Wbc automated 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.
$2.51 with Humana vs $56.38 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 | $2.51 | — |
| United | MCR | $2.53 | — |
| Devoted Health | MCRAdvantage | $2.54 | — |
| Bright Health | PFFS | $2.54 | — |
| Bright Health | MCRSNP | $2.54 | — |
| Bright Health | MCRPPO | $2.54 | — |
| Bright Health | MCRPOS | $2.54 | — |
| Bright Health | MCRHMO | $2.54 | — |
| Bright Health | DualEligible | $2.54 | — |
| Anthem BCBS | MCR | $2.54 | — |
| TriWest Health Alliance | FED | $2.54 | — |
| Total LongTerm Care | MCR | $2.54 | — |
| Rocky Mountain Health Plan | AllPayerAppendix | $2.54 | — |
| Rocky Mountain Health | MGMCR | $2.54 | — |
| Aetna | MCRADVHMO | $2.54 | — |
| Aetna | MCRADVPPO | $2.54 | — |
| Mutual of Omaha | MCR | $2.54 | — |
| Cigna HealthSpring | Medicare | $2.54 | — |
| United | AllPayerAppendix | $2.54 | — |
| United | ColoradoDoctorsPlan | $2.54 | — |
| InnovAge Pace | MCR | $2.59 | — |
| Kaiser | MGMCR | $2.59 | — |
| WellCare | MCR | $2.62 | — |
| Delaware Life Insurance | MGMCR | $2.67 | — |
| Vail Health | COMM | $9.52 | — |
| United | OptionsPPO | $12.97 | — |
| Anthem | PathwayEssentials | $13.21 | — |
| Cigna | SureFit | $16.85 | — |
| Anthem | PathwayNSBP | $17.07 | — |
| Cigna | Connect-SBP | $17.60 | — |
| Cigna | Connect-NSBP | $18.23 | — |
| Anthem | PPO | $20.61 | — |
| Anthem | HMO | $20.61 | — |
| Kaiser | CommercialSmallGroupPlans | $20.86 | — |
| Kaiser | KPIF | $20.86 | — |
| Kaiser | KPSelect | $20.86 | — |
| Kaiser | Commercial | $25.94 | — |
| Aetna | NBR | $26.06 | — |
| Cigna | Broad | $27.69 | — |
| United | GlobalBenefit | $28.19 | — |
| Aetna | Cofinity | $31.20 | — |
| Aetna | ExistingBusiness | $31.76 | — |
| Kaiser | HMO | $33.89 | — |
| Kaiser | PPO | $37.34 | — |
| Cigna | Connect-SBPLeanBenefitPlans | $40.10 | — |
| Cigna | BroadLeanBenefitPlans | $40.10 | — |
| Cigna | Connect-NSBPLeanBenefitPlans | $40.10 | — |
| Cigna | SureFitLeanBenefitPlans | $40.10 | — |
| Western Plains Community Health | COMM | $40.72 | — |
| Anthem | PAR | $42.60 | — |
| Multiplan | COMMPPOPRIMARYNETWORK | $43.85 | — |
| Pinnacol Workers Comp | WORKERSCOMP | $46.99 | — |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $53.25 | — |
| Prime Health | WORKERSCOMP | $56.38 | — |
| Multiplan | BeechStreetCOMMPPO | $56.38 | — |
Visitor-reported prices
Comments
Wbc automated at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AdventHealth Porter | Denver | $111.31 | $2.49 – $4.70 |
| CENTRAL PARK ER, A PART OF ROSE | DENVER | not published | $1.15 – $6.17 |
| HCA HealthONE Rocky Mountain Children's at Presbyterian St. Luke's | Denver | not published | $1.62 – $6.17 |
| Banner North Colorado Medical Center - Loveland Campus | Loveland | $2.26 | $2.06 – $7.60 |
| Sterling Regional Medical Center | Sterling | $2.68 | $2.23 – $7.76 |
| East Morgan County Hospital | Brush | $4.98 | $3.37 – $7.76 |
| HCA HealthONE SOUTH PARKER ER, A PART OF SKY RIDGE | PARKER | $167.00 | $1.45 – $216.56 |
| AdventHealth Littleton | Littleton | $111.31 | $2.49 – $4.70 |