PR PYLOROPLASTY at Boulder Community Health

Boulder, CO

Pricing by billing methodology

Price type

How this price compares nationally

Boulder Community Health’s median price of $1.3k is 55% below the median hospital's median price ($2.8k), higher than 26% of the 1,290 hospitals reporting CPT 43800. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 43800 at Boulder Community Health

Negotiated rates from the hospital’s own file: 9 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	Aetna medicare advantage facility · case rate · outpatient	$865	$865	—	—	—	$865 – $865
2	Aetna medicare advantage professional · case rate · both	$865	$865	—	—	—	$865 – $865
3	Anthem medicare advantage facility · case rate · outpatient	$865	$865	—	—	—	$865 – $865
4	Anthem medicare advantage professional · fee schedule · both	$865	$865	—	—	—	$865 – $865
5	Devoted medicare advantage professional · fee schedule · both	$865	$865	—	—	—	$865 – $865
6	Humana medicare advantage professional · fee schedule · both	$865	$865	—	—	—	$865 – $865
7	UnitedHealthcare medicare advantage professional · fee schedule · both	$865	$865	—	—	—	$865 – $865
8	Humana medicare advantage facility · case rate · outpatient	$883	$883	—	—	—	$883 – $883
9	UnitedHealthcare medicare advantage facility · case rate · outpatient	$883	$883	—	—	—	$883 – $883
10	Kaiser medicare advantage facility · case rate · outpatient	$887	$887	$4	0%	—	$883 – $891
11	Devoted medicare advantage facility · case rate · outpatient	$891	$891	—	—	—	$891 – $891
12	Anthem managed care facility · fee schedule · outpatient	$972	$972	—	—	—	$972 – $972
13	Kaiser medicare advantage professional · fee schedule · both	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
14	Anthem commercial facility · fee schedule · outpatient	$944	$1.2k	$582	49%	—	$831 – $2.5k
15	Anthem commercial professional · fee schedule · both	$1.1k	$1.3k	$178	14%	—	$1.1k – $1.5k
16	Kaiser commercial professional · fee schedule · both	$1.4k	$1.4k	—	—	—	$1.4k – $1.4k
17	MultiPlan commercial professional · fee schedule · both	$1.4k	$1.4k	—	—	—	$1.4k – $1.4k
18	Phcs commercial professional · fee schedule · both	$1.4k	$1.4k	—	—	—	$1.4k – $1.4k
19	Cigna commercial professional · percent of total billed charges · bothfrom % of charges	$1.5k	$1.5k	—	—	—	$1.5k – $1.5k
20	Cigna commercial facility · fee schedule · outpatient	$1.5k	$1.5k	—	—	—	$1.5k – $1.5k
21	Anthem managed care professional · fee schedule · both	$1.5k	$1.5k	—	—	—	$1.5k – $1.5k
22	Cigna commercial professional · fee schedule · both	$1.5k	$1.5k	—	—	—	$1.5k – $1.5k
23	Aetna commercial professional · fee schedule · both	$1.8k	$1.8k	—	—	—	$1.8k – $1.8k
24	Aetna ppo professional · fee schedule · both	$1.8k	$1.8k	—	—	—	$1.8k – $1.8k
25	UnitedHealthcare commercial professional · fee schedule · both	$1.9k	$1.9k	—	—	—	$1.9k – $1.9k

Page 1 of 2 · 28 rates

Last updated: Sep 16, 2026

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