Pinworm exam at HCA HealthONE Rocky Mountain Children's at Presbyterian St. Luke's
2001 N High Street, Denver, CO · HCA HealthONE · · NPI 1720038946
$653.75
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.
$653.75
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.
$2.72 with Cigna vs $588.38 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 |
|---|---|---|---|
| Cigna | SureFit | $2.72 | ↓ -100% |
| Cigna | Connect-NSBP | $3.00 | ↓ -100% |
| OptumHealth Care Solutions | MCD | $3.63 | ↓ -99% |
| Cigna | Broad | $3.75 | ↓ -99% |
| Cigna | Connect-SBP | $4.09 | ↓ -99% |
| Humana | MCR | $4.23 | ↓ -99% |
| United | MCR | $4.25 | ↓ -99% |
| Bright Health | PFFS | $4.27 | ↓ -99% |
| Kaiser National Transplant | MGMCR | $4.27 | ↓ -99% |
| Humana National Transplant Network | PFFS | $4.27 | ↓ -99% |
| Humana National Transplant Network | MCRPPO | $4.27 | ↓ -99% |
| Aetna | MCRADVPPO | $4.27 | ↓ -99% |
| Humana National Transplant Network | MCRHMO | $4.27 | ↓ -99% |
| Mutual of Omaha | MCR | $4.27 | ↓ -99% |
| Devoted Health | MCRAdvantage | $4.27 | ↓ -99% |
| Anthem BCBS | MCR | $4.27 | ↓ -99% |
| Bright Health | DualEligible | $4.27 | ↓ -99% |
| Bright Health | MCRHMO | $4.27 | ↓ -99% |
| Bright Health | MCRPOS | $4.27 | ↓ -99% |
| Bright Health | MCRPPO | $4.27 | ↓ -99% |
| Bright Health | MCRSNP | $4.27 | ↓ -99% |
| Cigna HealthSpring | Medicare | $4.27 | ↓ -99% |
| TriWest Health Alliance | FED | $4.27 | ↓ -99% |
| United | AllPayerAppendix | $4.27 | ↓ -99% |
| United | ColoradoDoctorsPlan | $4.27 | ↓ -99% |
| Total LongTerm Care | MCR | $4.27 | ↓ -99% |
| Rocky Mountain Health Plan | AllPayerAppendix | $4.27 | ↓ -99% |
| Rocky Mountain Health | MGMCR | $4.27 | ↓ -99% |
| InnovAge Pace | MCR | $4.36 | ↓ -99% |
| Kaiser | MGMCR | $4.36 | ↓ -99% |
| WellCare | MCR | $4.40 | ↓ -99% |
| Delaware Life Insurance | MGMCR | $4.48 | ↓ -99% |
| Anthem | PathwayEssentials | $10.38 | ↓ -98% |
| Anthem | PathwayNSBP | $13.24 | ↓ -98% |
| Anthem | HMO | $20.28 | ↓ -97% |
| Anthem | PPO | $20.28 | ↓ -97% |
| Vail Health | COMM | $99.37 | ↓ -85% |
| Kaiser | CommercialSmallGroupPlans | $130.75 | ↓ -80% |
| Kaiser | KPIF | $130.75 | ↓ -80% |
| Kaiser | KPSelect | $130.75 | ↓ -80% |
| United | OptionsPPO | $135.33 | ↓ -79% |
| Kaiser | HMO | $154.29 | ↓ -76% |
| Kaiser | PPO | $169.97 | ↓ -74% |
| Cigna Transplant | COMM | $189.59 | ↓ -71% |
| Bright Health | OON | $196.13 | ↓ -70% |
| United | GlobalBenefit | $294.19 | ↓ -55% |
| Emerging Therapy Solutions | MGMCR | $313.80 | ↓ -52% |
| Kaiser National Transplant | COMM | $313.80 | ↓ -52% |
| Colorado Program for Children with Special Needs | HCP | $333.41 | ↓ -49% |
| Aetna | Cofinity | $345.18 | ↓ -47% |
| Cigna | Connect-SBPLeanBenefitPlans | $418.40 | ↓ -36% |
| Cigna | Connect-NSBPLeanBenefitPlans | $418.40 | ↓ -36% |
| Cigna | BroadLeanBenefitPlans | $418.40 | ↓ -36% |
| Emerging Therapy Solutions | COMM | $418.40 | ↓ -36% |
| Cigna | SureFitLeanBenefitPlans | $418.40 | ↓ -36% |
| Western Plains Community Health | COMM | $424.94 | ↓ -35% |
| Multiplan | COMMPPOPRIMARYNETWORK | $457.63 | ↓ -30% |
| NorthCare | COMM | $457.63 | ↓ -30% |
| Physician Health Partners | MCR | $457.63 | ↓ -30% |
| Anthem | PAR | $483.77 | ↓ -26% |
| Pinnacol Workers Comp | WORKERSCOMP | $490.31 | ↓ -25% |
| Medical Development International | COMM | $523.00 | ↓ -20% |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $555.69 | ↓ -15% |
| Multiplan | BeechStreetCOMMPPO | $588.38 | ↓ -10% |
| Prime Health | WORKERSCOMP | $588.38 | ↓ -10% |
| Aetna | ASA | not published by hospital | — |
| Aetna | NBR | not published by hospital | — |
| Aetna | ExistingBusiness | not published by hospital | — |
Visitor-reported prices
Comments
Pinworm exam at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AdventHealth Porter | Denver | $90.54 | $4.18 – $7.90 |
| HCA HealthONE PRESBYTERIAN ST. LUKE'S REHABILITATION, A PART OF SPALDING REHABILITATION | Denver | not published | $4.23 – $4.48 |
| Banner North Colorado Medical Center - Loveland Campus | Loveland | $3.63 | $3.34 – $12.35 |
| Sterling Regional Medical Center | Sterling | $5.59 | $3.63 – $12.61 |
| East Morgan County Hospital | Brush | $8.68 | $5.48 – $12.61 |
| AdventHealth Littleton | Littleton | $90.54 | $4.18 – $7.90 |
| AdventHealth Avista | Louisville | $90.54 | $4.18 – $7.90 |
| AdventHealth Castle Rock | Castle Rock | $90.54 | $4.18 – $7.90 |