CMS Price Transparency Data

CT scan, head (with contrast)

Facility: HCA Healthone Presbyterian St Luke's

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $1,712
Cash Discount Price: $8,022
vs. Medicare Baseline: 9.55x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at HCA Healthone Presbyterian St Luke's is $1,712. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $8,022. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 9.55x the Medicare baseline. Located in 1719 E 19Th Ave, Denver, CO.

Cash / Self-Pay

$8,022

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,712

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$179.2

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $179.2 (100%)

Cash / Self-Pay: $8,022 (4477%)

Insurance Median: $1,712 (955%)

Cash: $8,022 (4477% of Medicare)

Ins. Median: $1,712 (955% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $179.2 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 955% of the Medicare baseline (a markup of 855%). 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	$128 - $5,936	71%
Pinnacol Workers Comp	$283	158%
Multiplan	$295 - $7,219	165%
United	$304 - $3,610	170%
Rocky Mountain Health Plan	$402	224%
Aetna	$1,164 - $2,406	650%
Vail Health	$1,219	680%
Cigna	$2,326 - $5,134	1298%
Bright Health	$2,406	1343%
Emerging Therapy Solutions	$3,850 - $5,134	2148%
Kaiser National Transplant	$3,850	2148%
Colorado Program For Children With Special Needs	$4,091	2283%
Western Plains Community Health	$5,214	2910%
Northcare	$5,615	3133%
Physician Health Partners	$5,615	3133%
Medical Development International	$6,417	3581%
Prime Health	$7,219	4028%

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 $8,022.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70460.

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 70460.
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.