CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Sky Ridge Medical Center

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $9,192
  • Cash Discount Price: $21,049
  • vs. Medicare Baseline: 25.79x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Sky Ridge Medical Center is $9,192. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $21,049. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 25.79x the Medicare baseline. Located in 10101 Ridgegate Pkwy, Lone Tree, CO.
Cash / Self-Pay
$21,049

Average discount available for prompt cash payment at this facility.

Insurance Median
$9,192

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: $21,049 (5906%)
Insurance Median: $9,192 (2579%)
Cash: $21,049 (5906% of Medicare)
Ins. Median: $9,192 (2579% 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 2579% of the Medicare baseline (a markup of 2479%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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 - $16,037 58%
Pinnacol Workers Comp $592 166%
Multiplan $617 - $19,505 173%
United $626 - $9,752 176%
Rocky Mountain Health Plan $828 232%
Aetna $1,164 - $1,763 327%
Vail Health $3,105 - $3,294 871%
Bright Health $6,128 - $6,502 1719%
Cigna $13,073 - $13,870 3668%
Western Plains Community Health $13,277 - $14,087 3725%
Northcare $14,298 - $15,171 4011%
Physician Health Partners $14,298 - $15,171 4011%
Medical Development International $16,341 - $17,338 4585%
Prime Health $18,383 - $19,505 5158%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 10101 Ridgegate Pkwy, Lone Tree, CO 80124
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals