Observation direct referral from physician office for admission 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.
$338.43 with Vail Health vs $2,003.85 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 |
|---|---|---|---|
| Vail Health | COMM | $338.43 | — |
| United | OptionsPPO | $460.89 | — |
| Cigna Transplant | COMM | $645.68 | — |
| Bright Health | OON | $667.95 | — |
| Aetna | MCRADVHMO | $667.95 | — |
| Pinnacol Workers Comp | WORKERSCOMP | $988.36 | — |
| United | GlobalBenefit | $1,001.92 | — |
| Multiplan | BeechStreetWorkersComp | $1,029.98 | — |
| Multiplan | WorkersComp | $1,029.98 | — |
| Emerging Therapy Solutions | MGMCR | $1,068.72 | — |
| Kaiser National Transplant | COMM | $1,068.72 | — |
| Colorado Program for Children with Special Needs | HCP | $1,135.52 | — |
| Cigna | SureFitLeanBenefitPlans | $1,424.96 | — |
| Cigna | BroadLeanBenefitPlans | $1,424.96 | — |
| Cigna | Connect-NSBPLeanBenefitPlans | $1,424.96 | — |
| Cigna | Connect-SBPLeanBenefitPlans | $1,424.96 | — |
| Emerging Therapy Solutions | COMM | $1,424.96 | — |
| NorthCare | COMM | $1,558.55 | — |
| Multiplan | COMMPPOPRIMARYNETWORK | $1,558.55 | — |
| Physician Health Partners | MCR | $1,558.55 | — |
| Anthem | PAR | $1,647.61 | — |
| Medical Development International | COMM | $1,781.20 | — |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $1,892.53 | — |
| Multiplan | BeechStreetCOMMPPO | $2,003.85 | — |
| Prime Health | WORKERSCOMP | $2,003.85 | — |
Visitor-reported prices
Comments
Observation direct referral from physician office for admission at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AdventHealth Porter | Denver | $811.92 | $615.65 – $1,162.20 |
| CENTRAL PARK ER, A PART OF ROSE | DENVER | not published | $988.36 – $1,029.98 |
| HCA HealthONE PRESBYTERIAN ST. LUKE'S REHABILITATION, A PART OF SPALDING REHABILITATION | Denver | not published | $988.36 – $1,029.98 |
| Banner Fort Collins Medical Center | Fort Collins | $202.74 | $351.85 – $5,346.00 |
| Banner North Colorado Medical Center - Loveland Campus | Loveland | $322.42 | $306.07 – $2,510.00 |
| Sterling Regional Medical Center | Sterling | $683.43 | $182.47 – $677.76 |
| East Morgan County Hospital | Brush | $430.99 | $275.60 – $634.38 |
| AdventHealth Littleton | Littleton | $811.92 | $615.65 – $1,162.20 |