CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Sky Ridge Medical Center

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $10,863
  • Cash Discount Price: $24,877
  • vs. Medicare Baseline: 60.62x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Sky Ridge Medical Center is $10,863. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $24,877. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 60.62x the Medicare baseline. Located in 10101 Ridgegate Pkwy, Lone Tree, CO.
Cash / Self-Pay
$24,877

Average discount available for prompt cash payment at this facility.

Insurance Median
$10,863

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$179.2

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $179.2 (100%)
Cash / Self-Pay: $24,877 (13882%)
Insurance Median: $10,863 (6062%)
Cash: $24,877 (13882% of Medicare)
Ins. Median: $10,863 (6062% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $179.2 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 6062% of the Medicare baseline (a markup of 5962%). 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 $144 - $18,954 80%
Pinnacol Workers Comp $283 158%
Multiplan $295 - $23,052 165%
United $304 - $11,526 170%
Rocky Mountain Health Plan $402 224%
Aetna $1,164 - $1,763 650%
Vail Health $3,669 - $3,893 2047%
Bright Health $7,242 - $7,684 4041%
Cigna $15,450 - $16,393 8622%
Western Plains Community Health $15,691 - $16,649 8756%
Northcare $16,898 - $17,929 9430%
Physician Health Partners $16,898 - $17,929 9430%
Medical Development International $19,312 - $20,491 10777%
Prime Health $21,727 - $23,052 12124%

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