Infect ag ia optc obs influenza at HCA HealthONE PRESBYTERIAN ST. LUKE'S REHABILITATION, A PART OF SPALDING REHABILITATION
1719 East 19th Avenue, Denver, CO · HCA HealthONE · · NPI 1841244639
not published by hospital
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.
not published by hospital
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.
$4.68 with Vail Health vs $47.35 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 |
|---|---|---|---|
| Vail Health | COMM | $4.68 | — |
| United | OptionsPPO | $6.38 | — |
| Anthem | PathwayEssentials | $6.50 | — |
| Cigna | SureFit | $8.29 | — |
| Anthem | PathwayNSBP | $8.39 | — |
| Cigna | Connect-SBP | $8.65 | — |
| Cigna | Connect-NSBP | $8.96 | — |
| Anthem | HMO | $10.13 | — |
| Anthem | PPO | $10.13 | — |
| Kaiser | CommercialSmallGroupPlans | $10.26 | — |
| Kaiser | KPIF | $10.26 | — |
| Kaiser | KPSelect | $10.26 | — |
| Kaiser | Commercial | $12.75 | — |
| Aetna | NBR | $12.81 | — |
| Cigna | Broad | $13.61 | — |
| United | GlobalBenefit | $13.86 | — |
| Aetna | Cofinity | $15.34 | — |
| Aetna | ExistingBusiness | $15.62 | — |
| Humana | MCR | $16.38 | — |
| United | MCR | $16.47 | — |
| Cigna HealthSpring | Medicare | $16.55 | — |
| Devoted Health | MCRAdvantage | $16.55 | — |
| Aetna | MCRADVHMO | $16.55 | — |
| Aetna | MCRADVPPO | $16.55 | — |
| TriWest Health Alliance | FED | $16.55 | — |
| Total LongTerm Care | MCR | $16.55 | — |
| Rocky Mountain Health Plan | AllPayerAppendix | $16.55 | — |
| Rocky Mountain Health | MGMCR | $16.55 | — |
| Mutual of Omaha | MCR | $16.55 | — |
| United | AllPayerAppendix | $16.55 | — |
| United | ColoradoDoctorsPlan | $16.55 | — |
| Anthem BCBS | MCR | $16.55 | — |
| Bright Health | DualEligible | $16.55 | — |
| Bright Health | MCRHMO | $16.55 | — |
| Bright Health | MCRPOS | $16.55 | — |
| Bright Health | MCRPPO | $16.55 | — |
| Bright Health | MCRSNP | $16.55 | — |
| Bright Health | PFFS | $16.55 | — |
| Kaiser | HMO | $16.66 | — |
| InnovAge Pace | MCR | $16.88 | — |
| Kaiser | MGMCR | $16.88 | — |
| WellCare | MCR | $17.05 | — |
| Delaware Life Insurance | MGMCR | $17.38 | — |
| Kaiser | PPO | $18.36 | — |
| Cigna | Connect-NSBPLeanBenefitPlans | $19.71 | — |
| Cigna | BroadLeanBenefitPlans | $19.71 | — |
| Cigna | Connect-SBPLeanBenefitPlans | $19.71 | — |
| Cigna | SureFitLeanBenefitPlans | $19.71 | — |
| Western Plains Community Health | COMM | $20.02 | — |
| Anthem | PAR | $20.94 | — |
| Multiplan | COMMPPOPRIMARYNETWORK | $21.56 | — |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $26.18 | — |
| Prime Health | WORKERSCOMP | $27.72 | — |
| Multiplan | BeechStreetCOMMPPO | $27.72 | — |
| Pinnacol Workers Comp | WORKERSCOMP | $45.44 | — |
| Multiplan | WorkersComp | $47.35 | — |
| Multiplan | BeechStreetWorkersComp | $47.35 | — |
Visitor-reported prices
Comments
Infect ag ia optc obs influenza at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AdventHealth Porter | Denver | $179.47 | $16.22 – $30.62 |
| CENTRAL PARK ER, A PART OF ROSE | DENVER | not published | $7.53 – $47.35 |
| HCA HealthONE Rocky Mountain Children's at Presbyterian St. Luke's | Denver | not published | $10.54 – $47.35 |
| Banner Fort Collins Medical Center | Fort Collins | $7.25 | $16.05 – $47.50 |
| Banner North Colorado Medical Center - Loveland Campus | Loveland | $13.95 | $12.85 – $47.50 |
| Sterling Regional Medical Center | Sterling | $21.50 | $13.95 – $48.50 |
| East Morgan County Hospital | Brush | $33.40 | $21.07 – $48.50 |
| AdventHealth Littleton | Littleton | $179.47 | $16.22 – $30.62 |