Apl(pml-rara) quant - sendout at AdventHealth Porter
2525 S Downing St, Denver, CO · AdventHealth · · NPI 1801800594
$526.37
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.
$526.37
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.
$203.16 with Unitedhealthcare vs $700.94 with Cigna — 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 |
|---|---|---|---|
| Unitedhealthcare | Medicare Managed Care Plan | $203.16 | ↓ -61% |
| Aetna | Medicare Managed Care Plan | $207.31 | ↓ -61% |
| Bcbs | Medicare Managed Care Plan | $209.38 | ↓ -60% |
| Cigna | Healthspring Medicare Managed Care Plan | $211.46 | ↓ -60% |
| Unitedhealthcare | Select Colorado Other Commercial Plan | $310.97 | ↓ -41% |
| Unitedhealthcare | Hmo/Ppo | $310.97 | ↓ -41% |
| Unitedhealthcare | Navigate/Core/Charter/Nexusaco Other Commercial Plan | $310.97 | ↓ -41% |
| Unitedhealthcare | Colorado Doctors Epo | $310.97 | ↓ -41% |
| Bcbs | All Commercial Plans | $348.90 | ↓ -34% |
| Aetna | Whole Health Other Commercial Plan | $360.71 | ↓ -31% |
| Denver Public Schools | All Commercial Plans | $362.79 | ↓ -31% |
| Centivo | All Commercial Plans | $362.79 | ↓ -31% |
| Employers Health Network | All Commercial Plans | $362.79 | ↓ -31% |
| Selecthealth | Hmo/Pos | $383.52 | ↓ -27% |
| Aetna | Medical Rental Other Commercial Plan | $394.92 | ↓ -25% |
| Aetna | Hmo/Ppo | $450.89 | ↓ -14% |
| Cigna | Local Plus Other Commercial Plan | $666.22 | ↑ +27% |
| Cigna | Open Choice Hmo/Ppo | $700.94 | ↑ +33% |
Visitor-reported prices
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Apl(pml-rara) quant - sendout at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CENTRAL PARK ER, A PART OF ROSE | DENVER | $2,041.00 | $94.32 – $503.76 |
| HCA HealthONE Rocky Mountain Children's at Presbyterian St. Luke's | Denver | not published | $132.06 – $503.76 |
| HCA HealthONE PRESBYTERIAN ST. LUKE'S REHABILITATION, A PART OF SPALDING REHABILITATION | Denver | not published | $205.24 – $217.68 |
| Banner Fort Collins Medical Center | Fort Collins | $86.46 | $201.09 – $590.90 |
| Banner North Colorado Medical Center - Loveland Campus | Loveland | $268.70 | $159.85 – $590.90 |
| Sterling Regional Medical Center | Sterling | $191.58 | $173.54 – $603.34 |
| HCA HealthONE AURORA | Aurora | $2,288.97 | $110.49 – $503.76 |
| HCA HealthONE BELMAR ER, A PART OF SWEDISH | LAKEWOOD | $1,559.08 | $121.28 – $503.76 |