How many shoppable procedure prices are published for Children's Hospital Colorado?

Children's Hospital Colorado in Aurora, CO currently has 119 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Children's Hospital Colorado's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Children's Hospital Colorado's median negotiated commercial rate is 1.4× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Children's Hospital Voluntary non-profit - Private 497 Beds · urban Updated: 2026-04-17

Children's Hospital Colorado

13123 E 16Th Ave, Aurora, CO 80045 · 119 Priced Procedures

CMS Overall Rating No CMS Rating

Above Fair Market · Negotiate

1.38×vs. Fair Market Price

Typical commercial prices here are +38% above the fair benchmark (1.38×) even after accounting for local nurse/doctor wages and patient complexity.

73/100 · Corroborated

73/100Self-Pay Cash Beats Insurance 53% of the Time

File Completeness51

Price Logic84

Peer Alignment56

Clean Billing78

Real Cash Discount100

High-Markup · Check Safety

Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.

Behavioral Pricing FingerprintMedian-Gamed · High Captive Markup

Loss-Leader / Captive Ancillary Cross-Subsidizer

Children's Hospital Colorado prices routine shoppable procedures near 2.3× Medicare (p50 1.12×) while skewing captive emergency, lab, and upper-quartile codes to 3.6× Medicare (p75 2.40×, +114% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.

#44 of 64 in CO · 67th State Percentile#2,412 of 3,385 in U.S. · 71st National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.44× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 53% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (54/100 safety score) with 72% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (57.2% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 2.9× markup over Medicare rates
Captive ER (3.3×) & laboratory (4.1×) services average 1.57× higher multiples than routine shoppable care (2.3×)
Upper-quartile procedures (Q75 2.40×) jump +114% above the median procedure ratio (Q50 1.12×)
Unnegotiated chargemaster list prices average 11.4× Medicare (22¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

2.3× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER1.57× Divergence

3.6× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+114% Upper Tail

Q25 0.44× · Q50 1.12× · Q75 2.40×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

2.3× MedicareFair

Outpatient Surgery & ORBack-Door Captive

2.9× MedicareFair

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.8× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

3.3× MedicareElevated

Inpatient Lab & PathologyBack-Door Captive

4.1× MedicareElevated

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

1.9× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

53% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 54/100Elevated

Procedure Prices at Children's Hospital Colorado

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 119 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$77,237	$30,775	unverified
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$58,271	$19,087	unverified
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$46,119	$19,432	unverified
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$42,152	$17,936	2.4×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$23,386	$8,223	unverified
Rabies immune globulin HCPCS Code: `90375`	$6,378	$6,378	$322	19.8×
C-section delivery (full package) CPT Code: `59510`	—	$3,412	$2,975	1.1×
Vaginal delivery (full package) CPT Code: `59400`	—	$3,069	$2,680	1.1×
MRI, lower back (no contrast) CPT Code: `72148`	$2,774	$1,545	$338	4.6×
MRI, brain (no contrast) CPT Code: `70551`	$2,451	$1,545	$343	4.5×
MRI, knee or other leg joint CPT Code: `73721`	$2,774	$1,545	$369	4.2×
MRI, brain (with and without contrast) CPT Code: `70553`	$3,182	$1,545	$511	3.0×
Hepatitis B immune globulin HCPCS Code: `90371`	$1,501	$1,501	$151	9.9×
CT scan, head (no contrast) CPT Code: `70450`	$1,540	$1,122	$160	7.0×
CT scan, chest (no contrast) CPT Code: `71250`	$1,540	$1,122	$167	6.7×
CT scan, head (with contrast) CPT Code: `70460`	$1,812	$1,122	$242	4.6×
CT scan, head (with and without contrast) CPT Code: `70470`	$2,299	$1,122	$258	4.3×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,946	$1,122	$303	3.7×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$2,232	$1,122	$448	2.5×
CT scan, sinuses CPT Code: `70486`	$1,621	$1,122	$166	unverified
CT scan, neck (cervical spine) CPT Code: `72125`	$1,540	$1,122	$169	unverified
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,743	$1,122	$168	unverified
CT scan, pelvis CPT Code: `72192`	$1,743	$1,122	$163	unverified
Sleep study (overnight, in lab) CPT Code: `95810`	$4,963	$994	$1,021	1.0×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$881	$6,109	0.1×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$733	$3,372	0.2×
Bunion correction surgery CPT Code: `28296`	—	$691	$3,446	0.2×
Inguinal hernia repair CPT Code: `49505`	—	$711	$3,629	0.2×
Cataract surgery with lens implant CPT Code: `66984`	—	$665	$2,540	0.3×
Breast lump removal CPT Code: `19120`	—	$574	$3,875	0.1×
Breathing treatment (nebulizer) CPT Code: `94640`	$376	$376	$201	1.9×
Psychiatric evaluation (first visit) CPT Code: `90791`	$502	$307	$185	1.7×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$876	$226	$272	0.8×
Colonoscopy with biopsy CPT Code: `45380`	—	$251	$1,256	0.2×
Speech therapy (group session) CPT Code: `92508`	$173	$173	$27	6.4×
Psychological testing evaluation CPT Code: `96136`	$288	$167	$128	1.3×
Diagnostic mammogram (both breasts) CPT Code: `77066`	—	$164	$148	1.1×
Psychotherapy session (60 minutes) CPT Code: `90837`	$371	$171	$181	0.9×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,226	$192	$583	0.3×
Family therapy session CPT Code: `90847`	$406	$163	$173	0.9×
Colonoscopy (diagnostic) CPT Code: `45378`	—	$174	$981	0.2×
Upper endoscopy with biopsy CPT Code: `43239`	—	$175	$987	0.2×
Speech therapy (language evaluation) CPT Code: `92507`	$300	$118	$86	1.4×
Office visit, established patient (30-39 min) CPT Code: `99214`	$418	$140	$123	1.1×
Screening mammogram (both breasts) CPT Code: `77067`	—	$136	$123	1.1×
Ultrasound, thyroid and neck CPT Code: `76536`	$626	$122	$132	0.9×
Ultrasound, abdomen (complete) CPT Code: `76700`	$677	$114	$134	0.9×
Ultrasound, pelvis CPT Code: `76856`	$774	$108	$130	0.8×
Psychotherapy session (45 minutes) CPT Code: `90834`	$228	$130	$166	0.8×
Physical therapy (manual therapy) CPT Code: `97140`	$88	$84	$34	2.5×
Physical therapy (gait training) CPT Code: `97116`	$88	$80	$33	2.4×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$88	$84	$35	2.4×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$88	$84	$38	2.2×
Occupational therapy (self-care training) CPT Code: `97535`	$122	$84	$38	2.2×
Physical therapy (functional capacity test) CPT Code: `97750`	$108	$84	$38	2.2×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$88	$84	$40	2.1×
Prosthetic fitting and training CPT Code: `97761`	$88	$84	$45	1.9×
Orthotic fitting and training CPT Code: `97760`	$88	$84	$51	1.6×
Office visit, established patient (20-29 min) CPT Code: `99213`	$200	$99	$87	1.1×
New patient office visit (30-44 min) CPT Code: `99203`	$220	$100	$110	0.9×
Ultrasound, abdomen (limited) CPT Code: `76705`	$631	$87	$126	0.7×
Neurobehavioral status check CPT Code: `96116`	$397	$102	$231	0.4×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$606	$606	$203	3.0×
Typhoid vaccine HCPCS Code: `90675`	$438	$438	$347	1.3×
Pneumococcal vaccine HCPCS Code: `90732`	$373	$373	$140	2.7×
Culture, blood CPT Code: `87040`	$289	$289	$11	26.3×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$307	$307	$111	2.8×
Drug screening test HCPCS Code: `G0480`	$298	$298	$116	2.6×
Culture, bacterial CPT Code: `87070`	$159	$159	$9	17.7×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$183	$183	$11	16.6×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$130	$130	$3	43.3×
Blood test, clotting time (PTT) CPT Code: `85730`	$118	$118	$6	19.7×
Blood test, complete blood count (CBC) CPT Code: `85025`	$141	$141	$8	17.6×
Blood test, basic metabolic panel CPT Code: `80048`	$137	$137	$9	15.2×
Blood test, ferritin (iron stores) CPT Code: `82728`	$136	$136	$14	9.7×
Blood antibody screen CPT Code: `86850`	$156	$156	$46	3.4×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$158	$158	$56	2.8×
Blood test, lipase CPT Code: `83690`	$120	$120	$7	17.1×
Blood test, magnesium CPT Code: `83735`	$116	$116	$7	16.6×
Blood test, liver function panel CPT Code: `80076`	$110	$110	$9	12.2×
Hepatitis C antibody test CPT Code: `86803`	$126	$126	$15	8.4×
Blood test, thyroid (TSH) CPT Code: `84443`	$135	$135	$18	7.5×
Blood test, vitamin D CPT Code: `82306`	$113	$113	$31	3.6×
Hepatitis B vaccine HCPCS Code: `90744`	$129	$129	$37	3.5×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$101	$101	$20	5.0×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$126	$126	$39	3.2×
Blood test, hemoglobin CPT Code: `85018`	$72	$72	$3	24.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$77	$77	$5	15.4×
Blood test, potassium CPT Code: `84132`	$53	$53	$5	10.6×
Blood test, amylase CPT Code: `82150`	$61	$61	$7	8.7×
Blood test, vitamin B12 CPT Code: `82607`	$81	$81	$16	5.1×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$67	$67	$14	4.8×
Blood test, PSA (prostate screen) CPT Code: `84153`	$71	$71	$19	3.7×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$44	$44	$10	4.4×
Extended office visit (prolonged) HCPCS Code: `G2212`	—	$39	$33	1.2×
Diagnostic procedure preparation HCPCS Code: `G0279`	—	$39	$35	1.1×
Pneumonia vaccine injection HCPCS Code: `G0009`	$53	$53	$49	1.1×
X-ray, hip CPT Code: `73502`	$229	$57	$93	0.6×
Group therapy session CPT Code: `90853`	$223	$61	$100	0.6×
X-ray, lower back CPT Code: `72110`	$359	$61	$112	0.5×
Psychological testing by technician CPT Code: `96138`	$214	$61	$395	0.2×
Blood transfusion CPT Code: `36430`	$2,055	$70	$498	0.1×
Blood test, calcium CPT Code: `82310`	$38	$38	$5	7.6×
Blood test, glucose (blood sugar) CPT Code: `82947`	$19	$19	$4	4.8×
X-ray, neck (cervical spine) CPT Code: `72040`	$248	$44	$93	0.5×
X-ray, hand CPT Code: `73130`	$209	$44	$93	0.5×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$18	$18	$4	4.5×
Blood test, sodium CPT Code: `84295`	$19	$19	$5	3.8×
Electrical stimulation therapy HCPCS Code: `G0283`	—	$18	$14	1.3×
Flu vaccine (high dose) HCPCS Code: `90656`	$26	$26	$25	1.0×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$22	$25	0.9×
X-ray, ankle CPT Code: `73610`	$221	$43	$93	0.5×
Blood test, creatinine (kidney) CPT Code: `82565`	$16	$16	$5	3.2×
X-ray, shoulder CPT Code: `73030`	$208	$40	$92	0.4×
X-ray, foot CPT Code: `73630`	$233	$39	$92	0.4×
X-ray, chest (two views) CPT Code: `71046`	$503	$34	$93	0.4×
X-ray, chest (single view) CPT Code: `71045`	$458	$25	$92	0.3×
X-ray, pelvis CPT Code: `72170`	$176	$29	$110	0.3×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$224	$10	$64	0.2×

