Surgical pathology level 5 gross & microscopic examination at HCA HealthONE PRESBYTERIAN ST. LUKE'S REHABILITATION, A PART OF SPALDING REHABILITATION
1719 East 19th Avenue, Denver, CO · HCA HealthONE · · NPI 1841244639
$1,014.16
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.
$1,014.16
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.
$154.15 with Vail Health vs $912.74 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 |
|---|---|---|---|
| Vail Health | COMM | $154.15 | ↓ -85% |
| United | OptionsPPO | $209.93 | ↓ -79% |
| Anthem | PathwayEssentials | $213.89 | ↓ -79% |
| Cigna | SureFit | $272.81 | ↓ -73% |
| Anthem | PathwayNSBP | $276.36 | ↓ -73% |
| Cigna | Connect-SBP | $284.98 | ↓ -72% |
| Rocky Mountain Health Plan | AllPayerAppendix | $291.26 | ↓ -71% |
| United | ColoradoDoctorsPlan | $291.26 | ↓ -71% |
| United | AllPayerAppendix | $291.26 | ↓ -71% |
| Cigna | Connect-NSBP | $295.12 | ↓ -71% |
| Aetna | MCRADVHMO | $304.25 | ↓ -70% |
| Aetna | MCRADVPPO | $304.25 | ↓ -70% |
| Anthem | PPO | $333.66 | ↓ -67% |
| Anthem | HMO | $333.66 | ↓ -67% |
| Kaiser | CommercialSmallGroupPlans | $337.72 | ↓ -67% |
| Kaiser | KPIF | $337.72 | ↓ -67% |
| Kaiser | KPSelect | $337.72 | ↓ -67% |
| Kaiser | Commercial | $419.86 | ↓ -59% |
| Aetna | NBR | $421.89 | ↓ -58% |
| Cigna | Broad | $448.26 | ↓ -56% |
| United | GlobalBenefit | $456.37 | ↓ -55% |
| Aetna | Cofinity | $505.05 | ↓ -50% |
| Aetna | ExistingBusiness | $514.18 | ↓ -49% |
| Kaiser | HMO | $548.66 | ↓ -46% |
| Pinnacol Workers Comp | WORKERSCOMP | $553.11 | ↓ -45% |
| Multiplan | BeechStreetWorkersComp | $576.40 | ↓ -43% |
| Multiplan | WorkersComp | $576.40 | ↓ -43% |
| Kaiser | PPO | $604.44 | ↓ -40% |
| Cigna | BroadLeanBenefitPlans | $649.06 | ↓ -36% |
| Cigna | Connect-NSBPLeanBenefitPlans | $649.06 | ↓ -36% |
| Cigna | Connect-SBPLeanBenefitPlans | $649.06 | ↓ -36% |
| Cigna | SureFitLeanBenefitPlans | $649.06 | ↓ -36% |
| Western Plains Community Health | COMM | $659.20 | ↓ -35% |
| Anthem | PAR | $689.63 | ↓ -32% |
| Multiplan | COMMPPOPRIMARYNETWORK | $709.91 | ↓ -30% |
| TriWest Health Alliance | FED | $811.33 | ↓ -20% |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $862.04 | ↓ -15% |
| Multiplan | BeechStreetCOMMPPO | $912.74 | ↓ -10% |
| Prime Health | WORKERSCOMP | $912.74 | ↓ -10% |
Visitor-reported prices
Comments
Surgical pathology level 5 gross & microscopic examination at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AdventHealth Porter | Denver | $2,283.57 | $370.56 – $699.52 |
| CENTRAL PARK ER, A PART OF ROSE | DENVER | $1,131.00 | $96.37 – $707.76 |
| HCA HealthONE Rocky Mountain Children's at Presbyterian St. Luke's | Denver | $4,312.50 | $134.92 – $707.76 |
| Banner Fort Collins Medical Center | Fort Collins | $587.09 | $350.66 – $1,147.60 |
| Banner North Colorado Medical Center - Loveland Campus | Loveland | $509.78 | $310.46 – $1,147.60 |
| Sterling Regional Medical Center | Sterling | $353.97 | $200.32 – $696.46 |
| East Morgan County Hospital | Brush | $442.29 | $302.57 – $696.46 |
| HCA HealthONE AURORA | Aurora | $4,471.91 | $112.89 – $707.76 |