Consultation pathology during surgery at CENTRAL PARK ER, A PART OF ROSE
4930 WABASH ST, DENVER, CO · HCA HealthONE · · NPI 1023062098
$123.00
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.
$123.00
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.
$16.04 with Cigna vs $160.74 with Anthem — 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 |
|---|---|---|---|
| Cigna | Connect-SBP | $16.04 | ↓ -87% |
| Vail Health | COMM | $18.70 | ↓ -85% |
| Cigna | SureFit | $22.45 | ↓ -82% |
| Kaiser | CommercialSmallGroupPlans | $24.60 | ↓ -80% |
| Kaiser | KPIF | $24.60 | ↓ -80% |
| Cigna | Connect-NSBP | $24.74 | ↓ -80% |
| United | OptionsPPO | $25.46 | ↓ -79% |
| Kaiser | HMO | $29.03 | ↓ -76% |
| Cigna | Broad | $30.93 | ↓ -75% |
| Kaiser | PPO | $31.98 | ↓ -74% |
| United | ColoradoDoctorsPlan | $33.84 | ↓ -72% |
| Rocky Mountain Health Plan | AllPayerAppendix | $33.84 | ↓ -72% |
| United | AllPayerAppendix | $33.84 | ↓ -72% |
| Bright Health | OON | $36.90 | ↓ -70% |
| Colorado Program for Children with Special Needs | HCP | $55.35 | ↓ -55% |
| United | GlobalBenefit | $55.35 | ↓ -55% |
| Aetna | Cofinity | $64.94 | ↓ -47% |
| Cigna | Connect-NSBPLeanBenefitPlans | $78.72 | ↓ -36% |
| Cigna | SureFitLeanBenefitPlans | $78.72 | ↓ -36% |
| Cigna | BroadLeanBenefitPlans | $78.72 | ↓ -36% |
| Cigna | Connect-SBPLeanBenefitPlans | $78.72 | ↓ -36% |
| Western Plains Community Health | COMM | $79.95 | ↓ -35% |
| Anthem | PathwayEssentials | $82.23 | ↓ -33% |
| Multiplan | COMMPPOPRIMARYNETWORK | $86.10 | ↓ -30% |
| Physician Health Partners | MCR | $86.10 | ↓ -30% |
| NorthCare | COMM | $86.10 | ↓ -30% |
| Anthem | PAR | $91.02 | ↓ -26% |
| Pinnacol Workers Comp | WORKERSCOMP | $94.13 | ↓ -23% |
| Multiplan | WorkersComp | $98.09 | ↓ -20% |
| Multiplan | BeechStreetWorkersComp | $98.09 | ↓ -20% |
| Medical Development International | COMM | $98.40 | ↓ -20% |
| Rocky Mtn Planned Parenthood | COMM | $104.55 | ↓ -15% |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $104.55 | ↓ -15% |
| Anthem | PathwayNSBP | $104.90 | ↓ -15% |
| Multiplan | BeechStreetCOMMPPO | $110.70 | ↓ -10% |
| Prime Health | WORKERSCOMP | $110.70 | ↓ -10% |
| Anthem | HMO | $160.74 | ↑ +31% |
| Anthem | PPO | $160.74 | ↑ +31% |
| Aetna | ASA | not published by hospital | — |
| Aetna | ExistingBusiness | not published by hospital | — |
| Aetna | NBR | not published by hospital | — |
Visitor-reported prices
Comments
Consultation pathology during surgery at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AdventHealth Porter | Denver | $320.78 | $50.76 – $115.13 |
| HCA HealthONE PRESBYTERIAN ST. LUKE'S REHABILITATION, A PART OF SPALDING REHABILITATION | Denver | not published | $33.84 – $98.09 |
| HCA HealthONE AURORA | Aurora | $195.27 | $18.79 – $98.09 |
| HCA HealthONE SKY RIDGE | Lone Tree | $129.66 | $20.16 – $98.09 |
| HCA HealthONE SOUTH PARKER ER, A PART OF SKY RIDGE | PARKER | $253.00 | $20.16 – $292.15 |
| AdventHealth Littleton | Littleton | $320.78 | $50.76 – $115.13 |
| AdventHealth Avista | Louisville | $320.78 | $50.76 – $116.40 |
| AdventHealth Castle Rock | Castle Rock | $320.78 | $50.76 – $115.13 |