Boulder Community Health · Boulder, CO
45
In-network payers
273
Disclosed rate categories
167
Beds
4
Care quality
Boulder Community Hospital is a 167-bed voluntary non-profit - private hospital in Boulder, CO, affiliated with Boulder Community Health. Below you'll find publicly disclosed negotiated rates and facility details, including 45 in-network payers and 273 disclosed rate categories.
CCN (Medicare provider number)
060027
NPI
1821074196
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Private
Beds
167
Care Quality
4
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
The 24 services Boulder Community Hospital most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
Medicine & Surgery · Inpatient
MS-DRG 216
$154,226 - $238,050
from 4 insurers · median $208,477
14 Medicare discharges for this DRG in CMS hospital data
Gynecology
CPT 58558
$2,576 - $7,222
from 4 insurers · median $6,486
25 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)
Medicine & Surgery
CPT 47562
$5,337 - $13,975
from 3 insurers · median $12,795
120 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
CT imaging
CPT 74177
$464 - $1,884
from 4 insurers · median $856
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 470
$27,512 - $46,566
from 4 insurers · median $35,167
23 Medicare discharges for this DRG in CMS hospital data
Digestive procedures
CPT 49650
$3,038 - $13,975
from 4 insurers · median $11,154
120 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 45385
$873 - $4,646
from 4 insurers · median $3,229
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$737 - $4,646
from 4 insurers · median $2,934
Common here, based on CMS Medicare volume
Digestive procedures
CPT 47563
$5,382 - $13,975
from 3 insurers · median $12,795
120 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
CT imaging
CPT 70450
$133 - $1,758
from 4 insurers · median $425
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$534 - $5,775
from 4 insurers · median $1,328
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$64 - $617
from 4 insurers · median $345
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$210 - $1,884
from 4 insurers · median $658
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 460
$57,985 - $83,630
from 4 insurers · median $78,824
Hospital reports neurosurgical services to CMS
Medicine & Surgery
CPT 66984
$2,445 - $7,222
from 3 insurers · median $5,574
Typical for a hospital with this service line
Gynecology
CPT 58571
$4,622 - $22,832
from 4 insurers · median $9,807
26 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)
CT imaging
CPT 71275
$304 - $1,884
from 4 insurers · median $548
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$936 - $4,652
from 4 insurers · median $3,060
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$840 - $2,440
from 4 insurers · median $1,098
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$106 - $365
from 4 insurers · median $174
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78815
$1,290 - $3,564
from 3 insurers · median $2,078
Common here, based on CMS Medicare volume
Gynecology
CPT 58661
$2,954 - $13,975
from 4 insurers · median $11,154
Typical for a hospital with this service line
MRI imaging
CPT 72148
$425 - $2,440
from 4 insurers · median $900
Common here, based on CMS Medicare volume
Gynecology
CPT 58662
$3,003 - $13,975
from 3 insurers · median $12,795
Typical for a hospital with this service line
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 23 | 322% | 11 | 3 |
| Insurer B* | 24 | 240% | 16 | 8 |
| Insurer C* | 24 | 226% | 19 | 3 |
| Insurer D* | 20 | 124% | 6 | 12 |
How we chose these services: 7 appear in this hospital's own Medicare claims, 13 are common here based on CMS Medicare volume, and 4 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Boulder Community Hospital.
4747 Arapahoe Ave, Boulder, CO 80303
(303) 415-7000
The nearest hospitals of similar type and size. Their rates are compared with Boulder Community Hospital for the same insurers and services above.
Avista Adventist Hospital
▼ Rates typically 28% lower than Boulder Community Hospital (24 services)
Intermountain Health Good Samaritan Hospital
▲ Rates typically 20% higher than Boulder Community Hospital (24 services)
St Anthony North Health Campus
▼ Rates typically 28% lower than Boulder Community Hospital (24 services)
Longmont United Hospital
▼ Rates typically 17% lower than Boulder Community Hospital (24 services)
North Suburban Medical Center
▼ Rates typically 8% lower than Boulder Community Hospital (24 services)
St Anthony Hospital
▼ Rates typically 22% lower than Boulder Community Hospital (24 services)
National Jewish Health
Castle Rock Adventist Hospital
St. Mary Corwin Medical Center
Uchealth Broomfield Hospital
About Boulder Community Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Boulder Community Hospital range from $840 to $2,440 across 4 insurers. Anthem Blue Cross Blue Shield's rate is $1,228. The median at nearby comparable hospitals is $576. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Boulder Community Hospital range from $464 to $1,884 across 4 insurers. Aetna's rate is $464. The median at nearby comparable hospitals is $643. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Boulder Community Hospital range from $873 to $4,646 across 4 insurers. UnitedHealthcare's rate is $4,646. The median at nearby comparable hospitals is $3,491. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Boulder Community Hospital range from $106 to $365 across 4 insurers. Aetna's rate is $206. The median at nearby comparable hospitals is $210. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Boulder Community Hospital range from $27,512 to $46,566 across 4 insurers. Anthem Blue Cross Blue Shield's rate is $30,907. The median at nearby comparable hospitals is $43,701. What a patient pays depends on their plan's deductible, coinsurance and network status.
Boulder Community Hospital has 167 beds. Facility type: Short Term Acute Care Hospital.
Boulder Community Hospital is located at 4747 Arapahoe Ave, Boulder, CO 80303. Its main phone number is (303) 415-7000.
Boulder Community Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 060027.
The National Provider Identifier (NPI) on file for Boulder Community Hospital is 1821074196.
Boulder Community Hospital is affiliated with Boulder Community Health.
Boulder Community Hospital lists 45 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
273 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
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The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
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{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers