Pentamidine non-comp unit at HCA HealthONE Rocky Mountain Children's at Presbyterian St. Luke's
2001 N High Street, Denver, CO · HCA HealthONE · · NPI 1720038946
$2,642.00
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.
$2,642.00
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.
$90.00 with Cigna vs $2,377.80 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 |
|---|---|---|---|
| Cigna | SureFit | $90.00 | ↓ -97% |
| Cigna | Connect-NSBP | $90.00 | ↓ -97% |
| Cigna | Broad | $90.00 | ↓ -97% |
| Cigna | Connect-SBP | $237.13 | ↓ -91% |
| United | ColoradoDoctorsPlan | $271.29 | ↓ -90% |
| Rocky Mountain Health Plan | AllPayerAppendix | $271.29 | ↓ -90% |
| United | AllPayerAppendix | $271.29 | ↓ -90% |
| Vail Health | COMM | $401.58 | ↓ -85% |
| Kaiser | KPSelect | $528.40 | ↓ -80% |
| Kaiser | CommercialSmallGroupPlans | $528.40 | ↓ -80% |
| Kaiser | KPIF | $528.40 | ↓ -80% |
| United | OptionsPPO | $546.89 | ↓ -79% |
| Kaiser | HMO | $623.51 | ↓ -76% |
| Kaiser | PPO | $686.92 | ↓ -74% |
| Cigna Transplant | COMM | $766.18 | ↓ -71% |
| Bright Health | OON | $792.60 | ↓ -70% |
| Aetna | MCRADVPPO | $792.60 | ↓ -70% |
| United | GlobalBenefit | $1,188.90 | ↓ -55% |
| Kaiser National Transplant | COMM | $1,268.16 | ↓ -52% |
| Emerging Therapy Solutions | MGMCR | $1,268.16 | ↓ -52% |
| Colorado Program for Children with Special Needs | HCP | $1,347.42 | ↓ -49% |
| Cigna | Connect-NSBPLeanBenefitPlans | $1,690.88 | ↓ -36% |
| Cigna | BroadLeanBenefitPlans | $1,690.88 | ↓ -36% |
| Cigna | Connect-SBPLeanBenefitPlans | $1,690.88 | ↓ -36% |
| Emerging Therapy Solutions | COMM | $1,690.88 | ↓ -36% |
| Cigna | SureFitLeanBenefitPlans | $1,690.88 | ↓ -36% |
| Western Plains Community Health | COMM | $1,717.30 | ↓ -35% |
| Multiplan | COMMPPOPRIMARYNETWORK | $1,849.40 | ↓ -30% |
| NorthCare | COMM | $1,849.40 | ↓ -30% |
| Physician Health Partners | MCR | $1,849.40 | ↓ -30% |
| Anthem | PAR | $1,955.08 | ↓ -26% |
| Pinnacol Workers Comp | WORKERSCOMP | $1,981.50 | ↓ -25% |
| Medical Development International | COMM | $2,113.60 | ↓ -20% |
| TriWest Health Alliance | FED | $2,113.60 | ↓ -20% |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $2,245.70 | ↓ -15% |
| Prime Health | WORKERSCOMP | $2,377.80 | ↓ -10% |
| Multiplan | BeechStreetCOMMPPO | $2,377.80 | ↓ -10% |
| Aetna | ExistingBusiness | not published by hospital | — |
| Aetna | ASA | not published by hospital | — |
| Aetna | NBR | not published by hospital | — |
Visitor-reported prices
Comments
Pentamidine non-comp unit at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HealthONE PRESBYTERIAN ST. LUKE'S REHABILITATION, A PART OF SPALDING REHABILITATION | Denver | $881.97 | $271.29 – $493.26 |
| AdventHealth Porter | Denver | not published | $84.00 – $148.78 |
| HCA HealthONE BELMAR ER, A PART OF SWEDISH | LAKEWOOD | $1,431.34 | $90.00 – $493.26 |
| HCA HealthONE MOUNTAIN RIDGE | Thornton | not published | $90.00 – $493.26 |
| AdventHealth Littleton | Littleton | not published | $84.00 – $148.78 |
| AdventHealth Avista | Louisville | not published | $84.00 – $148.78 |
| AdventHealth Castle Rock | Castle Rock | not published | $84.00 – $148.78 |
| AdventHealth Parker | Parker | not published | $84.00 – $148.78 |