CMS Price Transparency Data

X-ray, foot

Facility: Boulder Community Health

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73630
  • Insurance Median: $48
  • Cash Discount Price: $681
  • vs. Medicare Baseline: 0.54x Medicare
The contracted insurance negotiated median rate for a X-ray, foot at Boulder Community Health is $48. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $681. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.54x the Medicare baseline. Located in 4747 Arapahoe Avenue, Boulder, CO.
Cash / Self-Pay
$681

Average discount available for prompt cash payment at this facility.

Insurance Median
$48

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$88.91

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $88.91 (100%)
Cash / Self-Pay: $681 (766%)
Insurance Median: $48 (54%)
Cash: $681 (766% of Medicare)
Ins. Median: $48 (54% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $88.91 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
Colorado Access $7 - $39 8%
Medicaid / KanCare $7 - $30 8%
Rocky Mountain Health Maintenance Organization $7 - $219 8%
Aetna $8 - $1,185 9%
Blue Cross Blue Shield $8 - $810 9%
Clear Spring $8 - $91 9%
Devoted Health $8 - $544 9%
Health Spring $8 - $88 9%
Humana $8 - $88 9%
Medicare (plans) $8 - $517 9%
UnitedHealthcare $8 - $617 9%
Select Health Colorado Public Option $11 - $517 12%
Select Health Value Network $11 - $517 12%
Beech Street Community Medical Associates $12 - $54 13%
Kaiser Ppo $12 - $208 13%
Kaiser Public Option $12 - $170 13%
Cigna $13 - $1,089 15%
Multiplan $13 - $953 15%
Phcs $13 - $953 15%
Kaiser $207 233%
Rocky Mountain Health Maintenance Organization Private Plan $953 1072%
Integrated Health Plans Bch $1,021 1148%
Casualty Management Network, Prime Health Services Behavioral Health $1,157 1301%
Mines And Associates $1,157 1301%
Three Rivers Provider Network $1,157 1301%
Zelis (Profee) $1,157 1301%
Casualty Management Network, Prime Health Services Community Medical Associates $1,225 1378%
National Preferred Provider Network $1,225 1378%
Rockport Healthcare Group Community Medical Associates $1,225 1378%
Usa $1,225 1378%
Rockport Healthcare Group Bch $1,266 1424%
Health Payors Organization $1,293 1454%
Health Management Network Bch Community Medical Associates $1,307 1470%
Health Management Network Community Medical Associates $1,307 1470%
National Provider Network $1,320 1485%

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