C-1 esterase, berinert at HCA HealthONE PRESBYTERIAN ST. LUKE'S REHABILITATION, A PART OF SPALDING REHABILITATION
1719 East 19th Avenue, Denver, CO · HCA HealthONE · · NPI 1841244639
$306.15
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.
$306.15
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.
$46.53 with Vail Health vs $275.53 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 |
|---|---|---|---|
| Vail Health | COMM | $46.53 | ↓ -85% |
| United | OptionsPPO | $63.37 | ↓ -79% |
| Anthem | PathwayEssentials | $64.57 | ↓ -79% |
| Cigna | SureFit | $82.35 | ↓ -73% |
| Anthem | PathwayNSBP | $83.43 | ↓ -73% |
| Cigna | Connect-SBP | $86.03 | ↓ -72% |
| Cigna | Connect-NSBP | $89.09 | ↓ -71% |
| Anthem | PPO | $100.72 | ↓ -67% |
| Anthem | HMO | $100.72 | ↓ -67% |
| Kaiser | KPSelect | $101.95 | ↓ -67% |
| Kaiser | KPIF | $101.95 | ↓ -67% |
| Kaiser | CommercialSmallGroupPlans | $101.95 | ↓ -67% |
| Pinnacol Workers Comp | WORKERSCOMP | $104.05 | ↓ -66% |
| Multiplan | BeechStreetWorkersComp | $108.43 | ↓ -65% |
| Multiplan | WorkersComp | $108.43 | ↓ -65% |
| United | ColoradoDoctorsPlan | $125.17 | ↓ -59% |
| Aetna | NBR | $127.36 | ↓ -58% |
| Cigna | Broad | $135.32 | ↓ -56% |
| United | GlobalBenefit | $137.77 | ↓ -55% |
| Aetna | Cofinity | $152.46 | ↓ -50% |
| Aetna | ExistingBusiness | $155.22 | ↓ -49% |
| Kaiser | HMO | $165.63 | ↓ -46% |
| Kaiser | PPO | $182.47 | ↓ -40% |
| Cigna | BroadLeanBenefitPlans | $195.94 | ↓ -36% |
| Cigna | Connect-NSBPLeanBenefitPlans | $195.94 | ↓ -36% |
| Cigna | Connect-SBPLeanBenefitPlans | $195.94 | ↓ -36% |
| Cigna | SureFitLeanBenefitPlans | $195.94 | ↓ -36% |
| Western Plains Community Health | COMM | $199.00 | ↓ -35% |
| Anthem | PAR | $208.18 | ↓ -32% |
| Multiplan | COMMPPOPRIMARYNETWORK | $214.31 | ↓ -30% |
| Rocky Mountain Health Plan | AllPayerAppendix | $227.58 | ↓ -26% |
| United | AllPayerAppendix | $227.58 | ↓ -26% |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $260.23 | ↓ -15% |
| Prime Health | WORKERSCOMP | $275.53 | ↓ -10% |
| Multiplan | BeechStreetCOMMPPO | $275.53 | ↓ -10% |
Visitor-reported prices
Comments
C-1 esterase, berinert at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AdventHealth Porter | Denver | not published | $74.34 – $140.34 |
| CENTRAL PARK ER, A PART OF ROSE | DENVER | not published | $78.38 – $227.58 |
| HCA HealthONE Rocky Mountain Children's at Presbyterian St. Luke's | Denver | not published | $81.82 – $125.17 |
| HCA HealthONE SKY RIDGE | Lone Tree | $14,079.70 | $81.82 – $227.58 |
| HCA HealthONE SOUTH PARKER ER, A PART OF SKY RIDGE | PARKER | $14,079.70 | $70.10 – $227.58 |
| HCA HealthONE AURORA | Aurora | not published | $81.82 – $227.58 |
| HCA HealthONE BELMAR ER, A PART OF SWEDISH | LAKEWOOD | not published | $81.82 – $227.58 |
| HCA HealthONE MOUNTAIN RIDGE | Thornton | not published | $81.82 – $227.58 |