CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Children's Hospital Colorado

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $2,299
  • Cash Discount Price: $2,299
  • vs. Medicare Baseline: 12.83x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Children's Hospital Colorado is $2,299. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,299. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 12.83x the Medicare baseline. Located in 13123 E 16Th Ave, Aurora, CO.
Cash / Self-Pay
$2,299

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,299

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: $2,299 (1283%)
Insurance Median: $2,299 (1283%)
Cash: $2,299 (1283% of Medicare)
Ins. Median: $2,299 (1283% 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 1283% of the Medicare baseline (a markup of 1183%). 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 $83 - $2,653 46%
Ccha Behavioral Health $354 198%
Integrated Health Plan $531 296%
Aetna $572 - $2,582 319%
Kaiser $688 - $2,582 384%
Blue Cross Blue Shield $1,093 - $2,653 610%
UnitedHealthcare $1,289 - $1,386 719%
Rocky Mountain Health Plan Behavioral Health $1,415 790%
Carelon Behavioral Health $1,592 - $2,476 888%
Presbyterian Health Plan $1,698 - $2,016 948%
Colorado Access $1,733 967%
Colorado Access Behavioral Health $1,733 967%
Cigna $1,893 1056%
Molina Healthcare Of Nebraska $1,945 1085%
Molina Healthcare Of New Mexico $1,945 1085%
Peak Health Alliance/Ebms $1,945 - $2,122 1085%
Rocky Mountain Health Plan $1,945 - $2,299 1085%
Healthy Blue Of Nebraska $2,051 1145%
Humana $2,158 - $2,476 1204%
Evernorth Behavioral Health $2,299 1283%
Interlink National $2,299 - $2,653 1283%
Centivo $2,441 1362%
Select Health $2,476 1382%
Uchealth Plan Administrators $2,476 1382%
Department Of Corrections $2,759 1540%
Comppsych Behavioral Health $3,006 1677%
First Choice Health $3,006 1677%
Midlands Choice $3,006 1677%
National Preferred Provider Network $3,006 1677%
Multiplan $3,042 1698%
Cofinity $3,183 1776%
First Choice Of The Midwest $3,183 1776%
Usa Managed Care Organization $3,183 1776%
First Health Network $3,254 1816%

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