Factor ix at HCA HealthONE PRESBYTERIAN ST. LUKE'S REHABILITATION, A PART OF SPALDING REHABILITATION
1719 East 19th Avenue, Denver, CO · HCA HealthONE · · NPI 1841244639
$623.41
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.
$623.41
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.
$18.85 with Humana vs $561.07 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 |
|---|---|---|---|
| Humana | MCR | $18.85 | ↓ -97% |
| United | MCR | $18.94 | ↓ -97% |
| Devoted Health | MCRAdvantage | $19.04 | ↓ -97% |
| Bright Health | PFFS | $19.04 | ↓ -97% |
| Bright Health | MCRSNP | $19.04 | ↓ -97% |
| Bright Health | MCRPPO | $19.04 | ↓ -97% |
| Bright Health | MCRPOS | $19.04 | ↓ -97% |
| Bright Health | MCRHMO | $19.04 | ↓ -97% |
| Bright Health | DualEligible | $19.04 | ↓ -97% |
| Anthem BCBS | MCR | $19.04 | ↓ -97% |
| TriWest Health Alliance | FED | $19.04 | ↓ -97% |
| Total LongTerm Care | MCR | $19.04 | ↓ -97% |
| Rocky Mountain Health Plan | AllPayerAppendix | $19.04 | ↓ -97% |
| Rocky Mountain Health | MGMCR | $19.04 | ↓ -97% |
| Aetna | MCRADVHMO | $19.04 | ↓ -97% |
| Aetna | MCRADVPPO | $19.04 | ↓ -97% |
| Mutual of Omaha | MCR | $19.04 | ↓ -97% |
| Cigna HealthSpring | Medicare | $19.04 | ↓ -97% |
| United | AllPayerAppendix | $19.04 | ↓ -97% |
| United | ColoradoDoctorsPlan | $19.04 | ↓ -97% |
| InnovAge Pace | MCR | $19.42 | ↓ -97% |
| Kaiser | MGMCR | $19.42 | ↓ -97% |
| WellCare | MCR | $19.61 | ↓ -97% |
| Delaware Life Insurance | MGMCR | $19.99 | ↓ -97% |
| Vail Health | COMM | $94.76 | ↓ -85% |
| United | OptionsPPO | $129.05 | ↓ -79% |
| Anthem | PathwayEssentials | $131.48 | ↓ -79% |
| Cigna | SureFit | $167.70 | ↓ -73% |
| Anthem | PathwayNSBP | $169.88 | ↓ -73% |
| Cigna | Connect-SBP | $175.18 | ↓ -72% |
| Cigna | Connect-NSBP | $181.41 | ↓ -71% |
| Anthem | PPO | $205.10 | ↓ -67% |
| Anthem | HMO | $205.10 | ↓ -67% |
| Kaiser | CommercialSmallGroupPlans | $207.60 | ↓ -67% |
| Kaiser | KPIF | $207.60 | ↓ -67% |
| Kaiser | KPSelect | $207.60 | ↓ -67% |
| Kaiser | Commercial | $258.09 | ↓ -59% |
| Aetna | NBR | $259.34 | ↓ -58% |
| Cigna | Broad | $275.55 | ↓ -56% |
| United | GlobalBenefit | $280.53 | ↓ -55% |
| Aetna | Cofinity | $310.46 | ↓ -50% |
| Aetna | ExistingBusiness | $316.07 | ↓ -49% |
| Kaiser | HMO | $337.26 | ↓ -46% |
| Kaiser | PPO | $371.55 | ↓ -40% |
| Cigna | Connect-SBPLeanBenefitPlans | $398.98 | ↓ -36% |
| Cigna | BroadLeanBenefitPlans | $398.98 | ↓ -36% |
| Cigna | Connect-NSBPLeanBenefitPlans | $398.98 | ↓ -36% |
| Cigna | SureFitLeanBenefitPlans | $398.98 | ↓ -36% |
| Western Plains Community Health | COMM | $405.22 | ↓ -35% |
| Anthem | PAR | $423.92 | ↓ -32% |
| Multiplan | COMMPPOPRIMARYNETWORK | $436.39 | ↓ -30% |
| Pinnacol Workers Comp | WORKERSCOMP | $467.56 | ↓ -25% |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $529.90 | ↓ -15% |
| Prime Health | WORKERSCOMP | $561.07 | ↓ -10% |
| Multiplan | BeechStreetCOMMPPO | $561.07 | ↓ -10% |
Visitor-reported prices
Comments
Factor ix at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AdventHealth Porter | Denver | $455.07 | $18.66 – $35.22 |
| Banner Fort Collins Medical Center | Fort Collins | $8.06 | $18.47 – $71.25 |
| Banner North Colorado Medical Center - Loveland Campus | Loveland | $22.28 | $18.47 – $71.25 |
| Sterling Regional Medical Center | Sterling | $26.46 | $19.04 – $72.75 |
| East Morgan County Hospital | Brush | $49.22 | $31.61 – $72.75 |
| HCA HealthONE BELMAR ER, A PART OF SWEDISH | LAKEWOOD | $931.88 | $11.14 – $46.27 |
| AdventHealth Littleton | Littleton | $455.07 | $18.66 – $35.22 |
| AdventHealth Avista | Louisville | $455.07 | $18.66 – $35.22 |