Prolonged non-face-to-face physician service 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

PR PROLNG E/M SVC BEFORE&/AFTER DIR PT CARE 1ST HR

Boulder, CO

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Pricing by billing methodology

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How this price compares nationally

Boulder Community Health’s median price of $142 is 9% below the median hospital's median price ($155), higher than 45% of the 853 hospitals reporting CPT 99358. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 99358 at Boulder Community Health

Negotiated rates from the hospital’s own file: 9 payers, 22 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	Humana medicare advantage professional · fee schedule · both	$78	$78	—	—	—	$78 – $78
2	Aetna medicare advantage professional · fee schedule · both	$78	$78	—	—	—	$78 – $78
3	UnitedHealthcare medicare advantage professional · fee schedule · both	$86	$86	$8	9%	—	$78 – $94
4	Aetna medicare advantage facility · case rate · outpatient	$94	$94	—	—	—	$94 – $94
5	Anthem medicare advantage facility · case rate · outpatient	$94	$94	—	—	—	$94 – $94
6	Humana medicare advantage facility · case rate · outpatient	$95	$95	—	—	—	$95 – $95
7	UnitedHealthcare medicare advantage facility · case rate · outpatient	$95	$95	—	—	—	$95 – $95
8	Kaiser medicare advantage facility · case rate · outpatient	$96	$96	$0	0%	—	$95 – $96
9	Devoted medicare advantage facility · case rate · outpatient	$96	$96	—	—	—	$96 – $96
10	Anthem commercial professional · fee schedule · both	$112	$123	$18	14%	—	$112 – $150
11	Cigna commercial facility · fee schedule · outpatient	$127	$127	—	—	—	$127 – $127
12	Cigna commercial professional · fee schedule · both	$132	$132	—	—	—	$132 – $132
13	MultiPlan commercial professional · fee schedule · both	$135	$135	—	—	—	$135 – $135
14	Phcs commercial professional · fee schedule · both	$135	$135	—	—	—	$135 – $135
15	Cigna commercial professional · percent of total billed charges · bothfrom % of charges	$146	$146	—	—	—	$146 – $146
16	Anthem managed care professional · fee schedule · both	$150	$150	—	—	—	$150 – $150
17	Kaiser commercial professional · percent of total billed charges · bothfrom % of charges	$167	$167	$20	12%	—	$146 – $187
18	UnitedHealthcare commercial professional · fee schedule · both	$181	$181	—	—	—	$181 – $181
19	Kaiser commercial facility · case rate · outpatient	$204	$204	$25	12%	—	$179 – $229
20	Aetna commercial professional · fee schedule · both	$215	$215	—	—	—	$215 – $215
21	Aetna ppo professional · fee schedule · both	$215	$215	—	—	—	$215 – $215
22	Kaiser managed care facility · case rate · outpatient	$227	$227	—	—	—	$227 – $227

Last updated: Sep 16, 2026

Compare to other hospitals

See Prolonged non-face-to-face physician service pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.