Vaccine pneumococcal conjugate 13 valent (pcv13) im at HCA HealthONE PRESBYTERIAN ST. LUKE'S REHABILITATION, A PART OF SPALDING REHABILITATION
1719 East 19th Avenue, Denver, CO · HCA HealthONE · · NPI 1841244639
$737.80
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.
?
What you pay up front if you don't use insurance.
$737.80
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.
?
The hospital's undiscounted list price — almost no one pays this.
$112.15 with Vail Health vs $773.55 with United — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $112.15 | ↓ -85% |
| United | OptionsPPO | $152.72 | ↓ -79% |
| Anthem | PathwayEssentials | $155.60 | ↓ -79% |
| Cigna | SureFit | $198.47 | ↓ -73% |
| Anthem | PathwayNSBP | $201.05 | ↓ -73% |
| Cigna | Connect-NSBP | $214.70 | ↓ -71% |
| Aetna | MCRADVPPO | $221.34 | ↓ -70% |
| Anthem | HMO | $242.74 | ↓ -67% |
| Anthem | PPO | $242.74 | ↓ -67% |
| Kaiser | Commercial | $305.45 | ↓ -59% |
| Aetna | NBR | $306.92 | ↓ -58% |
| Cigna | Broad | $326.11 | ↓ -56% |
| United | GlobalBenefit | $332.01 | ↓ -55% |
| Aetna | Cofinity | $367.42 | ↓ -50% |
| Aetna | ExistingBusiness | $374.06 | ↓ -49% |
| United | ColoradoDoctorsPlan | $425.45 | ↓ -42% |
| Cigna | Connect-NSBPLeanBenefitPlans | $472.19 | ↓ -36% |
| Cigna | BroadLeanBenefitPlans | $472.19 | ↓ -36% |
| Cigna | SureFitLeanBenefitPlans | $472.19 | ↓ -36% |
| Western Plains Community Health | COMM | $479.57 | ↓ -35% |
| Anthem | PAR | $501.70 | ↓ -32% |
| Multiplan | COMMPPOPRIMARYNETWORK | $516.46 | ↓ -30% |
| Pinnacol Workers Comp | WORKERSCOMP | $553.35 | ↓ -25% |
| TriWest Health Alliance | FED | $590.24 | ↓ -20% |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $627.13 | ↓ -15% |
| Prime Health | WORKERSCOMP | $664.02 | ↓ -10% |
| Multiplan | BeechStreetCOMMPPO | $664.02 | ↓ -10% |
| Rocky Mountain Health Plan | AllPayerAppendix | $773.55 | ↑ +5% |
| United | AllPayerAppendix | $773.55 | ↑ +5% |
| Bright Health | MCRSNP | not published by hospital | — |
| United | MCR | not published by hospital | — |
| Cigna HealthSpring | Medicare | not published by hospital | — |
| Delaware Life Insurance | MGMCR | not published by hospital | — |
| Kaiser | MGMCR | not published by hospital | — |
| Mutual of Omaha | MCR | not published by hospital | — |
| Rocky Mountain Health | MGMCR | not published by hospital | — |
| Total LongTerm Care | MCR | not published by hospital | — |
| Humana | MCR | not published by hospital | — |
| Bright Health | PFFS | not published by hospital | — |
| Aetna | MCRADVHMO | not published by hospital | — |
| Devoted Health | MCRAdvantage | not published by hospital | — |
| WellCare | MCR | not published by hospital | — |
| InnovAge Pace | MCR | not published by hospital | — |
| Anthem BCBS | MCR | not published by hospital | — |
| Bright Health | DualEligible | not published by hospital | — |
| Bright Health | MCRHMO | not published by hospital | — |
| Bright Health | MCRPOS | not published by hospital | — |
| Bright Health | MCRPPO | not published by hospital | — |
Visitor-reported prices
Comments
Vaccine pneumococcal conjugate 13 valent (pcv13) im at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CENTRAL PARK ER, A PART OF ROSE | DENVER | $1,521.00 | $425.45 – $773.55 |
| HCA HealthONE Rocky Mountain Children's at Presbyterian St. Luke's | Denver | $1,419.00 | $425.45 – $425.45 |
| AdventHealth Porter | Denver | not published | $425.68 – $482.83 |
| Banner North Colorado Medical Center - Loveland Campus | Loveland | $67.25 | $54.35 – $428.26 |
| HCA HealthONE SOUTH PARKER ER, A PART OF SKY RIDGE | PARKER | $2,161.00 | $250.25 – $773.55 |
| HCA HealthONE BELMAR ER, A PART OF SWEDISH | LAKEWOOD | $1,288.11 | $425.45 – $773.55 |
| HCA HealthONE MOUNTAIN RIDGE | Thornton | $2,038.55 | $425.45 – $773.55 |
| HCA HealthONE AURORA | Aurora | not published | $425.45 – $773.55 |