CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: San Luis Valley Regional Medical Center

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $2,711
  • Cash Discount Price: $1,655
  • vs. Medicare Baseline: 7.61x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at San Luis Valley Regional Medical Center is $2,711. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,655. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 7.61x the Medicare baseline. Located in 106 Blanca Ave, Alamosa, CO.
Cash / Self-Pay
$1,655

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,711

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$356.43

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $356.43 (100%)
Cash / Self-Pay: $1,655 (464%)
Insurance Median: $2,711 (761%)
Cash: $1,655 (464% of Medicare)
Ins. Median: $2,711 (761% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $356.43 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 761% of the Medicare baseline (a markup of 661%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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 $316 89%
Tricare $359 - $368 101%
Kaiser $368 - $3,788 103%
Triwest $368 103%
Uc Health Plan Pb $558 157%
Presbyterian Health Plan $828 232%
Aetna $1,117 - $3,489 313%
Multiplan Physician $1,117 313%
Cigna $1,326 - $3,788 372%
Rocky Mountain Pb $1,326 372%
Uchpa Phs - Pb $1,326 372%
Co Choice Healthplan - Lutheran Hosp Assoc $2,711 761%
Hmo Health Plans $2,791 783%
UnitedHealthcare $3,501 - $3,668 982%
Blue Cross Blue Shield $3,509 984%
Galaxy Health Network $3,509 984%
Multiplan $3,509 - $3,588 984%
Humana $3,588 1007%
Pinnacol Assurance $3,708 1040%
Colorado Access $3,768 1057%
Foundation Health Corp $3,788 1063%
Uc Health Plan $3,788 1063%
Uchpa Phs $3,788 1063%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 106 Blanca Ave, Alamosa, CO 81101
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals