X-ray humerus >= 2 views left 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.
$37.99 with Vail Health vs $224.96 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 | $37.99 | — |
| United | OptionsPPO | $51.74 | — |
| Anthem | PathwayEssentials | $52.71 | — |
| Cigna | SureFit | $67.24 | — |
| Anthem | PathwayNSBP | $68.11 | — |
| Cigna | Connect-SBP | $70.24 | — |
| Cigna | Connect-NSBP | $72.74 | — |
| Aetna | MCRADVPPO | $74.98 | — |
| Aetna | MCRADVHMO | $74.98 | — |
| Anthem | HMO | $82.23 | — |
| Anthem | PPO | $82.23 | — |
| Kaiser | KPSelect | $83.23 | — |
| Kaiser | KPIF | $83.23 | — |
| Kaiser | CommercialSmallGroupPlans | $83.23 | — |
| Kaiser | Commercial | $103.48 | — |
| Aetna | NBR | $103.98 | — |
| Cigna | Broad | $110.48 | — |
| United | GlobalBenefit | $112.48 | — |
| Aetna | Cofinity | $124.48 | — |
| Aetna | ExistingBusiness | $126.72 | — |
| Kaiser | HMO | $135.22 | — |
| United | ColoradoDoctorsPlan | $137.53 | — |
| Pinnacol Workers Comp | WORKERSCOMP | $139.83 | — |
| Multiplan | BeechStreetWorkersComp | $145.72 | — |
| Multiplan | WorkersComp | $145.72 | — |
| Kaiser | PPO | $148.97 | — |
| Cigna | Connect-NSBPLeanBenefitPlans | $159.97 | — |
| Cigna | SureFitLeanBenefitPlans | $159.97 | — |
| Cigna | Connect-SBPLeanBenefitPlans | $159.97 | — |
| Cigna | BroadLeanBenefitPlans | $159.97 | — |
| Western Plains Community Health | COMM | $162.47 | — |
| Anthem | PAR | $169.97 | — |
| Multiplan | COMMPPOPRIMARYNETWORK | $174.97 | — |
| United | AllPayerAppendix | $182.03 | — |
| Rocky Mountain Health Plan | AllPayerAppendix | $182.03 | — |
| TriWest Health Alliance | FED | $199.96 | — |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $212.46 | — |
| Prime Health | WORKERSCOMP | $224.96 | — |
| Multiplan | BeechStreetCOMMPPO | $224.96 | — |
Visitor-reported prices
Comments
X-ray humerus >= 2 views left at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AdventHealth Porter | Denver | $1,096.90 | $44.77 – $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 | $88.57 | $69.70 – $161.50 |
| Banner North Colorado Medical Center - Loveland Campus | Loveland | $59.84 | $43.69 – $161.50 |
| Sterling Regional Medical Center | Sterling | $192.60 | $119.41 – $415.16 |
| East Morgan County Hospital | Brush | $284.19 | $7.59 – $17.46 |
| AdventHealth Littleton | Littleton | $1,096.90 | $44.77 – $169.83 |