CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: HCA Healthone Presbyterian St Luke's

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $2,338
Cash Discount Price: $13,025
vs. Medicare Baseline: 6.56x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at HCA Healthone Presbyterian St Luke's is $2,338. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $13,025. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 6.56x the Medicare baseline. Located in 1719 E 19Th Ave, Denver, CO.

Cash / Self-Pay

$13,025

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,338

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: $13,025 (3654%)

Insurance Median: $2,338 (656%)

Cash: $13,025 (3654% of Medicare)

Ins. Median: $2,338 (656% 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 656% of the Medicare baseline (a markup of 556%). 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	$207 - $9,638	58%
Pinnacol Workers Comp	$592	166%
Multiplan	$617 - $11,722	173%
United	$626 - $5,861	176%
Rocky Mountain Health Plan	$828	232%
Aetna	$1,164 - $3,907	327%
Vail Health	$1,980	556%
Cigna	$3,777 - $8,336	1060%
Bright Health	$3,907	1096%
Emerging Therapy Solutions	$6,252 - $8,336	1754%
Kaiser National Transplant	$6,252	1754%
Colorado Program For Children With Special Needs	$6,642	1863%
Western Plains Community Health	$8,466	2375%
Northcare	$9,117	2558%
Physician Health Partners	$9,117	2558%
Medical Development International	$10,420	2923%
Prime Health	$11,722	3289%

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 $13,025.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 74177.

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 74177.
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.