#afb mycobacteria suscep. #1 at HCA HealthONE PRESBYTERIAN ST. LUKE'S REHABILITATION, A PART OF SPALDING REHABILITATION
1719 East 19th Avenue, Denver, CO · HCA HealthONE · · NPI 1841244639
$392.00
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.
$392.00
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.
$7.24 with Humana vs $352.80 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 |
|---|---|---|---|
| Humana | MCR | $7.24 | ↓ -98% |
| United | MCR | $7.27 | ↓ -98% |
| Devoted Health | MCRAdvantage | $7.31 | ↓ -98% |
| Bright Health | PFFS | $7.31 | ↓ -98% |
| Bright Health | MCRSNP | $7.31 | ↓ -98% |
| Bright Health | MCRPPO | $7.31 | ↓ -98% |
| Bright Health | MCRPOS | $7.31 | ↓ -98% |
| Bright Health | MCRHMO | $7.31 | ↓ -98% |
| Bright Health | DualEligible | $7.31 | ↓ -98% |
| Anthem BCBS | MCR | $7.31 | ↓ -98% |
| TriWest Health Alliance | FED | $7.31 | ↓ -98% |
| Total LongTerm Care | MCR | $7.31 | ↓ -98% |
| Rocky Mountain Health Plan | AllPayerAppendix | $7.31 | ↓ -98% |
| Rocky Mountain Health | MGMCR | $7.31 | ↓ -98% |
| Aetna | MCRADVHMO | $7.31 | ↓ -98% |
| Aetna | MCRADVPPO | $7.31 | ↓ -98% |
| Mutual of Omaha | MCR | $7.31 | ↓ -98% |
| Cigna HealthSpring | Medicare | $7.31 | ↓ -98% |
| United | AllPayerAppendix | $7.31 | ↓ -98% |
| United | ColoradoDoctorsPlan | $7.31 | ↓ -98% |
| InnovAge Pace | MCR | $7.46 | ↓ -98% |
| Kaiser | MGMCR | $7.46 | ↓ -98% |
| WellCare | MCR | $7.53 | ↓ -98% |
| Delaware Life Insurance | MGMCR | $7.68 | ↓ -98% |
| Vail Health | COMM | $59.58 | ↓ -85% |
| United | OptionsPPO | $81.14 | ↓ -79% |
| Anthem | PathwayEssentials | $82.67 | ↓ -79% |
| Cigna | SureFit | $105.45 | ↓ -73% |
| Anthem | PathwayNSBP | $106.82 | ↓ -73% |
| Cigna | Connect-SBP | $110.15 | ↓ -72% |
| Cigna | Connect-NSBP | $114.07 | ↓ -71% |
| Anthem | PPO | $128.97 | ↓ -67% |
| Anthem | HMO | $128.97 | ↓ -67% |
| Kaiser | KPIF | $130.54 | ↓ -67% |
| Kaiser | CommercialSmallGroupPlans | $130.54 | ↓ -67% |
| Kaiser | KPSelect | $130.54 | ↓ -67% |
| Aetna | NBR | $163.07 | ↓ -58% |
| Cigna | Broad | $173.26 | ↓ -56% |
| United | GlobalBenefit | $176.40 | ↓ -55% |
| Aetna | Cofinity | $195.22 | ↓ -50% |
| Aetna | ExistingBusiness | $198.74 | ↓ -49% |
| Kaiser | HMO | $212.07 | ↓ -46% |
| Kaiser | PPO | $233.63 | ↓ -40% |
| Cigna | Connect-SBPLeanBenefitPlans | $250.88 | ↓ -36% |
| Cigna | SureFitLeanBenefitPlans | $250.88 | ↓ -36% |
| Cigna | BroadLeanBenefitPlans | $250.88 | ↓ -36% |
| Cigna | Connect-NSBPLeanBenefitPlans | $250.88 | ↓ -36% |
| Western Plains Community Health | COMM | $254.80 | ↓ -35% |
| Anthem | PAR | $266.56 | ↓ -32% |
| Multiplan | COMMPPOPRIMARYNETWORK | $274.40 | ↓ -30% |
| Pinnacol Workers Comp | WORKERSCOMP | $294.00 | ↓ -25% |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $333.20 | ↓ -15% |
| Prime Health | WORKERSCOMP | $352.80 | ↓ -10% |
| Multiplan | BeechStreetCOMMPPO | $352.80 | ↓ -10% |
Visitor-reported prices
Comments
#afb mycobacteria suscep. #1 at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AdventHealth Porter | Denver | $74.71 | $7.16 – $13.52 |
| CENTRAL PARK ER, A PART OF ROSE | DENVER | $121.00 | $3.32 – $17.76 |
| Banner North Colorado Medical Center - Loveland Campus | Loveland | $17.58 | $7.09 – $59.85 |
| HCA HealthONE MOUNTAIN RIDGE | Thornton | $191.34 | $3.47 – $17.76 |
| AdventHealth Littleton | Littleton | $74.71 | $7.16 – $13.52 |
| AdventHealth Avista | Louisville | $74.71 | $7.16 – $13.52 |
| AdventHealth Castle Rock | Castle Rock | $74.71 | $7.16 – $13.52 |
| AdventHealth Parker | Parker | $74.71 | $7.16 – $13.52 |