CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Boulder Community Health

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73721
  • Insurance Median: $314
  • Cash Discount Price: $2,543
  • vs. Medicare Baseline: 1.29x Medicare
The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Boulder Community Health is $314. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,543. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.29x the Medicare baseline. Located in 4747 Arapahoe Avenue, Boulder, CO.
Cash / Self-Pay
$2,543

Average discount available for prompt cash payment at this facility.

Insurance Median
$314

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$243.77

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $243.77 (100%)
Cash / Self-Pay: $2,543 (1043%)
Insurance Median: $314 (129%)
Cash: $2,543 (1043% of Medicare)
Ins. Median: $314 (129% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $243.77 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
Aetna $63 - $4,429 26%
Blue Cross Blue Shield $63 - $3,028 26%
Devoted Health $63 - $2,034 26%
Health Spring $63 - $243 26%
Humana $63 - $243 26%
Medicaid / KanCare $63 - $230 26%
Medicare (plans) $63 - $1,932 26%
Rocky Mountain Health Maintenance Organization $63 - $728 26%
UnitedHealthcare $63 - $968 26%
Clear Spring $65 - $250 27%
Colorado Access $69 - $299 28%
Select Health Colorado Public Option $88 - $1,932 36%
Select Health Value Network $88 - $1,932 36%
Beech Street Community Medical Associates $98 - $329 40%
Cigna $103 - $4,068 42%
Multiplan $103 - $3,560 42%
Phcs $103 - $3,560 42%
Kaiser Ppo $625 - $905 256%
Kaiser Public Option $625 - $758 256%
Kaiser $901 370%
Rocky Mountain Health Maintenance Organization Private Plan $3,560 1460%
Integrated Health Plans Bch $3,814 1565%
Casualty Management Network, Prime Health Services Behavioral Health $4,322 1773%
Mines And Associates $4,322 1773%
Three Rivers Provider Network $4,322 1773%
Zelis (Profee) $4,322 1773%
Casualty Management Network, Prime Health Services Community Medical Associates $4,576 1877%
National Preferred Provider Network $4,576 1877%
Rockport Healthcare Group Community Medical Associates $4,576 1877%
Usa $4,576 1877%
Rockport Healthcare Group Bch $4,729 1940%
Health Payors Organization $4,831 1982%
Health Management Network Bch Community Medical Associates $4,882 2003%
Health Management Network Community Medical Associates $4,882 2003%
National Provider Network $4,932 2023%

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