CMS Price Transparency Data

Blood test, calcium

Facility: Boulder Community Health

Billing Code: 82310 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82310
  • Insurance Median: $21
  • Cash Discount Price: $28
  • vs. Medicare Baseline: 4.07x Medicare
The contracted insurance negotiated median rate for a Blood test, calcium at Boulder Community Health is $21. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $28. Compared to the federal Medicare reimbursement reference rate of $5.16, this hospital’s rate is 4.07x the Medicare baseline. Located in 4747 Arapahoe Avenue, Boulder, CO.
Cash / Self-Pay
$28

Average discount available for prompt cash payment at this facility.

Insurance Median
$21

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$5.16

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $5.16 (100%)
Cash / Self-Pay: $28 (543%)
Insurance Median: $21 (407%)
Cash: $28 (543% of Medicare)
Ins. Median: $21 (407% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $5.16 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 407% of the Medicare baseline (a markup of 307%). 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
Blue Cross Blue Shield $2 - $33 39%
UnitedHealthcare $2 - $5 39%
Aetna $4 - $48 78%
Health Spring $4 78%
Humana $4 - $5 78%
Medicare (plans) $4 - $21 78%
Select Health Colorado Public Option $4 - $21 78%
Select Health Value Network $4 - $21 78%
Clear Spring $5 97%
Devoted Health $5 - $22 97%
Rocky Mountain Health Maintenance Organization $5 97%
Cigna $6 - $44 116%
Multiplan $8 - $38 155%
Phcs $8 - $38 155%
Kaiser Public Option $10 194%
Kaiser $12 233%
Kaiser Ppo $12 233%
Rocky Mountain Health Maintenance Organization Private Plan $38 736%
Integrated Health Plans Bch $41 795%
Casualty Management Network, Prime Health Services Behavioral Health $47 911%
Mines And Associates $47 911%
Three Rivers Provider Network $47 911%
Zelis (Profee) $47 911%
Casualty Management Network, Prime Health Services Community Medical Associates $50 969%
National Preferred Provider Network $50 969%
Rockport Healthcare Group Community Medical Associates $50 969%
Usa $50 969%
Rockport Healthcare Group Bch $51 988%
Health Payors Organization $52 1008%
Health Management Network Bch Community Medical Associates $53 1027%
Health Management Network Community Medical Associates $53 1027%
National Provider Network $53 1027%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4747 Arapahoe Avenue, Boulder, CO 80304
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals