Brace fx hum ovr shldr sm at HCA HealthONE Rocky Mountain Children's at Presbyterian St. Luke's
2001 N High Street, Denver, CO · HCA HealthONE · · NPI 1720038946
$7,132.00
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.
$7,132.00
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.
$295.49 with OptumHealth Care Solutions vs $6,418.80 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 |
|---|---|---|---|
| OptumHealth Care Solutions | MCD | $295.49 | ↓ -96% |
| Humana | MCR | $344.15 | ↓ -95% |
| United | MCR | $345.89 | ↓ -95% |
| Rocky Mountain Health | MGMCR | $347.63 | ↓ -95% |
| Aetna | MCRADVPPO | $347.63 | ↓ -95% |
| Anthem BCBS | MCR | $347.63 | ↓ -95% |
| Bright Health | DualEligible | $347.63 | ↓ -95% |
| Bright Health | MCRHMO | $347.63 | ↓ -95% |
| Bright Health | MCRPOS | $347.63 | ↓ -95% |
| Bright Health | MCRPPO | $347.63 | ↓ -95% |
| Bright Health | MCRSNP | $347.63 | ↓ -95% |
| Bright Health | PFFS | $347.63 | ↓ -95% |
| Cigna HealthSpring | Medicare | $347.63 | ↓ -95% |
| Mutual of Omaha | MCR | $347.63 | ↓ -95% |
| Devoted Health | MCRAdvantage | $347.63 | ↓ -95% |
| Total LongTerm Care | MCR | $347.63 | ↓ -95% |
| TriWest Health Alliance | FED | $347.63 | ↓ -95% |
| Humana National Transplant Network | MCRHMO | $347.63 | ↓ -95% |
| Humana National Transplant Network | MCRPPO | $347.63 | ↓ -95% |
| Humana National Transplant Network | PFFS | $347.63 | ↓ -95% |
| Kaiser National Transplant | MGMCR | $347.63 | ↓ -95% |
| Kaiser | MGMCR | $354.58 | ↓ -95% |
| InnovAge Pace | MCR | $354.58 | ↓ -95% |
| WellCare | MCR | $358.06 | ↓ -95% |
| Delaware Life Insurance | MGMCR | $365.01 | ↓ -95% |
| Vail Health | COMM | $1,084.06 | ↓ -85% |
| Kaiser | CommercialSmallGroupPlans | $1,426.40 | ↓ -80% |
| Kaiser | KPIF | $1,426.40 | ↓ -80% |
| Kaiser | KPSelect | $1,426.40 | ↓ -80% |
| United | OptionsPPO | $1,476.32 | ↓ -79% |
| Kaiser | HMO | $1,683.15 | ↓ -76% |
| Cigna | SureFit | $1,811.53 | ↓ -75% |
| Cigna | Connect-NSBP | $1,847.19 | ↓ -74% |
| Kaiser | PPO | $1,854.32 | ↓ -74% |
| Cigna Transplant | COMM | $2,068.28 | ↓ -71% |
| Bright Health | OON | $2,139.60 | ↓ -70% |
| Aetna | NBR | $2,325.03 | ↓ -67% |
| Cigna | Broad | $2,531.86 | ↓ -65% |
| Cigna | Connect-SBP | $2,774.35 | ↓ -61% |
| Aetna | ExistingBusiness | $2,831.40 | ↓ -60% |
| United | GlobalBenefit | $3,209.40 | ↓ -55% |
| Aetna | ASA | $3,401.96 | ↓ -52% |
| Kaiser National Transplant | COMM | $3,423.36 | ↓ -52% |
| Emerging Therapy Solutions | MGMCR | $3,423.36 | ↓ -52% |
| Colorado Program for Children with Special Needs | HCP | $3,637.32 | ↓ -49% |
| Aetna | Cofinity | $3,765.70 | ↓ -47% |
| Cigna | Connect-SBPLeanBenefitPlans | $4,564.48 | ↓ -36% |
| Cigna | SureFitLeanBenefitPlans | $4,564.48 | ↓ -36% |
| Emerging Therapy Solutions | COMM | $4,564.48 | ↓ -36% |
| Cigna | BroadLeanBenefitPlans | $4,564.48 | ↓ -36% |
| Cigna | Connect-NSBPLeanBenefitPlans | $4,564.48 | ↓ -36% |
| Western Plains Community Health | COMM | $4,635.80 | ↓ -35% |
| Multiplan | COMMPPOPRIMARYNETWORK | $4,992.40 | ↓ -30% |
| Physician Health Partners | MCR | $4,992.40 | ↓ -30% |
| NorthCare | COMM | $4,992.40 | ↓ -30% |
| Anthem | PAR | $5,277.68 | ↓ -26% |
| Pinnacol Workers Comp | WORKERSCOMP | $5,349.00 | ↓ -25% |
| Medical Development International | COMM | $5,705.60 | ↓ -20% |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $6,062.20 | ↓ -15% |
| Prime Health | WORKERSCOMP | $6,418.80 | ↓ -10% |
| Multiplan | BeechStreetCOMMPPO | $6,418.80 | ↓ -10% |
Visitor-reported prices
Comments
Brace fx hum ovr shldr sm at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AdventHealth Porter | Denver | $468.44 | not published |
| CENTRAL PARK ER, A PART OF ROSE | DENVER | $5,188.00 | $344.15 – $365.01 |
| HCA HealthONE PRESBYTERIAN ST. LUKE'S REHABILITATION, A PART OF SPALDING REHABILITATION | Denver | not published | $344.15 – $365.01 |
| AdventHealth Littleton | Littleton | $468.44 | not published |
| AdventHealth Avista | Louisville | $468.44 | not published |
| AdventHealth Castle Rock | Castle Rock | $468.44 | not published |
| AdventHealth Parker | Parker | $468.44 | not published |
| HCA HealthONE AURORA | Aurora | not published | $344.15 – $365.01 |