Debridement (>20 cm) charge pt 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.
$37.96 with Vail Health vs $2,720.00 with Rocky Mountain Health Plan — 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 | $37.96 | — |
| OptumHealth Care Solutions | MCD | $41.99 | — |
| Humana | MCR | $48.91 | — |
| United | MCR | $49.15 | — |
| Aetna | MCRADVPPO | $49.40 | — |
| Humana National Transplant Network | MCRHMO | $49.40 | — |
| Bright Health | MCRHMO | $49.40 | — |
| Kaiser National Transplant | MGMCR | $49.40 | — |
| Humana National Transplant Network | PFFS | $49.40 | — |
| Humana National Transplant Network | MCRPPO | $49.40 | — |
| Bright Health | PFFS | $49.40 | — |
| Bright Health | MCRSNP | $49.40 | — |
| Bright Health | MCRPPO | $49.40 | — |
| Anthem BCBS | MCR | $49.40 | — |
| Bright Health | DualEligible | $49.40 | — |
| Bright Health | MCRPOS | $49.40 | — |
| TriWest Health Alliance | FED | $49.40 | — |
| Total LongTerm Care | MCR | $49.40 | — |
| Rocky Mountain Health | MGMCR | $49.40 | — |
| Mutual of Omaha | MCR | $49.40 | — |
| Devoted Health | MCRAdvantage | $49.40 | — |
| Cigna HealthSpring | Medicare | $49.40 | — |
| Kaiser | CommercialSmallGroupPlans | $49.95 | — |
| Kaiser | KPSelect | $49.95 | — |
| Kaiser | KPIF | $49.95 | — |
| InnovAge Pace | MCR | $50.39 | — |
| Kaiser | MGMCR | $50.39 | — |
| WellCare | MCR | $50.88 | — |
| United | OptionsPPO | $51.70 | — |
| Delaware Life Insurance | MGMCR | $51.87 | — |
| Kaiser | HMO | $58.94 | — |
| Kaiser | PPO | $64.94 | — |
| Cigna Transplant | COMM | $72.43 | — |
| Bright Health | OON | $74.92 | — |
| United | GlobalBenefit | $112.39 | — |
| Kaiser National Transplant | COMM | $119.88 | — |
| Emerging Therapy Solutions | MGMCR | $119.88 | — |
| Colorado Program for Children with Special Needs | HCP | $127.37 | — |
| Aetna | Cofinity | $131.87 | — |
| Cigna | SureFitLeanBenefitPlans | $159.84 | — |
| Emerging Therapy Solutions | COMM | $159.84 | — |
| Cigna | Connect-SBPLeanBenefitPlans | $159.84 | — |
| Cigna | BroadLeanBenefitPlans | $159.84 | — |
| Cigna | Connect-NSBPLeanBenefitPlans | $159.84 | — |
| Western Plains Community Health | COMM | $162.34 | — |
| Physician Health Partners | MCR | $174.82 | — |
| NorthCare | COMM | $174.82 | — |
| Multiplan | COMMPPOPRIMARYNETWORK | $174.82 | — |
| Anthem | PAR | $184.81 | — |
| Pinnacol Workers Comp | WORKERSCOMP | $187.31 | — |
| Medical Development International | COMM | $199.80 | — |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $212.29 | — |
| Multiplan | BeechStreetCOMMPPO | $224.78 | — |
| Prime Health | WORKERSCOMP | $224.78 | — |
| Cigna | SureFit | $381.38 | — |
| Cigna | Connect-NSBP | $388.89 | — |
| Aetna | NBR | $489.49 | — |
| Cigna | Broad | $533.03 | — |
| Cigna | Connect-SBP | $584.08 | — |
| Aetna | ExistingBusiness | $596.10 | — |
| Aetna | ASA | $716.22 | — |
| United | ColoradoDoctorsPlan | $1,726.00 | — |
| United | AllPayerAppendix | $2,720.00 | — |
| Rocky Mountain Health Plan | AllPayerAppendix | $2,720.00 | — |
Visitor-reported prices
Comments
Debridement (>20 cm) charge pt at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AdventHealth Porter | Denver | $1,680.28 | $42.31 – $1,083.00 |
| HCA HealthONE PRESBYTERIAN ST. LUKE'S REHABILITATION, A PART OF SPALDING REHABILITATION | Denver | $919.70 | $48.91 – $51.87 |
| CENTRAL PARK ER, A PART OF ROSE | DENVER | not published | $48.91 – $51.87 |
| Banner North Colorado Medical Center - Loveland Campus | Loveland | $138.52 | $74.79 – $8,568.00 |
| Sterling Regional Medical Center | Sterling | $73.40 | $29.85 – $103.79 |
| East Morgan County Hospital | Brush | $74.36 | $45.09 – $103.79 |
| HCA HealthONE MOUNTAIN RIDGE | Thornton | $404.38 | $48.91 – $51.87 |
| AdventHealth Littleton | Littleton | $1,680.28 | $42.31 – $1,083.00 |