CMS Price Transparency Data

X-ray, lower back

Facility: Boulder Community Health

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72110
  • Insurance Median: $74
  • Cash Discount Price: $1,425
  • vs. Medicare Baseline: 0.69x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at Boulder Community Health is $74. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,425. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.69x the Medicare baseline. Located in 4747 Arapahoe Avenue, Boulder, CO.
Cash / Self-Pay
$1,425

Average discount available for prompt cash payment at this facility.

Insurance Median
$74

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: $1,425 (1334%)
Insurance Median: $74 (69%)
Cash: $1,425 (1334% of Medicare)
Ins. Median: $74 (69% 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
Aetna $12 - $2,482 11%
Blue Cross Blue Shield $12 - $1,697 11%
Devoted Health $12 - $1,140 11%
Health Spring $12 - $107 11%
Humana $12 - $107 11%
Medicare (plans) $12 - $1,083 11%
UnitedHealthcare $12 - $617 11%
Clear Spring $13 - $110 12%
Medicaid / KanCare $16 - $53 15%
Rocky Mountain Health Maintenance Organization $16 - $219 15%
Select Health Colorado Public Option $17 - $1,083 16%
Select Health Value Network $17 - $1,083 16%
Colorado Access $18 - $69 17%
Beech Street Community Medical Associates $19 - $82 18%
Kaiser Ppo $19 - $252 18%
Kaiser Public Option $19 - $205 18%
Cigna $20 - $2,280 19%
Multiplan $20 - $1,995 19%
Phcs $20 - $1,995 19%
Kaiser $250 234%
Rocky Mountain Health Maintenance Organization Private Plan $1,995 1868%
Integrated Health Plans Bch $2,138 2002%
Casualty Management Network, Prime Health Services Behavioral Health $2,422 2268%
Mines And Associates $2,422 2268%
Three Rivers Provider Network $2,422 2268%
Zelis (Profee) $2,422 2268%
Casualty Management Network, Prime Health Services Community Medical Associates $2,565 2401%
National Preferred Provider Network $2,565 2401%
Rockport Healthcare Group Community Medical Associates $2,565 2401%
Usa $2,565 2401%
Rockport Healthcare Group Bch $2,650 2481%
Health Payors Organization $2,708 2535%
Health Management Network Bch Community Medical Associates $2,736 2562%
Health Management Network Community Medical Associates $2,736 2562%
National Provider Network $2,764 2588%

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