Crystal identification light microscopy 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.
$4.66 with Cigna vs $220.05 with Prime Health — 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 | $4.66 | — |
| Cigna | Connect-NSBP | $5.14 | — |
| OptumHealth Care Solutions | MCD | $6.23 | — |
| Cigna | Broad | $6.43 | — |
| Cigna | Connect-SBP | $7.00 | — |
| Humana | MCR | $7.26 | — |
| United | MCR | $7.29 | — |
| Bright Health | PFFS | $7.33 | — |
| Kaiser National Transplant | MGMCR | $7.33 | — |
| Humana National Transplant Network | PFFS | $7.33 | — |
| Humana National Transplant Network | MCRPPO | $7.33 | — |
| Aetna | MCRADVPPO | $7.33 | — |
| Humana National Transplant Network | MCRHMO | $7.33 | — |
| Mutual of Omaha | MCR | $7.33 | — |
| Devoted Health | MCRAdvantage | $7.33 | — |
| Anthem BCBS | MCR | $7.33 | — |
| Bright Health | DualEligible | $7.33 | — |
| Bright Health | MCRHMO | $7.33 | — |
| Bright Health | MCRPOS | $7.33 | — |
| Bright Health | MCRPPO | $7.33 | — |
| Bright Health | MCRSNP | $7.33 | — |
| Cigna HealthSpring | Medicare | $7.33 | — |
| TriWest Health Alliance | FED | $7.33 | — |
| United | AllPayerAppendix | $7.33 | — |
| United | ColoradoDoctorsPlan | $7.33 | — |
| Total LongTerm Care | MCR | $7.33 | — |
| Rocky Mountain Health Plan | AllPayerAppendix | $7.33 | — |
| Rocky Mountain Health | MGMCR | $7.33 | — |
| InnovAge Pace | MCR | $7.48 | — |
| Kaiser | MGMCR | $7.48 | — |
| WellCare | MCR | $7.55 | — |
| Delaware Life Insurance | MGMCR | $7.70 | — |
| Anthem | PathwayEssentials | $17.81 | — |
| Anthem | PathwayNSBP | $22.72 | — |
| Anthem | HMO | $34.82 | — |
| Anthem | PPO | $34.82 | — |
| Vail Health | COMM | $37.16 | — |
| Kaiser | CommercialSmallGroupPlans | $48.90 | — |
| Kaiser | KPIF | $48.90 | — |
| Kaiser | KPSelect | $48.90 | — |
| United | OptionsPPO | $50.61 | — |
| Kaiser | HMO | $57.70 | — |
| Kaiser | PPO | $63.57 | — |
| Cigna Transplant | COMM | $70.91 | — |
| Bright Health | OON | $73.35 | — |
| United | GlobalBenefit | $110.03 | — |
| Emerging Therapy Solutions | MGMCR | $117.36 | — |
| Kaiser National Transplant | COMM | $117.36 | — |
| Colorado Program for Children with Special Needs | HCP | $124.69 | — |
| Aetna | Cofinity | $129.10 | — |
| Cigna | Connect-SBPLeanBenefitPlans | $156.48 | — |
| Cigna | Connect-NSBPLeanBenefitPlans | $156.48 | — |
| Cigna | BroadLeanBenefitPlans | $156.48 | — |
| Emerging Therapy Solutions | COMM | $156.48 | — |
| Cigna | SureFitLeanBenefitPlans | $156.48 | — |
| Western Plains Community Health | COMM | $158.93 | — |
| Multiplan | COMMPPOPRIMARYNETWORK | $171.15 | — |
| NorthCare | COMM | $171.15 | — |
| Physician Health Partners | MCR | $171.15 | — |
| Anthem | PAR | $180.93 | — |
| Pinnacol Workers Comp | WORKERSCOMP | $183.38 | — |
| Medical Development International | COMM | $195.60 | — |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $207.82 | — |
| Multiplan | BeechStreetCOMMPPO | $220.05 | — |
| Prime Health | WORKERSCOMP | $220.05 | — |
| Aetna | ASA | not published by hospital | — |
| Aetna | NBR | not published by hospital | — |
| Aetna | ExistingBusiness | not published by hospital | — |
Visitor-reported prices
Comments
Crystal identification light microscopy at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AdventHealth Porter | Denver | $291.78 | $7.18 – $13.56 |
| HCA HealthONE PRESBYTERIAN ST. LUKE'S REHABILITATION, A PART OF SPALDING REHABILITATION | Denver | $187.92 | $7.26 – $7.70 |
| CENTRAL PARK ER, A PART OF ROSE | DENVER | not published | $3.33 – $17.81 |
| Banner Fort Collins Medical Center | Fort Collins | $8.49 | $7.11 – $20.90 |
| Banner North Colorado Medical Center - Loveland Campus | Loveland | $9.31 | $5.65 – $20.90 |
| Sterling Regional Medical Center | Sterling | $11.62 | $6.14 – $21.34 |
| East Morgan County Hospital | Brush | $19.38 | $9.27 – $21.34 |
| HCA HealthONE SOUTH PARKER ER, A PART OF SKY RIDGE | PARKER | $285.00 | $4.19 – $97.04 |