Epilepsy gen seq alys panel at AdventHealth Porter
2525 S Downing St, Denver, CO · AdventHealth · · NPI 1801800594
not published by hospital
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.
not published by hospital
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.
$2,399.59 with Unitedhealthcare vs $8,280.20 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 | $2,399.59 | — |
| Aetna | Medicare Managed Care Plan | $2,448.56 | — |
| Bcbs | Medicare Managed Care Plan | $2,473.05 | — |
| Cigna | Healthspring Medicare Managed Care Plan | $2,497.53 | — |
| Unitedhealthcare | Select Colorado Other Commercial Plan | $3,672.84 | — |
| Unitedhealthcare | Hmo/Ppo | $3,672.84 | — |
| Unitedhealthcare | Navigate/Core/Charter/Nexusaco Other Commercial Plan | $3,672.84 | — |
| Unitedhealthcare | Colorado Doctors Epo | $3,672.84 | — |
| Bcbs | All Commercial Plans | $4,120.93 | — |
| Aetna | Whole Health Other Commercial Plan | $4,260.50 | — |
| Denver Public Schools | All Commercial Plans | $4,284.98 | — |
| Centivo | All Commercial Plans | $4,284.98 | — |
| Employers Health Network | All Commercial Plans | $4,284.98 | — |
| Selecthealth | Hmo/Pos | $4,529.84 | — |
| Aetna | Medical Rental Other Commercial Plan | $4,664.51 | — |
| Aetna | Hmo/Ppo | $5,325.62 | — |
| Cigna | Local Plus Other Commercial Plan | $7,870.04 | — |
| Cigna | Open Choice Hmo/Ppo | $8,280.20 | — |
Visitor-reported prices
Comments
Epilepsy gen seq alys panel at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CENTRAL PARK ER, A PART OF ROSE | DENVER | not published | $1,114.09 – $5,950.00 |
| HCA HealthONE Rocky Mountain Children's at Presbyterian St. Luke's | Denver | not published | $1,559.73 – $5,950.00 |
| HCA HealthONE PRESBYTERIAN ST. LUKE'S REHABILITATION, A PART OF SPALDING REHABILITATION | Denver | not published | $2,424.07 – $2,570.99 |
| HCA HealthONE AURORA | Aurora | not published | $1,305.08 – $5,950.00 |
| HCA HealthONE SKY RIDGE | Lone Tree | not published | $1,400.57 – $5,950.00 |
| HCA HealthONE SOUTH PARKER ER, A PART OF SKY RIDGE | PARKER | not published | $109.54 – $5,950.00 |
| HCA HealthONE BELMAR ER, A PART OF SWEDISH | LAKEWOOD | not published | $1,432.40 – $5,950.00 |
| HCA HealthONE MOUNTAIN RIDGE | Thornton | not published | $1,161.84 – $5,950.00 |