CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Children's Hospital Colorado

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71250
  • Insurance Median: $1,540
  • Cash Discount Price: $1,540
  • vs. Medicare Baseline: 14.42x Medicare
The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Children's Hospital Colorado is $1,540. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,540. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 14.42x the Medicare baseline. Located in 13123 E 16Th Ave, Aurora, CO.
Cash / Self-Pay
$1,540

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,540

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)
Cash / Self-Pay: $1,540 (1442%)
Insurance Median: $1,540 (1442%)
Cash: $1,540 (1442% of Medicare)
Ins. Median: $1,540 (1442% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 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 1442% of the Medicare baseline (a markup of 1342%). 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
Denver Health Medical Plan $70 - $1,777 66%
Ccha Behavioral Health $237 222%
Integrated Health Plan $355 332%
Aetna $572 - $1,729 536%
Kaiser $688 - $1,729 644%
Rocky Mountain Health Plan Behavioral Health $948 888%
Carelon Behavioral Health $1,066 - $1,658 998%
Blue Cross Blue Shield $1,093 - $1,777 1023%
Presbyterian Health Plan $1,137 - $1,350 1065%
Colorado Access $1,161 1087%
Colorado Access Behavioral Health $1,161 1087%
UnitedHealthcare $1,289 - $1,386 1207%
Molina Healthcare Of Nebraska $1,303 1220%
Molina Healthcare Of New Mexico $1,303 1220%
Peak Health Alliance/Ebms $1,303 - $1,421 1220%
Rocky Mountain Health Plan $1,303 - $1,540 1220%
Healthy Blue Of Nebraska $1,374 1286%
Humana $1,445 - $1,658 1353%
Evernorth Behavioral Health $1,540 1442%
Interlink National $1,540 - $1,777 1442%
Centivo $1,635 1531%
Select Health $1,658 1552%
Uchealth Plan Administrators $1,658 1552%
Department Of Corrections $1,848 1730%
Cigna $1,893 1772%
Comppsych Behavioral Health $2,014 1886%
First Choice Health $2,014 1886%
Midlands Choice $2,014 1886%
National Preferred Provider Network $2,014 1886%
Multiplan $2,037 1907%
Cofinity $2,132 1996%
First Choice Of The Midwest $2,132 1996%
Usa Managed Care Organization $2,132 1996%
First Health Network $2,179 2040%

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