Ins/rpl pm gen exist dual lead at AdventHealth Castle Rock
2350 Meadows Blvd, Castle Rock, CO · AdventHealth · · NPI 1912249590
$21,043.52
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$21,043.52
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$586.30 with Bcbs vs $75,761.00 with Unitedhealthcare — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| Bcbs | All Commercial Plans | $586.30 | ↓ -97% |
| Archdiocese Of Denver | All Commercial Plans | $905.00 | ↓ -96% |
| Employers Health Network | All Commercial Plans | $1,515.00 | ↓ -93% |
| Denver Public Schools | All Commercial Plans | $1,515.00 | ↓ -93% |
| Centivo | All Commercial Plans | $1,515.00 | ↓ -93% |
| Aetna | Medical Rental Other Commercial Plan | $1,662.00 | ↓ -92% |
| Unitedhealthcare | Medicare Managed Care Plan | $10,805.13 | ↓ -49% |
| Aetna | Medicare Managed Care Plan | $11,025.64 | ↓ -48% |
| Bcbs | Medicare Managed Care Plan | $11,135.90 | ↓ -47% |
| Cigna | Healthspring Medicare Managed Care Plan | $11,246.15 | ↓ -47% |
| Wellpath | Medicare Managed Care | $13,782.05 | ↓ -35% |
| Selecthealth | Hmo/Pos | $20,397.44 | ↓ -3% |
| Aetna | Whole Health Other Commercial Plan | $37,867.00 | ↑ +80% |
| Cigna | Local Plus Other Commercial Plan | $46,278.00 | ↑ +120% |
| Aetna | Hmo/Ppo | $47,334.00 | ↑ +125% |
| Cigna | Open Choice Hmo/Ppo | $49,761.00 | ↑ +136% |
| Unitedhealthcare | Colorado Doctors Epo | $50,289.00 | ↑ +139% |
| Unitedhealthcare | Navigate/Core/Charter/Nexusaco Other Commercial Plan | $58,780.00 | ↑ +179% |
| Unitedhealthcare | Hmo/Ppo | $65,311.00 | ↑ +210% |
| Unitedhealthcare | Select Colorado Other Commercial Plan | $75,761.00 | ↑ +260% |
Visitor-reported prices
Comments
Ins/rpl pm gen exist dual lead at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Fort Collins Medical Center | Fort Collins | $6,706.67 | $6,979.02 – $25,241.88 |
| Banner North Colorado Medical Center - Loveland Campus | Loveland | $7,608.83 | $4,374.65 – $25,273.51 |
| AdventHealth Porter | Denver | $21,043.52 | $586.30 – $20,397.44 |
| AdventHealth Littleton | Littleton | $21,043.52 | $586.30 – $20,397.44 |
| AdventHealth Avista | Louisville | $21,043.52 | $586.30 – $20,623.83 |
| AdventHealth Parker | Parker | $21,043.52 | $586.30 – $20,397.44 |
| HCA HealthONE AURORA | Aurora | not published | $16,431.27 – $17,123.11 |
| CENTRAL PARK ER, A PART OF ROSE | DENVER | not published | $16,431.27 – $17,123.11 |