Infectious agent nucleic acid quantification bk virus 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.
$42.41 with Humana vs $549.24 with Cigna — 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 | $42.41 | — |
| United | MCR | $42.63 | — |
| Devoted Health | MCRAdvantage | $42.84 | — |
| Bright Health | PFFS | $42.84 | — |
| Bright Health | MCRSNP | $42.84 | — |
| Bright Health | MCRPPO | $42.84 | — |
| Bright Health | MCRPOS | $42.84 | — |
| Bright Health | MCRHMO | $42.84 | — |
| Bright Health | DualEligible | $42.84 | — |
| Anthem BCBS | MCR | $42.84 | — |
| TriWest Health Alliance | FED | $42.84 | — |
| Total LongTerm Care | MCR | $42.84 | — |
| Rocky Mountain Health Plan | AllPayerAppendix | $42.84 | — |
| Rocky Mountain Health | MGMCR | $42.84 | — |
| Aetna | MCRADVHMO | $42.84 | — |
| Aetna | MCRADVPPO | $42.84 | — |
| Mutual of Omaha | MCR | $42.84 | — |
| Cigna HealthSpring | Medicare | $42.84 | — |
| United | AllPayerAppendix | $42.84 | — |
| United | ColoradoDoctorsPlan | $42.84 | — |
| InnovAge Pace | MCR | $43.70 | — |
| Kaiser | MGMCR | $43.70 | — |
| WellCare | MCR | $44.13 | — |
| Delaware Life Insurance | MGMCR | $44.98 | — |
| Vail Health | COMM | $50.16 | — |
| United | OptionsPPO | $68.31 | — |
| Anthem | PathwayEssentials | $69.60 | — |
| Cigna | SureFit | $88.77 | — |
| Anthem | PathwayNSBP | $89.92 | — |
| Cigna | Connect-NSBP | $96.03 | — |
| Anthem | PPO | $108.57 | — |
| Anthem | HMO | $108.57 | — |
| Kaiser | Commercial | $136.62 | — |
| Aetna | NBR | $137.28 | — |
| Cigna | Broad | $145.86 | — |
| United | GlobalBenefit | $148.50 | — |
| Aetna | Cofinity | $164.34 | — |
| Aetna | ExistingBusiness | $167.31 | — |
| Cigna | SureFitLeanBenefitPlans | $211.20 | — |
| Cigna | Connect-NSBPLeanBenefitPlans | $211.20 | — |
| Cigna | BroadLeanBenefitPlans | $211.20 | — |
| Western Plains Community Health | COMM | $214.50 | — |
| Anthem | PAR | $224.40 | — |
| Multiplan | COMMPPOPRIMARYNETWORK | $231.00 | — |
| Cigna | Connect-SBP | $241.15 | — |
| Pinnacol Workers Comp | WORKERSCOMP | $247.50 | — |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $280.50 | — |
| Kaiser | KPIF | $285.78 | — |
| Kaiser | CommercialSmallGroupPlans | $285.78 | — |
| Kaiser | KPSelect | $285.78 | — |
| Multiplan | BeechStreetCOMMPPO | $297.00 | — |
| Prime Health | WORKERSCOMP | $297.00 | — |
| Kaiser | HMO | $464.28 | — |
| Kaiser | PPO | $511.48 | — |
| Cigna | Connect-SBPLeanBenefitPlans | $549.24 | — |
Visitor-reported prices
Comments
Infectious agent nucleic acid quantification bk virus at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AdventHealth Porter | Denver | $694.54 | $41.98 – $79.25 |
| CENTRAL PARK ER, A PART OF ROSE | DENVER | not published | $19.50 – $104.10 |
| HCA HealthONE Rocky Mountain Children's at Presbyterian St. Luke's | Denver | not published | $27.29 – $104.10 |
| Banner Fort Collins Medical Center | Fort Collins | $39.88 | $41.55 – $122.55 |
| Banner North Colorado Medical Center - Loveland Campus | Loveland | $76.73 | $33.15 – $122.55 |
| Sterling Regional Medical Center | Sterling | $118.25 | $35.99 – $125.13 |
| East Morgan County Hospital | Brush | $183.70 | $54.36 – $125.13 |
| HCA HealthONE MOUNTAIN RIDGE | Thornton | $503.73 | $20.33 – $104.10 |