Dch validity tests 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.
$2.21 with Cigna vs $80.55 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 | $2.21 | — |
| Cigna | Connect-NSBP | $2.44 | — |
| OptumHealth Care Solutions | MCD | $2.96 | — |
| Cigna | Broad | $3.05 | — |
| Cigna | Connect-SBP | $3.32 | — |
| Humana | MCR | $3.45 | — |
| United | MCR | $3.46 | — |
| Bright Health | PFFS | $3.48 | — |
| Kaiser National Transplant | MGMCR | $3.48 | — |
| Humana National Transplant Network | PFFS | $3.48 | — |
| Humana National Transplant Network | MCRPPO | $3.48 | — |
| Aetna | MCRADVPPO | $3.48 | — |
| Humana National Transplant Network | MCRHMO | $3.48 | — |
| Mutual of Omaha | MCR | $3.48 | — |
| Devoted Health | MCRAdvantage | $3.48 | — |
| Anthem BCBS | MCR | $3.48 | — |
| Bright Health | DualEligible | $3.48 | — |
| Bright Health | MCRHMO | $3.48 | — |
| Bright Health | MCRPOS | $3.48 | — |
| Bright Health | MCRPPO | $3.48 | — |
| Bright Health | MCRSNP | $3.48 | — |
| Cigna HealthSpring | Medicare | $3.48 | — |
| TriWest Health Alliance | FED | $3.48 | — |
| United | AllPayerAppendix | $3.48 | — |
| United | ColoradoDoctorsPlan | $3.48 | — |
| Total LongTerm Care | MCR | $3.48 | — |
| Rocky Mountain Health Plan | AllPayerAppendix | $3.48 | — |
| Rocky Mountain Health | MGMCR | $3.48 | — |
| InnovAge Pace | MCR | $3.55 | — |
| Kaiser | MGMCR | $3.55 | — |
| WellCare | MCR | $3.58 | — |
| Delaware Life Insurance | MGMCR | $3.65 | — |
| Anthem | PathwayEssentials | $8.46 | — |
| Anthem | PathwayNSBP | $10.79 | — |
| Vail Health | COMM | $13.60 | — |
| Anthem | HMO | $16.53 | — |
| Anthem | PPO | $16.53 | — |
| Kaiser | CommercialSmallGroupPlans | $17.90 | — |
| Kaiser | KPIF | $17.90 | — |
| Kaiser | KPSelect | $17.90 | — |
| United | OptionsPPO | $18.53 | — |
| Kaiser | HMO | $21.12 | — |
| Kaiser | PPO | $23.27 | — |
| Cigna Transplant | COMM | $25.95 | — |
| Bright Health | OON | $26.85 | — |
| United | GlobalBenefit | $40.27 | — |
| Emerging Therapy Solutions | MGMCR | $42.96 | — |
| Kaiser National Transplant | COMM | $42.96 | — |
| Colorado Program for Children with Special Needs | HCP | $45.65 | — |
| Aetna | Cofinity | $47.26 | — |
| Cigna | Connect-SBPLeanBenefitPlans | $57.28 | — |
| Cigna | Connect-NSBPLeanBenefitPlans | $57.28 | — |
| Cigna | BroadLeanBenefitPlans | $57.28 | — |
| Emerging Therapy Solutions | COMM | $57.28 | — |
| Cigna | SureFitLeanBenefitPlans | $57.28 | — |
| Western Plains Community Health | COMM | $58.17 | — |
| Multiplan | COMMPPOPRIMARYNETWORK | $62.65 | — |
| NorthCare | COMM | $62.65 | — |
| Physician Health Partners | MCR | $62.65 | — |
| Anthem | PAR | $66.23 | — |
| Pinnacol Workers Comp | WORKERSCOMP | $67.13 | — |
| Medical Development International | COMM | $71.60 | — |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $76.08 | — |
| Multiplan | BeechStreetCOMMPPO | $80.55 | — |
| Prime Health | WORKERSCOMP | $80.55 | — |
| Aetna | ASA | not published by hospital | — |
| Aetna | NBR | not published by hospital | — |
| Aetna | ExistingBusiness | not published by hospital | — |
Visitor-reported prices
Comments
Dch validity tests at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AdventHealth Porter | Denver | $90.15 | $3.41 – $6.44 |
| HCA HealthONE PRESBYTERIAN ST. LUKE'S REHABILITATION, A PART OF SPALDING REHABILITATION | Denver | $53.71 | $3.45 – $3.65 |
| CENTRAL PARK ER, A PART OF ROSE | DENVER | not published | $1.58 – $8.46 |
| Banner Fort Collins Medical Center | Fort Collins | $1.41 | $3.38 – $10.45 |
| Banner North Colorado Medical Center - Loveland Campus | Loveland | $1.96 | $2.83 – $10.45 |
| Sterling Regional Medical Center | Sterling | $4.31 | $3.07 – $10.67 |
| East Morgan County Hospital | Brush | $6.05 | $4.64 – $10.67 |
| HCA HealthONE BELMAR ER, A PART OF SWEDISH | LAKEWOOD | $114.71 | $2.03 – $8.46 |