screening CT scan shows something, and more tests are needed, these will be covered by insurance - even if your insurance didn't cover the initial screening. (Depending on your plan, you may be required to pay a co-pay or co-insurance.) 

Our staff can help you get pre-authorization from your insurance company, and help you apply for financial help if you do not have insurance coverage. 

About Medicare coverage

Medicare covers lung cancer screening if you:

  • Are age 55 to 77 
  • Have at least a 30 pack-year history of smoking (a pack a day for 30 years or the equivalent, such as 2 packs a day for 15 years)
  • Are a current smoker or one who quit in the prior 15 years 


During your appointment, we will provide the written order that is required. Legacy's lung cancer screening program meets all of Medicare's requirements.