CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Boulder Community Health

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71250
  • Insurance Median: $165
  • Cash Discount Price: $1,945
  • vs. Medicare Baseline: 1.54x Medicare
The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Boulder Community Health is $165. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,945. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.54x the Medicare baseline. Located in 4747 Arapahoe Avenue, Boulder, CO.
Cash / Self-Pay
$1,945

Average discount available for prompt cash payment at this facility.

Insurance Median
$165

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)
Cash / Self-Pay: $1,945 (1821%)
Insurance Median: $165 (154%)
Cash: $1,945 (1821% of Medicare)
Ins. Median: $165 (154% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 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 $48 - $150 45%
Rocky Mountain Health Maintenance Organization $48 - $422 45%
Aetna $50 - $3,387 47%
Blue Cross Blue Shield $50 - $2,316 47%
Devoted Health $50 - $1,556 47%
Health Spring $50 - $136 47%
Humana $50 - $139 47%
Medicare (plans) $50 - $1,478 47%
UnitedHealthcare $50 - $484 47%
Clear Spring $51 - $140 48%
Colorado Access $53 - $195 50%
Select Health Colorado Public Option $70 - $1,478 66%
Select Health Value Network $70 - $1,478 66%
Beech Street Community Medical Associates $78 - $215 73%
Cigna $82 - $3,111 77%
Multiplan $82 - $2,722 77%
Phcs $82 - $2,722 77%
Kaiser Ppo $320 - $399 300%
Kaiser Public Option $320 - $335 300%
Kaiser $398 373%
Rocky Mountain Health Maintenance Organization Private Plan $2,722 2548%
Integrated Health Plans Bch $2,917 2731%
Casualty Management Network, Prime Health Services Behavioral Health $3,306 3095%
Mines And Associates $3,306 3095%
Three Rivers Provider Network $3,306 3095%
Zelis (Profee) $3,306 3095%
Casualty Management Network, Prime Health Services Community Medical Associates $3,500 3277%
National Preferred Provider Network $3,500 3277%
Rockport Healthcare Group Community Medical Associates $3,500 3277%
Usa $3,500 3277%
Rockport Healthcare Group Bch $3,617 3386%
Health Payors Organization $3,695 3459%
Health Management Network Bch Community Medical Associates $3,733 3495%
Health Management Network Community Medical Associates $3,733 3495%
National Provider Network $3,772 3532%

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