Analysis gene f2 20210g>a variant at HCA HealthONE PRESBYTERIAN ST. LUKE'S REHABILITATION, A PART OF SPALDING REHABILITATION
1719 East 19th Avenue, Denver, CO · HCA HealthONE · · NPI 1841244639
$855.13
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.
$855.13
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.
$65.03 with Humana vs $769.62 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 | $65.03 | ↓ -92% |
| United | MCR | $65.36 | ↓ -92% |
| Devoted Health | MCRAdvantage | $65.69 | ↓ -92% |
| Bright Health | PFFS | $65.69 | ↓ -92% |
| Bright Health | MCRSNP | $65.69 | ↓ -92% |
| Bright Health | MCRPPO | $65.69 | ↓ -92% |
| Bright Health | MCRPOS | $65.69 | ↓ -92% |
| Bright Health | MCRHMO | $65.69 | ↓ -92% |
| Bright Health | DualEligible | $65.69 | ↓ -92% |
| Anthem BCBS | MCR | $65.69 | ↓ -92% |
| TriWest Health Alliance | FED | $65.69 | ↓ -92% |
| Total LongTerm Care | MCR | $65.69 | ↓ -92% |
| Rocky Mountain Health Plan | AllPayerAppendix | $65.69 | ↓ -92% |
| Rocky Mountain Health | MGMCR | $65.69 | ↓ -92% |
| Aetna | MCRADVHMO | $65.69 | ↓ -92% |
| Aetna | MCRADVPPO | $65.69 | ↓ -92% |
| Mutual of Omaha | MCR | $65.69 | ↓ -92% |
| Cigna HealthSpring | Medicare | $65.69 | ↓ -92% |
| United | AllPayerAppendix | $65.69 | ↓ -92% |
| United | ColoradoDoctorsPlan | $65.69 | ↓ -92% |
| InnovAge Pace | MCR | $67.00 | ↓ -92% |
| Kaiser | MGMCR | $67.00 | ↓ -92% |
| WellCare | MCR | $67.66 | ↓ -92% |
| Delaware Life Insurance | MGMCR | $68.97 | ↓ -92% |
| Vail Health | COMM | $129.98 | ↓ -85% |
| United | OptionsPPO | $177.01 | ↓ -79% |
| Anthem | PathwayEssentials | $180.35 | ↓ -79% |
| Cigna | SureFit | $230.03 | ↓ -73% |
| Anthem | PathwayNSBP | $233.02 | ↓ -73% |
| Cigna | Connect-SBP | $240.29 | ↓ -72% |
| Cigna | Connect-NSBP | $248.84 | ↓ -71% |
| Anthem | PPO | $281.34 | ↓ -67% |
| Anthem | HMO | $281.34 | ↓ -67% |
| Kaiser | CommercialSmallGroupPlans | $284.76 | ↓ -67% |
| Kaiser | KPIF | $284.76 | ↓ -67% |
| Kaiser | KPSelect | $284.76 | ↓ -67% |
| Kaiser | Commercial | $354.02 | ↓ -59% |
| Aetna | NBR | $355.73 | ↓ -58% |
| Cigna | Broad | $377.97 | ↓ -56% |
| United | GlobalBenefit | $384.81 | ↓ -55% |
| Aetna | Cofinity | $425.85 | ↓ -50% |
| Aetna | ExistingBusiness | $433.55 | ↓ -49% |
| Kaiser | HMO | $462.63 | ↓ -46% |
| Kaiser | PPO | $509.66 | ↓ -40% |
| Cigna | Connect-SBPLeanBenefitPlans | $547.28 | ↓ -36% |
| Cigna | BroadLeanBenefitPlans | $547.28 | ↓ -36% |
| Cigna | Connect-NSBPLeanBenefitPlans | $547.28 | ↓ -36% |
| Cigna | SureFitLeanBenefitPlans | $547.28 | ↓ -36% |
| Western Plains Community Health | COMM | $555.83 | ↓ -35% |
| Anthem | PAR | $581.49 | ↓ -32% |
| Multiplan | COMMPPOPRIMARYNETWORK | $598.59 | ↓ -30% |
| Pinnacol Workers Comp | WORKERSCOMP | $641.35 | ↓ -25% |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $726.86 | ↓ -15% |
| Prime Health | WORKERSCOMP | $769.62 | ↓ -10% |
| Multiplan | BeechStreetCOMMPPO | $769.62 | ↓ -10% |
Visitor-reported prices
Comments
Analysis gene f2 20210g>a variant at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AdventHealth Porter | Denver | $736.34 | $64.38 – $121.53 |
| CENTRAL PARK ER, A PART OF ROSE | DENVER | $1,536.00 | $29.89 – $159.63 |
| HCA HealthONE Rocky Mountain Children's at Presbyterian St. Luke's | Denver | $711.50 | $41.85 – $159.63 |
| Banner Fort Collins Medical Center | Fort Collins | $27.52 | $63.72 – $188.10 |
| Banner North Colorado Medical Center - Loveland Campus | Loveland | $85.54 | $50.89 – $188.10 |
| Sterling Regional Medical Center | Sterling | $60.98 | $55.24 – $192.06 |
| East Morgan County Hospital | Brush | $125.14 | $83.44 – $192.06 |
| HCA HealthONE SKY RIDGE | Lone Tree | $927.68 | $37.58 – $159.63 |