CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Uchealth Grandview Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $639
Cash Discount Price: $4,948
vs. Medicare Baseline: 1.79x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Uchealth Grandview Hospital is $639. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,948. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.79x the Medicare baseline. Located in 5623 Pulpit Peak Vw, Colorado Springs, CO.

Cash / Self-Pay

$4,948

Average discount available for prompt cash payment at this facility.

Insurance Median

$639

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: $4,948 (1388%)

Insurance Median: $639 (179%)

Cash: $4,948 (1388% of Medicare)

Ins. Median: $639 (179% 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.

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
Cigna	$273 - $440	77%
Aetna	$359 - $593	101%
Blue Cross Blue Shield	$359 - $5,273	101%
Cms	$359	101%
Devoted Health	$359	101%
Humana	$359	101%
Kaiser	$359 - $1,092	101%
Select Health	$359 - $5,206	101%
UnitedHealthcare	$359 - $753	101%
Simplified Benefits Administration	$450 - $5,315	126%
Denver Health Medical Plan	$500 - $7,068	140%
Rocky Mountain Health Plan	$7,633	2142%
First Health	$8,340	2340%
Multiplan/Phcs	$9,754	2737%

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 $4,948.
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 Uchealth Grandview Hospital 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.