CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Children's Hospital Colorado

Billing Code: 99203 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$108
about 0.9× the $118 Medicare rate · typically $101–$249
modeled estimate · not a bill or quote
What this hospital charges insurers
$100
About the fair price
about $8 under the fair price · 0.8× Medicare
Medicare pays $118 Fair price $108 This hospital $100 Cash price $220 Hospital's list price $339

How we calculate the fair BaseRate →

How this hospital compares to other CO hospitals

Highest price of the 9 CO hospitals we have prices for — worth calling around.

Cheapest $72 Priciest $100

Black dot = this hospital, among the 9 CO hospitals with a price for this procedure. Full list below.

A fair price for a New patient office visit (30-44 min) is about $108 (about 0.9× the $118 Medicare rate). Children's Hospital Colorado charges insurers about $100, or about $220 in cash — about the fair price. Located in Aurora, CO.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $43 - $47 37%
Blue Cross Blue Shieldmajor $47 - $272 40%
Aetnamajor $51 - $290 43%
Cignamajor $51 43%
Humanamajor $43 - $254 37%
Kaiser Permanentemajor $24 - $265 20%
Molina $38 - $200 32%
Presbyterian $34 - $207 29%
SelectHealth $49 - $254 42%
+ 18 smaller / regional plans $28 - $327
Excludes 6 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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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