CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Boulder Community Health

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76536
  • Insurance Median: $110
  • Cash Discount Price: $759
  • vs. Medicare Baseline: 1.03x Medicare
The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Boulder Community Health is $110. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $759. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.03x the Medicare baseline. Located in 4747 Arapahoe Avenue, Boulder, CO.
Cash / Self-Pay
$759

Average discount available for prompt cash payment at this facility.

Insurance Median
$110

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: $759 (711%)
Insurance Median: $110 (103%)
Cash: $759 (711% of Medicare)
Ins. Median: $110 (103% 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 $13 - $2,386 12%
Medicare (plans) $20 - $1,133 19%
Select Health Colorado Public Option $20 - $1,133 19%
Select Health Value Network $20 - $1,133 19%
Devoted Health $21 - $1,193 20%
Aetna $26 - $2,597 24%
Blue Cross Blue Shield $26 - $1,775 24%
Health Spring $26 - $111 24%
Humana $26 - $113 24%
UnitedHealthcare $26 - $1,175 24%
Clear Spring $27 - $114 25%
Medicaid / KanCare $29 - $98 27%
Rocky Mountain Health Maintenance Organization $29 - $219 27%
Colorado Access $32 - $127 30%
Multiplan $37 - $2,087 35%
Phcs $37 - $2,087 35%
Rocky Mountain Health Maintenance Organization Private Plan $37 - $2,087 35%
Beech Street Community Medical Associates $40 - $175 37%
Integrated Health Plans Bch $40 - $2,236 37%
Kaiser Ppo $40 - $437 37%
Kaiser Public Option $40 - $366 37%
Casualty Management Network, Prime Health Services Behavioral Health $45 - $2,535 42%
Mines And Associates $45 - $2,535 42%
Three Rivers Provider Network $45 - $2,535 42%
Zelis (Profee) $45 - $2,535 42%
Casualty Management Network, Prime Health Services Community Medical Associates $48 - $2,684 45%
National Preferred Provider Network $48 - $2,684 45%
Rockport Healthcare Group Community Medical Associates $48 - $2,684 45%
Usa $48 - $2,684 45%
Rockport Healthcare Group Bch $49 - $2,773 46%
Health Payors Organization $50 - $2,833 47%
Health Management Network Bch Community Medical Associates $51 - $2,863 48%
Health Management Network Community Medical Associates $51 - $2,863 48%
National Provider Network $51 - $2,893 48%
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