Mayo immunoassay tumor antigen quantitative ca 27.29 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.
$20.60 with Humana vs $201.36 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 | $20.60 | — |
| United | MCR | $20.71 | — |
| Devoted Health | MCRAdvantage | $20.81 | — |
| Bright Health | PFFS | $20.81 | — |
| Bright Health | MCRSNP | $20.81 | — |
| Bright Health | MCRPPO | $20.81 | — |
| Bright Health | MCRPOS | $20.81 | — |
| Bright Health | MCRHMO | $20.81 | — |
| Bright Health | DualEligible | $20.81 | — |
| Anthem BCBS | MCR | $20.81 | — |
| TriWest Health Alliance | FED | $20.81 | — |
| Total LongTerm Care | MCR | $20.81 | — |
| Rocky Mountain Health Plan | AllPayerAppendix | $20.81 | — |
| Rocky Mountain Health | MGMCR | $20.81 | — |
| Aetna | MCRADVHMO | $20.81 | — |
| Aetna | MCRADVPPO | $20.81 | — |
| Mutual of Omaha | MCR | $20.81 | — |
| Cigna HealthSpring | Medicare | $20.81 | — |
| United | AllPayerAppendix | $20.81 | — |
| United | ColoradoDoctorsPlan | $20.81 | — |
| InnovAge Pace | MCR | $21.23 | — |
| Kaiser | MGMCR | $21.23 | — |
| WellCare | MCR | $21.43 | — |
| Delaware Life Insurance | MGMCR | $21.85 | — |
| Vail Health | COMM | $34.01 | — |
| United | OptionsPPO | $46.31 | — |
| Anthem | PathwayEssentials | $47.18 | — |
| Cigna | SureFit | $60.18 | — |
| Anthem | PathwayNSBP | $60.97 | — |
| Cigna | Connect-SBP | $62.87 | — |
| Cigna | Connect-NSBP | $65.11 | — |
| Anthem | PPO | $73.61 | — |
| Anthem | HMO | $73.61 | — |
| Kaiser | CommercialSmallGroupPlans | $74.50 | — |
| Kaiser | KPIF | $74.50 | — |
| Kaiser | KPSelect | $74.50 | — |
| Kaiser | Commercial | $92.62 | — |
| Aetna | NBR | $93.07 | — |
| Cigna | Broad | $98.89 | — |
| United | GlobalBenefit | $100.68 | — |
| Aetna | Cofinity | $111.42 | — |
| Aetna | ExistingBusiness | $113.43 | — |
| Kaiser | HMO | $121.04 | — |
| Kaiser | PPO | $133.34 | — |
| Cigna | Connect-SBPLeanBenefitPlans | $143.19 | — |
| Cigna | BroadLeanBenefitPlans | $143.19 | — |
| Cigna | Connect-NSBPLeanBenefitPlans | $143.19 | — |
| Cigna | SureFitLeanBenefitPlans | $143.19 | — |
| Western Plains Community Health | COMM | $145.42 | — |
| Anthem | PAR | $152.14 | — |
| Multiplan | COMMPPOPRIMARYNETWORK | $156.61 | — |
| Pinnacol Workers Comp | WORKERSCOMP | $167.80 | — |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $190.17 | — |
| Prime Health | WORKERSCOMP | $201.36 | — |
| Multiplan | BeechStreetCOMMPPO | $201.36 | — |
Visitor-reported prices
Comments
Mayo immunoassay tumor antigen quantitative ca 27.29 at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AdventHealth Porter | Denver | $333.24 | $20.39 – $38.50 |
| CENTRAL PARK ER, A PART OF ROSE | DENVER | not published | $9.47 – $50.57 |
| HCA HealthONE Rocky Mountain Children's at Presbyterian St. Luke's | Denver | not published | $13.26 – $50.57 |
| Banner Fort Collins Medical Center | Fort Collins | $11.65 | $20.19 – $59.85 |
| Banner North Colorado Medical Center - Loveland Campus | Loveland | $16.82 | $16.19 – $59.85 |
| Sterling Regional Medical Center | Sterling | $25.64 | $17.58 – $61.11 |
| East Morgan County Hospital | Brush | $46.56 | $26.55 – $61.11 |
| AdventHealth Littleton | Littleton | $333.24 | $20.39 – $38.50 |