Electron microscopy diagnostic 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.
?
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.
?
The hospital's undiscounted list price — almost no one pays this.
$256.02 with Cigna vs $3,116.71 with Anthem — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $256.02 | — |
| Cigna | Connect-NSBP | $282.14 | — |
| Cigna | Broad | $352.67 | — |
| Cigna | Connect-SBP | $384.02 | — |
| Vail Health | COMM | $447.64 | — |
| Kaiser | KPIF | $589.00 | — |
| Kaiser | CommercialSmallGroupPlans | $589.00 | — |
| Kaiser | KPSelect | $589.00 | — |
| United | OptionsPPO | $609.62 | — |
| United | AllPayerAppendix | $656.15 | — |
| United | ColoradoDoctorsPlan | $656.15 | — |
| Rocky Mountain Health Plan | AllPayerAppendix | $656.15 | — |
| Kaiser | HMO | $695.02 | — |
| Kaiser | PPO | $765.70 | — |
| Cigna Transplant | COMM | $854.05 | — |
| Bright Health | OON | $883.50 | — |
| Aetna | MCRADVHMO | $883.50 | — |
| Pinnacol Workers Comp | WORKERSCOMP | $1,323.15 | — |
| United | GlobalBenefit | $1,325.25 | — |
| Multiplan | WorkersComp | $1,378.86 | — |
| Multiplan | BeechStreetWorkersComp | $1,378.86 | — |
| Kaiser National Transplant | COMM | $1,413.60 | — |
| Emerging Therapy Solutions | MGMCR | $1,413.60 | — |
| Colorado Program for Children with Special Needs | HCP | $1,501.95 | — |
| Aetna | Cofinity | $1,554.96 | — |
| Anthem | PathwayEssentials | $1,594.44 | — |
| Cigna | BroadLeanBenefitPlans | $1,884.80 | — |
| Cigna | Connect-SBPLeanBenefitPlans | $1,884.80 | — |
| Cigna | SureFitLeanBenefitPlans | $1,884.80 | — |
| Emerging Therapy Solutions | COMM | $1,884.80 | — |
| Cigna | Connect-NSBPLeanBenefitPlans | $1,884.80 | — |
| Western Plains Community Health | COMM | $1,914.25 | — |
| Anthem | PathwayNSBP | $2,034.07 | — |
| Physician Health Partners | MCR | $2,061.50 | — |
| NorthCare | COMM | $2,061.50 | — |
| Multiplan | COMMPPOPRIMARYNETWORK | $2,061.50 | — |
| Anthem | PAR | $2,179.30 | — |
| Medical Development International | COMM | $2,356.00 | — |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $2,503.25 | — |
| Multiplan | BeechStreetCOMMPPO | $2,650.50 | — |
| Prime Health | WORKERSCOMP | $2,650.50 | — |
| Anthem | HMO | $3,116.71 | — |
| Anthem | PPO | $3,116.71 | — |
| Aetna | NBR | not published by hospital | — |
| Aetna | ASA | not published by hospital | — |
| Aetna | ExistingBusiness | not published by hospital | — |
Visitor-reported prices
Comments
Electron microscopy diagnostic at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AdventHealth Porter | Denver | $5,046.60 | $733.07 – $1,572.31 |
| CENTRAL PARK ER, A PART OF ROSE | DENVER | $1,168.00 | $182.87 – $1,594.44 |
| HCA HealthONE PRESBYTERIAN ST. LUKE'S REHABILITATION, A PART OF SPALDING REHABILITATION | Denver | not published | $656.15 – $1,378.86 |
| Banner Fort Collins Medical Center | Fort Collins | $1,150.85 | $796.34 – $2,249.60 |
| Banner North Colorado Medical Center - Loveland Campus | Loveland | $999.30 | $608.58 – $2,249.60 |
| Sterling Regional Medical Center | Sterling | $795.70 | $450.31 – $1,565.58 |
| East Morgan County Hospital | Brush | $994.22 | $680.14 – $1,565.58 |
| HCA HealthONE SKY RIDGE | Lone Tree | $9,029.91 | $229.89 – $1,594.44 |