Showing top 25 high-impact procedures of 119 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 57.1%

Audit a Bill or Quote at Children's Hospital Colorado (Zero PHI Required)

CMS CCN: 063301

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $77,237

1. Amount on Your Bill or Quote ($) Pre-filled with Children's Hospital Colorado’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $105,938 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $105,938

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (57.1% of gross = $105,938).

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Children's Hospital Colorado's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$154,594 Above Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your bill ($185,369) is $154,594 above the denoised Fair BaseRate ($30,775) and 7.9× the $23,504 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) 501(c)(3) Nonprofit Hospital

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (57.1% of gross charges)

Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Children's Hospital Colorado. Prior administrative notices do not necessarily reflect current compliance status.

2026-05-21·administrative_or_closure
Closure Notice
Recorded
2026-04-10·warning_notice
Warning Notice
Recorded
2023-07-18·administrative_or_closure
Closure Notice
Recorded
2023-03-29·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Regional Quality & Price Benchmark

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Children's Hospital Colorado.

Price Index: 1.22× regional baseline

Quality: 54/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Integrated Health Plan

-71.2%

Median Household Income$91,387U.S. Census ACS

Local Uninsured Share11.1%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 73/100 · Corroborated CMS CCN 063301

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

MRF Portal Indexed (CMS_45_CFR_180_FILING.json) Verify on CMS Medicare.gov (CCN 063301) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-04-17

Validated Rate Rows20,174 (CMS v3.0.0)

File Integrity DigestVerified · CCN 063301

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy