Pulmonary vent imaging at HCA HealthONE Rocky Mountain Children's at Presbyterian St. Luke's
2001 N High Street, Denver, CO · HCA HealthONE · · NPI 1720038946
$3,789.00
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.
?
What you pay up front if you don't use insurance.
$3,789.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$55.14 with Anthem vs $3,410.10 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 |
|---|---|---|---|
| Anthem | PathwayEssentials | $55.14 | ↓ -99% |
| Anthem | PathwayNSBP | $70.34 | ↓ -98% |
| Anthem | HMO | $112.54 | ↓ -97% |
| Anthem | PPO | $112.54 | ↓ -97% |
| Vail Health | COMM | $575.93 | ↓ -85% |
| Pinnacol Workers Comp | WORKERSCOMP | $634.65 | ↓ -83% |
| United | ColoradoDoctorsPlan | $641.10 | ↓ -83% |
| Multiplan | BeechStreetWorkersComp | $661.37 | ↓ -83% |
| Multiplan | WorkersComp | $661.37 | ↓ -83% |
| Kaiser | CommercialSmallGroupPlans | $757.80 | ↓ -80% |
| Kaiser | KPSelect | $757.80 | ↓ -80% |
| Kaiser | KPIF | $757.80 | ↓ -80% |
| United | OptionsPPO | $784.32 | ↓ -79% |
| Rocky Mountain Health Plan | AllPayerAppendix | $848.52 | ↓ -78% |
| United | AllPayerAppendix | $848.52 | ↓ -78% |
| Kaiser | HMO | $894.20 | ↓ -76% |
| Kaiser | PPO | $985.14 | ↓ -74% |
| Cigna Transplant | COMM | $1,098.81 | ↓ -71% |
| Bright Health | OON | $1,136.70 | ↓ -70% |
| Aetna | MCRADVHMO | $1,136.70 | ↓ -70% |
| Cigna | SureFit | $1,155.34 | ↓ -70% |
| Cigna | Connect-NSBP | $1,249.33 | ↓ -67% |
| Cigna | Broad | $1,566.56 | ↓ -59% |
| Cigna | Connect-SBP | $1,625.31 | ↓ -57% |
| United | GlobalBenefit | $1,705.05 | ↓ -55% |
| Kaiser National Transplant | COMM | $1,818.72 | ↓ -52% |
| Emerging Therapy Solutions | MGMCR | $1,818.72 | ↓ -52% |
| Colorado Program for Children with Special Needs | HCP | $1,932.39 | ↓ -49% |
| Aetna | Cofinity | $2,000.59 | ↓ -47% |
| Cigna | BroadLeanBenefitPlans | $2,424.96 | ↓ -36% |
| Cigna | Connect-SBPLeanBenefitPlans | $2,424.96 | ↓ -36% |
| Cigna | Connect-NSBPLeanBenefitPlans | $2,424.96 | ↓ -36% |
| Emerging Therapy Solutions | COMM | $2,424.96 | ↓ -36% |
| Cigna | SureFitLeanBenefitPlans | $2,424.96 | ↓ -36% |
| Western Plains Community Health | COMM | $2,462.85 | ↓ -35% |
| Multiplan | COMMPPOPRIMARYNETWORK | $2,652.30 | ↓ -30% |
| NorthCare | COMM | $2,652.30 | ↓ -30% |
| Physician Health Partners | MCR | $2,652.30 | ↓ -30% |
| Anthem | PAR | $2,803.86 | ↓ -26% |
| Medical Development International | COMM | $3,031.20 | ↓ -20% |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $3,220.65 | ↓ -15% |
| Prime Health | WORKERSCOMP | $3,410.10 | ↓ -10% |
| Multiplan | BeechStreetCOMMPPO | $3,410.10 | ↓ -10% |
| Aetna | ExistingBusiness | not published by hospital | — |
| Aetna | ASA | not published by hospital | — |
| Aetna | NBR | not published by hospital | — |
Visitor-reported prices
Comments
Pulmonary vent imaging at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AdventHealth Porter | Denver | $3,660.50 | $269.65 – $780.17 |
| CENTRAL PARK ER, A PART OF ROSE | DENVER | $2,433.31 | $55.14 – $848.52 |
| HCA HealthONE PRESBYTERIAN ST. LUKE'S REHABILITATION, A PART OF SPALDING REHABILITATION | Denver | not published | $634.65 – $848.52 |
| Banner Fort Collins Medical Center | Fort Collins | $559.17 | $391.72 – $974.70 |
| Banner North Colorado Medical Center - Loveland Campus | Loveland | $506.84 | $263.68 – $974.70 |
| Sterling Regional Medical Center | Sterling | $324.77 | $227.66 – $791.52 |
| East Morgan County Hospital | Brush | $473.28 | $21.07 – $48.50 |
| HCA HealthONE SKY RIDGE | Lone Tree | $6,341.50 | $55.14 – $975.18 |