Genetic tstg severe inh cond 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.
$596.26 with Vail Health vs $11,630.66 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 |
|---|---|---|---|
| Vail Health | COMM | $596.26 | — |
| Kaiser | CommercialSmallGroupPlans | $784.55 | — |
| Kaiser | KPIF | $784.55 | — |
| Kaiser | KPSelect | $784.55 | — |
| United | OptionsPPO | $812.01 | — |
| Kaiser | HMO | $925.77 | — |
| Kaiser | PPO | $1,019.91 | — |
| Cigna Transplant | COMM | $1,137.60 | — |
| Bright Health | OON | $1,176.83 | — |
| Cigna | SureFit | $1,559.73 | — |
| Cigna | Connect-NSBP | $1,718.88 | — |
| United | GlobalBenefit | $1,765.24 | — |
| Kaiser National Transplant | COMM | $1,882.92 | — |
| Emerging Therapy Solutions | MGMCR | $1,882.92 | — |
| Colorado Program for Children with Special Needs | HCP | $2,000.60 | — |
| Aetna | Cofinity | $2,071.21 | — |
| OptumHealth Care Solutions | MCD | $2,081.28 | — |
| Cigna | Broad | $2,148.61 | — |
| Cigna | Connect-SBP | $2,339.59 | — |
| Humana | MCR | $2,424.07 | — |
| United | MCR | $2,436.32 | — |
| Bright Health | MCRSNP | $2,448.56 | — |
| Aetna | MCRADVPPO | $2,448.56 | — |
| United | AllPayerAppendix | $2,448.56 | — |
| United | ColoradoDoctorsPlan | $2,448.56 | — |
| Anthem BCBS | MCR | $2,448.56 | — |
| Bright Health | DualEligible | $2,448.56 | — |
| Bright Health | MCRHMO | $2,448.56 | — |
| Bright Health | MCRPOS | $2,448.56 | — |
| Bright Health | MCRPPO | $2,448.56 | — |
| Devoted Health | MCRAdvantage | $2,448.56 | — |
| Bright Health | PFFS | $2,448.56 | — |
| Cigna HealthSpring | Medicare | $2,448.56 | — |
| Mutual of Omaha | MCR | $2,448.56 | — |
| Rocky Mountain Health | MGMCR | $2,448.56 | — |
| Rocky Mountain Health Plan | AllPayerAppendix | $2,448.56 | — |
| Total LongTerm Care | MCR | $2,448.56 | — |
| TriWest Health Alliance | FED | $2,448.56 | — |
| Humana National Transplant Network | MCRHMO | $2,448.56 | — |
| Humana National Transplant Network | MCRPPO | $2,448.56 | — |
| Humana National Transplant Network | PFFS | $2,448.56 | — |
| Kaiser National Transplant | MGMCR | $2,448.56 | — |
| Kaiser | MGMCR | $2,497.53 | — |
| InnovAge Pace | MCR | $2,497.53 | — |
| Cigna | Connect-NSBPLeanBenefitPlans | $2,510.56 | — |
| Cigna | BroadLeanBenefitPlans | $2,510.56 | — |
| Cigna | Connect-SBPLeanBenefitPlans | $2,510.56 | — |
| Emerging Therapy Solutions | COMM | $2,510.56 | — |
| Cigna | SureFitLeanBenefitPlans | $2,510.56 | — |
| WellCare | MCR | $2,522.02 | — |
| Western Plains Community Health | COMM | $2,549.79 | — |
| Delaware Life Insurance | MGMCR | $2,570.99 | — |
| Multiplan | COMMPPOPRIMARYNETWORK | $2,745.93 | — |
| Physician Health Partners | MCR | $2,745.93 | — |
| NorthCare | COMM | $2,745.93 | — |
| Anthem | PAR | $2,902.84 | — |
| Pinnacol Workers Comp | WORKERSCOMP | $2,942.06 | — |
| Medical Development International | COMM | $3,138.20 | — |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $3,334.34 | — |
| Multiplan | BeechStreetCOMMPPO | $3,530.47 | — |
| Prime Health | WORKERSCOMP | $3,530.47 | — |
| Anthem | PathwayEssentials | $5,950.00 | — |
| Anthem | PathwayNSBP | $7,590.54 | — |
| Anthem | HMO | $11,630.66 | — |
| Anthem | PPO | $11,630.66 | — |
| Aetna | NBR | not published by hospital | — |
| Aetna | ASA | not published by hospital | — |
| Aetna | ExistingBusiness | not published by hospital | — |
Visitor-reported prices
Comments
Genetic tstg severe inh cond at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AdventHealth Porter | Denver | $3,368.94 | $2,399.59 – $4,529.84 |
| CENTRAL PARK ER, A PART OF ROSE | DENVER | not published | $1,114.09 – $5,950.00 |
| HCA HealthONE PRESBYTERIAN ST. LUKE'S REHABILITATION, A PART OF SPALDING REHABILITATION | Denver | not published | $2,424.07 – $2,570.99 |
| HCA HealthONE SOUTH PARKER ER, A PART OF SKY RIDGE | PARKER | $3,267.63 | $109.54 – $5,950.00 |
| AdventHealth Littleton | Littleton | $3,368.94 | $2,399.59 – $4,529.84 |
| AdventHealth Avista | Louisville | $3,368.94 | $2,399.59 – $4,529.84 |
| AdventHealth Castle Rock | Castle Rock | $3,368.94 | $2,399.59 – $4,529.84 |
| AdventHealth Parker | Parker | $3,368.94 | $2,399.59 – $4,529.84 |