Smear gram stain 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.
$4.23 with Humana vs $64.41 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 | $4.23 | — |
| United | MCR | $4.25 | — |
| Devoted Health | MCRAdvantage | $4.27 | — |
| Bright Health | PFFS | $4.27 | — |
| Bright Health | MCRSNP | $4.27 | — |
| Bright Health | MCRPPO | $4.27 | — |
| Bright Health | MCRPOS | $4.27 | — |
| Bright Health | MCRHMO | $4.27 | — |
| Bright Health | DualEligible | $4.27 | — |
| Anthem BCBS | MCR | $4.27 | — |
| TriWest Health Alliance | FED | $4.27 | — |
| Total LongTerm Care | MCR | $4.27 | — |
| Rocky Mountain Health Plan | AllPayerAppendix | $4.27 | — |
| Rocky Mountain Health | MGMCR | $4.27 | — |
| Aetna | MCRADVHMO | $4.27 | — |
| Aetna | MCRADVPPO | $4.27 | — |
| Mutual of Omaha | MCR | $4.27 | — |
| Cigna HealthSpring | Medicare | $4.27 | — |
| United | AllPayerAppendix | $4.27 | — |
| United | ColoradoDoctorsPlan | $4.27 | — |
| InnovAge Pace | MCR | $4.36 | — |
| Kaiser | MGMCR | $4.36 | — |
| WellCare | MCR | $4.40 | — |
| Delaware Life Insurance | MGMCR | $4.48 | — |
| Vail Health | COMM | $10.88 | — |
| United | OptionsPPO | $14.81 | — |
| Anthem | PathwayEssentials | $15.09 | — |
| Cigna | SureFit | $19.25 | — |
| Anthem | PathwayNSBP | $19.50 | — |
| Cigna | Connect-SBP | $20.11 | — |
| Cigna | Connect-NSBP | $20.83 | — |
| Anthem | PPO | $23.55 | — |
| Anthem | HMO | $23.55 | — |
| Kaiser | CommercialSmallGroupPlans | $23.83 | — |
| Kaiser | KPIF | $23.83 | — |
| Kaiser | KPSelect | $23.83 | — |
| Kaiser | Commercial | $29.63 | — |
| Aetna | NBR | $29.77 | — |
| Cigna | Broad | $31.63 | — |
| United | GlobalBenefit | $32.21 | — |
| Aetna | Cofinity | $35.64 | — |
| Aetna | ExistingBusiness | $36.29 | — |
| Kaiser | HMO | $38.72 | — |
| Kaiser | PPO | $42.66 | — |
| Cigna | Connect-SBPLeanBenefitPlans | $45.80 | — |
| Cigna | BroadLeanBenefitPlans | $45.80 | — |
| Cigna | Connect-NSBPLeanBenefitPlans | $45.80 | — |
| Cigna | SureFitLeanBenefitPlans | $45.80 | — |
| Western Plains Community Health | COMM | $46.52 | — |
| Anthem | PAR | $48.67 | — |
| Multiplan | COMMPPOPRIMARYNETWORK | $50.10 | — |
| Pinnacol Workers Comp | WORKERSCOMP | $53.68 | — |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $60.83 | — |
| Prime Health | WORKERSCOMP | $64.41 | — |
| Multiplan | BeechStreetCOMMPPO | $64.41 | — |
Visitor-reported prices
Comments
Smear gram stain at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AdventHealth Porter | Denver | $130.54 | $4.18 – $7.90 |
| CENTRAL PARK ER, A PART OF ROSE | DENVER | not published | $1.95 – $10.38 |
| HCA HealthONE Rocky Mountain Children's at Presbyterian St. Luke's | Denver | not published | $2.72 – $10.38 |
| Banner North Colorado Medical Center - Loveland Campus | Loveland | $3.63 | $3.34 – $12.35 |
| Sterling Regional Medical Center | Sterling | $5.59 | $3.63 – $12.61 |
| East Morgan County Hospital | Brush | $8.68 | $5.48 – $12.61 |
| AdventHealth Littleton | Littleton | $130.54 | $4.18 – $7.90 |
| AdventHealth Avista | Louisville | $130.54 | $4.18 – $7.90 |