CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: HCA Healthone Rose

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $1,663
Cash Discount Price: $22,183
vs. Medicare Baseline: 4.67x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at HCA Healthone Rose is $1,663. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $22,183. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 4.67x the Medicare baseline. Located in 4567 E 9Th Ave, Denver, CO.

Cash / Self-Pay

$22,183

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,663

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: $22,183 (6224%)

Insurance Median: $1,663 (467%)

Cash: $22,183 (6224% of Medicare)

Ins. Median: $1,663 (467% 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 467% of the Medicare baseline (a markup of 367%). 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 - $16,415	58%
Pinnacol Workers Comp	$592	166%
Multiplan	$617 - $19,965	173%
United	$626 - $9,982	176%
Rocky Mountain Health Plan	$828	232%
Aetna	$1,164 - $1,763	327%
Vail Health	$3,372	946%
Bright Health	$6,655	1867%
Colorado Program For Children With Special Needs	$9,982	2801%
Cigna	$14,197	3983%
Western Plains Community Health	$14,419	4045%
Northcare	$15,528	4357%
Physician Health Partners	$15,528	4357%
Medical Development International	$17,746	4979%
Rocky Mtn Planned Parenthood	$18,856	5290%
Prime Health	$19,965	5601%

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 $22,183.
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 Rose 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.