Surgical pathology level 4 gross & microscopic examination at AdventHealth Porter
2525 S Downing St, Denver, CO · AdventHealth · · NPI 1801800594
$612.19
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.
$612.19
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.
$53.87 with Unitedhealthcare vs $114.15 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 | $53.87 | ↓ -91% |
| Aetna | Medicare Managed Care Plan | $54.97 | ↓ -91% |
| Bcbs | Medicare Managed Care Plan | $55.52 | ↓ -91% |
| Cigna | Healthspring Medicare Managed Care Plan | $56.07 | ↓ -91% |
| Aetna | Whole Health Other Commercial Plan | $64.24 | ↓ -90% |
| Bcbs | All Commercial Plans | $65.68 | ↓ -89% |
| Aetna | Medical Rental Other Commercial Plan | $70.33 | ↓ -89% |
| Unitedhealthcare | Hmo/Ppo | $74.64 | ↓ -88% |
| Unitedhealthcare | Colorado Doctors Epo | $74.64 | ↓ -88% |
| Unitedhealthcare | Navigate/Core/Charter/Nexusaco Other Commercial Plan | $74.64 | ↓ -88% |
| Unitedhealthcare | Select Colorado Other Commercial Plan | $74.64 | ↓ -88% |
| Aetna | Hmo/Ppo | $80.30 | ↓ -87% |
| Selecthealth | Hmo/Pos | $101.70 | ↓ -83% |
| Cigna | Local Plus Other Commercial Plan | $108.49 | ↓ -82% |
| Cigna | Open Choice Hmo/Ppo | $114.15 | ↓ -81% |
Visitor-reported prices
Comments
Surgical pathology level 4 gross & microscopic examination at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CENTRAL PARK ER, A PART OF ROSE | DENVER | $729.00 | $16.04 – $120.92 |
| HCA HealthONE PRESBYTERIAN ST. LUKE'S REHABILITATION, A PART OF SPALDING REHABILITATION | Denver | $1,014.16 | $49.76 – $86.89 |
| Banner Fort Collins Medical Center | Fort Collins | $100.12 | $52.09 – $195.70 |
| Banner North Colorado Medical Center - Loveland Campus | Loveland | $86.93 | $52.15 – $195.70 |
| Sterling Regional Medical Center | Sterling | $53.24 | $30.13 – $104.76 |
| East Morgan County Hospital | Brush | $66.53 | $45.51 – $104.76 |
| HCA HealthONE BELMAR ER, A PART OF SWEDISH | LAKEWOOD | $1,004.92 | $20.62 – $120.92 |
| HCA HealthONE MOUNTAIN RIDGE | Thornton | $2,004.78 | $16.72 – $120.92 |