CMS Price Transparency Data

Blood test, calcium

Facility: Children's Hospital Colorado

Billing Code: 82310 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82310
  • Insurance Median: $11
  • Cash Discount Price: $38
  • vs. Medicare Baseline: 2.13x Medicare
The contracted insurance negotiated median rate for a Blood test, calcium at Children's Hospital Colorado is $11. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $38. Compared to the federal Medicare reimbursement reference rate of $5.16, this hospital’s rate is 2.13x the Medicare baseline. Located in 13123 E 16Th Ave, Aurora, CO.
Cash / Self-Pay
$38

Average discount available for prompt cash payment at this facility.

Insurance Median
$11

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$5.16

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $5.16 (100%)
Cash / Self-Pay: $38 (736%)
Insurance Median: $11 (213%)
Cash: $38 (736% of Medicare)
Ins. Median: $11 (213% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $5.16 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 213% of the Medicare baseline (a markup of 113%). 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
Integrated Health Plan $1 - $17 19%
Kaiser $2 - $81 39%
Carelon Behavioral Health $3 - $78 58%
Colorado Access $3 - $54 58%
Colorado Access Behavioral Health $3 - $54 58%
Denver Health Medical Plan $3 - $83 58%
Presbyterian Health Plan $3 - $63 58%
Rocky Mountain Health Plan Behavioral Health $3 - $44 58%
UnitedHealthcare $3 - $56 58%
Blue Cross Blue Shield $4 - $83 78%
Healthy Blue Of Nebraska $4 - $64 78%
Humana $4 - $78 78%
Molina Healthcare Of Nebraska $4 - $61 78%
Molina Healthcare Of New Mexico $4 - $61 78%
Peak Health Alliance/Ebms $4 - $67 78%
Rocky Mountain Health Plan $4 - $72 78%
Aetna $5 - $89 97%
Centivo $5 - $77 97%
Cigna $5 - $80 97%
Department Of Corrections $5 - $87 97%
Evernorth Behavioral Health $5 - $72 97%
Interlink National $5 - $83 97%
Select Health $5 - $78 97%
Uchealth Plan Administrators $5 - $78 97%
Cofinity $6 - $100 116%
Comppsych Behavioral Health $6 - $94 116%
First Choice Health $6 - $94 116%
First Choice Of The Midwest $6 - $100 116%
First Health Network $6 - $102 116%
Midlands Choice $6 - $94 116%
Multiplan $6 - $95 116%
National Preferred Provider Network $6 - $94 116%
Usa Managed Care Organization $6 - $100 116%
Ccha Behavioral Health $11 213%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 13123 E 16Th Ave, Aurora, CO 80045
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens