MRI breast c- unilateral 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.
$115.65 with Vail Health vs $684.76 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 | $115.65 | — |
| United | OptionsPPO | $157.50 | — |
| Anthem | PathwayEssentials | $160.46 | — |
| Cigna | SureFit | $204.67 | — |
| Anthem | PathwayNSBP | $207.33 | — |
| Cigna | Connect-NSBP | $221.41 | — |
| Aetna | MCRADVHMO | $228.25 | — |
| Aetna | MCRADVPPO | $228.25 | — |
| Anthem | HMO | $250.32 | — |
| Anthem | PPO | $250.32 | — |
| Aetna | NBR | $316.51 | — |
| Cigna | Broad | $336.30 | — |
| United | GlobalBenefit | $342.38 | — |
| Pinnacol Workers Comp | WORKERSCOMP | $377.05 | — |
| Aetna | Cofinity | $378.90 | — |
| Aetna | ExistingBusiness | $385.75 | — |
| United | ColoradoDoctorsPlan | $391.22 | — |
| Multiplan | BeechStreetWorkersComp | $392.93 | — |
| Multiplan | WorkersComp | $392.93 | — |
| Cigna | SureFitLeanBenefitPlans | $486.94 | — |
| Cigna | BroadLeanBenefitPlans | $486.94 | — |
| Cigna | Connect-NSBPLeanBenefitPlans | $486.94 | — |
| Western Plains Community Health | COMM | $494.55 | — |
| Anthem | PAR | $517.38 | — |
| Rocky Mountain Health Plan | AllPayerAppendix | $517.79 | — |
| United | AllPayerAppendix | $517.79 | — |
| Multiplan | COMMPPOPRIMARYNETWORK | $532.60 | — |
| TriWest Health Alliance | FED | $608.68 | — |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $646.72 | — |
| Prime Health | WORKERSCOMP | $684.76 | — |
| Multiplan | BeechStreetCOMMPPO | $684.76 | — |
Visitor-reported prices
Comments
MRI breast c- unilateral at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AdventHealth Porter | Denver | $4,113.21 | $246.66 – $465.64 |
| CENTRAL PARK ER, A PART OF ROSE | DENVER | not published | $163.44 – $517.79 |
| HCA HealthONE Rocky Mountain Children's at Presbyterian St. Luke's | Denver | not published | $163.44 – $517.79 |
| Banner Fort Collins Medical Center | Fort Collins | $401.06 | $435.01 – $1,119.00 |
| Banner North Colorado Medical Center - Loveland Campus | Loveland | $409.55 | $272.68 – $1,119.00 |
| Sterling Regional Medical Center | Sterling | $526.46 | $318.62 – $1,107.74 |
| AdventHealth Littleton | Littleton | $4,113.21 | $246.66 – $465.64 |
| AdventHealth Avista | Louisville | $4,113.21 | $249.40 – $470.81 |