CMS Price Transparency Data

CT scan, head (no contrast)

Facility: HCA Healthone Mountain Ridge

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70450
Insurance Median: $3,356
Cash Discount Price: $15,887
vs. Medicare Baseline: 31.42x Medicare

The contracted insurance negotiated median rate for a CT scan, head (no contrast) at HCA Healthone Mountain Ridge is $3,356. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $15,887. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 31.42x the Medicare baseline. Located in 9191 Grant St, Thornton, CO.

Cash / Self-Pay

$15,887

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,356

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: $15,887 (14874%)

Insurance Median: $3,356 (3142%)

Cash: $15,887 (14874% of Medicare)

Ins. Median: $3,356 (3142% 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 3142% of the Medicare baseline (a markup of 3042%). 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	$97 - $11,783	91%
Pinnacol Workers Comp	$169	158%
Multiplan	$176 - $14,331	165%
United	$185 - $7,165	173%
Rocky Mountain Health Plan	$245	229%
Life Source Services	$350	328%
Vail Health	$729 - $2,420	683%
Kaiser	$906 - $3,009	848%
Aetna	$1,164 - $1,763	1090%
Bright Health	$1,438 - $4,777	1346%
Colorado Program For Children With Special Needs	$1,630 - $5,414	1526%
Cigna	$3,068 - $10,191	2872%
Western Plains Community Health	$3,116 - $10,350	2917%
Northcare	$3,356 - $11,146	3142%
Physician Health Partners	$3,356 - $11,146	3142%
Medical Development International	$3,835 - $12,738	3590%
Prime Health	$4,315 - $14,331	4040%

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 $15,887.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70450.

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 70450.
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.