CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Children's Hospital Colorado

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76700
  • Insurance Median: $688
  • Cash Discount Price: $677
  • vs. Medicare Baseline: 6.44x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Children's Hospital Colorado is $688. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $677. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 6.44x the Medicare baseline. Located in 13123 E 16Th Ave, Aurora, CO.
Cash / Self-Pay
$677

Average discount available for prompt cash payment at this facility.

Insurance Median
$688

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)
Cash / Self-Pay: $677 (634%)
Insurance Median: $688 (644%)
Cash: $677 (634% of Medicare)
Ins. Median: $688 (644% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 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 644% of the Medicare baseline (a markup of 544%). 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 $53 - $782 50%
Ccha Behavioral Health $104 97%
Integrated Health Plan $156 146%
Kaiser $354 - $761 331%
Rocky Mountain Health Plan Behavioral Health $417 390%
Carelon Behavioral Health $469 - $729 439%
Presbyterian Health Plan $500 - $594 468%
Colorado Access $511 478%
Colorado Access Behavioral Health $511 478%
Molina Healthcare Of Nebraska $573 536%
Molina Healthcare Of New Mexico $573 536%
Peak Health Alliance/Ebms $573 - $625 536%
Rocky Mountain Health Plan $573 - $677 536%
Healthy Blue Of Nebraska $604 565%
Humana $636 - $729 595%
UnitedHealthcare $649 - $698 608%
Evernorth Behavioral Health $677 634%
Interlink National $677 - $782 634%
Blue Cross Blue Shield $698 - $782 653%
Centivo $719 673%
Select Health $729 683%
Uchealth Plan Administrators $729 683%
Cigna $752 704%
Aetna $761 - $834 712%
Department Of Corrections $813 761%
Comppsych Behavioral Health $886 830%
First Choice Health $886 830%
Midlands Choice $886 830%
National Preferred Provider Network $886 830%
Multiplan $896 839%
Cofinity $938 878%
First Choice Of The Midwest $938 878%
Usa Managed Care Organization $938 878%
First Health Network $959 898%

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