CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Boulder Community Health

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76705
  • Insurance Median: $87
  • Cash Discount Price: $845
  • vs. Medicare Baseline: 0.81x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Boulder Community Health is $87. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $845. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.81x the Medicare baseline. Located in 4747 Arapahoe Avenue, Boulder, CO.
Cash / Self-Pay
$845

Average discount available for prompt cash payment at this facility.

Insurance Median
$87

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)
Cash / Self-Pay: $845 (791%)
Insurance Median: $87 (81%)
Cash: $845 (791% of Medicare)
Ins. Median: $87 (81% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 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
Cigna $14 - $2,660 13%
Medicare (plans) $21 - $1,264 20%
Select Health Colorado Public Option $21 - $1,264 20%
Select Health Value Network $21 - $1,264 20%
Devoted Health $22 - $1,330 21%
Aetna $27 - $2,896 25%
Blue Cross Blue Shield $27 - $1,980 25%
Health Spring $27 - $107 25%
Humana $27 - $107 25%
UnitedHealthcare $27 - $1,175 25%
Clear Spring $28 - $110 26%
Medicaid / KanCare $28 - $77 26%
Rocky Mountain Health Maintenance Organization $28 - $219 26%
Colorado Access $30 - $100 28%
Multiplan $38 - $2,328 36%
Phcs $38 - $2,328 36%
Rocky Mountain Health Maintenance Organization Private Plan $38 - $2,328 36%
Integrated Health Plans Bch $41 - $2,494 38%
Beech Street Community Medical Associates $42 - $137 39%
Kaiser Ppo $42 - $437 39%
Kaiser Public Option $42 - $366 39%
Casualty Management Network, Prime Health Services Behavioral Health $47 - $2,826 44%
Mines And Associates $47 - $2,826 44%
Three Rivers Provider Network $47 - $2,826 44%
Zelis (Profee) $47 - $2,826 44%
Casualty Management Network, Prime Health Services Community Medical Associates $50 - $2,992 47%
National Preferred Provider Network $50 - $2,992 47%
Rockport Healthcare Group Community Medical Associates $50 - $2,992 47%
Usa $50 - $2,992 47%
Rockport Healthcare Group Bch $51 - $3,092 48%
Health Payors Organization $52 - $3,159 49%
Health Management Network Bch Community Medical Associates $53 - $3,192 50%
Health Management Network Community Medical Associates $53 - $3,192 50%
National Provider Network $53 - $3,225 50%
Kaiser $435 407%

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