CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: St Francis Hospital - Interquest

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $522
  • Cash Discount Price: $5,357
  • vs. Medicare Baseline: 1.46x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at St Francis Hospital - Interquest is $522. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,357. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.46x the Medicare baseline. Located in 10860 New Allegiance Dr, Colorado Springs, CO.
Cash / Self-Pay
$5,357

Average discount available for prompt cash payment at this facility.

Insurance Median
$522

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: $5,357 (1503%)
Insurance Median: $522 (146%)
Cash: $5,357 (1503% of Medicare)
Ins. Median: $522 (146% 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.

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
Aetna $220 - $652 62%
Blue Cross Blue Shield $220 - $11,785 62%
Cigna $220 - $585 62%
Devoted Health $220 62%
Humana $220 62%
Innovage $220 62%
Kaiser $220 - $6,094 62%
Medicare (plans) $220 62%
Rocky Mountain Pace $220 62%
UnitedHealthcare $220 - $828 62%
Centura Employee Plan $337 95%
Direct To Employer $461 - $3,616 129%
United Colorado Doctor'S Plan $828 232%
Multiplan $1,065 - $11,383 299%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 10860 New Allegiance Dr, Colorado Springs, CO 80921
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals