CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Children's Hospital Colorado

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $1,812
  • Cash Discount Price: $1,812
  • vs. Medicare Baseline: 10.11x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Children's Hospital Colorado is $1,812. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,812. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 10.11x the Medicare baseline. Located in 13123 E 16Th Ave, Aurora, CO.
Cash / Self-Pay
$1,812

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,812

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: $1,812 (1011%)
Insurance Median: $1,812 (1011%)
Cash: $1,812 (1011% of Medicare)
Ins. Median: $1,812 (1011% 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 1011% of the Medicare baseline (a markup of 911%). 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 $74 - $2,090 41%
Ccha Behavioral Health $279 156%
Integrated Health Plan $418 233%
Aetna $572 - $2,035 319%
Kaiser $688 - $2,035 384%
Blue Cross Blue Shield $1,093 - $2,090 610%
Rocky Mountain Health Plan Behavioral Health $1,115 622%
Carelon Behavioral Health $1,254 - $1,951 700%
UnitedHealthcare $1,289 - $1,386 719%
Presbyterian Health Plan $1,338 - $1,589 747%
Colorado Access $1,366 762%
Colorado Access Behavioral Health $1,366 762%
Molina Healthcare Of Nebraska $1,533 855%
Molina Healthcare Of New Mexico $1,533 855%
Peak Health Alliance/Ebms $1,533 - $1,672 855%
Rocky Mountain Health Plan $1,533 - $1,812 855%
Healthy Blue Of Nebraska $1,616 902%
Humana $1,700 - $1,951 949%
Evernorth Behavioral Health $1,812 1011%
Interlink National $1,812 - $2,090 1011%
Cigna $1,893 1056%
Centivo $1,923 1073%
Select Health $1,951 1089%
Uchealth Plan Administrators $1,951 1089%
Department Of Corrections $2,174 1213%
Comppsych Behavioral Health $2,369 1322%
First Choice Health $2,369 1322%
Midlands Choice $2,369 1322%
National Preferred Provider Network $2,369 1322%
Multiplan $2,397 1338%
Cofinity $2,508 1400%
First Choice Of The Midwest $2,508 1400%
Usa Managed Care Organization $2,508 1400%
First Health Network $2,564 1431%

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