Immunoassay tumor antigen quantitative ca 19-9 at HCA HealthONE Rocky Mountain Children's at Presbyterian St. Luke's
2001 N High Street, Denver, CO · HCA HealthONE · · NPI 1720038946
$980.25
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.
$980.25
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.
$13.26 with Cigna vs $882.23 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 | $13.26 | ↓ -99% |
| Cigna | Connect-NSBP | $14.61 | ↓ -99% |
| OptumHealth Care Solutions | MCD | $17.69 | ↓ -98% |
| Cigna | Broad | $18.27 | ↓ -98% |
| Cigna | Connect-SBP | $19.89 | ↓ -98% |
| Humana | MCR | $20.60 | ↓ -98% |
| United | MCR | $20.71 | ↓ -98% |
| Bright Health | PFFS | $20.81 | ↓ -98% |
| Kaiser National Transplant | MGMCR | $20.81 | ↓ -98% |
| Humana National Transplant Network | PFFS | $20.81 | ↓ -98% |
| Humana National Transplant Network | MCRPPO | $20.81 | ↓ -98% |
| Aetna | MCRADVPPO | $20.81 | ↓ -98% |
| Humana National Transplant Network | MCRHMO | $20.81 | ↓ -98% |
| Mutual of Omaha | MCR | $20.81 | ↓ -98% |
| Devoted Health | MCRAdvantage | $20.81 | ↓ -98% |
| Anthem BCBS | MCR | $20.81 | ↓ -98% |
| Bright Health | DualEligible | $20.81 | ↓ -98% |
| Bright Health | MCRHMO | $20.81 | ↓ -98% |
| Bright Health | MCRPOS | $20.81 | ↓ -98% |
| Bright Health | MCRPPO | $20.81 | ↓ -98% |
| Bright Health | MCRSNP | $20.81 | ↓ -98% |
| Cigna HealthSpring | Medicare | $20.81 | ↓ -98% |
| TriWest Health Alliance | FED | $20.81 | ↓ -98% |
| United | AllPayerAppendix | $20.81 | ↓ -98% |
| United | ColoradoDoctorsPlan | $20.81 | ↓ -98% |
| Total LongTerm Care | MCR | $20.81 | ↓ -98% |
| Rocky Mountain Health Plan | AllPayerAppendix | $20.81 | ↓ -98% |
| Rocky Mountain Health | MGMCR | $20.81 | ↓ -98% |
| InnovAge Pace | MCR | $21.23 | ↓ -98% |
| Kaiser | MGMCR | $21.23 | ↓ -98% |
| WellCare | MCR | $21.43 | ↓ -98% |
| Delaware Life Insurance | MGMCR | $21.85 | ↓ -98% |
| Anthem | PathwayEssentials | $50.57 | ↓ -95% |
| Anthem | PathwayNSBP | $64.51 | ↓ -93% |
| Anthem | HMO | $98.85 | ↓ -90% |
| Anthem | PPO | $98.85 | ↓ -90% |
| Vail Health | COMM | $149.00 | ↓ -85% |
| Kaiser | CommercialSmallGroupPlans | $196.05 | ↓ -80% |
| Kaiser | KPIF | $196.05 | ↓ -80% |
| Kaiser | KPSelect | $196.05 | ↓ -80% |
| United | OptionsPPO | $202.91 | ↓ -79% |
| Kaiser | HMO | $231.34 | ↓ -76% |
| Kaiser | PPO | $254.87 | ↓ -74% |
| Cigna Transplant | COMM | $284.27 | ↓ -71% |
| Bright Health | OON | $294.07 | ↓ -70% |
| United | GlobalBenefit | $441.11 | ↓ -55% |
| Emerging Therapy Solutions | MGMCR | $470.52 | ↓ -52% |
| Kaiser National Transplant | COMM | $470.52 | ↓ -52% |
| Colorado Program for Children with Special Needs | HCP | $499.93 | ↓ -49% |
| Aetna | Cofinity | $517.57 | ↓ -47% |
| Cigna | Connect-SBPLeanBenefitPlans | $627.36 | ↓ -36% |
| Cigna | Connect-NSBPLeanBenefitPlans | $627.36 | ↓ -36% |
| Cigna | BroadLeanBenefitPlans | $627.36 | ↓ -36% |
| Emerging Therapy Solutions | COMM | $627.36 | ↓ -36% |
| Cigna | SureFitLeanBenefitPlans | $627.36 | ↓ -36% |
| Western Plains Community Health | COMM | $637.16 | ↓ -35% |
| Multiplan | COMMPPOPRIMARYNETWORK | $686.17 | ↓ -30% |
| NorthCare | COMM | $686.17 | ↓ -30% |
| Physician Health Partners | MCR | $686.17 | ↓ -30% |
| Anthem | PAR | $725.38 | ↓ -26% |
| Pinnacol Workers Comp | WORKERSCOMP | $735.19 | ↓ -25% |
| Medical Development International | COMM | $784.20 | ↓ -20% |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $833.21 | ↓ -15% |
| Multiplan | BeechStreetCOMMPPO | $882.23 | ↓ -10% |
| Prime Health | WORKERSCOMP | $882.23 | ↓ -10% |
| Aetna | ASA | not published by hospital | — |
| Aetna | NBR | not published by hospital | — |
| Aetna | ExistingBusiness | not published by hospital | — |
Visitor-reported prices
Comments
Immunoassay tumor antigen quantitative ca 19-9 at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AdventHealth Porter | Denver | $333.24 | $20.39 – $38.50 |
| CENTRAL PARK ER, A PART OF ROSE | DENVER | $1,119.00 | $9.47 – $50.57 |
| HCA HealthONE PRESBYTERIAN ST. LUKE'S REHABILITATION, A PART OF SPALDING REHABILITATION | Denver | $223.73 | $20.60 – $21.85 |
| Banner Fort Collins Medical Center | Fort Collins | $11.65 | $20.19 – $59.85 |
| Banner North Colorado Medical Center - Loveland Campus | Loveland | $16.82 | $16.19 – $59.85 |
| Sterling Regional Medical Center | Sterling | $25.64 | $17.58 – $61.11 |
| East Morgan County Hospital | Brush | $46.56 | $26.55 – $61.11 |
| HCA HealthONE BELMAR ER, A PART OF SWEDISH | LAKEWOOD | $736.65 | $12.18 – $50.57 |