CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Boulder Community Health

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $359
  • Cash Discount Price: $2,102
  • vs. Medicare Baseline: 1.01x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Boulder Community Health is $359. 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 $356.43, this hospital’s rate is 1.01x 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
$359

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$356.43

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $356.43 (100%)
Cash / Self-Pay: $2,102 (590%)
Insurance Median: $359 (101%)
Cash: $2,102 (590% of Medicare)
Ins. Median: $359 (101% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $356.43 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 $78 - $278 22%
Rocky Mountain Health Maintenance Organization $78 - $379 22%
Aetna $84 - $3,661 24%
Blue Cross Blue Shield $84 - $2,503 24%
Devoted Health $84 - $1,682 24%
Health Spring $84 - $359 24%
Humana $84 - $359 24%
Medicare (plans) $84 - $1,598 24%
UnitedHealthcare $84 - $538 24%
Colorado Access $86 - $361 24%
Clear Spring $87 - $370 24%
Select Health Colorado Public Option $118 - $1,598 33%
Select Health Value Network $118 - $1,598 33%
Beech Street Community Medical Associates $131 - $492 37%
Cigna $138 - $3,363 39%
Multiplan $138 - $2,943 39%
Phcs $138 - $2,943 39%
Kaiser Ppo $320 - $399 90%
Kaiser Public Option $320 - $335 90%
Kaiser $398 112%
Rocky Mountain Health Maintenance Organization Private Plan $2,943 826%
Integrated Health Plans Bch $3,153 885%
Casualty Management Network, Prime Health Services Behavioral Health $3,573 1002%
Mines And Associates $3,573 1002%
Three Rivers Provider Network $3,573 1002%
Zelis (Profee) $3,573 1002%
Casualty Management Network, Prime Health Services Community Medical Associates $3,784 1062%
National Preferred Provider Network $3,784 1062%
Rockport Healthcare Group Community Medical Associates $3,784 1062%
Usa $3,784 1062%
Rockport Healthcare Group Bch $3,910 1097%
Health Payors Organization $3,994 1121%
Health Management Network Bch Community Medical Associates $4,036 1132%
Health Management Network Community Medical Associates $4,036 1132%
National Provider Network $4,078 1144%

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