Surgical pathology level 1 gross examination only at HCA HealthONE PRESBYTERIAN ST. LUKE'S REHABILITATION, A PART OF SPALDING REHABILITATION
1719 East 19th Avenue, Denver, CO · HCA HealthONE · · NPI 1841244639
$205.80
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.
$205.80
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.
$24.67 with Rocky Mountain Health Plan vs $185.22 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 |
|---|---|---|---|
| Rocky Mountain Health Plan | AllPayerAppendix | $24.67 | ↓ -88% |
| United | AllPayerAppendix | $24.67 | ↓ -88% |
| United | ColoradoDoctorsPlan | $24.67 | ↓ -88% |
| Vail Health | COMM | $31.28 | ↓ -85% |
| United | OptionsPPO | $42.60 | ↓ -79% |
| Anthem | PathwayEssentials | $43.40 | ↓ -79% |
| Pinnacol Workers Comp | WORKERSCOMP | $45.82 | ↓ -78% |
| Multiplan | WorkersComp | $47.75 | ↓ -77% |
| Multiplan | BeechStreetWorkersComp | $47.75 | ↓ -77% |
| Cigna | SureFit | $55.36 | ↓ -73% |
| Anthem | PathwayNSBP | $56.08 | ↓ -73% |
| Cigna | Connect-SBP | $57.83 | ↓ -72% |
| Cigna | Connect-NSBP | $59.89 | ↓ -71% |
| Aetna | MCRADVHMO | $61.74 | ↓ -70% |
| Aetna | MCRADVPPO | $61.74 | ↓ -70% |
| Anthem | HMO | $67.71 | ↓ -67% |
| Anthem | PPO | $67.71 | ↓ -67% |
| Kaiser | KPIF | $68.53 | ↓ -67% |
| Kaiser | CommercialSmallGroupPlans | $68.53 | ↓ -67% |
| Kaiser | KPSelect | $68.53 | ↓ -67% |
| Kaiser | Commercial | $85.20 | ↓ -59% |
| Aetna | NBR | $85.61 | ↓ -58% |
| Cigna | Broad | $90.96 | ↓ -56% |
| United | GlobalBenefit | $92.61 | ↓ -55% |
| Aetna | Cofinity | $102.49 | ↓ -50% |
| Aetna | ExistingBusiness | $104.34 | ↓ -49% |
| Kaiser | HMO | $111.34 | ↓ -46% |
| Kaiser | PPO | $122.66 | ↓ -40% |
| Cigna | SureFitLeanBenefitPlans | $131.71 | ↓ -36% |
| Cigna | BroadLeanBenefitPlans | $131.71 | ↓ -36% |
| Cigna | Connect-NSBPLeanBenefitPlans | $131.71 | ↓ -36% |
| Cigna | Connect-SBPLeanBenefitPlans | $131.71 | ↓ -36% |
| Western Plains Community Health | COMM | $133.77 | ↓ -35% |
| Anthem | PAR | $139.94 | ↓ -32% |
| Multiplan | COMMPPOPRIMARYNETWORK | $144.06 | ↓ -30% |
| TriWest Health Alliance | FED | $164.64 | ↓ -20% |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $174.93 | ↓ -15% |
| Multiplan | BeechStreetCOMMPPO | $185.22 | ↓ -10% |
| Prime Health | WORKERSCOMP | $185.22 | ↓ -10% |
Visitor-reported prices
Comments
Surgical pathology level 1 gross examination only at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AdventHealth Porter | Denver | $332.69 | $21.53 – $56.45 |
| CENTRAL PARK ER, A PART OF ROSE | DENVER | $283.00 | $5.40 – $59.95 |
| HCA HealthONE Rocky Mountain Children's at Presbyterian St. Luke's | Denver | $894.25 | $7.56 – $59.95 |
| Banner Fort Collins Medical Center | Fort Collins | $33.53 | $23.87 – $65.55 |
| Banner North Colorado Medical Center - Loveland Campus | Loveland | $29.12 | $17.73 – $65.55 |
| Sterling Regional Medical Center | Sterling | $24.65 | $13.95 – $48.50 |
| East Morgan County Hospital | Brush | $30.80 | $21.07 – $48.50 |
| HCA HealthONE BELMAR ER, A PART OF SWEDISH | LAKEWOOD | $320.06 | $6.94 – $59.95 |