Felbamate (felbatol(r)) - sendout at HCA HealthONE PRESBYTERIAN ST. LUKE'S REHABILITATION, A PART OF SPALDING REHABILITATION
1719 East 19th Avenue, Denver, CO · HCA HealthONE · · NPI 1841244639
$542.47
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.
$542.47
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.
$18.45 with Humana vs $488.22 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 | $18.45 | ↓ -97% |
| United | MCR | $18.55 | ↓ -97% |
| Devoted Health | MCRAdvantage | $18.64 | ↓ -97% |
| Bright Health | PFFS | $18.64 | ↓ -97% |
| Bright Health | MCRSNP | $18.64 | ↓ -97% |
| Bright Health | MCRPPO | $18.64 | ↓ -97% |
| Bright Health | MCRPOS | $18.64 | ↓ -97% |
| Bright Health | MCRHMO | $18.64 | ↓ -97% |
| Bright Health | DualEligible | $18.64 | ↓ -97% |
| Anthem BCBS | MCR | $18.64 | ↓ -97% |
| TriWest Health Alliance | FED | $18.64 | ↓ -97% |
| Total LongTerm Care | MCR | $18.64 | ↓ -97% |
| Rocky Mountain Health Plan | AllPayerAppendix | $18.64 | ↓ -97% |
| Rocky Mountain Health | MGMCR | $18.64 | ↓ -97% |
| Aetna | MCRADVHMO | $18.64 | ↓ -97% |
| Aetna | MCRADVPPO | $18.64 | ↓ -97% |
| Mutual of Omaha | MCR | $18.64 | ↓ -97% |
| Cigna HealthSpring | Medicare | $18.64 | ↓ -97% |
| United | AllPayerAppendix | $18.64 | ↓ -97% |
| United | ColoradoDoctorsPlan | $18.64 | ↓ -97% |
| InnovAge Pace | MCR | $19.01 | ↓ -96% |
| Kaiser | MGMCR | $19.01 | ↓ -96% |
| WellCare | MCR | $19.20 | ↓ -96% |
| Delaware Life Insurance | MGMCR | $19.57 | ↓ -96% |
| Vail Health | COMM | $82.46 | ↓ -85% |
| United | OptionsPPO | $112.29 | ↓ -79% |
| Anthem | PathwayEssentials | $114.41 | ↓ -79% |
| Cigna | SureFit | $145.92 | ↓ -73% |
| Anthem | PathwayNSBP | $147.82 | ↓ -73% |
| Cigna | Connect-SBP | $152.43 | ↓ -72% |
| Cigna | Connect-NSBP | $157.86 | ↓ -71% |
| Anthem | PPO | $178.47 | ↓ -67% |
| Anthem | HMO | $178.47 | ↓ -67% |
| Kaiser | CommercialSmallGroupPlans | $180.64 | ↓ -67% |
| Kaiser | KPIF | $180.64 | ↓ -67% |
| Kaiser | KPSelect | $180.64 | ↓ -67% |
| Kaiser | Commercial | $224.58 | ↓ -59% |
| Aetna | NBR | $225.67 | ↓ -58% |
| Cigna | Broad | $239.77 | ↓ -56% |
| United | GlobalBenefit | $244.11 | ↓ -55% |
| Aetna | Cofinity | $270.15 | ↓ -50% |
| Aetna | ExistingBusiness | $275.03 | ↓ -49% |
| Kaiser | HMO | $293.48 | ↓ -46% |
| Kaiser | PPO | $323.31 | ↓ -40% |
| Cigna | Connect-SBPLeanBenefitPlans | $347.18 | ↓ -36% |
| Cigna | BroadLeanBenefitPlans | $347.18 | ↓ -36% |
| Cigna | Connect-NSBPLeanBenefitPlans | $347.18 | ↓ -36% |
| Cigna | SureFitLeanBenefitPlans | $347.18 | ↓ -36% |
| Western Plains Community Health | COMM | $352.61 | ↓ -35% |
| Anthem | PAR | $368.88 | ↓ -32% |
| Multiplan | COMMPPOPRIMARYNETWORK | $379.73 | ↓ -30% |
| Pinnacol Workers Comp | WORKERSCOMP | $406.85 | ↓ -25% |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $461.10 | ↓ -15% |
| Prime Health | WORKERSCOMP | $488.22 | ↓ -10% |
| Multiplan | BeechStreetCOMMPPO | $488.22 | ↓ -10% |
Visitor-reported prices
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Felbamate (felbatol(r)) - sendout at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AdventHealth Porter | Denver | $135.50 | $18.27 – $34.48 |
| Banner Fort Collins Medical Center | Fort Collins | $16.80 | $18.08 – $70.30 |
| Banner North Colorado Medical Center - Loveland Campus | Loveland | $17.02 | $18.08 – $70.30 |
| Sterling Regional Medical Center | Sterling | $24.42 | $18.64 – $71.78 |
| East Morgan County Hospital | Brush | $45.58 | $31.18 – $71.78 |
| HCA HealthONE BELMAR ER, A PART OF SWEDISH | LAKEWOOD | $571.34 | $10.91 – $45.30 |
| AdventHealth Littleton | Littleton | $135.50 | $18.27 – $34.48 |
| AdventHealth Avista | Louisville | $135.50 | $18.27 – $34.48 |