Gamunex-c/gammaked 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.
$54.73 with Cigna vs $403.88 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 | $54.73 | — |
| Cigna | Connect-NSBP | $54.73 | — |
| Cigna | Broad | $54.73 | — |
| Vail Health | COMM | $68.21 | — |
| Pinnacol Workers Comp | WORKERSCOMP | $78.94 | — |
| United | AllPayerAppendix | $80.98 | — |
| United | ColoradoDoctorsPlan | $80.98 | — |
| Rocky Mountain Health Plan | AllPayerAppendix | $80.98 | — |
| Multiplan | BeechStreetWorkersComp | $82.27 | — |
| Multiplan | WorkersComp | $82.27 | — |
| Kaiser | CommercialSmallGroupPlans | $89.75 | — |
| Kaiser | KPSelect | $89.75 | — |
| Kaiser | KPIF | $89.75 | — |
| United | OptionsPPO | $92.89 | — |
| Kaiser | HMO | $105.91 | — |
| Kaiser | PPO | $116.67 | — |
| Cigna | Connect-SBP | $126.40 | — |
| Cigna Transplant | COMM | $130.14 | — |
| Aetna | MCRADVHMO | $134.63 | — |
| Bright Health | OON | $134.63 | — |
| United | GlobalBenefit | $201.94 | — |
| Emerging Therapy Solutions | MGMCR | $215.40 | — |
| Kaiser National Transplant | COMM | $215.40 | — |
| Colorado Program for Children with Special Needs | HCP | $228.86 | — |
| Emerging Therapy Solutions | COMM | $287.20 | — |
| Cigna | Connect-SBPLeanBenefitPlans | $287.20 | — |
| Cigna | SureFitLeanBenefitPlans | $287.20 | — |
| Cigna | BroadLeanBenefitPlans | $287.20 | — |
| Cigna | Connect-NSBPLeanBenefitPlans | $287.20 | — |
| Western Plains Community Health | COMM | $291.69 | — |
| Multiplan | COMMPPOPRIMARYNETWORK | $314.13 | — |
| Physician Health Partners | MCR | $314.13 | — |
| NorthCare | COMM | $314.13 | — |
| Anthem | PAR | $332.07 | — |
| Medical Development International | COMM | $359.00 | — |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $381.44 | — |
| Multiplan | BeechStreetCOMMPPO | $403.88 | — |
| Prime Health | WORKERSCOMP | $403.88 | — |
| Aetna | ASA | not published by hospital | — |
| Aetna | NBR | not published by hospital | — |
| Emerging Therapy Solutions | MGMCD | not published by hospital | — |
| Aetna | ExistingBusiness | not published by hospital | — |
Visitor-reported prices
Comments
Gamunex-c/gammaked at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AdventHealth Porter | Denver | $11,361.73 | $47.98 – $90.58 |
| CENTRAL PARK ER, A PART OF ROSE | DENVER | not published | $54.73 – $147.24 |
| HCA HealthONE PRESBYTERIAN ST. LUKE'S REHABILITATION, A PART OF SPALDING REHABILITATION | Denver | not published | $78.94 – $147.24 |
| HCA HealthONE AURORA | Aurora | $4,890.77 | $54.73 – $147.24 |
| AdventHealth Littleton | Littleton | $11,361.73 | $47.98 – $90.58 |
| AdventHealth Avista | Louisville | $11,361.73 | $47.98 – $90.58 |
| AdventHealth Castle Rock | Castle Rock | $11,361.73 | $47.98 – $90.58 |
| AdventHealth Parker | Parker | $11,361.73 | $47.98 – $90.58 |