Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
AI PSOR MRNA 50-100 GEN ALG
Boulder, CO
See all hospitals reporting CPT 0258U →Price type
Boulder Community Health’s median price of $3.7k is 4% below the median hospital's median price ($3.8k), higher than 10% of the 1,259 hospitals reporting CPT 0258U. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 20 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Anthem commercial professional · fee schedule · both | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 2 | Anthem managed care professional · fee schedule · both | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 3 | UnitedHealthcare commercial professional · fee schedule · both | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 4 | UnitedHealthcare medicare advantage professional · fee schedule · both | $2.6k | $2.6k | $1.1k | 41% | — | $1.5k – $3.7k |
| 5 | Aetna medicare advantage professional · fee schedule · both | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
| 6 | UnitedHealthcare commercial facility · fee schedule · outpatient | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 7 | Aetna medicare advantage facility · case rate · outpatient | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 8 | Anthem medicare advantage facility · case rate · outpatient | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 9 | Humana medicare advantage professional · fee schedule · both | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 10 | Humana medicare advantage facility · case rate · outpatient | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 11 | UnitedHealthcare medicare advantage facility · case rate · outpatient | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 12 | Kaiser medicare advantage facility · case rate · outpatient | $3.8k | $3.8k | $18 | 0% | — | $3.7k – $3.8k |
| 13 | Devoted medicare advantage facility · case rate · outpatient | $3.8k | $3.8k | — | — | — | $3.8k – $3.8k |
| 14 | Aetna commercial professional · fee schedule · both | $4.0k | $4.0k | $1.2k | 31% | — | $2.8k – $5.3k |
| 15 | Anthem managed care facility · fee schedule · outpatient | $4.1k | $4.1k | — | — | — | $4.1k – $4.1k |
| 16 | Anthem commercial facility · fee schedule · outpatient | $4.0k | $5.1k | $2.5k | 49% | — | $3.5k – $10.6k |
| 17 | MultiPlan commercial professional · fee schedule · both | $5.8k | $5.8k | — | — | — | $5.8k – $5.8k |
| 18 | Phcs commercial professional · fee schedule · both | $5.8k | $5.8k | — | — | — | $5.8k – $5.8k |
| 19 | Kaiser commercial facility · case rate · outpatient | $8.0k | $8.0k | $970 | 12% | — | $7.0k – $9.0k |
| 20 | Kaiser managed care facility · case rate · outpatient | $8.9k | $8.9k | — | — | — | $8.9k – $8.9k |
Last updated: Sep 16, 2026
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