CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Boulder Community Health

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72040
  • Insurance Median: $56
  • Cash Discount Price: $798
  • vs. Medicare Baseline: 0.63x Medicare
The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Boulder Community Health is $56. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $798. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.63x the Medicare baseline. Located in 4747 Arapahoe Avenue, Boulder, CO.
Cash / Self-Pay
$798

Average discount available for prompt cash payment at this facility.

Insurance Median
$56

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: $798 (898%)
Insurance Median: $56 (63%)
Cash: $798 (898% of Medicare)
Ins. Median: $56 (63% 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
Medicaid / KanCare $9 - $35 10%
Rocky Mountain Health Maintenance Organization $9 - $219 10%
Colorado Access $10 - $45 11%
Aetna $11 - $1,390 12%
Blue Cross Blue Shield $11 - $950 12%
Clear Spring $11 - $91 12%
Devoted Health $11 - $638 12%
Health Spring $11 - $88 12%
Humana $11 - $88 12%
Medicare (plans) $11 - $606 12%
UnitedHealthcare $11 - $617 12%
Select Health Colorado Public Option $15 - $606 17%
Select Health Value Network $15 - $606 17%
Beech Street Community Medical Associates $16 - $63 18%
Kaiser Ppo $16 - $208 18%
Kaiser Public Option $16 - $170 18%
Cigna $17 - $1,277 19%
Multiplan $17 - $1,117 19%
Phcs $17 - $1,117 19%
Kaiser $207 233%
Rocky Mountain Health Maintenance Organization Private Plan $1,117 1256%
Integrated Health Plans Bch $1,197 1346%
Casualty Management Network, Prime Health Services Behavioral Health $1,357 1526%
Mines And Associates $1,357 1526%
Three Rivers Provider Network $1,357 1526%
Zelis (Profee) $1,357 1526%
Casualty Management Network, Prime Health Services Community Medical Associates $1,436 1615%
National Preferred Provider Network $1,436 1615%
Rockport Healthcare Group Community Medical Associates $1,436 1615%
Usa $1,436 1615%
Rockport Healthcare Group Bch $1,484 1669%
Health Payors Organization $1,516 1705%
Health Management Network Bch Community Medical Associates $1,532 1723%
Health Management Network Community Medical Associates $1,532 1723%
National Provider Network $1,548 1741%

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