CMS Price Transparency Data

C-section delivery (full package)

Facility: Boulder Community Health

Billing Code: 59510 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 59510
  • Insurance Median: $4,498
  • Cash Discount Price: $9,477
  • vs. Medicare Baseline: 1.82x Medicare
The contracted insurance negotiated median rate for a C-section delivery (full package) at Boulder Community Health is $4,498. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $9,477. Compared to the federal Medicare reimbursement reference rate of $2,473.27, this hospital’s rate is 1.82x the Medicare baseline. Located in 4747 Arapahoe Avenue, Boulder, CO.
Cash / Self-Pay
$9,477

Average discount available for prompt cash payment at this facility.

Insurance Median
$4,498

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$2,473.27

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $2,473.27 (100%)
Cash / Self-Pay: $9,477 (383%)
Insurance Median: $4,498 (182%)
Cash: $9,477 (383% of Medicare)
Ins. Median: $4,498 (182% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $2,473.27 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
UnitedHealthcare $1,170 - $3,436 47%
Cigna $1,329 - $26,091 54%
Medicare (plans) $2,011 - $12,393 81%
Select Health Colorado Public Option $2,011 - $12,393 81%
Select Health Value Network $2,011 - $12,393 81%
Aetna $2,016 - $28,404 82%
Devoted Health $2,117 - $13,046 86%
Rocky Mountain Health Maintenance Organization $2,300 - $2,720 93%
Rocky Mountain Health Maintenance Organization Private Plan $2,300 - $22,830 93%
Blue Cross Blue Shield $2,501 - $19,418 101%
Health Spring $2,606 105%
Humana $2,606 - $2,646 105%
Clear Spring $2,684 109%
Medicaid / KanCare $2,720 110%
Colorado Access $2,991 - $3,535 121%
Multiplan $3,657 - $22,830 148%
Phcs $3,657 - $22,830 148%
Integrated Health Plans Bch $3,969 - $24,460 160%
Kaiser Ppo $4,012 - $6,133 162%
Kaiser Public Option $4,012 - $4,997 162%
Beech Street Community Medical Associates $4,088 165%
Casualty Management Network, Prime Health Services Behavioral Health $4,498 - $27,722 182%
Mines And Associates $4,498 - $27,722 182%
Three Rivers Provider Network $4,498 - $27,722 182%
Zelis (Profee) $4,498 - $27,722 182%
Casualty Management Network, Prime Health Services Community Medical Associates $4,763 - $29,353 193%
National Preferred Provider Network $4,763 - $29,353 193%
Rockport Healthcare Group Community Medical Associates $4,763 - $29,353 193%
Usa $4,763 - $29,353 193%
Rockport Healthcare Group Bch $4,922 - $30,331 199%
Health Payors Organization $5,027 - $30,983 203%
Health Management Network Bch Community Medical Associates $5,080 - $31,309 205%
Health Management Network Community Medical Associates $5,080 - $31,309 205%
National Provider Network $5,133 - $31,636 208%
Kaiser $6,105 247%

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