Optical coherence tomography of middle ear, one side at Boulder Community Health

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.

Model: claude-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

OCT MID EAR I&R UNILATERAL

Boulder, CO

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How this price compares nationally

Boulder Community Health’s median price of $31 is 26% below the median hospital's median price ($42), higher than 7% of the 1,040 hospitals reporting CPT 0485T. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 0485T at Boulder Community Health

Negotiated rates from the hospital’s own file: 8 payers, 19 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	Aetna medicare advantage professional · fee schedule · both	$10	$11	$4	38%	—	$7 – $17
2	MultiPlan commercial professional · fee schedule · both	$14	$16	$6	38%	—	$9 – $24
3	Phcs commercial professional · fee schedule · both	$14	$16	$6	38%	—	$9 – $24
4	Aetna commercial professional · fee schedule · both	$15	$16	$8	50%	—	$7 – $32
5	Humana medicare advantage professional · fee schedule · both	$16	$17	$6	38%	—	$9 – $25
6	UnitedHealthcare medicare advantage professional · fee schedule · both	$19	$22	$12	54%	—	$9 – $40
7	Anthem commercial professional · fee schedule · both	$22	$26	$11	41%	—	$14 – $48
8	Anthem managed care professional · fee schedule · both	$29	$32	$12	38%	—	$19 – $48
9	Aetna medicare advantage facility · case rate · outpatient	$40	$40	—	—	—	$40 – $40
10	Anthem medicare advantage facility · case rate · outpatient	$40	$40	—	—	—	$40 – $40
11	Humana medicare advantage facility · case rate · outpatient	$41	$41	—	—	—	$41 – $41
12	UnitedHealthcare medicare advantage facility · case rate · outpatient	$41	$41	—	—	—	$41 – $41
13	Kaiser medicare advantage facility · case rate · outpatient	$41	$41	$0	0%	—	$41 – $41
14	Devoted medicare advantage facility · case rate · outpatient	$41	$41	—	—	—	$41 – $41
15	UnitedHealthcare commercial professional · fee schedule · both	$38	$43	$16	37%	—	$25 – $64
16	Kaiser commercial facility · case rate · outpatient	$87	$87	$11	12%	—	$76 – $97
17	Kaiser managed care facility · case rate · outpatient	$97	$97	—	—	—	$97 – $97
18	Anthem commercial facility · case rate · outpatient	$89	$101	$25	24%	—	$77 – $141
19	Anthem managed care facility · case rate · outpatient	$150	$150	—	—	—	$150 – $150

Last updated: Sep 16, 2026

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See Optical coherence tomography of middle ear, one side pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.