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
NUBHVL XM PHY/QHP EA ADDL HR
Boulder, CO
See all hospitals reporting CPT 96121 →Price type
Boulder Community Health’s median price of $82 is 40% below the median hospital's median price ($136), higher than 31% of the 1,063 hospitals reporting CPT 96121. 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, 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 medicare advantage professional · case rate · both | $62 | $62 | — | — | — | $62 – $62 |
| 2 | Anthem medicare advantage professional · fee schedule · both | $62 | $62 | — | — | — | $62 – $62 |
| 3 | Devoted medicare advantage professional · fee schedule · both | $62 | $62 | — | — | — | $62 – $62 |
| 4 | Humana medicare advantage professional · fee schedule · both | $62 | $62 | — | — | — | $62 – $62 |
| 5 | Healthpartners managed medicaid professional · fee schedule · both | $63 | $63 | — | — | — | $63 – $63 |
| 6 | UnitedHealthcare medicare advantage professional · fee schedule · both | $70 | $70 | $7 | 11% | — | $62 – $77 |
| 7 | Anthem managed care facility · fee schedule · outpatient | $70 | $70 | — | — | — | $70 – $70 |
| 8 | Aetna medicare advantage facility · case rate · outpatient | $77 | $77 | — | — | — | $77 – $77 |
| 9 | Anthem medicare advantage facility · case rate · outpatient | $77 | $77 | — | — | — | $77 – $77 |
| 10 | Kaiser medicare advantage professional · fee schedule · both | $77 | $77 | — | — | — | $77 – $77 |
| 11 | Humana medicare advantage facility · case rate · outpatient | $79 | $79 | — | — | — | $79 – $79 |
| 12 | UnitedHealthcare medicare advantage facility · case rate · outpatient | $79 | $79 | — | — | — | $79 – $79 |
| 13 | Kaiser medicare advantage facility · case rate · outpatient | $79 | $79 | $0 | 0% | — | $79 – $80 |
| 14 | Devoted medicare advantage facility · case rate · outpatient | $80 | $80 | — | — | — | $80 – $80 |
| 15 | Anthem commercial facility · fee schedule · outpatient | $68 | $86 | $42 | 49% | — | $60 – $179 |
| 16 | Anthem commercial professional · fee schedule · both | $82 | $90 | $13 | 14% | — | $82 – $111 |
| 17 | Kaiser commercial professional · fee schedule · both | $98 | $98 | — | — | — | $98 – $98 |
| 18 | MultiPlan commercial professional · fee schedule · both | $101 | $101 | — | — | — | $101 – $101 |
| 19 | Phcs commercial professional · fee schedule · both | $101 | $101 | — | — | — | $101 – $101 |
| 20 | Cigna commercial facility · fee schedule · outpatient | $106 | $106 | — | — | — | $106 – $106 |
| 21 | Cigna commercial professional · fee schedule · both | $111 | $111 | — | — | — | $111 – $111 |
| 22 | Anthem managed care professional · fee schedule · both | $111 | $111 | — | — | — | $111 – $111 |
| 23 | UnitedHealthcare commercial professional · fee schedule · both | $127 | $127 | — | — | — | $127 – $127 |
| 24 | Aetna commercial professional · fee schedule · both | $151 | $151 | — | — | — | $151 – $151 |
| 25 | Aetna ppo professional · fee schedule · both | $151 | $151 | — | — | — | $151 – $151 |
Last updated: Sep 16, 2026
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