Ot re-evaluation patient/family 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.
$53.18 with OptumHealth Care Solutions vs $1,145.47 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 |
|---|---|---|---|
| OptumHealth Care Solutions | MCD | $53.18 | — |
| Humana | MCR | $61.93 | — |
| United | MCR | $62.25 | — |
| Kaiser National Transplant | MGMCR | $62.56 | — |
| Aetna | MCRADVPPO | $62.56 | — |
| Humana National Transplant Network | PFFS | $62.56 | — |
| Humana National Transplant Network | MCRPPO | $62.56 | — |
| Humana National Transplant Network | MCRHMO | $62.56 | — |
| Devoted Health | MCRAdvantage | $62.56 | — |
| Bright Health | PFFS | $62.56 | — |
| TriWest Health Alliance | FED | $62.56 | — |
| Total LongTerm Care | MCR | $62.56 | — |
| Rocky Mountain Health | MGMCR | $62.56 | — |
| Anthem BCBS | MCR | $62.56 | — |
| Bright Health | DualEligible | $62.56 | — |
| Bright Health | MCRHMO | $62.56 | — |
| Bright Health | MCRPOS | $62.56 | — |
| Bright Health | MCRSNP | $62.56 | — |
| Bright Health | MCRPPO | $62.56 | — |
| Mutual of Omaha | MCR | $62.56 | — |
| Cigna HealthSpring | Medicare | $62.56 | — |
| Kaiser | MGMCR | $63.81 | — |
| InnovAge Pace | MCR | $63.81 | — |
| WellCare | MCR | $64.44 | — |
| Delaware Life Insurance | MGMCR | $65.69 | — |
| Vail Health | COMM | $193.46 | — |
| Kaiser | KPIF | $254.55 | — |
| Kaiser | CommercialSmallGroupPlans | $254.55 | — |
| Kaiser | KPSelect | $254.55 | — |
| United | OptionsPPO | $263.46 | — |
| Kaiser | HMO | $300.37 | — |
| Kaiser | PPO | $330.92 | — |
| Cigna Transplant | COMM | $369.10 | — |
| Bright Health | OON | $381.82 | — |
| United | GlobalBenefit | $572.74 | — |
| Kaiser National Transplant | COMM | $610.92 | — |
| Emerging Therapy Solutions | MGMCR | $610.92 | — |
| Colorado Program for Children with Special Needs | HCP | $649.10 | — |
| Aetna | Cofinity | $672.01 | — |
| Cigna | SureFitLeanBenefitPlans | $814.56 | — |
| Cigna | Connect-SBPLeanBenefitPlans | $814.56 | — |
| Cigna | Connect-NSBPLeanBenefitPlans | $814.56 | — |
| Cigna | BroadLeanBenefitPlans | $814.56 | — |
| Emerging Therapy Solutions | COMM | $814.56 | — |
| Western Plains Community Health | COMM | $827.29 | — |
| NorthCare | COMM | $890.92 | — |
| Physician Health Partners | MCR | $890.92 | — |
| Multiplan | COMMPPOPRIMARYNETWORK | $890.92 | — |
| Anthem | PAR | $941.84 | — |
| Pinnacol Workers Comp | WORKERSCOMP | $954.56 | — |
| Medical Development International | COMM | $1,018.20 | — |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $1,081.84 | — |
| Multiplan | BeechStreetCOMMPPO | $1,145.47 | — |
| Prime Health | WORKERSCOMP | $1,145.47 | — |
Visitor-reported prices
Comments
Ot re-evaluation patient/family at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AdventHealth Porter | Denver | $571.11 | $69.67 – $131.52 |
| HCA HealthONE PRESBYTERIAN ST. LUKE'S REHABILITATION, A PART OF SPALDING REHABILITATION | Denver | $973.18 | $61.93 – $65.69 |
| CENTRAL PARK ER, A PART OF ROSE | DENVER | not published | $61.93 – $65.69 |
| Banner Fort Collins Medical Center | Fort Collins | $105.02 | $120.95 – $298.00 |
| Banner North Colorado Medical Center - Loveland Campus | Loveland | $114.46 | $75.81 – $298.00 |
| Sterling Regional Medical Center | Sterling | $93.15 | $62.77 – $218.25 |
| East Morgan County Hospital | Brush | $175.72 | $94.81 – $218.25 |
| HCA HealthONE SOUTH PARKER ER, A PART OF SKY RIDGE | PARKER | $868.00 | $60.91 – $88.31 |