CMS Price Transparency Data

X-ray, shoulder

Facility: Boulder Community Health

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73030
  • Insurance Median: $49
  • Cash Discount Price: $741
  • vs. Medicare Baseline: 0.55x Medicare
The contracted insurance negotiated median rate for a X-ray, shoulder at Boulder Community Health is $49. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $741. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.55x the Medicare baseline. Located in 4747 Arapahoe Avenue, Boulder, CO.
Cash / Self-Pay
$741

Average discount available for prompt cash payment at this facility.

Insurance Median
$49

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: $741 (833%)
Insurance Median: $49 (55%)
Cash: $741 (833% of Medicare)
Ins. Median: $49 (55% 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 $8 - $39 9%
Medicaid / KanCare $8 - $30 9%
Rocky Mountain Health Maintenance Organization $8 - $219 9%
Aetna $9 - $1,291 10%
Blue Cross Blue Shield $9 - $882 10%
Clear Spring $9 - $91 10%
Devoted Health $9 - $593 10%
Health Spring $9 - $88 10%
Humana $9 - $88 10%
Medicare (plans) $9 - $563 10%
UnitedHealthcare $9 - $617 10%
Select Health Colorado Public Option $12 - $563 13%
Select Health Value Network $12 - $563 13%
Beech Street Community Medical Associates $14 - $55 16%
Kaiser Ppo $14 - $208 16%
Kaiser Public Option $14 - $170 16%
Cigna $15 - $1,186 17%
Multiplan $15 - $1,037 17%
Phcs $15 - $1,037 17%
Kaiser $207 233%
Rocky Mountain Health Maintenance Organization Private Plan $1,037 1166%
Integrated Health Plans Bch $1,112 1251%
Casualty Management Network, Prime Health Services Behavioral Health $1,260 1417%
Mines And Associates $1,260 1417%
Three Rivers Provider Network $1,260 1417%
Zelis (Profee) $1,260 1417%
Casualty Management Network, Prime Health Services Community Medical Associates $1,334 1500%
National Preferred Provider Network $1,334 1500%
Rockport Healthcare Group Community Medical Associates $1,334 1500%
Usa $1,334 1500%
Rockport Healthcare Group Bch $1,378 1550%
Health Payors Organization $1,408 1584%
Health Management Network Bch Community Medical Associates $1,423 1600%
Health Management Network Community Medical Associates $1,423 1600%
National Provider Network $1,438 1617%

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