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
LEFORT III W/ LEFORT I
Boulder, CO
See all hospitals reporting CPT 21155 →Price type
Boulder Community Health’s median price of $3.6k is 42% below the median hospital's median price ($6.3k), higher than 26% of the 1,324 hospitals reporting CPT 21155. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 payers, 28 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 | Healthpartners managed medicaid professional · fee schedule · both | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 2 | Aetna medicare advantage professional · case rate · both | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 3 | Anthem medicare advantage professional · fee schedule · both | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 4 | Devoted medicare advantage professional · fee schedule · both | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 5 | Humana medicare advantage professional · fee schedule · both | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 6 | Kaiser medicare advantage professional · fee schedule · both | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 7 | Kaiser commercial professional · fee schedule · both | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 8 | Anthem commercial professional · fee schedule · both | $2.7k | $3.0k | $421 | 14% | — | $2.7k – $3.6k |
| 9 | MultiPlan commercial professional · fee schedule · both | $3.3k | $3.3k | — | — | — | $3.3k – $3.3k |
| 10 | Phcs commercial professional · fee schedule · both | $3.3k | $3.3k | — | — | — | $3.3k – $3.3k |
| 11 | Cigna commercial facility · fee schedule · outpatient | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 12 | Anthem managed care professional · fee schedule · both | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 13 | Cigna commercial professional · fee schedule · both | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 14 | UnitedHealthcare medicare advantage professional · fee schedule · both | $4.1k | $4.1k | $2.2k | 54% | — | $1.9k – $6.3k |
| 15 | Aetna commercial professional · fee schedule · both | $4.2k | $4.2k | — | — | — | $4.2k – $4.2k |
| 16 | Aetna ppo professional · fee schedule · both | $4.2k | $4.2k | — | — | — | $4.2k – $4.2k |
| 17 | UnitedHealthcare commercial professional · fee schedule · both | $4.3k | $4.3k | — | — | — | $4.3k – $4.3k |
| 18 | Aetna medicare advantage facility · case rate · outpatient | $6.3k | $6.3k | — | — | — | $6.3k – $6.3k |
| 19 | Anthem medicare advantage facility · case rate · outpatient | $6.3k | $6.3k | — | — | — | $6.3k – $6.3k |
| 20 | Humana medicare advantage facility · case rate · outpatient | $6.4k | $6.4k | — | — | — | $6.4k – $6.4k |
| 21 | UnitedHealthcare medicare advantage facility · case rate · outpatient | $6.4k | $6.4k | — | — | — | $6.4k – $6.4k |
| 22 | Kaiser medicare advantage facility · case rate · outpatient | $6.5k | $6.5k | $32 | 0% | — | $6.4k – $6.5k |
| 23 | Devoted medicare advantage facility · case rate · outpatient | $6.5k | $6.5k | — | — | — | $6.5k – $6.5k |
| 24 | UnitedHealthcare commercial facility · fee schedule · outpatient | $13.5k | $13.5k | — | — | — | $13.5k – $13.5k |
| 25 | Kaiser commercial facility · case rate · outpatient | $13.8k | $13.8k | $1.7k | 12% | — | $12.1k – $15.4k |
Last updated: Sep 16, 2026
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