Follow-up hospital visit, straightforward care 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-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HC HOSP/OBS CARE SUBSEQ LOW 25MIN-PR

Boulder, CO

See all hospitals reporting CPT 99231 →

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Pricing by billing methodology

Price type

How this price compares nationally

Boulder Community Health’s median price of $64 is 10% above the median hospital's median price ($59), higher than 55% of the 1,273 hospitals reporting CPT 99231. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 99231 at Boulder Community Health

Negotiated rates from the hospital’s own file: 9 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 facility · case rate · outpatient	$44	$44	—	—	—	$44 – $44
2	Aetna medicare advantage professional · case rate · both	$44	$44	—	—	—	$44 – $44
3	Anthem medicare advantage facility · case rate · outpatient	$44	$44	—	—	—	$44 – $44
4	Anthem medicare advantage professional · fee schedule · both	$44	$44	—	—	—	$44 – $44
5	Devoted medicare advantage professional · fee schedule · both	$44	$44	—	—	—	$44 – $44
6	Humana medicare advantage professional · fee schedule · both	$44	$44	—	—	—	$44 – $44
7	UnitedHealthcare medicare advantage professional · fee schedule · both	$44	$44	—	—	—	$44 – $44
8	Humana medicare advantage facility · case rate · outpatient	$45	$45	—	—	—	$45 – $45
9	UnitedHealthcare medicare advantage facility · case rate · outpatient	$45	$45	—	—	—	$45 – $45
10	Kaiser medicare advantage facility · case rate · outpatient	$46	$46	$0	0%	—	$45 – $46
11	Devoted medicare advantage facility · case rate · outpatient	$46	$46	—	—	—	$46 – $46
12	Anthem managed care facility · fee schedule · outpatient	$50	$50	—	—	—	$50 – $50
13	Kaiser medicare advantage professional · fee schedule · both	$55	$55	—	—	—	$55 – $55
14	Anthem commercial facility · fee schedule · outpatient	$48	$61	$30	49%	—	$43 – $128
15	UnitedHealthcare commercial professional · fee schedule · both	$64	$64	—	—	—	$64 – $64
16	Anthem commercial professional · fee schedule · both	$61	$67	$10	14%	—	$61 – $82
17	Kaiser commercial professional · fee schedule · both	$70	$70	—	—	—	$70 – $70
18	Cigna commercial facility · fee schedule · outpatient	$71	$71	—	—	—	$71 – $71
19	Cigna commercial professional · fee schedule · both	$74	$74	—	—	—	$74 – $74
20	MultiPlan commercial professional · fee schedule · both	$75	$75	—	—	—	$75 – $75
21	Phcs commercial professional · fee schedule · both	$75	$75	—	—	—	$75 – $75
22	Aetna commercial professional · fee schedule · both	$76	$76	—	—	—	$76 – $76
23	Aetna ppo professional · fee schedule · both	$76	$76	—	—	—	$76 – $76
24	Anthem managed care professional · fee schedule · both	$82	$82	—	—	—	$82 – $82
25	Kaiser commercial facility · case rate · outpatient	$97	$97	$12	12%	—	$85 – $109

Page 1 of 2 · 27 rates

Last updated: Sep 16, 2026

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