CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Boulder Community Health

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77067
  • Insurance Median: $137
  • Cash Discount Price: $251
  • vs. Medicare Baseline: 1.09x Medicare
The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Boulder Community Health is $137. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $251. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 1.09x the Medicare baseline. Located in 4747 Arapahoe Avenue, Boulder, CO.
Cash / Self-Pay
$251

Average discount available for prompt cash payment at this facility.

Insurance Median
$137

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$126.25

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $126.25 (100%)
Cash / Self-Pay: $251 (199%)
Insurance Median: $137 (109%)
Cash: $251 (199% of Medicare)
Ins. Median: $137 (109% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $126.25 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 $34 - $373 27%
Aetna $35 - $437 28%
Devoted Health $35 - $201 28%
Health Spring $35 - $130 28%
Humana $35 - $131 28%
Medicare (plans) $35 - $191 28%
UnitedHealthcare $35 - $365 28%
Clear Spring $36 - $134 29%
Medicaid / KanCare $36 - $124 29%
Rocky Mountain Health Maintenance Organization $36 - $219 29%
Colorado Access $39 - $161 31%
Select Health Colorado Public Option $50 - $285 40%
Select Health Value Network $50 - $302 40%
Kaiser Ppo $54 - $304 43%
Kaiser Public Option $54 - $254 43%
Beech Street Community Medical Associates $55 - $202 44%
Cigna $58 - $402 46%
Multiplan $58 - $351 46%
Phcs $58 - $351 46%
Kaiser $302 239%
Rocky Mountain Health Maintenance Organization Private Plan $351 278%
Integrated Health Plans Bch $376 298%
Casualty Management Network, Prime Health Services Behavioral Health $427 338%
Mines And Associates $427 338%
Three Rivers Provider Network $427 338%
Zelis (Profee) $427 338%
Casualty Management Network, Prime Health Services Community Medical Associates $452 358%
National Preferred Provider Network $452 358%
Rockport Healthcare Group Community Medical Associates $452 358%
Usa $452 358%
Rockport Healthcare Group Bch $467 370%
Health Payors Organization $477 378%
Health Management Network Bch Community Medical Associates $482 382%
Health Management Network Community Medical Associates $482 382%
National Provider Network $487 386%

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