Sargramostim injection at HCA HealthONE PRESBYTERIAN ST. LUKE'S REHABILITATION, A PART OF SPALDING REHABILITATION
1719 East 19th Avenue, Denver, CO · HCA HealthONE · · NPI 1841244639
$1,332.31
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.
$1,332.31
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.
$96.02 with Pinnacol Workers Comp vs $1,199.08 with Prime Health — 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 |
|---|---|---|---|
| Pinnacol Workers Comp | WORKERSCOMP | $96.02 | ↓ -93% |
| Multiplan | BeechStreetWorkersComp | $100.06 | ↓ -92% |
| Multiplan | WorkersComp | $100.06 | ↓ -92% |
| United | ColoradoDoctorsPlan | $101.89 | ↓ -92% |
| Rocky Mountain Health Plan | AllPayerAppendix | $185.25 | ↓ -86% |
| United | AllPayerAppendix | $185.25 | ↓ -86% |
| Vail Health | COMM | $202.51 | ↓ -85% |
| United | OptionsPPO | $275.79 | ↓ -79% |
| Anthem | PathwayEssentials | $280.98 | ↓ -79% |
| Cigna | SureFit | $358.39 | ↓ -73% |
| Anthem | PathwayNSBP | $363.05 | ↓ -73% |
| Cigna | Connect-SBP | $374.38 | ↓ -72% |
| Cigna | Connect-NSBP | $387.70 | ↓ -71% |
| Aetna | MCRADVHMO | $399.69 | ↓ -70% |
| Aetna | MCRADVPPO | $399.69 | ↓ -70% |
| Anthem | HMO | $438.33 | ↓ -67% |
| Anthem | PPO | $438.33 | ↓ -67% |
| Kaiser | KPIF | $443.66 | ↓ -67% |
| Kaiser | CommercialSmallGroupPlans | $443.66 | ↓ -67% |
| Kaiser | KPSelect | $443.66 | ↓ -67% |
| Kaiser | Commercial | $551.58 | ↓ -59% |
| Aetna | NBR | $554.24 | ↓ -58% |
| Cigna | Broad | $588.88 | ↓ -56% |
| United | GlobalBenefit | $599.54 | ↓ -55% |
| Aetna | Cofinity | $663.49 | ↓ -50% |
| Aetna | ExistingBusiness | $675.48 | ↓ -49% |
| Kaiser | HMO | $720.78 | ↓ -46% |
| Kaiser | PPO | $794.06 | ↓ -40% |
| Cigna | SureFitLeanBenefitPlans | $852.68 | ↓ -36% |
| Cigna | BroadLeanBenefitPlans | $852.68 | ↓ -36% |
| Cigna | Connect-NSBPLeanBenefitPlans | $852.68 | ↓ -36% |
| Cigna | Connect-SBPLeanBenefitPlans | $852.68 | ↓ -36% |
| Western Plains Community Health | COMM | $866.00 | ↓ -35% |
| Anthem | PAR | $905.97 | ↓ -32% |
| Multiplan | COMMPPOPRIMARYNETWORK | $932.62 | ↓ -30% |
| TriWest Health Alliance | FED | $1,065.85 | ↓ -20% |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $1,132.46 | ↓ -15% |
| Multiplan | BeechStreetCOMMPPO | $1,199.08 | ↓ -10% |
| Prime Health | WORKERSCOMP | $1,199.08 | ↓ -10% |
Visitor-reported prices
Comments
Sargramostim injection at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CENTRAL PARK ER, A PART OF ROSE | DENVER | $1,238.00 | $70.90 – $185.25 |
| AdventHealth Porter | Denver | not published | $49.36 – $93.18 |
| HCA HealthONE Rocky Mountain Children's at Presbyterian St. Luke's | Denver | not published | $84.74 – $101.89 |
| HCA HealthONE AURORA | Aurora | $3,062.49 | $82.99 – $185.25 |
| HCA HealthONE BELMAR ER, A PART OF SWEDISH | LAKEWOOD | $2,161.14 | $84.74 – $185.25 |
| HCA HealthONE MOUNTAIN RIDGE | Thornton | not published | $74.20 – $185.25 |
| AdventHealth Littleton | Littleton | not published | $49.36 – $93.18 |
| AdventHealth Avista | Louisville | not published | $49.36 – $93.18 |