Homogenization tissue at HCA HealthONE PRESBYTERIAN ST. LUKE'S REHABILITATION, A PART OF SPALDING REHABILITATION
1719 East 19th Avenue, Denver, CO · HCA HealthONE · · NPI 1841244639
$40.36
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.
$40.36
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.
$5.82 with Humana vs $36.32 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 | $5.82 | ↓ -86% |
| United | MCR | $5.85 | ↓ -86% |
| Devoted Health | MCRAdvantage | $5.88 | ↓ -85% |
| Bright Health | PFFS | $5.88 | ↓ -85% |
| Bright Health | MCRSNP | $5.88 | ↓ -85% |
| Bright Health | MCRPPO | $5.88 | ↓ -85% |
| Bright Health | MCRPOS | $5.88 | ↓ -85% |
| Bright Health | MCRHMO | $5.88 | ↓ -85% |
| Bright Health | DualEligible | $5.88 | ↓ -85% |
| Anthem BCBS | MCR | $5.88 | ↓ -85% |
| TriWest Health Alliance | FED | $5.88 | ↓ -85% |
| Total LongTerm Care | MCR | $5.88 | ↓ -85% |
| Rocky Mountain Health Plan | AllPayerAppendix | $5.88 | ↓ -85% |
| Rocky Mountain Health | MGMCR | $5.88 | ↓ -85% |
| Aetna | MCRADVHMO | $5.88 | ↓ -85% |
| Aetna | MCRADVPPO | $5.88 | ↓ -85% |
| Mutual of Omaha | MCR | $5.88 | ↓ -85% |
| Cigna HealthSpring | Medicare | $5.88 | ↓ -85% |
| United | AllPayerAppendix | $5.88 | ↓ -85% |
| United | ColoradoDoctorsPlan | $5.88 | ↓ -85% |
| InnovAge Pace | MCR | $6.00 | ↓ -85% |
| Kaiser | MGMCR | $6.00 | ↓ -85% |
| WellCare | MCR | $6.06 | ↓ -85% |
| Vail Health | COMM | $6.13 | ↓ -85% |
| Delaware Life Insurance | MGMCR | $6.17 | ↓ -85% |
| United | OptionsPPO | $8.35 | ↓ -79% |
| Anthem | PathwayEssentials | $8.51 | ↓ -79% |
| Cigna | SureFit | $10.86 | ↓ -73% |
| Anthem | PathwayNSBP | $11.00 | ↓ -73% |
| Cigna | Connect-SBP | $11.34 | ↓ -72% |
| Cigna | Connect-NSBP | $11.74 | ↓ -71% |
| Anthem | PPO | $13.28 | ↓ -67% |
| Anthem | HMO | $13.28 | ↓ -67% |
| Kaiser | CommercialSmallGroupPlans | $13.44 | ↓ -67% |
| Kaiser | KPIF | $13.44 | ↓ -67% |
| Kaiser | KPSelect | $13.44 | ↓ -67% |
| Kaiser | Commercial | $16.71 | ↓ -59% |
| Aetna | NBR | $16.79 | ↓ -58% |
| Cigna | Broad | $17.84 | ↓ -56% |
| United | GlobalBenefit | $18.16 | ↓ -55% |
| Aetna | Cofinity | $20.10 | ↓ -50% |
| Aetna | ExistingBusiness | $20.46 | ↓ -49% |
| Kaiser | HMO | $21.83 | ↓ -46% |
| Kaiser | PPO | $24.05 | ↓ -40% |
| Cigna | Connect-SBPLeanBenefitPlans | $25.83 | ↓ -36% |
| Cigna | BroadLeanBenefitPlans | $25.83 | ↓ -36% |
| Cigna | Connect-NSBPLeanBenefitPlans | $25.83 | ↓ -36% |
| Cigna | SureFitLeanBenefitPlans | $25.83 | ↓ -36% |
| Western Plains Community Health | COMM | $26.23 | ↓ -35% |
| Anthem | PAR | $27.44 | ↓ -32% |
| Multiplan | COMMPPOPRIMARYNETWORK | $28.25 | ↓ -30% |
| Pinnacol Workers Comp | WORKERSCOMP | $30.27 | ↓ -25% |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $34.31 | ↓ -15% |
| Prime Health | WORKERSCOMP | $36.32 | ↓ -10% |
| Multiplan | BeechStreetCOMMPPO | $36.32 | ↓ -10% |
Visitor-reported prices
Comments
Homogenization tissue at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AdventHealth Porter | Denver | $47.33 | $5.76 – $10.88 |
| CENTRAL PARK ER, A PART OF ROSE | DENVER | $160.00 | $2.67 – $14.29 |
| HCA HealthONE Rocky Mountain Children's at Presbyterian St. Luke's | Denver | not published | $3.74 – $14.29 |
| Banner Fort Collins Medical Center | Fort Collins | $7.54 | $5.70 – $49.40 |
| Banner North Colorado Medical Center - Loveland Campus | Loveland | $14.51 | $5.70 – $49.40 |
| Sterling Regional Medical Center | Sterling | $22.36 | $5.88 – $50.44 |
| East Morgan County Hospital | Brush | $34.74 | $21.91 – $50.44 |
| HCA HealthONE AURORA | Aurora | $107.35 | $3.13 – $14.29 |