CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Sky Ridge Medical Center

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $9,192
Cash Discount Price: $21,049
vs. Medicare Baseline: 51.29x Medicare

The contracted insurance negotiated median rate for a CT scan, head (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 $179.2, this hospital’s rate is 51.29x 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

$179.2

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $179.2 (100%)

Cash / Self-Pay: $21,049 (11746%)

Insurance Median: $9,192 (5129%)

Cash: $21,049 (11746% of Medicare)

Ins. Median: $9,192 (5129% 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 5129% of the Medicare baseline (a markup of 5029%). 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	$128 - $16,037	71%
Pinnacol Workers Comp	$283	158%
Multiplan	$295 - $19,505	165%
United	$304 - $9,752	170%
Rocky Mountain Health Plan	$402	224%
Aetna	$1,164 - $1,763	650%
Vail Health	$3,105 - $3,294	1733%
Bright Health	$6,128 - $6,502	3420%
Cigna	$13,073 - $13,870	7295%
Western Plains Community Health	$13,277 - $14,087	7409%
Northcare	$14,298 - $15,171	7979%
Physician Health Partners	$14,298 - $15,171	7979%
Medical Development International	$16,341 - $17,338	9119%
Prime Health	$18,383 - $19,505	10258%

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 $21,049.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70460.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Sky Ridge Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70460.
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.