CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Boulder Community Health

Billing Code: 392 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$8,539

about 1.5× the $5,676 Medicare rate · typically $6,455–$13,710

modeled estimate · not a bill or quote

What this hospital charges insurers

$12,444

Above the fair price

about $3,905 over the fair price · 2.2× Medicare

Medicare pays $5,676 Fair price $8,539 This hospital $12,444

How we calculate the fair BaseRate →

How this hospital compares to other CO hospitals

Highest price of the 9 CO hospitals we have prices for — worth calling around.

Cheapest $5,013 Priciest $12,444

Black dot = this hospital, among the 9 CO hospitals with a price for this procedure. Full list below.

A fair price for a Digestive disorders treatment (inpatient stay) is about $8,539 (about 1.5× the $5,676 Medicare rate). Boulder Community Health charges insurers about $12,444 — above the fair price. Located in Boulder, CO.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $8,539. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$6,666 - $18,105	117%
Blue Cross Blue Shieldmajor	$6,488 - $20,078	114%
Aetnamajor	$6,488 - $18,535	114%
Cignamajor	$11,119 - $15,780	196%
Humanamajor	$6,488	114%
Kaiser Permanentemajor	$12,444 - $14,409	219%
Devoted Health	$6,488	114%
SelectHealth	$12,651 - $12,976	223%
+ 3 smaller / regional plans	$6,488 - $6,682

Government programs also on file: Medicare.

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price, before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the MS-DRG code on your bill matches exactly: 392.

Insurance Before you use insurance

Call your insurance company to confirm Boulder Community Health is in-network.
Ask your insurer whether prior approval is required for MS-DRG code 392.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Boulder Community Health

Compare: Digestive disorders treatment (inpatient stay) at other CO hospitals

San Luis Valley Regional Medical Center · Alamosa $5,013
Animas Surgical Hospital, LLC · Durango $5,876
Montrose Regional Health · Montrose $6,052
Centura Health-Penrose St Francis Health Services · Colorado Springs $6,738
HCA Healthone Rose · Denver $6,982
Community Hospital · Grand Junction $7,191
Sky Ridge Medical Center · Lone Tree $7,208
Hca-Healthone DBA Swedish Medical Center · Englewood $7,301

Insurance negotiated median for the same procedure, sorted lowest first.