CMS Price Transparency Data

X-ray, ankle

Facility: Children's Hospital Colorado

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73610
  • Insurance Median: $221
  • Cash Discount Price: $221
  • vs. Medicare Baseline: 2.49x Medicare
The contracted insurance negotiated median rate for a X-ray, ankle at Children's Hospital Colorado is $221. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $221. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.49x the Medicare baseline. Located in 13123 E 16Th Ave, Aurora, CO.
Cash / Self-Pay
$221

Average discount available for prompt cash payment at this facility.

Insurance Median
$221

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$88.91

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $88.91 (100%)
Cash / Self-Pay: $221 (249%)
Insurance Median: $221 (249%)
Cash: $221 (249% of Medicare)
Ins. Median: $221 (249% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $88.91 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 249% of the Medicare baseline (a markup of 149%). 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 $12 - $255 13%
Ccha Behavioral Health $32 - $34 36%
Integrated Health Plan $48 - $51 54%
Kaiser $110 - $248 124%
Rocky Mountain Health Plan Behavioral Health $129 - $136 145%
Carelon Behavioral Health $145 - $238 163%
Presbyterian Health Plan $155 - $194 174%
Colorado Access $158 - $167 178%
Colorado Access Behavioral Health $158 - $167 178%
Molina Healthcare Of Nebraska $178 - $187 200%
Molina Healthcare Of New Mexico $178 - $187 200%
Peak Health Alliance/Ebms $178 - $204 200%
Rocky Mountain Health Plan $178 - $221 200%
Healthy Blue Of Nebraska $187 - $197 210%
Humana $197 - $238 222%
UnitedHealthcare $201 - $228 226%
Evernorth Behavioral Health $210 - $221 236%
Interlink National $210 - $255 236%
Blue Cross Blue Shield $216 - $255 243%
Centivo $223 - $235 251%
Select Health $226 - $238 254%
Uchealth Plan Administrators $226 - $238 254%
Cigna $233 - $245 262%
Aetna $236 - $272 265%
Department Of Corrections $252 - $265 283%
Comppsych Behavioral Health $275 - $289 309%
First Choice Health $275 - $289 309%
Midlands Choice $275 - $289 309%
National Preferred Provider Network $275 - $289 309%
Multiplan $278 - $292 313%
Cofinity $291 - $306 327%
First Choice Of The Midwest $291 - $306 327%
Usa Managed Care Organization $291 - $306 327%
First Health Network $297 - $313 334%

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