CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Boulder Community Health

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$33,048
about 1.4× the $23,504 Medicare rate · typically $19,178–$52,103
modeled estimate · not a bill or quote
What this hospital charges insurers
$48,621
Above the fair price
about $15,573 over the fair price · 2.1× Medicare
Medicare pays $23,504 Fair price $33,048 This hospital $48,621

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 $24,349 Priciest $48,621

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

A fair price for a Spinal fusion, single level (inpatient stay) is about $33,048 (about 1.4× the $23,504 Medicare rate). Boulder Community Health charges insurers about $48,621 — 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 $33,048. 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 $26,047 - $75,020 111%
Blue Cross Blue Shieldmajor $25,350 - $83,196 108%
Aetnamajor $25,350 - $112,507 108%
Cignamajor $46,075 - $65,388 196%
Humanamajor $25,350 108%
Kaiser Permanentemajor $48,621 - $56,302 207%
Devoted Health $25,350 108%
SelectHealth $49,432 - $50,700 210%
+ 3 smaller / regional plans $25,350 - $26,110
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