CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: HCA Healthone Mountain Ridge

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $7,511
Cash Discount Price: $22,074
vs. Medicare Baseline: 30.81x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at HCA Healthone Mountain Ridge is $7,511. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $22,074. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 30.81x the Medicare baseline. Located in 9191 Grant St, Thornton, CO.

Cash / Self-Pay

$22,074

Average discount available for prompt cash payment at this facility.

Insurance Median

$7,511

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: $22,074 (9055%)

Insurance Median: $7,511 (3081%)

Cash: $22,074 (9055% of Medicare)

Ins. Median: $7,511 (3081% 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 3081% of the Medicare baseline (a markup of 2981%). 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 - $16,372	81%
Life Source Services	$350	144%
Pinnacol Workers Comp	$377	155%
United	$391 - $9,956	160%
Multiplan	$393 - $19,911	161%
Rocky Mountain Health Plan	$518	212%
Aetna	$1,164 - $1,763	477%
Vail Health	$1,784 - $3,363	732%
Kaiser	$2,218 - $4,181	910%
Bright Health	$3,521 - $6,637	1444%
Colorado Program For Children With Special Needs	$3,990 - $7,522	1637%
Cigna	$7,511 - $14,159	3081%
Western Plains Community Health	$7,629 - $14,380	3130%
Northcare	$8,216 - $15,487	3370%
Physician Health Partners	$8,216 - $15,487	3370%
Medical Development International	$9,389 - $17,699	3852%
Prime Health	$10,563 - $19,911	4333%

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 $22,074.
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 Mountain Ridge 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.