#covid19rsv-rsv at HCA HealthONE Rocky Mountain Children's at Presbyterian St. Luke's
2001 N High Street, Denver, CO · HCA HealthONE · · NPI 1720038946
$158.25
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.
$158.25
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.
$24.05 with Vail Health vs $333.45 with Anthem — 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 | $24.05 | ↓ -85% |
| Kaiser | KPSelect | $31.65 | ↓ -80% |
| Kaiser | CommercialSmallGroupPlans | $31.65 | ↓ -80% |
| Kaiser | KPIF | $31.65 | ↓ -80% |
| United | OptionsPPO | $32.76 | ↓ -79% |
| Kaiser | HMO | $37.35 | ↓ -76% |
| Kaiser | PPO | $41.15 | ↓ -74% |
| Cigna | SureFit | $44.72 | ↓ -72% |
| Cigna Transplant | COMM | $45.89 | ↓ -71% |
| Bright Health | OON | $47.48 | ↓ -70% |
| Cigna | Connect-NSBP | $49.28 | ↓ -69% |
| OptumHealth Care Solutions | MCD | $59.67 | ↓ -62% |
| Cigna | Broad | $61.60 | ↓ -61% |
| Cigna | Connect-SBP | $67.08 | ↓ -58% |
| Humana | MCR | $69.50 | ↓ -56% |
| United | MCR | $69.85 | ↓ -56% |
| Rocky Mountain Health Plan | AllPayerAppendix | $70.20 | ↓ -56% |
| United | AllPayerAppendix | $70.20 | ↓ -56% |
| United | ColoradoDoctorsPlan | $70.20 | ↓ -56% |
| Aetna | MCRADVPPO | $70.20 | ↓ -56% |
| Anthem BCBS | MCR | $70.20 | ↓ -56% |
| Bright Health | DualEligible | $70.20 | ↓ -56% |
| Bright Health | MCRHMO | $70.20 | ↓ -56% |
| Bright Health | MCRPOS | $70.20 | ↓ -56% |
| Bright Health | MCRPPO | $70.20 | ↓ -56% |
| Bright Health | MCRSNP | $70.20 | ↓ -56% |
| Bright Health | PFFS | $70.20 | ↓ -56% |
| Cigna HealthSpring | Medicare | $70.20 | ↓ -56% |
| Mutual of Omaha | MCR | $70.20 | ↓ -56% |
| Rocky Mountain Health | MGMCR | $70.20 | ↓ -56% |
| Total LongTerm Care | MCR | $70.20 | ↓ -56% |
| TriWest Health Alliance | FED | $70.20 | ↓ -56% |
| Humana National Transplant Network | MCRHMO | $70.20 | ↓ -56% |
| Humana National Transplant Network | MCRPPO | $70.20 | ↓ -56% |
| Humana National Transplant Network | PFFS | $70.20 | ↓ -56% |
| Kaiser National Transplant | MGMCR | $70.20 | ↓ -56% |
| Devoted Health | MCRAdvantage | $70.20 | ↓ -56% |
| United | GlobalBenefit | $71.21 | ↓ -55% |
| InnovAge Pace | MCR | $71.60 | ↓ -55% |
| Kaiser | MGMCR | $71.60 | ↓ -55% |
| WellCare | MCR | $72.31 | ↓ -54% |
| Delaware Life Insurance | MGMCR | $73.71 | ↓ -53% |
| Emerging Therapy Solutions | MGMCR | $75.96 | ↓ -52% |
| Kaiser National Transplant | COMM | $75.96 | ↓ -52% |
| Colorado Program for Children with Special Needs | HCP | $80.71 | ↓ -49% |
| Aetna | Cofinity | $83.56 | ↓ -47% |
| Cigna | Connect-SBPLeanBenefitPlans | $101.28 | ↓ -36% |
| Cigna | Connect-NSBPLeanBenefitPlans | $101.28 | ↓ -36% |
| Emerging Therapy Solutions | COMM | $101.28 | ↓ -36% |
| Cigna | SureFitLeanBenefitPlans | $101.28 | ↓ -36% |
| Cigna | BroadLeanBenefitPlans | $101.28 | ↓ -36% |
| Western Plains Community Health | COMM | $102.86 | ↓ -35% |
| Physician Health Partners | MCR | $110.78 | ↓ -30% |
| NorthCare | COMM | $110.78 | ↓ -30% |
| Multiplan | COMMPPOPRIMARYNETWORK | $110.78 | ↓ -30% |
| Anthem | PAR | $117.11 | ↓ -26% |
| Medical Development International | COMM | $126.60 | ↓ -20% |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $134.51 | ↓ -15% |
| Prime Health | WORKERSCOMP | $142.43 | ↓ -10% |
| Multiplan | BeechStreetCOMMPPO | $142.43 | ↓ -10% |
| Anthem | PathwayEssentials | $170.59 | ↑ +8% |
| Pinnacol Workers Comp | WORKERSCOMP | $192.74 | ↑ +22% |
| Multiplan | BeechStreetWorkersComp | $200.85 | ↑ +27% |
| Multiplan | WorkersComp | $200.85 | ↑ +27% |
| Anthem | PathwayNSBP | $217.62 | ↑ +38% |
| Anthem | PPO | $333.45 | ↑ +111% |
| Anthem | HMO | $333.45 | ↑ +111% |
| Aetna | ASA | not published by hospital | — |
| Aetna | NBR | not published by hospital | — |
| Aetna | ExistingBusiness | not published by hospital | — |
Visitor-reported prices
Comments
#covid19rsv-rsv at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AdventHealth Porter | Denver | $595.82 | $68.80 – $129.87 |
| HCA HealthONE PRESBYTERIAN ST. LUKE'S REHABILITATION, A PART OF SPALDING REHABILITATION | Denver | $111.32 | $69.50 – $200.85 |
| CENTRAL PARK ER, A PART OF ROSE | DENVER | not published | $31.94 – $200.85 |
| Banner Fort Collins Medical Center | Fort Collins | $30.59 | $68.09 – $200.45 |
| Banner North Colorado Medical Center - Loveland Campus | Loveland | $58.87 | $54.23 – $200.45 |
| Sterling Regional Medical Center | Sterling | $90.73 | $58.87 – $204.67 |
| East Morgan County Hospital | Brush | $140.95 | $88.92 – $204.67 |
| HCA HealthONE AURORA | Aurora | $139.15 | $37.42 – $200.85 |