CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Boulder Community Health

Billing Code: 99203 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$110
about 0.9× the $118 Medicare rate · typically $75–$198
modeled estimate · not a bill or quote
What this hospital charges insurers
$125
About the fair price
about $15 over the fair price · 1.1× Medicare
Medicare pays $118 Fair price $110 This hospital $125 Cash price $109 Hospital's list price $218

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 $72 Priciest $125

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

A fair price for a New patient office visit (30-44 min) is about $110 (about 0.9× the $118 Medicare rate). Boulder Community Health charges insurers about $125, or about $109 in cash — about the fair price. Located in Boulder, CO.

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 $80 - $153 68%
Blue Cross Blue Shieldmajor $93 - $320 79%
Aetnamajor $62 - $238 53%
Cignamajor $41 - $218 35%
Humanamajor $81 - $111 69%
Kaiser Permanentemajor $171 - $5,830 145%
Devoted Health $65 - $111 55%
SelectHealth $62 - $259 53%
+ 13 smaller / regional plans $103 - $265
Government programs also on file: Medicare, Medicaid.
Excludes 11 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

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