Culture body fluid 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.
?
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.
?
The hospital's undiscounted list price — almost no one pays this.
$8.53 with Humana vs $72.48 with Multiplan — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $8.53 | — |
| United | MCR | $8.58 | — |
| Devoted Health | MCRAdvantage | $8.62 | — |
| Bright Health | PFFS | $8.62 | — |
| Bright Health | MCRSNP | $8.62 | — |
| Bright Health | MCRPPO | $8.62 | — |
| Bright Health | MCRPOS | $8.62 | — |
| Bright Health | MCRHMO | $8.62 | — |
| Bright Health | DualEligible | $8.62 | — |
| Anthem BCBS | MCR | $8.62 | — |
| TriWest Health Alliance | FED | $8.62 | — |
| Total LongTerm Care | MCR | $8.62 | — |
| Rocky Mountain Health Plan | AllPayerAppendix | $8.62 | — |
| Rocky Mountain Health | MGMCR | $8.62 | — |
| Aetna | MCRADVHMO | $8.62 | — |
| Aetna | MCRADVPPO | $8.62 | — |
| Mutual of Omaha | MCR | $8.62 | — |
| Cigna HealthSpring | Medicare | $8.62 | — |
| United | AllPayerAppendix | $8.62 | — |
| United | ColoradoDoctorsPlan | $8.62 | — |
| InnovAge Pace | MCR | $8.79 | — |
| Kaiser | MGMCR | $8.79 | — |
| WellCare | MCR | $8.88 | — |
| Delaware Life Insurance | MGMCR | $9.05 | — |
| Vail Health | COMM | $12.24 | — |
| United | OptionsPPO | $16.67 | — |
| Anthem | PathwayEssentials | $16.98 | — |
| Cigna | SureFit | $21.66 | — |
| Anthem | PathwayNSBP | $21.94 | — |
| Cigna | Connect-SBP | $22.63 | — |
| Cigna | Connect-NSBP | $23.43 | — |
| Anthem | PPO | $26.49 | — |
| Anthem | HMO | $26.49 | — |
| Kaiser | CommercialSmallGroupPlans | $26.82 | — |
| Kaiser | KPIF | $26.82 | — |
| Kaiser | KPSelect | $26.82 | — |
| Kaiser | Commercial | $33.34 | — |
| Aetna | NBR | $33.50 | — |
| Cigna | Broad | $35.59 | — |
| United | GlobalBenefit | $36.24 | — |
| Aetna | Cofinity | $40.10 | — |
| Aetna | ExistingBusiness | $40.83 | — |
| Kaiser | HMO | $43.57 | — |
| Kaiser | PPO | $48.00 | — |
| Cigna | Connect-SBPLeanBenefitPlans | $51.54 | — |
| Cigna | BroadLeanBenefitPlans | $51.54 | — |
| Cigna | Connect-NSBPLeanBenefitPlans | $51.54 | — |
| Cigna | SureFitLeanBenefitPlans | $51.54 | — |
| Western Plains Community Health | COMM | $52.34 | — |
| Anthem | PAR | $54.76 | — |
| Multiplan | COMMPPOPRIMARYNETWORK | $56.37 | — |
| Pinnacol Workers Comp | WORKERSCOMP | $60.40 | — |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $68.45 | — |
| Prime Health | WORKERSCOMP | $72.48 | — |
| Multiplan | BeechStreetCOMMPPO | $72.48 | — |
Visitor-reported prices
Comments
Culture body fluid at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AdventHealth Porter | Denver | $460.84 | $8.45 – $15.95 |
| CENTRAL PARK ER, A PART OF ROSE | DENVER | not published | $3.92 – $20.95 |
| HCA HealthONE Rocky Mountain Children's at Presbyterian St. Luke's | Denver | not published | $5.49 – $20.95 |
| Banner Fort Collins Medical Center | Fort Collins | $20.30 | $8.36 – $24.70 |
| Banner North Colorado Medical Center - Loveland Campus | Loveland | $31.25 | $6.68 – $24.70 |
| Sterling Regional Medical Center | Sterling | $48.16 | $7.25 – $25.22 |
| East Morgan County Hospital | Brush | $74.82 | $10.96 – $25.22 |
| AdventHealth Littleton | Littleton | $460.84 | $8.45 – $15.95 |