Ot evaluation low complexity patient/family at HCA HealthONE PRESBYTERIAN ST. LUKE'S REHABILITATION, A PART OF SPALDING REHABILITATION
1719 East 19th Avenue, Denver, CO · HCA HealthONE · · NPI 1841244639
$1,968.08
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.
$1,968.08
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.
$90.78 with Humana vs $1,771.27 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 | $90.78 | ↓ -95% |
| United | MCR | $91.24 | ↓ -95% |
| Bright Health | MCRPOS | $91.70 | ↓ -95% |
| Aetna | MCRADVHMO | $91.70 | ↓ -95% |
| Aetna | MCRADVPPO | $91.70 | ↓ -95% |
| Total LongTerm Care | MCR | $91.70 | ↓ -95% |
| Rocky Mountain Health | MGMCR | $91.70 | ↓ -95% |
| Mutual of Omaha | MCR | $91.70 | ↓ -95% |
| Devoted Health | MCRAdvantage | $91.70 | ↓ -95% |
| Cigna HealthSpring | Medicare | $91.70 | ↓ -95% |
| Bright Health | PFFS | $91.70 | ↓ -95% |
| Bright Health | MCRSNP | $91.70 | ↓ -95% |
| Bright Health | MCRPPO | $91.70 | ↓ -95% |
| Anthem BCBS | MCR | $91.70 | ↓ -95% |
| Bright Health | DualEligible | $91.70 | ↓ -95% |
| Bright Health | MCRHMO | $91.70 | ↓ -95% |
| TriWest Health Alliance | FED | $91.70 | ↓ -95% |
| Kaiser | MGMCR | $93.53 | ↓ -95% |
| InnovAge Pace | MCR | $93.53 | ↓ -95% |
| WellCare | MCR | $94.45 | ↓ -95% |
| Delaware Life Insurance | MGMCR | $96.28 | ↓ -95% |
| Vail Health | COMM | $299.15 | ↓ -85% |
| United | OptionsPPO | $407.39 | ↓ -79% |
| Anthem | PathwayEssentials | $415.07 | ↓ -79% |
| Cigna | SureFit | $529.41 | ↓ -73% |
| Anthem | PathwayNSBP | $536.30 | ↓ -73% |
| Cigna | Connect-SBP | $553.03 | ↓ -72% |
| Cigna | Connect-NSBP | $572.71 | ↓ -71% |
| Anthem | PPO | $647.50 | ↓ -67% |
| Anthem | HMO | $647.50 | ↓ -67% |
| Kaiser | CommercialSmallGroupPlans | $655.37 | ↓ -67% |
| Kaiser | KPIF | $655.37 | ↓ -67% |
| Kaiser | KPSelect | $655.37 | ↓ -67% |
| Kaiser | Commercial | $814.79 | ↓ -59% |
| Aetna | NBR | $818.72 | ↓ -58% |
| Cigna | Broad | $869.89 | ↓ -56% |
| United | GlobalBenefit | $885.64 | ↓ -55% |
| Aetna | Cofinity | $980.10 | ↓ -50% |
| Aetna | ExistingBusiness | $997.82 | ↓ -49% |
| Kaiser | HMO | $1,064.73 | ↓ -46% |
| Kaiser | PPO | $1,172.98 | ↓ -40% |
| Cigna | Connect-NSBPLeanBenefitPlans | $1,259.57 | ↓ -36% |
| Cigna | BroadLeanBenefitPlans | $1,259.57 | ↓ -36% |
| Cigna | SureFitLeanBenefitPlans | $1,259.57 | ↓ -36% |
| Cigna | Connect-SBPLeanBenefitPlans | $1,259.57 | ↓ -36% |
| Western Plains Community Health | COMM | $1,279.25 | ↓ -35% |
| Anthem | PAR | $1,338.29 | ↓ -32% |
| Multiplan | COMMPPOPRIMARYNETWORK | $1,377.66 | ↓ -30% |
| Pinnacol Workers Comp | WORKERSCOMP | $1,476.06 | ↓ -25% |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $1,672.87 | ↓ -15% |
| Prime Health | WORKERSCOMP | $1,771.27 | ↓ -10% |
| Multiplan | BeechStreetCOMMPPO | $1,771.27 | ↓ -10% |
Visitor-reported prices
Comments
Ot evaluation low complexity patient/family at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AdventHealth Porter | Denver | $759.72 | $102.12 – $192.77 |
| CENTRAL PARK ER, A PART OF ROSE | DENVER | not published | $90.78 – $96.28 |
| HCA HealthONE Rocky Mountain Children's at Presbyterian St. Luke's | Denver | not published | $77.94 – $96.28 |
| Banner Fort Collins Medical Center | Fort Collins | $124.96 | $143.91 – $333.45 |
| Banner North Colorado Medical Center - Loveland Campus | Loveland | $136.19 | $88.40 – $333.45 |
| Sterling Regional Medical Center | Sterling | $108.05 | $72.82 – $253.17 |
| East Morgan County Hospital | Brush | $203.84 | $109.99 – $253.17 |
| HCA HealthONE SOUTH PARKER ER, A PART OF SKY RIDGE | PARKER | $1,298.00 | $89.27 – $129.44 |