CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Children's Hospital Colorado

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76705
  • Insurance Median: $643
  • Cash Discount Price: $631
  • vs. Medicare Baseline: 6.02x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Children's Hospital Colorado is $643. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $631. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 6.02x the Medicare baseline. Located in 13123 E 16Th Ave, Aurora, CO.
Cash / Self-Pay
$631

Average discount available for prompt cash payment at this facility.

Insurance Median
$643

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: $631 (591%)
Insurance Median: $643 (602%)
Cash: $631 (591% of Medicare)
Ins. Median: $643 (602% 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 602% of the Medicare baseline (a markup of 502%). 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 $39 - $735 37%
Ccha Behavioral Health $96 - $98 90%
Integrated Health Plan $144 - $147 135%
Kaiser $326 - $715 305%
Rocky Mountain Health Plan Behavioral Health $384 - $392 360%
Carelon Behavioral Health $432 - $686 404%
Presbyterian Health Plan $461 - $559 432%
Colorado Access $470 - $480 440%
Colorado Access Behavioral Health $470 - $480 440%
Molina Healthcare Of Nebraska $528 - $539 494%
Molina Healthcare Of New Mexico $528 - $539 494%
Peak Health Alliance/Ebms $528 - $588 494%
Rocky Mountain Health Plan $528 - $637 494%
Healthy Blue Of Nebraska $557 - $568 521%
Humana $586 - $686 549%
UnitedHealthcare $598 - $657 560%
Evernorth Behavioral Health $624 - $637 584%
Interlink National $624 - $735 584%
Blue Cross Blue Shield $643 - $735 602%
Centivo $662 - $676 620%
Select Health $672 - $686 629%
Uchealth Plan Administrators $672 - $686 629%
Cigna $693 - $707 649%
Aetna $701 - $784 656%
Department Of Corrections $749 - $764 701%
Comppsych Behavioral Health $816 - $833 764%
First Choice Health $816 - $833 764%
Midlands Choice $816 - $833 764%
National Preferred Provider Network $816 - $833 764%
Multiplan $826 - $843 773%
Cofinity $864 - $882 809%
First Choice Of The Midwest $864 - $882 809%
Usa Managed Care Organization $864 - $882 809%
First Health Network $883 - $902 827%

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