Fluzone vacc, 3 yrs & >, im at HCA HealthONE PRESBYTERIAN ST. LUKE'S REHABILITATION, A PART OF SPALDING REHABILITATION
1719 East 19th Avenue, Denver, CO · HCA HealthONE · · NPI 1841244639
$126.13
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.
$126.13
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.
$19.17 with Vail Health vs $167.82 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 | $19.17 | ↓ -85% |
| United | OptionsPPO | $26.11 | ↓ -79% |
| Anthem | PathwayEssentials | $26.60 | ↓ -79% |
| Cigna | SureFit | $33.93 | ↓ -73% |
| Anthem | PathwayNSBP | $34.37 | ↓ -73% |
| Cigna | Connect-SBP | $35.44 | ↓ -72% |
| Cigna | Connect-NSBP | $36.70 | ↓ -71% |
| Aetna | MCRADVPPO | $37.84 | ↓ -70% |
| Anthem | PPO | $41.50 | ↓ -67% |
| Anthem | HMO | $41.50 | ↓ -67% |
| Kaiser | KPSelect | $42.00 | ↓ -67% |
| Kaiser | CommercialSmallGroupPlans | $42.00 | ↓ -67% |
| Kaiser | KPIF | $42.00 | ↓ -67% |
| Kaiser | Commercial | $52.22 | ↓ -59% |
| Aetna | NBR | $52.47 | ↓ -58% |
| Cigna | Broad | $55.75 | ↓ -56% |
| United | GlobalBenefit | $56.76 | ↓ -55% |
| Aetna | Cofinity | $62.81 | ↓ -50% |
| Aetna | ExistingBusiness | $63.95 | ↓ -49% |
| Kaiser | HMO | $68.24 | ↓ -46% |
| Kaiser | PPO | $75.17 | ↓ -40% |
| Cigna | BroadLeanBenefitPlans | $80.72 | ↓ -36% |
| Cigna | Connect-NSBPLeanBenefitPlans | $80.72 | ↓ -36% |
| Cigna | Connect-SBPLeanBenefitPlans | $80.72 | ↓ -36% |
| Cigna | SureFitLeanBenefitPlans | $80.72 | ↓ -36% |
| Western Plains Community Health | COMM | $81.98 | ↓ -35% |
| Anthem | PAR | $85.77 | ↓ -32% |
| Multiplan | COMMPPOPRIMARYNETWORK | $88.29 | ↓ -30% |
| United | ColoradoDoctorsPlan | $92.30 | ↓ -27% |
| Pinnacol Workers Comp | WORKERSCOMP | $94.60 | ↓ -25% |
| TriWest Health Alliance | FED | $100.90 | ↓ -20% |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $107.21 | ↓ -15% |
| Multiplan | BeechStreetCOMMPPO | $113.52 | ↓ -10% |
| Prime Health | WORKERSCOMP | $113.52 | ↓ -10% |
| United | AllPayerAppendix | $167.82 | ↑ +33% |
| Rocky Mountain Health Plan | AllPayerAppendix | $167.82 | ↑ +33% |
| InnovAge Pace | MCR | not published by hospital | — |
| United | MCR | not published by hospital | — |
| Devoted Health | MCRAdvantage | not published by hospital | — |
| Aetna | MCRADVHMO | not published by hospital | — |
| Anthem BCBS | MCR | not published by hospital | — |
| Bright Health | DualEligible | not published by hospital | — |
| Bright Health | MCRHMO | not published by hospital | — |
| Bright Health | MCRPOS | not published by hospital | — |
| Bright Health | MCRPPO | not published by hospital | — |
| Bright Health | MCRSNP | not published by hospital | — |
| Bright Health | PFFS | not published by hospital | — |
| Cigna HealthSpring | Medicare | not published by hospital | — |
| Delaware Life Insurance | MGMCR | not published by hospital | — |
| WellCare | MCR | not published by hospital | — |
| Kaiser | MGMCR | not published by hospital | — |
| Mutual of Omaha | MCR | not published by hospital | — |
| Rocky Mountain Health | MGMCR | not published by hospital | — |
| Total LongTerm Care | MCR | not published by hospital | — |
| Humana | MCR | not published by hospital | — |
Visitor-reported prices
Comments
Fluzone vacc, 3 yrs & >, im at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HealthONE Rocky Mountain Children's at Presbyterian St. Luke's | Denver | $159.50 | $92.30 – $92.30 |
| AdventHealth Porter | Denver | not published | $0.02 – $79.32 |
| CENTRAL PARK ER, A PART OF ROSE | DENVER | not published | $92.30 – $167.82 |
| HCA HealthONE AURORA | Aurora | $280.44 | $92.30 – $167.82 |
| HCA HealthONE SKY RIDGE | Lone Tree | $197.12 | $92.30 – $167.82 |
| HCA HealthONE SOUTH PARKER ER, A PART OF SKY RIDGE | PARKER | $197.12 | $92.30 – $167.82 |
| HCA HealthONE BELMAR ER, A PART OF SWEDISH | LAKEWOOD | $42.87 | $92.30 – $167.82 |
| HCA HealthONE MOUNTAIN RIDGE | Thornton | $485.76 | $92.30 – $167.82 |