Mayo factor x at HCA HealthONE PRESBYTERIAN ST. LUKE'S REHABILITATION, A PART OF SPALDING REHABILITATION
1719 East 19th Avenue, Denver, CO · HCA HealthONE · · NPI 1841244639
$1,029.06
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.
?
What you pay up front if you don't use insurance.
$1,029.06
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.
?
The hospital's undiscounted list price — almost no one pays this.
$17.72 with Humana vs $926.15 with Multiplan — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $17.72 | ↓ -98% |
| United | MCR | $17.81 | ↓ -98% |
| Devoted Health | MCRAdvantage | $17.90 | ↓ -98% |
| Bright Health | PFFS | $17.90 | ↓ -98% |
| Bright Health | MCRSNP | $17.90 | ↓ -98% |
| Bright Health | MCRPPO | $17.90 | ↓ -98% |
| Bright Health | MCRPOS | $17.90 | ↓ -98% |
| Bright Health | MCRHMO | $17.90 | ↓ -98% |
| Bright Health | DualEligible | $17.90 | ↓ -98% |
| Anthem BCBS | MCR | $17.90 | ↓ -98% |
| TriWest Health Alliance | FED | $17.90 | ↓ -98% |
| Total LongTerm Care | MCR | $17.90 | ↓ -98% |
| Rocky Mountain Health Plan | AllPayerAppendix | $17.90 | ↓ -98% |
| Rocky Mountain Health | MGMCR | $17.90 | ↓ -98% |
| Aetna | MCRADVHMO | $17.90 | ↓ -98% |
| Aetna | MCRADVPPO | $17.90 | ↓ -98% |
| Mutual of Omaha | MCR | $17.90 | ↓ -98% |
| Cigna HealthSpring | Medicare | $17.90 | ↓ -98% |
| United | AllPayerAppendix | $17.90 | ↓ -98% |
| United | ColoradoDoctorsPlan | $17.90 | ↓ -98% |
| InnovAge Pace | MCR | $18.26 | ↓ -98% |
| Kaiser | MGMCR | $18.26 | ↓ -98% |
| WellCare | MCR | $18.44 | ↓ -98% |
| Delaware Life Insurance | MGMCR | $18.79 | ↓ -98% |
| Vail Health | COMM | $156.42 | ↓ -85% |
| United | OptionsPPO | $213.02 | ↓ -79% |
| Anthem | PathwayEssentials | $217.03 | ↓ -79% |
| Cigna | SureFit | $276.82 | ↓ -73% |
| Anthem | PathwayNSBP | $280.42 | ↓ -73% |
| Cigna | Connect-SBP | $289.17 | ↓ -72% |
| Cigna | Connect-NSBP | $299.46 | ↓ -71% |
| Anthem | PPO | $338.56 | ↓ -67% |
| Anthem | HMO | $338.56 | ↓ -67% |
| Kaiser | CommercialSmallGroupPlans | $342.68 | ↓ -67% |
| Kaiser | KPIF | $342.68 | ↓ -67% |
| Kaiser | KPSelect | $342.68 | ↓ -67% |
| Kaiser | Commercial | $426.03 | ↓ -59% |
| Aetna | NBR | $428.09 | ↓ -58% |
| Cigna | Broad | $454.84 | ↓ -56% |
| United | GlobalBenefit | $463.08 | ↓ -55% |
| Aetna | Cofinity | $512.47 | ↓ -50% |
| Aetna | ExistingBusiness | $521.73 | ↓ -49% |
| Kaiser | HMO | $556.72 | ↓ -46% |
| Kaiser | PPO | $613.32 | ↓ -40% |
| Cigna | Connect-SBPLeanBenefitPlans | $658.60 | ↓ -36% |
| Cigna | BroadLeanBenefitPlans | $658.60 | ↓ -36% |
| Cigna | Connect-NSBPLeanBenefitPlans | $658.60 | ↓ -36% |
| Cigna | SureFitLeanBenefitPlans | $658.60 | ↓ -36% |
| Western Plains Community Health | COMM | $668.89 | ↓ -35% |
| Anthem | PAR | $699.76 | ↓ -32% |
| Multiplan | COMMPPOPRIMARYNETWORK | $720.34 | ↓ -30% |
| Pinnacol Workers Comp | WORKERSCOMP | $771.79 | ↓ -25% |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $874.70 | ↓ -15% |
| Prime Health | WORKERSCOMP | $926.15 | ↓ -10% |
| Multiplan | BeechStreetCOMMPPO | $926.15 | ↓ -10% |
Visitor-reported prices
Comments
Mayo factor x at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AdventHealth Porter | Denver | $490.57 | $17.54 – $33.12 |
| Banner Fort Collins Medical Center | Fort Collins | $7.75 | $17.36 – $72.20 |
| Banner North Colorado Medical Center - Loveland Campus | Loveland | $21.43 | $13.88 – $51.30 |
| Sterling Regional Medical Center | Sterling | $25.46 | $17.90 – $73.72 |
| East Morgan County Hospital | Brush | $47.35 | $32.03 – $73.72 |
| HCA HealthONE BELMAR ER, A PART OF SWEDISH | LAKEWOOD | $1,097.21 | $10.48 – $43.50 |
| HCA HealthONE MOUNTAIN RIDGE | Thornton | $1,380.35 | $8.50 – $43.50 |
| AdventHealth Littleton | Littleton | $490.57 | $17.54 – $33.12 |