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
PR 1ST HOSPITAL IP/OBS CARE SF/LOW MDM 40 MINUTES
Boulder, CO
See all hospitals reporting CPT 99221 →Price type
Boulder Community Health’s median price of $102 is 16% below the median hospital's median price ($121), higher than 39% of the 1,281 hospitals reporting CPT 99221. 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 | $68 | $68 | — | — | — | $68 – $68 |
| 2 | Aetna medicare advantage facility · case rate · outpatient | $75 | $75 | — | — | — | $75 – $75 |
| 3 | Aetna medicare advantage professional · case rate · both | $75 | $75 | — | — | — | $75 – $75 |
| 4 | Anthem medicare advantage facility · case rate · outpatient | $75 | $75 | — | — | — | $75 – $75 |
| 5 | Anthem medicare advantage professional · fee schedule · both | $75 | $75 | — | — | — | $75 – $75 |
| 6 | Devoted medicare advantage professional · fee schedule · both | $75 | $75 | — | — | — | $75 – $75 |
| 7 | Humana medicare advantage professional · fee schedule · both | $75 | $75 | — | — | — | $75 – $75 |
| 8 | UnitedHealthcare medicare advantage professional · fee schedule · both | $75 | $75 | — | — | — | $75 – $75 |
| 9 | Humana medicare advantage facility · case rate · outpatient | $76 | $76 | — | — | — | $76 – $76 |
| 10 | UnitedHealthcare medicare advantage facility · case rate · outpatient | $76 | $76 | — | — | — | $76 – $76 |
| 11 | Kaiser medicare advantage facility · case rate · outpatient | $76 | $76 | $0 | 0% | — | $76 – $77 |
| 12 | Devoted medicare advantage facility · case rate · outpatient | $77 | $77 | — | — | — | $77 – $77 |
| 13 | Anthem managed care facility · fee schedule · outpatient | $84 | $84 | — | — | — | $84 – $84 |
| 14 | Kaiser medicare advantage professional · fee schedule · both | $93 | $93 | — | — | — | $93 – $93 |
| 15 | Anthem commercial facility · fee schedule · outpatient | $81 | $103 | $50 | 49% | — | $72 – $215 |
| 16 | Anthem commercial professional · fee schedule · both | $102 | $112 | $16 | 14% | — | $102 – $137 |
| 17 | Kaiser commercial professional · fee schedule · both | $118 | $118 | — | — | — | $118 – $118 |
| 18 | Cigna commercial facility · fee schedule · outpatient | $119 | $119 | — | — | — | $119 – $119 |
| 19 | Cigna commercial professional · fee schedule · both | $124 | $124 | — | — | — | $124 – $124 |
| 20 | MultiPlan commercial professional · fee schedule · both | $126 | $126 | — | — | — | $126 – $126 |
| 21 | Phcs commercial professional · fee schedule · both | $126 | $126 | — | — | — | $126 – $126 |
| 22 | Cigna commercial professional · percent of total billed charges · bothfrom % of charges | $136 | $136 | — | — | — | $136 – $136 |
| 23 | Anthem managed care professional · fee schedule · both | $137 | $137 | — | — | — | $137 – $137 |
| 24 | Kaiser commercial facility · case rate · outpatient | $163 | $163 | $20 | 12% | — | $143 – $183 |
| 25 | UnitedHealthcare commercial professional · fee schedule · both | $165 | $165 | — | — | — | $165 – $165 |
Last updated: Sep 16, 2026
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