Factor ix complex at HCA HealthONE PRESBYTERIAN ST. LUKE'S REHABILITATION, A PART OF SPALDING REHABILITATION
1719 East 19th Avenue, Denver, CO · HCA HealthONE · · NPI 1841244639
$6,545.80
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.
$6,545.80
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.
$2.60 with Pinnacol Workers Comp vs $5,891.22 with Prime Health — 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 |
|---|---|---|---|
| Pinnacol Workers Comp | WORKERSCOMP | $2.60 | ↓ -100% |
| Multiplan | BeechStreetWorkersComp | $2.71 | ↓ -100% |
| Multiplan | WorkersComp | $2.71 | ↓ -100% |
| United | ColoradoDoctorsPlan | $2.81 | ↓ -100% |
| Rocky Mountain Health Plan | AllPayerAppendix | $5.10 | ↓ -100% |
| United | AllPayerAppendix | $5.10 | ↓ -100% |
| Vail Health | COMM | $994.96 | ↓ -85% |
| United | OptionsPPO | $1,354.98 | ↓ -79% |
| Anthem | PathwayEssentials | $1,380.51 | ↓ -79% |
| Cigna | SureFit | $1,760.82 | ↓ -73% |
| Anthem | PathwayNSBP | $1,783.73 | ↓ -73% |
| Cigna | Connect-SBP | $1,839.37 | ↓ -72% |
| Cigna | Connect-NSBP | $1,904.83 | ↓ -71% |
| Aetna | MCRADVHMO | $1,963.74 | ↓ -70% |
| Aetna | MCRADVPPO | $1,963.74 | ↓ -70% |
| Anthem | HMO | $2,153.57 | ↓ -67% |
| Anthem | PPO | $2,153.57 | ↓ -67% |
| Kaiser | KPIF | $2,179.75 | ↓ -67% |
| Kaiser | CommercialSmallGroupPlans | $2,179.75 | ↓ -67% |
| Kaiser | KPSelect | $2,179.75 | ↓ -67% |
| Kaiser | Commercial | $2,709.96 | ↓ -59% |
| Aetna | NBR | $2,723.05 | ↓ -58% |
| Cigna | Broad | $2,893.24 | ↓ -56% |
| United | GlobalBenefit | $2,945.61 | ↓ -55% |
| Aetna | Cofinity | $3,259.81 | ↓ -50% |
| Aetna | ExistingBusiness | $3,318.72 | ↓ -49% |
| Kaiser | HMO | $3,541.28 | ↓ -46% |
| Kaiser | PPO | $3,901.30 | ↓ -40% |
| Cigna | SureFitLeanBenefitPlans | $4,189.31 | ↓ -36% |
| Cigna | BroadLeanBenefitPlans | $4,189.31 | ↓ -36% |
| Cigna | Connect-NSBPLeanBenefitPlans | $4,189.31 | ↓ -36% |
| Cigna | Connect-SBPLeanBenefitPlans | $4,189.31 | ↓ -36% |
| Western Plains Community Health | COMM | $4,254.77 | ↓ -35% |
| Anthem | PAR | $4,451.14 | ↓ -32% |
| Multiplan | COMMPPOPRIMARYNETWORK | $4,582.06 | ↓ -30% |
| TriWest Health Alliance | FED | $5,236.64 | ↓ -20% |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $5,563.93 | ↓ -15% |
| Multiplan | BeechStreetCOMMPPO | $5,891.22 | ↓ -10% |
| Prime Health | WORKERSCOMP | $5,891.22 | ↓ -10% |
Visitor-reported prices
Comments
Factor ix complex at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AdventHealth Porter | Denver | not published | $1.66 – $3.14 |
| CENTRAL PARK ER, A PART OF ROSE | DENVER | not published | $1.87 – $5.10 |
| Sterling Regional Medical Center | Sterling | $1.42 | $1.14 – $3.98 |
| HCA HealthONE AURORA | Aurora | $8.83 | $1.87 – $5.10 |
| HCA HealthONE SKY RIDGE | Lone Tree | $6.72 | $1.87 – $5.10 |
| HCA HealthONE SOUTH PARKER ER, A PART OF SKY RIDGE | PARKER | $6.72 | $1.61 – $5.10 |
| HCA HealthONE MOUNTAIN RIDGE | Thornton | $9.44 | $1.87 – $5.10 |
| HCA HealthONE BELMAR ER, A PART OF SWEDISH | LAKEWOOD | not published | $1.87 – $5.10 |