Drainage of a gland abscess 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

HC I&D BARTHOLIN GLAND ABSCESS

Boulder, CO

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How this price compares nationally

Boulder Community Health’s median price of $224 is 24% below the median hospital's median price ($293), higher than 31% of the 2,356 hospitals reporting CPT 56420. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 56420 at Boulder Community Health

Negotiated rates from the hospital’s own file: 9 payers, 41 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 · case rate · both	$102	$102	—	—	—	$102 – $102
2	Anthem medicare advantage professional · fee schedule · both	$102	$102	—	—	—	$102 – $102
3	Devoted medicare advantage professional · fee schedule · both	$102	$102	—	—	—	$102 – $102
4	Humana medicare advantage professional · fee schedule · both	$102	$102	—	—	—	$102 – $102
5	Kaiser medicare advantage professional · fee schedule · both	$126	$126	—	—	—	$126 – $126
6	Anthem commercial professional · fee schedule · both	$140	$154	$22	14%	—	$140 – $189
7	UnitedHealthcare medicare advantage professional · fee schedule · both	$159	$159	$57	36%	—	$102 – $216
8	Kaiser commercial professional · fee schedule · both	$161	$161	—	—	—	$161 – $161
9	MultiPlan commercial professional · fee schedule · both	$171	$171	—	—	—	$171 – $171
10	Phcs commercial professional · fee schedule · both	$171	$171	—	—	—	$171 – $171
11	Cigna commercial professional · percent of total billed charges · bothfrom % of charges	$179	$179	—	—	—	$179 – $179
12	Cigna commercial facility · fee schedule · outpatient	$182	$182	—	—	—	$182 – $182
13	Anthem managed care professional · fee schedule · both	$189	$189	—	—	—	$189 – $189
14	Cigna commercial professional · fee schedule · both	$189	$189	—	—	—	$189 – $189
15	Aetna commercial professional · fee schedule · both	$203	$203	—	—	—	$203 – $203
16	Aetna ppo professional · fee schedule · both	$203	$203	—	—	—	$203 – $203
17	UnitedHealthcare commercial professional · fee schedule · both	$206	$206	—	—	—	$206 – $206
18	Aetna medicare advantage facility · case rate · outpatient	$216	$216	—	—	—	$216 – $216
19	Anthem medicare advantage facility · case rate · outpatient	$216	$216	—	—	—	$216 – $216
20	Humana medicare advantage facility · case rate · outpatient	$220	$220	—	—	—	$220 – $220
21	UnitedHealthcare medicare advantage facility · case rate · outpatient	$220	$220	—	—	—	$220 – $220
22	Kaiser medicare advantage facility · case rate · outpatient	$221	$221	$1	0%	—	$220 – $222
23	Devoted medicare advantage facility · case rate · outpatient	$222	$222	—	—	—	$222 – $222
24	Aetna ppo facility · percent of total billed charges · outpatientfrom % of charges	$351	$351	—	—	—	$351 – $351
25	Devoted medicare advantage facility · percent of total billed charges · inpatientfrom % of charges	$372	$372	—	—	—	$372 – $372

Page 1 of 2 · 41 rates

Last updated: Sep 16, 2026

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