ER Visit (level 5, high severity) at HCA HealthONE PRESBYTERIAN ST. LUKE'S REHABILITATION, A PART OF SPALDING REHABILITATION
1719 East 19th Avenue, Denver, CO · HCA HealthONE · · NPI 1841244639
$5,118.43
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.
$5,118.43
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.
$778.00 with Vail Health vs $12,766.00 with Rocky Mountain Health Plan — 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 | $778.00 | ↓ -85% |
| Mutual of Omaha | MCR | $795.00 | ↓ -84% |
| Pinnacol Workers Comp | WORKERSCOMP | $988.36 | ↓ -81% |
| Multiplan | WorkersComp | $1,029.98 | ↓ -80% |
| Multiplan | BeechStreetWorkersComp | $1,029.98 | ↓ -80% |
| United | OptionsPPO | $1,059.52 | ↓ -79% |
| Anthem | PathwayEssentials | $1,079.48 | ↓ -79% |
| Cigna | SureFit | $1,376.86 | ↓ -73% |
| Anthem | PathwayNSBP | $1,394.77 | ↓ -73% |
| Cigna | Connect-SBP | $1,438.28 | ↓ -72% |
| Cigna | Connect-NSBP | $1,489.46 | ↓ -71% |
| Aetna | MCRADVHMO | $1,535.53 | ↓ -70% |
| Aetna | MCRADVPPO | $1,535.53 | ↓ -70% |
| Anthem | HMO | $1,683.96 | ↓ -67% |
| Anthem | PPO | $1,683.96 | ↓ -67% |
| Kaiser | KPSelect | $1,704.44 | ↓ -67% |
| Kaiser | KPIF | $1,704.44 | ↓ -67% |
| Kaiser | CommercialSmallGroupPlans | $1,704.44 | ↓ -67% |
| Aetna | NBR | $2,129.27 | ↓ -58% |
| Cigna | Broad | $2,262.35 | ↓ -56% |
| United | GlobalBenefit | $2,303.29 | ↓ -55% |
| Aetna | Cofinity | $2,548.98 | ↓ -50% |
| Aetna | ExistingBusiness | $2,595.04 | ↓ -49% |
| Kaiser | HMO | $2,769.07 | ↓ -46% |
| Kaiser | PPO | $3,050.58 | ↓ -40% |
| Cigna | BroadLeanBenefitPlans | $3,275.80 | ↓ -36% |
| Cigna | Connect-NSBPLeanBenefitPlans | $3,275.80 | ↓ -36% |
| Cigna | Connect-SBPLeanBenefitPlans | $3,275.80 | ↓ -36% |
| Cigna | SureFitLeanBenefitPlans | $3,275.80 | ↓ -36% |
| Western Plains Community Health | COMM | $3,326.98 | ↓ -35% |
| Anthem | PAR | $3,480.53 | ↓ -32% |
| Kaiser | Commercial | $3,500.00 | ↓ -32% |
| Multiplan | COMMPPOPRIMARYNETWORK | $3,582.90 | ↓ -30% |
| TriWest Health Alliance | FED | $4,094.74 | ↓ -20% |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $4,350.67 | ↓ -15% |
| Multiplan | BeechStreetCOMMPPO | $4,606.59 | ↓ -10% |
| Prime Health | WORKERSCOMP | $4,606.59 | ↓ -10% |
| United | ColoradoDoctorsPlan | $7,224.00 | ↑ +41% |
| United | AllPayerAppendix | $12,766.00 | ↑ +149% |
| Rocky Mountain Health Plan | AllPayerAppendix | $12,766.00 | ↑ +149% |
Visitor-reported prices
Comments
ER Visit (level 5, high severity) at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AdventHealth Porter | Denver | $17,124.42 | $304.91 – $1,162.20 |
| CENTRAL PARK ER, A PART OF ROSE | DENVER | not published | $988.36 – $1,029.98 |
| HCA HealthONE Rocky Mountain Children's at Presbyterian St. Luke's | Denver | not published | $988.36 – $1,029.98 |
| Banner Fort Collins Medical Center | Fort Collins | $2,245.25 | $597.67 – $4,750.00 |
| Banner North Colorado Medical Center - Loveland Campus | Loveland | $1,796.26 | $598.42 – $4,750.00 |
| Sterling Regional Medical Center | Sterling | $1,865.05 | $407.34 – $1,416.20 |
| East Morgan County Hospital | Brush | $2,627.34 | $328.69 – $756.60 |
| AdventHealth Littleton | Littleton | $17,124.42 | $304.91 – $1,162.20 |