CMS Price Transparency Data

Family therapy session

Facility: Boulder Community Health

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90847
  • Insurance Median: $322
  • Cash Discount Price: $402
  • vs. Medicare Baseline: 1.78x Medicare
The contracted insurance negotiated median rate for a Family therapy session at Boulder Community Health is $322. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $402. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.78x the Medicare baseline. Located in 4747 Arapahoe Avenue, Boulder, CO.
Cash / Self-Pay
$402

Average discount available for prompt cash payment at this facility.

Insurance Median
$322

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$181.34

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $181.34 (100%)
Cash / Self-Pay: $402 (222%)
Insurance Median: $322 (178%)
Cash: $402 (222% of Medicare)
Ins. Median: $322 (178% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $181.34 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 $66 - $610 36%
Multiplan $75 - $555 41%
Phcs $75 - $555 41%
Colorado Community Health Alliance (Ccha) $91 50%
Medicaid / KanCare $92 - $97 51%
Rocky Mountain Health Maintenance Organization $92 - $219 51%
Colorado Access $101 - $126 56%
Humana $101 - $161 56%
Aetna $104 - $699 57%
Devoted Health $104 - $321 57%
Health Spring $104 - $161 57%
Medicare (plans) $104 - $305 57%
UnitedHealthcare $104 - $168 57%
Clear Spring $107 - $166 59%
Select Health Colorado Public Option $145 - $355 80%
Select Health Value Network $145 - $376 80%
Beech Street Community Medical Associates $156 86%
Rocky Mountain Health Maintenance Organization Private Plan $158 - $562 87%
Kaiser Ppo $160 - $380 88%
Kaiser Public Option $160 - $310 88%
Cigna $164 - $810 90%
Kaiser $378 208%
Integrated Health Plans Bch $602 - $759 332%
Casualty Management Network, Prime Health Services Behavioral Health $683 - $860 377%
Mines And Associates $683 377%
Three Rivers Provider Network $683 - $911 377%
Zelis (Profee) $683 - $860 377%
Casualty Management Network, Prime Health Services Community Medical Associates $723 - $911 399%
National Preferred Provider Network $723 - $911 399%
Rockport Healthcare Group Community Medical Associates $723 - $911 399%
Usa $723 - $860 399%
Rockport Healthcare Group Bch $747 - $941 412%
Health Payors Organization $763 - $911 421%
Health Management Network Bch Community Medical Associates $771 - $911 425%
Health Management Network Community Medical Associates $771 - $911 425%
National Provider Network $779 - $982 430%
Beech Street Behavioral Health $911 502%

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