Nm imaging pulmonary ventilation/perfusion at HCA HealthONE Rocky Mountain Children's at Presbyterian St. Luke's
2001 N High Street, Denver, CO · HCA HealthONE · · NPI 1720038946
$7,944.00
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.
$7,944.00
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.
$119.46 with Anthem vs $7,149.60 with Multiplan — 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 | $119.46 | ↓ -98% |
| Anthem | PathwayNSBP | $152.40 | ↓ -98% |
| Anthem | PPO | $243.83 | ↓ -97% |
| Anthem | HMO | $243.83 | ↓ -97% |
| Pinnacol Workers Comp | WORKERSCOMP | $831.71 | ↓ -90% |
| United | ColoradoDoctorsPlan | $831.98 | ↓ -90% |
| Multiplan | BeechStreetWorkersComp | $866.73 | ↓ -89% |
| Multiplan | WorkersComp | $866.73 | ↓ -89% |
| Rocky Mountain Health Plan | AllPayerAppendix | $1,101.15 | ↓ -86% |
| United | AllPayerAppendix | $1,101.15 | ↓ -86% |
| Vail Health | COMM | $1,207.49 | ↓ -85% |
| Cigna | SureFit | $1,499.63 | ↓ -81% |
| Kaiser | KPIF | $1,588.80 | ↓ -80% |
| Kaiser | KPSelect | $1,588.80 | ↓ -80% |
| Kaiser | CommercialSmallGroupPlans | $1,588.80 | ↓ -80% |
| Cigna | Connect-NSBP | $1,621.64 | ↓ -80% |
| United | OptionsPPO | $1,644.41 | ↓ -79% |
| Kaiser | HMO | $1,874.78 | ↓ -76% |
| Cigna | Broad | $2,033.40 | ↓ -74% |
| Kaiser | PPO | $2,065.44 | ↓ -74% |
| Cigna | Connect-SBP | $2,109.65 | ↓ -73% |
| Cigna Transplant | COMM | $2,303.76 | ↓ -71% |
| Bright Health | OON | $2,383.20 | ↓ -70% |
| Aetna | MCRADVHMO | $2,383.20 | ↓ -70% |
| United | GlobalBenefit | $3,574.80 | ↓ -55% |
| Kaiser National Transplant | COMM | $3,813.12 | ↓ -52% |
| Emerging Therapy Solutions | MGMCR | $3,813.12 | ↓ -52% |
| Colorado Program for Children with Special Needs | HCP | $4,051.44 | ↓ -49% |
| Aetna | Cofinity | $4,194.43 | ↓ -47% |
| Cigna | BroadLeanBenefitPlans | $5,084.16 | ↓ -36% |
| Cigna | Connect-SBPLeanBenefitPlans | $5,084.16 | ↓ -36% |
| Cigna | Connect-NSBPLeanBenefitPlans | $5,084.16 | ↓ -36% |
| Emerging Therapy Solutions | COMM | $5,084.16 | ↓ -36% |
| Cigna | SureFitLeanBenefitPlans | $5,084.16 | ↓ -36% |
| Western Plains Community Health | COMM | $5,163.60 | ↓ -35% |
| Multiplan | COMMPPOPRIMARYNETWORK | $5,560.80 | ↓ -30% |
| NorthCare | COMM | $5,560.80 | ↓ -30% |
| Physician Health Partners | MCR | $5,560.80 | ↓ -30% |
| Anthem | PAR | $5,878.56 | ↓ -26% |
| Medical Development International | COMM | $6,355.20 | ↓ -20% |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $6,752.40 | ↓ -15% |
| Prime Health | WORKERSCOMP | $7,149.60 | ↓ -10% |
| Multiplan | BeechStreetCOMMPPO | $7,149.60 | ↓ -10% |
| Aetna | ExistingBusiness | not published by hospital | — |
| Aetna | ASA | not published by hospital | — |
| Aetna | NBR | not published by hospital | — |
Visitor-reported prices
Comments
Nm imaging pulmonary ventilation/perfusion at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AdventHealth Porter | Denver | $5,549.56 | $455.91 – $1,059.62 |
| CENTRAL PARK ER, A PART OF ROSE | DENVER | $13,369.22 | $119.46 – $1,101.15 |
| HCA HealthONE PRESBYTERIAN ST. LUKE'S REHABILITATION, A PART OF SPALDING REHABILITATION | Denver | $1,699.36 | $831.71 – $1,101.15 |
| Banner Fort Collins Medical Center | Fort Collins | $1,684.60 | $524.72 – $2,936.45 |
| Banner North Colorado Medical Center - Loveland Campus | Loveland | $1,526.95 | $525.38 – $2,936.45 |
| Sterling Regional Medical Center | Sterling | $725.16 | $508.34 – $1,767.34 |
| East Morgan County Hospital | Brush | $1,056.76 | $45.51 – $104.76 |
| HCA HealthONE SKY RIDGE | Lone Tree | $14,415.00 | $119.46 – $1,265.79 |