CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Boulder Community Health

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$23,033
about 1.6× the $14,044 Medicare rate · typically $15,653–$30,773
modeled estimate · not a bill or quote
What this hospital charges insurers
$29,409
Above the fair price
about $6,376 over the fair price · 2.1× Medicare
Medicare pays $14,044 Fair price $23,033 This hospital $29,409

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 $12,404 Priciest $29,409

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

A fair price for a Hip or knee replacement (inpatient stay) is about $23,033 (about 1.6× the $14,044 Medicare rate). Boulder Community Health charges insurers about $29,409 — 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 $23,033. 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 $15,755 - $44,795 112%
Blue Cross Blue Shieldmajor $15,333 - $49,677 109%
Aetnamajor $15,333 - $45,858 109%
Cignamajor $27,512 - $39,044 196%
Humanamajor $15,333 109%
Kaiser Permanentemajor $29,409 - $34,055 209%
Devoted Health $15,333 109%
SelectHealth $29,900 - $30,666 213%
+ 3 smaller / regional plans $15,333 - $15,793
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

Insurance Before you use insurance

Estimate your out-of-pocket cost

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

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 4747 Arapahoe Avenue, Boulder, CO 80304
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals