X-ray exam of femur 1 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.
$33.55 with Vail Health vs $198.63 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 |
|---|---|---|---|
| Vail Health | COMM | $33.55 | — |
| United | OptionsPPO | $45.68 | — |
| Anthem | PathwayEssentials | $46.55 | — |
| Cigna | SureFit | $59.37 | — |
| Anthem | PathwayNSBP | $60.14 | — |
| Cigna | Connect-SBP | $62.02 | — |
| Cigna | Connect-NSBP | $64.22 | — |
| Aetna | MCRADVPPO | $66.21 | — |
| Aetna | MCRADVHMO | $66.21 | — |
| Anthem | HMO | $72.61 | — |
| Anthem | PPO | $72.61 | — |
| Kaiser | KPSelect | $73.49 | — |
| Kaiser | KPIF | $73.49 | — |
| Kaiser | CommercialSmallGroupPlans | $73.49 | — |
| Kaiser | Commercial | $91.37 | — |
| Aetna | NBR | $91.81 | — |
| Cigna | Broad | $97.55 | — |
| United | GlobalBenefit | $99.31 | — |
| Aetna | Cofinity | $109.91 | — |
| Aetna | ExistingBusiness | $111.89 | — |
| Kaiser | HMO | $119.40 | — |
| Kaiser | PPO | $131.54 | — |
| United | ColoradoDoctorsPlan | $137.53 | — |
| Pinnacol Workers Comp | WORKERSCOMP | $139.83 | — |
| Cigna | Connect-NSBPLeanBenefitPlans | $141.25 | — |
| Cigna | Connect-SBPLeanBenefitPlans | $141.25 | — |
| Cigna | BroadLeanBenefitPlans | $141.25 | — |
| Cigna | SureFitLeanBenefitPlans | $141.25 | — |
| Western Plains Community Health | COMM | $143.46 | — |
| Multiplan | BeechStreetWorkersComp | $145.72 | — |
| Multiplan | WorkersComp | $145.72 | — |
| Anthem | PAR | $150.08 | — |
| Multiplan | COMMPPOPRIMARYNETWORK | $154.49 | — |
| TriWest Health Alliance | FED | $176.56 | — |
| United | AllPayerAppendix | $182.03 | — |
| Rocky Mountain Health Plan | AllPayerAppendix | $182.03 | — |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $187.59 | — |
| Prime Health | WORKERSCOMP | $198.63 | — |
| Multiplan | BeechStreetCOMMPPO | $198.63 | — |
Visitor-reported prices
Comments
X-ray exam of femur 1 at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AdventHealth Porter | Denver | $301.22 | $39.86 – $169.83 |
| CENTRAL PARK ER, A PART OF ROSE | DENVER | not published | $19.83 – $182.03 |
| HCA HealthONE Rocky Mountain Children's at Presbyterian St. Luke's | Denver | not published | $19.83 – $258.24 |
| Banner Fort Collins Medical Center | Fort Collins | $69.29 | $54.53 – $153.00 |
| Banner North Colorado Medical Center - Loveland Campus | Loveland | $46.82 | $34.18 – $153.00 |
| Sterling Regional Medical Center | Sterling | $83.70 | $51.89 – $180.42 |
| East Morgan County Hospital | Brush | $123.50 | $7.59 – $17.46 |
| AdventHealth Littleton | Littleton | $301.22 | $39.86 – $169.83 |