ER Visit (level 3) at HCA HealthONE PRESBYTERIAN ST. LUKE'S REHABILITATION, A PART OF SPALDING REHABILITATION
1719 East 19th Avenue, Denver, CO · HCA HealthONE · · NPI 1841244639
$1,158.82
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.
$1,158.82
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.
$176.14 with Vail Health vs $4,227.00 with United — 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 | $176.14 | ↓ -85% |
| United | OptionsPPO | $239.88 | ↓ -79% |
| Anthem | PathwayEssentials | $244.40 | ↓ -79% |
| Cigna | SureFit | $311.72 | ↓ -73% |
| Anthem | PathwayNSBP | $315.78 | ↓ -73% |
| Cigna | Connect-SBP | $325.63 | ↓ -72% |
| Cigna | Connect-NSBP | $337.22 | ↓ -71% |
| Aetna | MCRADVHMO | $347.65 | ↓ -70% |
| Aetna | MCRADVPPO | $347.65 | ↓ -70% |
| Anthem | PPO | $381.25 | ↓ -67% |
| Anthem | HMO | $381.25 | ↓ -67% |
| Kaiser | CommercialSmallGroupPlans | $385.89 | ↓ -67% |
| Kaiser | KPIF | $385.89 | ↓ -67% |
| Kaiser | KPSelect | $385.89 | ↓ -67% |
| Pinnacol Workers Comp | WORKERSCOMP | $439.04 | ↓ -62% |
| Multiplan | BeechStreetWorkersComp | $457.53 | ↓ -61% |
| Multiplan | WorkersComp | $457.53 | ↓ -61% |
| Aetna | NBR | $482.07 | ↓ -58% |
| Cigna | Broad | $512.20 | ↓ -56% |
| United | GlobalBenefit | $521.47 | ↓ -55% |
| Aetna | Cofinity | $577.09 | ↓ -50% |
| Aetna | ExistingBusiness | $587.52 | ↓ -49% |
| Kaiser | HMO | $626.92 | ↓ -46% |
| Kaiser | PPO | $690.66 | ↓ -40% |
| Cigna | BroadLeanBenefitPlans | $741.64 | ↓ -36% |
| Cigna | Connect-NSBPLeanBenefitPlans | $741.64 | ↓ -36% |
| Cigna | Connect-SBPLeanBenefitPlans | $741.64 | ↓ -36% |
| Cigna | SureFitLeanBenefitPlans | $741.64 | ↓ -36% |
| Western Plains Community Health | COMM | $753.23 | ↓ -35% |
| Anthem | PAR | $788.00 | ↓ -32% |
| Mutual of Omaha | MCR | $795.00 | ↓ -31% |
| Multiplan | COMMPPOPRIMARYNETWORK | $811.17 | ↓ -30% |
| TriWest Health Alliance | FED | $927.06 | ↓ -20% |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $985.00 | ↓ -15% |
| Multiplan | BeechStreetCOMMPPO | $1,042.94 | ↓ -10% |
| Prime Health | WORKERSCOMP | $1,042.94 | ↓ -10% |
| Kaiser | Commercial | $1,500.00 | ↑ +29% |
| United | ColoradoDoctorsPlan | $2,393.00 | ↑ +107% |
| Rocky Mountain Health Plan | AllPayerAppendix | $4,227.00 | ↑ +265% |
| United | AllPayerAppendix | $4,227.00 | ↑ +265% |
Visitor-reported prices
Comments
ER Visit (level 3) at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AdventHealth Porter | Denver | $4,036.25 | $123.48 – $532.73 |
| CENTRAL PARK ER, A PART OF ROSE | DENVER | not published | $439.04 – $457.53 |
| HCA HealthONE Rocky Mountain Children's at Presbyterian St. Luke's | Denver | not published | $439.04 – $457.53 |
| Banner Fort Collins Medical Center | Fort Collins | $1,074.28 | $269.92 – $3,979.00 |
| Banner North Colorado Medical Center - Loveland Campus | Loveland | $896.28 | $270.26 – $3,979.00 |
| Sterling Regional Medical Center | Sterling | $551.91 | $171.59 – $596.55 |
| East Morgan County Hospital | Brush | $668.99 | $123.47 – $284.21 |
| AdventHealth Littleton | Littleton | $4,036.25 | $123.48 – $532.73 |