Analysis tumor at HCA HealthONE Rocky Mountain Children's at Presbyterian St. Luke's
2001 N High Street, Denver, CO · HCA HealthONE · · NPI 1720038946
$4,019.25
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.
$4,019.25
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.
$58.50 with Cigna vs $3,617.32 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 |
|---|---|---|---|
| Cigna | SureFit | $58.50 | ↓ -99% |
| Cigna | Connect-NSBP | $64.47 | ↓ -98% |
| Cigna | Broad | $80.58 | ↓ -98% |
| Cigna | Connect-SBP | $87.74 | ↓ -98% |
| United | AllPayerAppendix | $149.16 | ↓ -96% |
| United | ColoradoDoctorsPlan | $149.16 | ↓ -96% |
| Rocky Mountain Health Plan | AllPayerAppendix | $149.16 | ↓ -96% |
| Pinnacol Workers Comp | WORKERSCOMP | $262.83 | ↓ -93% |
| Multiplan | WorkersComp | $273.89 | ↓ -93% |
| Multiplan | BeechStreetWorkersComp | $273.89 | ↓ -93% |
| Anthem | PathwayEssentials | $362.46 | ↓ -91% |
| Anthem | PathwayNSBP | $462.40 | ↓ -88% |
| Vail Health | COMM | $610.93 | ↓ -85% |
| Anthem | HMO | $708.51 | ↓ -82% |
| Anthem | PPO | $708.51 | ↓ -82% |
| Kaiser | KPIF | $803.85 | ↓ -80% |
| Kaiser | KPSelect | $803.85 | ↓ -80% |
| Kaiser | CommercialSmallGroupPlans | $803.85 | ↓ -80% |
| United | OptionsPPO | $831.98 | ↓ -79% |
| Kaiser | HMO | $948.54 | ↓ -76% |
| Kaiser | PPO | $1,045.01 | ↓ -74% |
| Cigna Transplant | COMM | $1,165.58 | ↓ -71% |
| Aetna | MCRADVHMO | $1,205.78 | ↓ -70% |
| Bright Health | OON | $1,205.78 | ↓ -70% |
| United | GlobalBenefit | $1,808.66 | ↓ -55% |
| Kaiser National Transplant | COMM | $1,929.24 | ↓ -52% |
| Emerging Therapy Solutions | MGMCR | $1,929.24 | ↓ -52% |
| Colorado Program for Children with Special Needs | HCP | $2,049.82 | ↓ -49% |
| Aetna | Cofinity | $2,122.16 | ↓ -47% |
| Cigna | BroadLeanBenefitPlans | $2,572.32 | ↓ -36% |
| Cigna | Connect-SBPLeanBenefitPlans | $2,572.32 | ↓ -36% |
| Cigna | Connect-NSBPLeanBenefitPlans | $2,572.32 | ↓ -36% |
| Emerging Therapy Solutions | COMM | $2,572.32 | ↓ -36% |
| Cigna | SureFitLeanBenefitPlans | $2,572.32 | ↓ -36% |
| Western Plains Community Health | COMM | $2,612.51 | ↓ -35% |
| Multiplan | COMMPPOPRIMARYNETWORK | $2,813.47 | ↓ -30% |
| NorthCare | COMM | $2,813.47 | ↓ -30% |
| Physician Health Partners | MCR | $2,813.47 | ↓ -30% |
| Anthem | PAR | $2,974.24 | ↓ -26% |
| Medical Development International | COMM | $3,215.40 | ↓ -20% |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $3,416.36 | ↓ -15% |
| Prime Health | WORKERSCOMP | $3,617.32 | ↓ -10% |
| Multiplan | BeechStreetCOMMPPO | $3,617.32 | ↓ -10% |
| Aetna | ExistingBusiness | not published by hospital | — |
| Aetna | ASA | not published by hospital | — |
| Aetna | NBR | not published by hospital | — |
Visitor-reported prices
Comments
Analysis tumor at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AdventHealth Porter | Denver | not published | $160.43 – $332.48 |
| CENTRAL PARK ER, A PART OF ROSE | DENVER | not published | $41.78 – $362.46 |
| HCA HealthONE PRESBYTERIAN ST. LUKE'S REHABILITATION, A PART OF SPALDING REHABILITATION | Denver | not published | $149.16 – $273.89 |
| HCA HealthONE MOUNTAIN RIDGE | Thornton | $988.32 | $43.57 – $362.46 |
| HCA HealthONE BELMAR ER, A PART OF SWEDISH | LAKEWOOD | not published | $53.72 – $362.46 |
| AdventHealth Littleton | Littleton | not published | $160.43 – $332.48 |
| AdventHealth Avista | Louisville | not published | $160.43 – $336.17 |
| AdventHealth Castle Rock | Castle Rock | not published | $160.43 – $332.48 |