CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: HCA Healthone Rose

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71250
Insurance Median: $5,621
Cash Discount Price: $11,911
vs. Medicare Baseline: 52.63x Medicare

The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at HCA Healthone Rose is $5,621. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $11,911. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 52.63x the Medicare baseline. Located in 4567 E 9Th Ave, Denver, CO.

Cash / Self-Pay

$11,911

Average discount available for prompt cash payment at this facility.

Insurance Median

$5,621

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)

Cash / Self-Pay: $11,911 (11152%)

Insurance Median: $5,621 (5263%)

Cash: $11,911 (11152% of Medicare)

Ins. Median: $5,621 (5263% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 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 5263% of the Medicare baseline (a markup of 5163%). 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	$122 - $9,243	114%
Pinnacol Workers Comp	$169	158%
Multiplan	$176 - $11,242	165%
United	$185 - $5,621	173%
Rocky Mountain Health Plan	$245	229%
Aetna	$1,164 - $1,763	1090%
Vail Health	$1,722 - $1,899	1612%
Bright Health	$3,399 - $3,747	3182%
Colorado Program For Children With Special Needs	$5,099 - $5,621	4774%
Cigna	$7,252 - $7,994	6790%
Western Plains Community Health	$7,365 - $8,119	6895%
Northcare	$7,932 - $8,744	7426%
Physician Health Partners	$7,932 - $8,744	7426%
Medical Development International	$9,065 - $9,993	8487%
Rocky Mtn Planned Parenthood	$9,631 - $10,617	9017%
Prime Health	$10,198 - $11,242	9548%

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 $11,911.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 71250.

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 71250.
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.