CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Boulder Community Health

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $167
  • Cash Discount Price: $304
  • vs. Medicare Baseline: 1.06x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Boulder Community Health is $167. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $304. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.06x the Medicare baseline. Located in 4747 Arapahoe Avenue, Boulder, CO.
Cash / Self-Pay
$304

Average discount available for prompt cash payment at this facility.

Insurance Median
$167

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$156.98

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $156.98 (100%)
Cash / Self-Pay: $304 (194%)
Insurance Median: $167 (106%)
Cash: $304 (194% of Medicare)
Ins. Median: $167 (106% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $156.98 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
Blue Cross Blue Shield $44 - $460 28%
Aetna $46 - $529 29%
Devoted Health $46 - $243 29%
Health Spring $46 - $160 29%
Humana $46 - $162 29%
Medicare (plans) $46 - $231 29%
UnitedHealthcare $46 - $365 29%
Clear Spring $47 - $165 30%
Medicaid / KanCare $51 - $151 32%
Rocky Mountain Health Maintenance Organization $51 - $219 32%
Colorado Access $56 - $197 36%
Select Health Colorado Public Option $64 - $352 41%
Select Health Value Network $64 - $373 41%
Kaiser Ppo $71 - $304 45%
Kaiser Public Option $71 - $254 45%
Beech Street Community Medical Associates $72 - $251 46%
Multiplan $75 - $425 48%
Phcs $75 - $425 48%
Cigna $76 - $486 48%
Kaiser $302 192%
Rocky Mountain Health Maintenance Organization Private Plan $425 271%
Integrated Health Plans Bch $455 290%
Casualty Management Network, Prime Health Services Behavioral Health $516 329%
Mines And Associates $516 329%
Three Rivers Provider Network $516 329%
Zelis (Profee) $516 329%
Casualty Management Network, Prime Health Services Community Medical Associates $546 348%
National Preferred Provider Network $546 348%
Rockport Healthcare Group Community Medical Associates $546 348%
Usa $546 348%
Rockport Healthcare Group Bch $565 360%
Health Payors Organization $577 368%
Health Management Network Bch Community Medical Associates $583 371%
Health Management Network Community Medical Associates $583 371%
National Provider Network $589 375%

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