CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: San Luis Valley Regional Medical Center

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $2,174
Cash Discount Price: $1,327
vs. Medicare Baseline: 8.92x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at San Luis Valley Regional Medical Center is $2,174. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,327. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 8.92x the Medicare baseline. Located in 106 Blanca Ave, Alamosa, CO.

Cash / Self-Pay

$1,327

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,174

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$243.77

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $243.77 (100%)

Cash / Self-Pay: $1,327 (544%)

Insurance Median: $2,174 (892%)

Cash: $1,327 (544% of Medicare)

Ins. Median: $2,174 (892% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $243.77 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 892% of the Medicare baseline (a markup of 792%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Rocky Mountain	$186	76%
Tricare	$243 - $252	100%
Kaiser	$252 - $3,037	103%
Triwest	$252	103%
Uc Health Plan Pb	$448	184%
Presbyterian Health Plan	$566	232%
Aetna	$895 - $2,797	367%
Multiplan Physician	$895	367%
Cigna	$1,063 - $3,037	436%
Rocky Mountain Pb	$1,063	436%
Uchpa Phs - Pb	$1,063	436%
Co Choice Healthplan - Lutheran Hosp Assoc	$2,174	892%
Hmo Health Plans	$2,238	918%
UnitedHealthcare	$2,807 - $2,941	1151%
Blue Cross Blue Shield	$2,813	1154%
Galaxy Health Network	$2,813	1154%
Multiplan	$2,813 - $2,877	1154%
Humana	$2,877	1180%
Pinnacol Assurance	$2,973	1220%
Colorado Access	$3,021	1239%
Foundation Health Corp	$3,037	1246%
Uc Health Plan	$3,037	1246%
Uchpa Phs	$3,037	1246%

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 $1,327.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 74176.

Insurance In-Network Protection Plan

Contact your insurance company to confirm San Luis Valley Regional Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 74176.
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.