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
HC PRGRMG DEV EVAL LDLS PM SYS 2CHMBR IN PERSON
Boulder, CO
See all hospitals reporting CPT 0804T →Price type
Boulder Community Health’s median price of $71 is 65% above the median hospital's median price ($43), higher than 73% of the 1,036 hospitals reporting CPT 0804T. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 27 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 ppo facility · percent of total billed charges · outpatientfrom % of charges | $38 | $38 | — | — | — | $38 – $38 |
| 2 | Aetna medicare advantage facility · case rate · outpatient | $40 | $40 | — | — | — | $40 – $40 |
| 3 | Anthem medicare advantage facility · case rate · outpatient | $40 | $40 | — | — | — | $40 – $40 |
| 4 | Humana medicare advantage facility · case rate · outpatient | $41 | $41 | — | — | — | $41 – $41 |
| 5 | UnitedHealthcare medicare advantage facility · case rate · outpatient | $41 | $41 | — | — | — | $41 – $41 |
| 6 | Devoted medicare advantage facility · percent of total billed charges · inpatientfrom % of charges | $41 | $41 | — | — | — | $41 – $41 |
| 7 | Kaiser medicare advantage facility · case rate · outpatient | $41 | $41 | $0 | 0% | — | $41 – $41 |
| 8 | Devoted medicare advantage facility · case rate · outpatient | $41 | $41 | — | — | — | $41 – $41 |
| 9 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $29 | $44 | $26 | 60% | — | $23 – $82 |
| 10 | UnitedHealthcare medicare advantage professional · fee schedule · both | $41 | $49 | $17 | 35% | — | $36 – $78 |
| 11 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $53 | $53 | $13 | 24% | — | $40 – $66 |
| 12 | Humana medicare advantage professional · fee schedule · both | $44 | $55 | $19 | 36% | — | $38 – $82 |
| 13 | Anthem commercial facility · percent of total billed charges · inpatientfrom % of charges | $59 | $59 | — | — | — | $59 – $59 |
| 14 | Anthem commercial facility · percent of total billed charges · outpatientfrom % of charges | $61 | $61 | — | — | — | $61 – $61 |
| 15 | Anthem commercial professional · fee schedule · both | $52 | $63 | $25 | 39% | — | $38 – $116 |
| 16 | MultiPlan commercial facility · percent of total billed charges · inpatientfrom % of charges | $70 | $70 | — | — | — | $70 – $70 |
| 17 | Phcs commercial facility · percent of total billed charges · inpatientfrom % of charges | $70 | $70 | — | — | — | $70 – $70 |
| 18 | MultiPlan commercial facility · percent of total billed charges · outpatientfrom % of charges | $71 | $71 | — | — | — | $71 – $71 |
| 19 | Phcs commercial facility · percent of total billed charges · outpatientfrom % of charges | $71 | $71 | — | — | — | $71 – $71 |
| 20 | Anthem managed care professional · fee schedule · both | $65 | $78 | $28 | 36% | — | $52 – $116 |
| 21 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $82 | $82 | — | — | — | $82 – $82 |
| 22 | UnitedHealthcare commercial professional · fee schedule · both | $71 | $86 | $31 | 36% | — | $59 – $129 |
| 23 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $89 | $89 | — | — | — | $89 – $89 |
| 24 | Anthem commercial facility · case rate · outpatient | $89 | $101 | $25 | 24% | — | $77 – $141 |
| 25 | Anthem managed care facility · case rate · outpatient | $150 | $150 | — | — | — | $150 – $150 |
Last updated: Sep 16, 2026
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