Disaccharidases 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.
$14.12 with Cigna vs $227.70 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 |
|---|---|---|---|
| Cigna | SureFit | $14.12 | — |
| Cigna | Connect-NSBP | $15.56 | — |
| OptumHealth Care Solutions | MCD | $18.84 | — |
| Cigna | Broad | $19.45 | — |
| Cigna | Connect-SBP | $21.18 | — |
| Humana | MCR | $21.95 | — |
| United | MCR | $22.06 | — |
| Total LongTerm Care | MCR | $22.17 | — |
| Rocky Mountain Health Plan | AllPayerAppendix | $22.17 | — |
| Rocky Mountain Health | MGMCR | $22.17 | — |
| Mutual of Omaha | MCR | $22.17 | — |
| United | AllPayerAppendix | $22.17 | — |
| United | ColoradoDoctorsPlan | $22.17 | — |
| Devoted Health | MCRAdvantage | $22.17 | — |
| Bright Health | MCRPOS | $22.17 | — |
| Kaiser National Transplant | MGMCR | $22.17 | — |
| Humana National Transplant Network | PFFS | $22.17 | — |
| Humana National Transplant Network | MCRPPO | $22.17 | — |
| Humana National Transplant Network | MCRHMO | $22.17 | — |
| TriWest Health Alliance | FED | $22.17 | — |
| Aetna | MCRADVPPO | $22.17 | — |
| Bright Health | MCRSNP | $22.17 | — |
| Anthem BCBS | MCR | $22.17 | — |
| Bright Health | DualEligible | $22.17 | — |
| Bright Health | MCRHMO | $22.17 | — |
| Bright Health | MCRPPO | $22.17 | — |
| Cigna HealthSpring | Medicare | $22.17 | — |
| Bright Health | PFFS | $22.17 | — |
| Kaiser | MGMCR | $22.61 | — |
| InnovAge Pace | MCR | $22.61 | — |
| WellCare | MCR | $22.84 | — |
| Delaware Life Insurance | MGMCR | $23.28 | — |
| Vail Health | COMM | $38.46 | — |
| Kaiser | CommercialSmallGroupPlans | $50.60 | — |
| Kaiser | KPIF | $50.60 | — |
| Kaiser | KPSelect | $50.60 | — |
| United | OptionsPPO | $52.37 | — |
| Anthem | PathwayEssentials | $53.87 | — |
| Kaiser | HMO | $59.71 | — |
| Kaiser | PPO | $65.78 | — |
| Anthem | PathwayNSBP | $68.73 | — |
| Cigna Transplant | COMM | $73.37 | — |
| Bright Health | OON | $75.90 | — |
| Anthem | HMO | $105.31 | — |
| Anthem | PPO | $105.31 | — |
| United | GlobalBenefit | $113.85 | — |
| Emerging Therapy Solutions | MGMCR | $121.44 | — |
| Kaiser National Transplant | COMM | $121.44 | — |
| Colorado Program for Children with Special Needs | HCP | $129.03 | — |
| Aetna | Cofinity | $133.58 | — |
| Cigna | Connect-SBPLeanBenefitPlans | $161.92 | — |
| Cigna | Connect-NSBPLeanBenefitPlans | $161.92 | — |
| Cigna | BroadLeanBenefitPlans | $161.92 | — |
| Emerging Therapy Solutions | COMM | $161.92 | — |
| Cigna | SureFitLeanBenefitPlans | $161.92 | — |
| Western Plains Community Health | COMM | $164.45 | — |
| Physician Health Partners | MCR | $177.10 | — |
| Multiplan | COMMPPOPRIMARYNETWORK | $177.10 | — |
| NorthCare | COMM | $177.10 | — |
| Anthem | PAR | $187.22 | — |
| Pinnacol Workers Comp | WORKERSCOMP | $189.75 | — |
| Medical Development International | COMM | $202.40 | — |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $215.05 | — |
| Prime Health | WORKERSCOMP | $227.70 | — |
| Multiplan | BeechStreetCOMMPPO | $227.70 | — |
| Aetna | NBR | not published by hospital | — |
| Aetna | ASA | not published by hospital | — |
| Aetna | ExistingBusiness | not published by hospital | — |
Visitor-reported prices
Comments
Disaccharidases at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AdventHealth Porter | Denver | $413.25 | $21.73 – $41.01 |
| CENTRAL PARK ER, A PART OF ROSE | DENVER | not published | $10.09 – $53.87 |
| HCA HealthONE PRESBYTERIAN ST. LUKE'S REHABILITATION, A PART OF SPALDING REHABILITATION | Denver | not published | $21.95 – $23.28 |
| Banner Fort Collins Medical Center | Fort Collins | $82.17 | $21.50 – $106.40 |
| Banner North Colorado Medical Center - Loveland Campus | Loveland | $83.26 | $21.50 – $106.40 |
| Sterling Regional Medical Center | Sterling | $150.48 | $22.17 – $108.64 |
| East Morgan County Hospital | Brush | $222.99 | $47.20 – $108.64 |
| HCA HealthONE MOUNTAIN RIDGE | Thornton | $1,127.36 | $10.52 – $53.87 |