CMS Price Transparency Data

X-ray, pelvis

Facility: Children's Hospital Colorado

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72170
  • Insurance Median: $176
  • Cash Discount Price: $176
  • vs. Medicare Baseline: 1.65x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at Children's Hospital Colorado is $176. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $176. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.65x the Medicare baseline. Located in 13123 E 16Th Ave, Aurora, CO.
Cash / Self-Pay
$176

Average discount available for prompt cash payment at this facility.

Insurance Median
$176

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: $176 (165%)
Insurance Median: $176 (165%)
Cash: $176 (165% of Medicare)
Ins. Median: $176 (165% 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.

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 - $202 11%
Ccha Behavioral Health $26 - $27 24%
Integrated Health Plan $39 - $40 37%
Kaiser $87 - $197 81%
Rocky Mountain Health Plan Behavioral Health $103 - $108 96%
Carelon Behavioral Health $116 - $189 109%
Presbyterian Health Plan $123 - $154 115%
Colorado Access $126 - $132 118%
Colorado Access Behavioral Health $126 - $132 118%
Molina Healthcare Of Nebraska $141 - $148 132%
Molina Healthcare Of New Mexico $141 - $148 132%
Peak Health Alliance/Ebms $141 - $162 132%
Rocky Mountain Health Plan $141 - $176 132%
Healthy Blue Of Nebraska $149 - $157 140%
Humana $157 - $189 147%
UnitedHealthcare $160 - $181 150%
Evernorth Behavioral Health $167 - $176 156%
Interlink National $167 - $202 156%
Blue Cross Blue Shield $172 - $202 161%
Centivo $177 - $186 166%
Select Health $180 - $189 169%
Uchealth Plan Administrators $180 - $189 169%
Cigna $185 - $195 173%
Aetna $188 - $216 176%
Department Of Corrections $200 - $211 187%
Comppsych Behavioral Health $218 - $230 204%
First Choice Health $218 - $230 204%
Midlands Choice $218 - $230 204%
National Preferred Provider Network $218 - $230 204%
Multiplan $221 - $232 207%
Cofinity $231 - $243 216%
First Choice Of The Midwest $231 - $243 216%
Usa Managed Care Organization $231 - $243 216%
First Health Network $236 - $248 221%

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