CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Children's Hospital Colorado

Billing Code: 99214 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$132

about 1.0× the $136 Medicare rate · typically $100–$272

modeled estimate · not a bill or quote

What this hospital charges insurers

$140

About the fair price

about $8 over the fair price · 1.0× Medicare

Medicare pays $136 Fair price $132 This hospital $140 Cash price $418 Hospital's list price $643

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 $79 Priciest $140

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 (30-39 min) is about $132 (about 1.0× the $136 Medicare rate). Children's Hospital Colorado charges insurers about $140, or about $418 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	$186 - $201	137%
Blue Cross Blue Shieldmajor	$201 - $541	148%
Aetnamajor	$219 - $577	162%
Cignamajor	$216	159%
Humanamajor	$183 - $505	135%
Kaiser Permanentemajor	$102 - $526	75%
Molina	$165 - $397	122%
Presbyterian	$144 - $411	106%
SelectHealth	$210 - $505	155%
+ 18 smaller / regional plans	$30 - $649

Excludes 6 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 418), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 99214.

Insurance Before you use insurance

Call your insurance company to confirm Children's Hospital Colorado is in-network.
Ask your insurer whether prior approval is required for CPT code 99214.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Children's Hospital Colorado

Compare: Office visit, established patient (30-39 min) at other CO hospitals

Insurance negotiated median for the same procedure, sorted lowest first.