CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Children's Hospital Colorado

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93306
  • Insurance Median: $1,245
  • Cash Discount Price: $1,226
  • vs. Medicare Baseline: 2.23x Medicare
The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Children's Hospital Colorado is $1,245. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,226. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 2.23x the Medicare baseline. Located in 13123 E 16Th Ave, Aurora, CO.
Cash / Self-Pay
$1,226

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,245

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$558.25

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $558.25 (100%)
Cash / Self-Pay: $1,226 (220%)
Insurance Median: $1,245 (223%)
Cash: $1,226 (220% of Medicare)
Ins. Median: $1,245 (223% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $558.25 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 223% of the Medicare baseline (a markup of 123%). 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 $96 - $1,414 17%
Ccha Behavioral Health $189 34%
Integrated Health Plan $283 51%
Kaiser $641 - $1,377 115%
Rocky Mountain Health Plan Behavioral Health $754 135%
Carelon Behavioral Health $849 - $1,320 152%
Presbyterian Health Plan $905 - $1,075 162%
Colorado Access $924 166%
Colorado Access Behavioral Health $924 166%
Molina Healthcare Of Nebraska $1,037 186%
Molina Healthcare Of New Mexico $1,037 186%
Peak Health Alliance/Ebms $1,037 - $1,132 186%
Rocky Mountain Health Plan $1,037 - $1,226 186%
Healthy Blue Of Nebraska $1,094 196%
Humana $1,150 - $1,320 206%
UnitedHealthcare $1,175 - $1,264 210%
Evernorth Behavioral Health $1,226 220%
Interlink National $1,226 - $1,414 220%
Blue Cross Blue Shield $1,264 - $1,414 226%
Centivo $1,301 233%
Select Health $1,320 236%
Uchealth Plan Administrators $1,320 236%
Cigna $1,361 244%
Aetna $1,377 - $1,509 247%
Department Of Corrections $1,471 264%
Comppsych Behavioral Health $1,603 287%
First Choice Health $1,603 287%
Midlands Choice $1,603 287%
National Preferred Provider Network $1,603 287%
Multiplan $1,622 291%
Cofinity $1,697 304%
First Choice Of The Midwest $1,697 304%
Usa Managed Care Organization $1,697 304%
First Health Network $1,735 311%

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