CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Children's Hospital Colorado

Billing Code: 99213 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$90
about 0.9× the $95 Medicare rate · typically $76–$179
modeled estimate · not a bill or quote
What this hospital charges insurers
$99
About the fair price
about $9 over the fair price · 1.0× Medicare
Medicare pays $95 Fair price $90 This hospital $99 Cash price $200 Hospital's list price $238

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 $58 Priciest $99

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

A fair price for a Office visit, established patient (20-29 min) is about $90 (about 0.9× the $95 Medicare rate). Children's Hospital Colorado charges insurers about $99, or about $200 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 $124 - $134 130%
Blue Cross Blue Shieldmajor $134 - $362 141%
Aetnamajor $146 - $386 153%
Cignamajor $144 151%
Humanamajor $122 - $338 128%
Kaiser Permanentemajor $68 - $353 71%
Molina $110 - $266 116%
Presbyterian $96 - $275 101%
SelectHealth $140 - $338 147%
+ 18 smaller / regional plans $20 - $435
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