ER Visit (level 4) at HCA HealthONE PRESBYTERIAN ST. LUKE'S REHABILITATION, A PART OF SPALDING REHABILITATION
1719 East 19th Avenue, Denver, CO · HCA HealthONE · · NPI 1841244639
$7,833.18
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.
$7,833.18
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.
$681.53 with Pinnacol Workers Comp vs $7,049.86 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 |
|---|---|---|---|
| Pinnacol Workers Comp | WORKERSCOMP | $681.53 | ↓ -91% |
| Multiplan | BeechStreetWorkersComp | $710.23 | ↓ -91% |
| Multiplan | WorkersComp | $710.23 | ↓ -91% |
| Mutual of Omaha | MCR | $795.00 | ↓ -90% |
| Vail Health | COMM | $1,190.64 | ↓ -85% |
| United | OptionsPPO | $1,621.47 | ↓ -79% |
| Anthem | PathwayEssentials | $1,652.02 | ↓ -79% |
| Kaiser | Commercial | $1,900.00 | ↓ -76% |
| Cigna | SureFit | $2,107.13 | ↓ -73% |
| Anthem | PathwayNSBP | $2,134.54 | ↓ -73% |
| Cigna | Connect-SBP | $2,201.12 | ↓ -72% |
| Cigna | Connect-NSBP | $2,279.46 | ↓ -71% |
| Aetna | MCRADVHMO | $2,349.95 | ↓ -70% |
| Aetna | MCRADVPPO | $2,349.95 | ↓ -70% |
| United | ColoradoDoctorsPlan | $2,393.00 | ↓ -69% |
| Anthem | PPO | $2,577.12 | ↓ -67% |
| Anthem | HMO | $2,577.12 | ↓ -67% |
| Kaiser | KPSelect | $2,608.45 | ↓ -67% |
| Kaiser | KPIF | $2,608.45 | ↓ -67% |
| Kaiser | CommercialSmallGroupPlans | $2,608.45 | ↓ -67% |
| Aetna | NBR | $3,258.60 | ↓ -58% |
| Cigna | Broad | $3,462.27 | ↓ -56% |
| United | GlobalBenefit | $3,524.93 | ↓ -55% |
| Aetna | Cofinity | $3,900.92 | ↓ -50% |
| Aetna | ExistingBusiness | $3,971.42 | ↓ -49% |
| United | AllPayerAppendix | $4,227.00 | ↓ -46% |
| Rocky Mountain Health Plan | AllPayerAppendix | $4,227.00 | ↓ -46% |
| Kaiser | HMO | $4,237.75 | ↓ -46% |
| Kaiser | PPO | $4,668.58 | ↓ -40% |
| Cigna | BroadLeanBenefitPlans | $5,013.24 | ↓ -36% |
| Cigna | Connect-NSBPLeanBenefitPlans | $5,013.24 | ↓ -36% |
| Cigna | Connect-SBPLeanBenefitPlans | $5,013.24 | ↓ -36% |
| Cigna | SureFitLeanBenefitPlans | $5,013.24 | ↓ -36% |
| Western Plains Community Health | COMM | $5,091.57 | ↓ -35% |
| Anthem | PAR | $5,326.56 | ↓ -32% |
| Multiplan | COMMPPOPRIMARYNETWORK | $5,483.23 | ↓ -30% |
| TriWest Health Alliance | FED | $6,266.54 | ↓ -20% |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $6,658.20 | ↓ -15% |
| Multiplan | BeechStreetCOMMPPO | $7,049.86 | ↓ -10% |
| Prime Health | WORKERSCOMP | $7,049.86 | ↓ -10% |
Visitor-reported prices
Comments
ER Visit (level 4) at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AdventHealth Porter | Denver | $8,147.60 | $210.42 – $814.30 |
| CENTRAL PARK ER, A PART OF ROSE | DENVER | not published | $681.53 – $710.23 |
| HCA HealthONE Rocky Mountain Children's at Presbyterian St. Luke's | Denver | not published | $681.53 – $710.23 |
| Banner Fort Collins Medical Center | Fort Collins | $2,127.47 | $415.10 – $4,750.00 |
| Banner North Colorado Medical Center - Loveland Campus | Loveland | $1,698.91 | $415.63 – $4,750.00 |
| Sterling Regional Medical Center | Sterling | $1,435.49 | $280.39 – $974.85 |
| East Morgan County Hospital | Brush | $1,665.19 | $226.29 – $520.89 |
| AdventHealth Littleton | Littleton | $8,147.60 | $210.42 – $814.30 |