CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Boulder Community Health

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $248
  • Cash Discount Price: $2,102
  • vs. Medicare Baseline: 1.02x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Boulder Community Health is $248. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,102. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.02x the Medicare baseline. Located in 4747 Arapahoe Avenue, Boulder, CO.
Cash / Self-Pay
$2,102

Average discount available for prompt cash payment at this facility.

Insurance Median
$248

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$243.77

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $243.77 (100%)
Cash / Self-Pay: $2,102 (862%)
Insurance Median: $248 (102%)
Cash: $2,102 (862% of Medicare)
Ins. Median: $248 (102% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $243.77 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
Medicaid / KanCare $74 - $191 30%
Rocky Mountain Health Maintenance Organization $74 - $250 30%
Aetna $80 - $3,661 33%
Blue Cross Blue Shield $80 - $2,503 33%
Devoted Health $80 - $1,682 33%
Health Spring $80 - $243 33%
Humana $80 - $243 33%
Medicare (plans) $80 - $1,598 33%
UnitedHealthcare $80 - $484 33%
Colorado Access $82 - $248 34%
Clear Spring $83 - $250 34%
Select Health Colorado Public Option $112 - $1,598 46%
Select Health Value Network $112 - $1,598 46%
Beech Street Community Medical Associates $125 - $295 51%
Cigna $132 - $3,363 54%
Multiplan $132 - $2,943 54%
Phcs $132 - $2,943 54%
Kaiser Ppo $320 - $399 131%
Kaiser Public Option $320 - $335 131%
Kaiser $398 163%
Rocky Mountain Health Maintenance Organization Private Plan $2,943 1207%
Integrated Health Plans Bch $3,153 1293%
Casualty Management Network, Prime Health Services Behavioral Health $3,573 1466%
Mines And Associates $3,573 1466%
Three Rivers Provider Network $3,573 1466%
Zelis (Profee) $3,573 1466%
Casualty Management Network, Prime Health Services Community Medical Associates $3,784 1552%
National Preferred Provider Network $3,784 1552%
Rockport Healthcare Group Community Medical Associates $3,784 1552%
Usa $3,784 1552%
Rockport Healthcare Group Bch $3,910 1604%
Health Payors Organization $3,994 1638%
Health Management Network Bch Community Medical Associates $4,036 1656%
Health Management Network Community Medical Associates $4,036 1656%
National Provider Network $4,078 1673%

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