Heart first pass add-on at HCA HealthONE Rocky Mountain Children's at Presbyterian St. Luke's
2001 N High Street, Denver, CO · HCA HealthONE · · NPI 1720038946
$3,358.75
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.
$3,358.75
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.
$49.86 with Anthem vs $3,022.88 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 |
|---|---|---|---|
| Anthem | PathwayEssentials | $49.86 | ↓ -99% |
| Anthem | PathwayNSBP | $63.61 | ↓ -98% |
| Anthem | HMO | $101.78 | ↓ -97% |
| Anthem | PPO | $101.78 | ↓ -97% |
| Vail Health | COMM | $510.53 | ↓ -85% |
| Kaiser | CommercialSmallGroupPlans | $671.75 | ↓ -80% |
| Kaiser | KPSelect | $671.75 | ↓ -80% |
| Kaiser | KPIF | $671.75 | ↓ -80% |
| United | OptionsPPO | $695.26 | ↓ -79% |
| Kaiser | HMO | $792.66 | ↓ -76% |
| Cigna | SureFit | $853.12 | ↓ -75% |
| Cigna | Connect-NSBP | $869.92 | ↓ -74% |
| Kaiser | PPO | $873.27 | ↓ -74% |
| Cigna Transplant | COMM | $974.04 | ↓ -71% |
| Bright Health | OON | $1,007.63 | ↓ -70% |
| Aetna | MCRADVPPO | $1,007.63 | ↓ -70% |
| Cigna | Broad | $1,192.36 | ↓ -64% |
| Cigna | Connect-SBP | $1,306.55 | ↓ -61% |
| United | GlobalBenefit | $1,511.44 | ↓ -55% |
| Kaiser National Transplant | COMM | $1,612.20 | ↓ -52% |
| Emerging Therapy Solutions | MGMCR | $1,612.20 | ↓ -52% |
| Colorado Program for Children with Special Needs | HCP | $1,712.96 | ↓ -49% |
| Aetna | Cofinity | $1,773.42 | ↓ -47% |
| Cigna | BroadLeanBenefitPlans | $2,149.60 | ↓ -36% |
| Cigna | Connect-NSBPLeanBenefitPlans | $2,149.60 | ↓ -36% |
| Cigna | SureFitLeanBenefitPlans | $2,149.60 | ↓ -36% |
| Emerging Therapy Solutions | COMM | $2,149.60 | ↓ -36% |
| Cigna | Connect-SBPLeanBenefitPlans | $2,149.60 | ↓ -36% |
| Western Plains Community Health | COMM | $2,183.19 | ↓ -35% |
| Multiplan | COMMPPOPRIMARYNETWORK | $2,351.13 | ↓ -30% |
| NorthCare | COMM | $2,351.13 | ↓ -30% |
| Physician Health Partners | MCR | $2,351.13 | ↓ -30% |
| Anthem | PAR | $2,485.47 | ↓ -26% |
| Pinnacol Workers Comp | WORKERSCOMP | $2,519.06 | ↓ -25% |
| Medical Development International | COMM | $2,687.00 | ↓ -20% |
| TriWest Health Alliance | FED | $2,687.00 | ↓ -20% |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $2,854.94 | ↓ -15% |
| Multiplan | BeechStreetCOMMPPO | $3,022.88 | ↓ -10% |
| Prime Health | WORKERSCOMP | $3,022.88 | ↓ -10% |
| Aetna | ASA | not published by hospital | — |
| Aetna | ExistingBusiness | not published by hospital | — |
| Aetna | NBR | not published by hospital | — |
Visitor-reported prices
Comments
Heart first pass add-on at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AdventHealth Porter | Denver | not published | $34.93 – $34.93 |
| CENTRAL PARK ER, A PART OF ROSE | DENVER | not published | $49.86 – $49.86 |
| Banner Fort Collins Medical Center | Fort Collins | $487.78 | $206.80 – $850.25 |
| Banner North Colorado Medical Center - Loveland Campus | Loveland | $442.13 | $206.80 – $850.25 |
| Sterling Regional Medical Center | Sterling | $224.87 | $157.63 – $548.05 |
| HCA HealthONE AURORA | Aurora | $1,660.31 | $49.86 – $49.86 |
| HCA HealthONE SKY RIDGE | Lone Tree | $2,150.50 | $49.86 – $49.86 |
| HCA HealthONE SOUTH PARKER ER, A PART OF SKY RIDGE | PARKER | $2,150.50 | $49.86 – $2,155.38 |