Apl(pml-rara) quant - sendout at HCA HealthONE Rocky Mountain Children's at Presbyterian St. Luke's
2001 N High Street, Denver, CO · HCA HealthONE · · NPI 1720038946
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.
$132.06 with Cigna vs $1,276.42 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 | $132.06 | — |
| Cigna | Connect-NSBP | $145.53 | — |
| OptumHealth Care Solutions | MCD | $176.21 | — |
| Cigna | Broad | $181.91 | — |
| Cigna | Connect-SBP | $198.08 | — |
| Humana | MCR | $205.24 | — |
| United | MCR | $206.27 | — |
| Total LongTerm Care | MCR | $207.31 | — |
| Rocky Mountain Health Plan | AllPayerAppendix | $207.31 | — |
| Rocky Mountain Health | MGMCR | $207.31 | — |
| Mutual of Omaha | MCR | $207.31 | — |
| United | AllPayerAppendix | $207.31 | — |
| United | ColoradoDoctorsPlan | $207.31 | — |
| Devoted Health | MCRAdvantage | $207.31 | — |
| Bright Health | MCRPOS | $207.31 | — |
| Kaiser National Transplant | MGMCR | $207.31 | — |
| Humana National Transplant Network | PFFS | $207.31 | — |
| Humana National Transplant Network | MCRPPO | $207.31 | — |
| Humana National Transplant Network | MCRHMO | $207.31 | — |
| TriWest Health Alliance | FED | $207.31 | — |
| Aetna | MCRADVPPO | $207.31 | — |
| Bright Health | MCRSNP | $207.31 | — |
| Anthem BCBS | MCR | $207.31 | — |
| Bright Health | DualEligible | $207.31 | — |
| Bright Health | MCRHMO | $207.31 | — |
| Bright Health | MCRPPO | $207.31 | — |
| Cigna HealthSpring | Medicare | $207.31 | — |
| Bright Health | PFFS | $207.31 | — |
| Kaiser | MGMCR | $211.46 | — |
| InnovAge Pace | MCR | $211.46 | — |
| WellCare | MCR | $213.53 | — |
| Vail Health | COMM | $215.57 | — |
| Delaware Life Insurance | MGMCR | $217.68 | — |
| Kaiser | CommercialSmallGroupPlans | $283.65 | — |
| Kaiser | KPIF | $283.65 | — |
| Kaiser | KPSelect | $283.65 | — |
| United | OptionsPPO | $293.58 | — |
| Kaiser | HMO | $334.71 | — |
| Kaiser | PPO | $368.75 | — |
| Cigna Transplant | COMM | $411.29 | — |
| Bright Health | OON | $425.48 | — |
| Anthem | PathwayEssentials | $503.76 | — |
| United | GlobalBenefit | $638.21 | — |
| Anthem | PathwayNSBP | $642.66 | — |
| Kaiser National Transplant | COMM | $680.76 | — |
| Emerging Therapy Solutions | MGMCR | $680.76 | — |
| Colorado Program for Children with Special Needs | HCP | $723.31 | — |
| Aetna | Cofinity | $748.84 | — |
| Cigna | Connect-SBPLeanBenefitPlans | $907.68 | — |
| Cigna | Connect-NSBPLeanBenefitPlans | $907.68 | — |
| Cigna | BroadLeanBenefitPlans | $907.68 | — |
| Emerging Therapy Solutions | COMM | $907.68 | — |
| Cigna | SureFitLeanBenefitPlans | $907.68 | — |
| Western Plains Community Health | COMM | $921.86 | — |
| Anthem | PPO | $984.72 | — |
| Anthem | HMO | $984.72 | — |
| NorthCare | COMM | $992.77 | — |
| Physician Health Partners | MCR | $992.77 | — |
| Multiplan | COMMPPOPRIMARYNETWORK | $992.77 | — |
| Anthem | PAR | $1,049.51 | — |
| Pinnacol Workers Comp | WORKERSCOMP | $1,063.69 | — |
| Medical Development International | COMM | $1,134.60 | — |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $1,205.51 | — |
| Prime Health | WORKERSCOMP | $1,276.42 | — |
| Multiplan | BeechStreetCOMMPPO | $1,276.42 | — |
| Aetna | ASA | not published by hospital | — |
| Aetna | ExistingBusiness | not published by hospital | — |
| Aetna | NBR | not published by hospital | — |
Visitor-reported prices
Comments
Apl(pml-rara) quant - sendout at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AdventHealth Porter | Denver | $526.37 | $203.16 – $383.52 |
| CENTRAL PARK ER, A PART OF ROSE | DENVER | $2,041.00 | $94.32 – $503.76 |
| HCA HealthONE PRESBYTERIAN ST. LUKE'S REHABILITATION, A PART OF SPALDING REHABILITATION | Denver | not published | $205.24 – $217.68 |
| Banner Fort Collins Medical Center | Fort Collins | $86.46 | $201.09 – $590.90 |
| Banner North Colorado Medical Center - Loveland Campus | Loveland | $268.70 | $159.85 – $590.90 |
| Sterling Regional Medical Center | Sterling | $191.58 | $173.54 – $603.34 |
| HCA HealthONE AURORA | Aurora | $2,288.97 | $110.49 – $503.76 |
| HCA HealthONE BELMAR ER, A PART OF SWEDISH | LAKEWOOD | $1,559.08 | $121.28 – $503.76 |