Tpmt gene com vrnts at AdventHealth Porter
2525 S Downing St, Denver, CO · AdventHealth · · NPI 1801800594
$278.43
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.
$278.43
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.
$171.31 with Unitedhealthcare vs $591.19 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 | $171.31 | ↓ -38% |
| Aetna | Medicare Managed Care Plan | $174.81 | ↓ -37% |
| Bcbs | Medicare Managed Care Plan | $176.56 | ↓ -37% |
| Cigna | Healthspring Medicare Managed Care Plan | $178.31 | ↓ -36% |
| Unitedhealthcare | Select Colorado Other Commercial Plan | $262.22 | ↓ -6% |
| Unitedhealthcare | Hmo/Ppo | $262.22 | ↓ -6% |
| Unitedhealthcare | Navigate/Core/Charter/Nexusaco Other Commercial Plan | $262.22 | ↓ -6% |
| Unitedhealthcare | Colorado Doctors Epo | $262.22 | ↓ -6% |
| Bcbs | All Commercial Plans | $294.21 | ↑ +6% |
| Aetna | Whole Health Other Commercial Plan | $304.18 | ↑ +9% |
| Denver Public Schools | All Commercial Plans | $305.92 | ↑ +10% |
| Centivo | All Commercial Plans | $305.92 | ↑ +10% |
| Employers Health Network | All Commercial Plans | $305.92 | ↑ +10% |
| Selecthealth | Hmo/Pos | $323.40 | ↑ +16% |
| Aetna | Medical Rental Other Commercial Plan | $333.02 | ↑ +20% |
| Aetna | Hmo/Ppo | $380.22 | ↑ +37% |
| Cigna | Local Plus Other Commercial Plan | $561.90 | ↑ +102% |
| Cigna | Open Choice Hmo/Ppo | $591.19 | ↑ +112% |
Visitor-reported prices
Comments
Tpmt gene com vrnts at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HealthONE Rocky Mountain Children's at Presbyterian St. Luke's | Denver | $2,023.25 | $111.36 – $424.79 |
| CENTRAL PARK ER, A PART OF ROSE | DENVER | not published | $79.54 – $424.79 |
| HCA HealthONE PRESBYTERIAN ST. LUKE'S REHABILITATION, A PART OF SPALDING REHABILITATION | Denver | not published | $173.06 – $183.55 |
| Banner Fort Collins Medical Center | Fort Collins | $72.98 | $169.57 – $498.75 |
| Banner North Colorado Medical Center - Loveland Campus | Loveland | $226.80 | $134.93 – $498.75 |
| Sterling Regional Medical Center | Sterling | $161.70 | $146.47 – $509.25 |
| East Morgan County Hospital | Brush | $331.80 | $221.24 – $509.25 |
| AdventHealth Littleton | Littleton | $278.43 | $171.31 – $323.40 |