CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: HCA Healthone Mountain Ridge

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $9,866
Cash Discount Price: $27,983
vs. Medicare Baseline: 27.68x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at HCA Healthone Mountain Ridge is $9,866. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $27,983. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 27.68x the Medicare baseline. Located in 9191 Grant St, Thornton, CO.

Cash / Self-Pay

$27,983

Average discount available for prompt cash payment at this facility.

Insurance Median

$9,866

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: $27,983 (7851%)

Insurance Median: $9,866 (2768%)

Cash: $27,983 (7851% of Medicare)

Ins. Median: $9,866 (2768% 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 2768% of the Medicare baseline (a markup of 2668%). 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 - $20,755	58%
Life Source Services	$350	98%
Pinnacol Workers Comp	$592	166%
Multiplan	$617 - $25,242	173%
United	$626 - $12,621	176%
Rocky Mountain Health Plan	$828	232%
Aetna	$1,164 - $1,763	327%
Vail Health	$2,343 - $4,263	657%
Kaiser	$2,914 - $5,301	818%
Bright Health	$4,625 - $8,414	1298%
Colorado Program For Children With Special Needs	$5,241 - $9,536	1470%
Cigna	$9,866 - $17,950	2768%
Western Plains Community Health	$10,020 - $18,231	2811%
Northcare	$10,791 - $19,633	3028%
Physician Health Partners	$10,791 - $19,633	3028%
Medical Development International	$12,333 - $22,438	3460%
Prime Health	$13,874 - $25,242	3892%

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 $27,983.
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 Mountain Ridge 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.