Passy muir valve metal trach 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.
?
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.
?
The hospital's undiscounted list price — almost no one pays this.
$115.52 with Vail Health vs $684.00 with Multiplan — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $115.52 | — |
| OptumHealth Care Solutions | MCD | $125.70 | — |
| Humana | MCR | $146.40 | — |
| United | MCR | $147.14 | — |
| Rocky Mountain Health | MGMCR | $147.88 | — |
| Aetna | MCRADVPPO | $147.88 | — |
| Anthem BCBS | MCR | $147.88 | — |
| Bright Health | DualEligible | $147.88 | — |
| Bright Health | MCRHMO | $147.88 | — |
| Bright Health | MCRPOS | $147.88 | — |
| Bright Health | MCRPPO | $147.88 | — |
| Bright Health | MCRSNP | $147.88 | — |
| Bright Health | PFFS | $147.88 | — |
| Cigna HealthSpring | Medicare | $147.88 | — |
| Mutual of Omaha | MCR | $147.88 | — |
| Devoted Health | MCRAdvantage | $147.88 | — |
| Total LongTerm Care | MCR | $147.88 | — |
| TriWest Health Alliance | FED | $147.88 | — |
| Humana National Transplant Network | MCRHMO | $147.88 | — |
| Humana National Transplant Network | MCRPPO | $147.88 | — |
| Humana National Transplant Network | PFFS | $147.88 | — |
| Kaiser National Transplant | MGMCR | $147.88 | — |
| Kaiser | MGMCR | $150.84 | — |
| InnovAge Pace | MCR | $150.84 | — |
| Kaiser | CommercialSmallGroupPlans | $152.00 | — |
| Kaiser | KPIF | $152.00 | — |
| Kaiser | KPSelect | $152.00 | — |
| WellCare | MCR | $152.32 | — |
| Delaware Life Insurance | MGMCR | $155.27 | — |
| United | OptionsPPO | $157.32 | — |
| Kaiser | HMO | $179.36 | — |
| Cigna | SureFit | $193.04 | — |
| Cigna | Connect-NSBP | $196.84 | — |
| Kaiser | PPO | $197.60 | — |
| Cigna Transplant | COMM | $220.40 | — |
| Bright Health | OON | $228.00 | — |
| Aetna | NBR | $247.76 | — |
| Cigna | Broad | $269.80 | — |
| Cigna | Connect-SBP | $295.64 | — |
| Aetna | ExistingBusiness | $301.72 | — |
| United | GlobalBenefit | $342.00 | — |
| Aetna | ASA | $362.52 | — |
| Kaiser National Transplant | COMM | $364.80 | — |
| Emerging Therapy Solutions | MGMCR | $364.80 | — |
| Colorado Program for Children with Special Needs | HCP | $387.60 | — |
| Aetna | Cofinity | $401.28 | — |
| Emerging Therapy Solutions | COMM | $486.40 | — |
| Cigna | SureFitLeanBenefitPlans | $486.40 | — |
| Cigna | BroadLeanBenefitPlans | $486.40 | — |
| Cigna | Connect-NSBPLeanBenefitPlans | $486.40 | — |
| Cigna | Connect-SBPLeanBenefitPlans | $486.40 | — |
| Western Plains Community Health | COMM | $494.00 | — |
| Physician Health Partners | MCR | $532.00 | — |
| NorthCare | COMM | $532.00 | — |
| Multiplan | COMMPPOPRIMARYNETWORK | $532.00 | — |
| Anthem | PAR | $562.40 | — |
| Pinnacol Workers Comp | WORKERSCOMP | $570.00 | — |
| Medical Development International | COMM | $608.00 | — |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $646.00 | — |
| Prime Health | WORKERSCOMP | $684.00 | — |
| Multiplan | BeechStreetCOMMPPO | $684.00 | — |
Visitor-reported prices
Comments
Passy muir valve metal trach at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CENTRAL PARK ER, A PART OF ROSE | DENVER | not published | $146.40 – $155.27 |
| HCA HealthONE PRESBYTERIAN ST. LUKE'S REHABILITATION, A PART OF SPALDING REHABILITATION | Denver | not published | $146.40 – $155.27 |
| HCA HealthONE SKY RIDGE | Lone Tree | $784.00 | $146.40 – $155.27 |
| HCA HealthONE SOUTH PARKER ER, A PART OF SKY RIDGE | PARKER | $784.00 | $146.40 – $260.16 |
| HCA HealthONE AURORA | Aurora | not published | $146.40 – $155.27 |
| HCA HealthONE BELMAR ER, A PART OF SWEDISH | LAKEWOOD | not published | $146.40 – $155.27 |
| HCA HealthONE MOUNTAIN RIDGE | Thornton | not published | $146.40 – $155.27 |