Appl modality 1/> areas paraffin bath 97018 at HCA HealthONE PRESBYTERIAN ST. LUKE'S REHABILITATION, A PART OF SPALDING REHABILITATION
1719 East 19th Avenue, Denver, CO · HCA HealthONE · · NPI 1841244639
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.
$6.14 with Humana vs $124.30 with Prime Health — 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 | $6.14 | — |
| United | MCR | $6.17 | — |
| Bright Health | MCRPOS | $6.20 | — |
| Aetna | MCRADVHMO | $6.20 | — |
| Aetna | MCRADVPPO | $6.20 | — |
| Total LongTerm Care | MCR | $6.20 | — |
| Rocky Mountain Health | MGMCR | $6.20 | — |
| Mutual of Omaha | MCR | $6.20 | — |
| Devoted Health | MCRAdvantage | $6.20 | — |
| Cigna HealthSpring | Medicare | $6.20 | — |
| Bright Health | PFFS | $6.20 | — |
| Bright Health | MCRSNP | $6.20 | — |
| Bright Health | MCRPPO | $6.20 | — |
| Anthem BCBS | MCR | $6.20 | — |
| Bright Health | DualEligible | $6.20 | — |
| Bright Health | MCRHMO | $6.20 | — |
| TriWest Health Alliance | FED | $6.20 | — |
| Kaiser | MGMCR | $6.32 | — |
| InnovAge Pace | MCR | $6.32 | — |
| WellCare | MCR | $6.39 | — |
| Delaware Life Insurance | MGMCR | $6.51 | — |
| Vail Health | COMM | $20.99 | — |
| United | OptionsPPO | $28.59 | — |
| Anthem | PathwayEssentials | $29.13 | — |
| Cigna | SureFit | $37.15 | — |
| Anthem | PathwayNSBP | $37.63 | — |
| Cigna | Connect-SBP | $38.81 | — |
| Cigna | Connect-NSBP | $40.19 | — |
| Anthem | PPO | $45.44 | — |
| Anthem | HMO | $45.44 | — |
| Kaiser | CommercialSmallGroupPlans | $45.99 | — |
| Kaiser | KPIF | $45.99 | — |
| Kaiser | KPSelect | $45.99 | — |
| Aetna | NBR | $57.45 | — |
| Cigna | Broad | $61.04 | — |
| United | GlobalBenefit | $62.15 | — |
| Aetna | Cofinity | $68.78 | — |
| Aetna | ExistingBusiness | $70.02 | — |
| Kaiser | HMO | $74.72 | — |
| Kaiser | PPO | $82.31 | — |
| Cigna | Connect-NSBPLeanBenefitPlans | $88.39 | — |
| Cigna | BroadLeanBenefitPlans | $88.39 | — |
| Cigna | SureFitLeanBenefitPlans | $88.39 | — |
| Cigna | Connect-SBPLeanBenefitPlans | $88.39 | — |
| Western Plains Community Health | COMM | $89.77 | — |
| Anthem | PAR | $93.91 | — |
| Multiplan | COMMPPOPRIMARYNETWORK | $96.68 | — |
| Kaiser | Commercial | $101.29 | — |
| Pinnacol Workers Comp | WORKERSCOMP | $103.58 | — |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $117.39 | — |
| Multiplan | BeechStreetCOMMPPO | $124.30 | — |
| Prime Health | WORKERSCOMP | $124.30 | — |
Visitor-reported prices
Comments
Appl modality 1/> areas paraffin bath 97018 at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AdventHealth Porter | Denver | $214.65 | $6.08 – $11.47 |
| CENTRAL PARK ER, A PART OF ROSE | DENVER | not published | $6.14 – $6.51 |
| HCA HealthONE Rocky Mountain Children's at Presbyterian St. Luke's | Denver | not published | $5.27 – $6.51 |
| Banner North Colorado Medical Center - Loveland Campus | Loveland | $15.23 | $8.22 – $298.00 |
| Sterling Regional Medical Center | Sterling | $44.59 | $18.14 – $63.05 |
| East Morgan County Hospital | Brush | $45.17 | $27.39 – $63.05 |
| HCA HealthONE BELMAR ER, A PART OF SWEDISH | LAKEWOOD | $394.51 | $6.14 – $6.51 |
| AdventHealth Littleton | Littleton | $214.65 | $6.08 – $11.47 |