Phenytoin total therapeutic drug level at CENTRAL PARK ER, A PART OF ROSE
4930 WABASH ST, DENVER, CO · HCA HealthONE · · NPI 1023062098
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.
$6.03 with Cigna vs $1,194.30 with Multiplan — 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 | $6.03 | — |
| Cigna | SureFit | $8.44 | — |
| Cigna | Connect-NSBP | $9.30 | — |
| Cigna | Broad | $11.62 | — |
| Humana | MCR | $13.12 | — |
| United | MCR | $13.18 | — |
| Mutual of Omaha | MCR | $13.25 | — |
| Devoted Health | MCRAdvantage | $13.25 | — |
| Cigna HealthSpring | Medicare | $13.25 | — |
| Bright Health | PFFS | $13.25 | — |
| Bright Health | MCRSNP | $13.25 | — |
| Aetna | MCRADVHMO | $13.25 | — |
| Aetna | MCRADVPPO | $13.25 | — |
| Total LongTerm Care | MCR | $13.25 | — |
| Bright Health | MCRPOS | $13.25 | — |
| Bright Health | MCRHMO | $13.25 | — |
| Bright Health | DualEligible | $13.25 | — |
| United | AllPayerAppendix | $13.25 | — |
| United | ColoradoDoctorsPlan | $13.25 | — |
| Anthem BCBS | MCR | $13.25 | — |
| TriWest Health Alliance | FED | $13.25 | — |
| Bright Health | MCRPPO | $13.25 | — |
| Rocky Mountain Health Plan | AllPayerAppendix | $13.25 | — |
| Rocky Mountain Health | MGMCR | $13.25 | — |
| Kaiser | MGMCR | $13.52 | — |
| InnovAge Pace | MCR | $13.52 | — |
| WellCare | MCR | $13.65 | — |
| Delaware Life Insurance | MGMCR | $13.91 | — |
| Anthem | PathwayEssentials | $32.20 | — |
| Anthem | PathwayNSBP | $41.08 | — |
| Anthem | PPO | $62.94 | — |
| Anthem | HMO | $62.94 | — |
| Vail Health | COMM | $201.70 | — |
| Kaiser | KPIF | $265.40 | — |
| Kaiser | CommercialSmallGroupPlans | $265.40 | — |
| United | OptionsPPO | $274.69 | — |
| Kaiser | HMO | $313.17 | — |
| Kaiser | PPO | $345.02 | — |
| Bright Health | OON | $398.10 | — |
| Colorado Program for Children with Special Needs | HCP | $597.15 | — |
| United | GlobalBenefit | $597.15 | — |
| Aetna | Cofinity | $700.66 | — |
| Cigna | Connect-NSBPLeanBenefitPlans | $849.28 | — |
| Cigna | Connect-SBPLeanBenefitPlans | $849.28 | — |
| Cigna | SureFitLeanBenefitPlans | $849.28 | — |
| Cigna | BroadLeanBenefitPlans | $849.28 | — |
| Western Plains Community Health | COMM | $862.55 | — |
| NorthCare | COMM | $928.90 | — |
| Physician Health Partners | MCR | $928.90 | — |
| Multiplan | COMMPPOPRIMARYNETWORK | $928.90 | — |
| Anthem | PAR | $981.98 | — |
| Pinnacol Workers Comp | WORKERSCOMP | $995.25 | — |
| Medical Development International | COMM | $1,061.60 | — |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $1,127.95 | — |
| Rocky Mtn Planned Parenthood | COMM | $1,127.95 | — |
| Prime Health | WORKERSCOMP | $1,194.30 | — |
| Multiplan | BeechStreetCOMMPPO | $1,194.30 | — |
| Aetna | ExistingBusiness | not published by hospital | — |
| Aetna | NBR | not published by hospital | — |
| Aetna | ASA | not published by hospital | — |
Visitor-reported prices
Comments
Phenytoin total therapeutic drug level at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AdventHealth Porter | Denver | $476.81 | $12.98 – $24.51 |
| HCA HealthONE Rocky Mountain Children's at Presbyterian St. Luke's | Denver | $894.25 | $8.44 – $32.20 |
| HCA HealthONE PRESBYTERIAN ST. LUKE'S REHABILITATION, A PART OF SPALDING REHABILITATION | Denver | $429.52 | $13.12 – $13.91 |
| Banner Fort Collins Medical Center | Fort Collins | $12.26 | $12.85 – $51.30 |
| Banner North Colorado Medical Center - Loveland Campus | Loveland | $12.42 | $12.85 – $51.30 |
| Sterling Regional Medical Center | Sterling | $17.82 | $13.25 – $52.38 |
| East Morgan County Hospital | Brush | $33.26 | $22.76 – $52.38 |
| HCA HealthONE BELMAR ER, A PART OF SWEDISH | LAKEWOOD | $537.30 | $7.75 – $32.20 |