CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: HCA Healthone Presbyterian St Luke's

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $1,737
Cash Discount Price: $8,262
vs. Medicare Baseline: 7.13x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at HCA Healthone Presbyterian St Luke's is $1,737. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $8,262. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 7.13x the Medicare baseline. Located in 1719 E 19Th Ave, Denver, CO.

Cash / Self-Pay

$8,262

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,737

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: $8,262 (3389%)

Insurance Median: $1,737 (713%)

Cash: $8,262 (3389% of Medicare)

Ins. Median: $1,737 (713% 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 713% of the Medicare baseline (a markup of 613%). 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
Blue Cross Blue Shield	$197 - $6,114	81%
Pinnacol Workers Comp	$377	155%
United	$391 - $3,718	160%
Multiplan	$393 - $7,436	161%
Rocky Mountain Health Plan	$518	212%
Aetna	$1,164 - $2,479	477%
Vail Health	$1,256	515%
Cigna	$2,396 - $5,288	983%
Bright Health	$2,479	1017%
Emerging Therapy Solutions	$3,966 - $5,288	1627%
Kaiser National Transplant	$3,966	1627%
Colorado Program For Children With Special Needs	$4,214	1729%
Western Plains Community Health	$5,370	2203%
Northcare	$5,783	2372%
Physician Health Partners	$5,783	2372%
Medical Development International	$6,610	2712%
Prime Health	$7,436	3050%

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 $8,262.
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 HCA Healthone Presbyterian St Luke's 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.