ER Visit (level 5, high severity) 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.
$795.00 with Mutual of Omaha vs $15,317.00 with Aetna — 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 |
|---|---|---|---|
| Mutual of Omaha | MCR | $795.00 | — |
| Pinnacol Workers Comp | WORKERSCOMP | $988.36 | — |
| Multiplan | BeechStreetWorkersComp | $1,029.98 | — |
| Multiplan | WorkersComp | $1,029.98 | — |
| Kaiser | KPIF | $1,200.00 | — |
| Kaiser | CommercialSmallGroupPlans | $1,200.00 | — |
| Kaiser | KPSelect | $1,200.00 | — |
| Vail Health | COMM | $2,141.68 | — |
| Cigna | SureFit | $2,202.00 | — |
| Cigna | Connect-NSBP | $2,607.00 | — |
| United | OptionsPPO | $2,916.63 | — |
| Cigna | Connect-SBP | $3,524.00 | — |
| Cigna | Broad | $3,560.00 | — |
| Kaiser | HMO | $3,675.00 | — |
| Kaiser | PPO | $4,004.00 | — |
| Cigna Transplant | COMM | $4,086.10 | — |
| Aetna | MCRADVHMO | $4,227.00 | — |
| Bright Health | OON | $4,227.00 | — |
| United | ColoradoDoctorsPlan | $4,467.00 | — |
| Anthem | PathwayEssentials | $4,476.00 | — |
| Anthem | PathwayNSBP | $5,833.00 | — |
| United | GlobalBenefit | $6,340.50 | — |
| Kaiser National Transplant | COMM | $6,763.20 | — |
| Emerging Therapy Solutions | MGMCR | $6,763.20 | — |
| United | AllPayerAppendix | $7,894.00 | — |
| Rocky Mountain Health Plan | AllPayerAppendix | $7,894.00 | — |
| Cigna | BroadLeanBenefitPlans | $9,017.60 | — |
| Cigna | Connect-NSBPLeanBenefitPlans | $9,017.60 | — |
| Cigna | SureFitLeanBenefitPlans | $9,017.60 | — |
| Emerging Therapy Solutions | COMM | $9,017.60 | — |
| Cigna | Connect-SBPLeanBenefitPlans | $9,017.60 | — |
| Western Plains Community Health | COMM | $9,158.50 | — |
| Multiplan | COMMPPOPRIMARYNETWORK | $9,863.00 | — |
| NorthCare | COMM | $9,863.00 | — |
| Physician Health Partners | MCR | $9,863.00 | — |
| Anthem | PPO | $10,189.00 | — |
| Anthem | HMO | $10,189.00 | — |
| Aetna | NBR | $10,407.00 | — |
| Anthem | PAR | $10,426.60 | — |
| Medical Development International | COMM | $11,272.00 | — |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $11,976.50 | — |
| Multiplan | BeechStreetCOMMPPO | $12,681.00 | — |
| Prime Health | WORKERSCOMP | $12,681.00 | — |
| Aetna | ExistingBusiness | $12,691.00 | — |
| Aetna | ASA | $15,317.00 | — |
Visitor-reported prices
Comments
ER Visit (level 5, high severity) at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AdventHealth Porter | Denver | $17,124.42 | $304.91 – $1,162.20 |
| HCA HealthONE PRESBYTERIAN ST. LUKE'S REHABILITATION, A PART OF SPALDING REHABILITATION | Denver | $5,118.43 | $988.36 – $1,029.98 |
| CENTRAL PARK ER, A PART OF ROSE | DENVER | not published | $988.36 – $1,029.98 |
| Banner Fort Collins Medical Center | Fort Collins | $2,245.25 | $597.67 – $4,750.00 |
| Banner North Colorado Medical Center - Loveland Campus | Loveland | $1,796.26 | $598.42 – $4,750.00 |
| Sterling Regional Medical Center | Sterling | $1,865.05 | $407.34 – $1,416.20 |
| East Morgan County Hospital | Brush | $2,627.34 | $328.69 – $756.60 |
| AdventHealth Littleton | Littleton | $17,124.42 | $304.91 – $1,162.20 |