X-ray sinus tract/fistula/abscess at HCA HealthONE PRESBYTERIAN ST. LUKE'S REHABILITATION, A PART OF SPALDING REHABILITATION
1719 East 19th Avenue, Denver, CO · HCA HealthONE · · NPI 1841244639
$1,566.96
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.
$1,566.96
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.
$238.18 with Vail Health vs $1,410.26 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 | $238.18 | ↓ -85% |
| United | OptionsPPO | $324.36 | ↓ -79% |
| Anthem | PathwayEssentials | $330.47 | ↓ -79% |
| Cigna | SureFit | $421.51 | ↓ -73% |
| Anthem | PathwayNSBP | $427.00 | ↓ -73% |
| Cigna | Connect-SBP | $440.32 | ↓ -72% |
| Cigna | Connect-NSBP | $455.99 | ↓ -71% |
| Aetna | MCRADVPPO | $470.09 | ↓ -70% |
| Aetna | MCRADVHMO | $470.09 | ↓ -70% |
| Anthem | HMO | $515.53 | ↓ -67% |
| Anthem | PPO | $515.53 | ↓ -67% |
| Kaiser | KPSelect | $521.80 | ↓ -67% |
| Kaiser | KPIF | $521.80 | ↓ -67% |
| Kaiser | CommercialSmallGroupPlans | $521.80 | ↓ -67% |
| Kaiser | Commercial | $648.72 | ↓ -59% |
| Aetna | NBR | $651.86 | ↓ -58% |
| Cigna | Broad | $692.60 | ↓ -56% |
| United | GlobalBenefit | $705.13 | ↓ -55% |
| Aetna | Cofinity | $780.35 | ↓ -50% |
| Aetna | ExistingBusiness | $794.45 | ↓ -49% |
| United | ColoradoDoctorsPlan | $820.91 | ↓ -48% |
| Kaiser | HMO | $847.73 | ↓ -46% |
| Pinnacol Workers Comp | WORKERSCOMP | $848.89 | ↓ -46% |
| Multiplan | BeechStreetWorkersComp | $884.63 | ↓ -44% |
| Multiplan | WorkersComp | $884.63 | ↓ -44% |
| Kaiser | PPO | $933.91 | ↓ -40% |
| Cigna | Connect-NSBPLeanBenefitPlans | $1,002.85 | ↓ -36% |
| Cigna | SureFitLeanBenefitPlans | $1,002.85 | ↓ -36% |
| Cigna | Connect-SBPLeanBenefitPlans | $1,002.85 | ↓ -36% |
| Cigna | BroadLeanBenefitPlans | $1,002.85 | ↓ -36% |
| Western Plains Community Health | COMM | $1,018.52 | ↓ -35% |
| Anthem | PAR | $1,065.53 | ↓ -32% |
| United | AllPayerAppendix | $1,086.50 | ↓ -31% |
| Rocky Mountain Health Plan | AllPayerAppendix | $1,086.50 | ↓ -31% |
| Multiplan | COMMPPOPRIMARYNETWORK | $1,096.87 | ↓ -30% |
| TriWest Health Alliance | FED | $1,253.57 | ↓ -20% |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $1,331.92 | ↓ -15% |
| Prime Health | WORKERSCOMP | $1,410.26 | ↓ -10% |
| Multiplan | BeechStreetCOMMPPO | $1,410.26 | ↓ -10% |
Visitor-reported prices
Comments
X-ray sinus tract/fistula/abscess at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AdventHealth Porter | Denver | $2,277.39 | $65.07 – $1,066.35 |
| CENTRAL PARK ER, A PART OF ROSE | DENVER | not published | $59.02 – $1,086.50 |
| HCA HealthONE Rocky Mountain Children's at Presbyterian St. Luke's | Denver | not published | $59.02 – $1,495.56 |
| Banner Fort Collins Medical Center | Fort Collins | $471.50 | $106.00 – $1,322.47 |
| Banner North Colorado Medical Center - Loveland Campus | Loveland | $318.56 | $112.00 – $1,324.13 |
| Sterling Regional Medical Center | Sterling | $321.75 | $199.49 – $693.55 |
| East Morgan County Hospital | Brush | $474.76 | $22.76 – $52.38 |
| AdventHealth Littleton | Littleton | $2,277.39 | $65.07 – $1,066.35 |