Quant diff pulm perf w/imaging at HCA HealthONE Rocky Mountain Children's at Presbyterian St. Luke's
2001 N High Street, Denver, CO · HCA HealthONE · · NPI 1720038946
$11,731.00
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.
$11,731.00
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.
$81.72 with Anthem vs $10,557.90 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 |
|---|---|---|---|
| Anthem | PathwayEssentials | $81.72 | ↓ -99% |
| Anthem | PathwayNSBP | $104.25 | ↓ -99% |
| Anthem | HMO | $166.80 | ↓ -99% |
| Anthem | PPO | $166.80 | ↓ -99% |
| Pinnacol Workers Comp | WORKERSCOMP | $634.65 | ↓ -95% |
| United | ColoradoDoctorsPlan | $641.10 | ↓ -95% |
| Multiplan | BeechStreetWorkersComp | $661.37 | ↓ -94% |
| Multiplan | WorkersComp | $661.37 | ↓ -94% |
| Rocky Mountain Health Plan | AllPayerAppendix | $848.52 | ↓ -93% |
| United | AllPayerAppendix | $848.52 | ↓ -93% |
| Cigna | SureFit | $1,155.34 | ↓ -90% |
| Cigna | Connect-NSBP | $1,249.33 | ↓ -89% |
| Cigna | Broad | $1,566.56 | ↓ -87% |
| Cigna | Connect-SBP | $1,625.31 | ↓ -86% |
| Vail Health | COMM | $1,783.11 | ↓ -85% |
| Kaiser | KPIF | $2,346.20 | ↓ -80% |
| Kaiser | KPSelect | $2,346.20 | ↓ -80% |
| Kaiser | CommercialSmallGroupPlans | $2,346.20 | ↓ -80% |
| United | OptionsPPO | $2,428.32 | ↓ -79% |
| Kaiser | HMO | $2,768.52 | ↓ -76% |
| Kaiser | PPO | $3,050.06 | ↓ -74% |
| Cigna Transplant | COMM | $3,401.99 | ↓ -71% |
| Aetna | MCRADVHMO | $3,519.30 | ↓ -70% |
| Bright Health | OON | $3,519.30 | ↓ -70% |
| United | GlobalBenefit | $5,278.95 | ↓ -55% |
| Kaiser National Transplant | COMM | $5,630.88 | ↓ -52% |
| Emerging Therapy Solutions | MGMCR | $5,630.88 | ↓ -52% |
| Colorado Program for Children with Special Needs | HCP | $5,982.81 | ↓ -49% |
| Aetna | Cofinity | $6,193.97 | ↓ -47% |
| Cigna | BroadLeanBenefitPlans | $7,507.84 | ↓ -36% |
| Cigna | Connect-SBPLeanBenefitPlans | $7,507.84 | ↓ -36% |
| Cigna | Connect-NSBPLeanBenefitPlans | $7,507.84 | ↓ -36% |
| Emerging Therapy Solutions | COMM | $7,507.84 | ↓ -36% |
| Cigna | SureFitLeanBenefitPlans | $7,507.84 | ↓ -36% |
| Western Plains Community Health | COMM | $7,625.15 | ↓ -35% |
| Multiplan | COMMPPOPRIMARYNETWORK | $8,211.70 | ↓ -30% |
| NorthCare | COMM | $8,211.70 | ↓ -30% |
| Physician Health Partners | MCR | $8,211.70 | ↓ -30% |
| Anthem | PAR | $8,680.94 | ↓ -26% |
| Medical Development International | COMM | $9,384.80 | ↓ -20% |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $9,971.35 | ↓ -15% |
| Prime Health | WORKERSCOMP | $10,557.90 | ↓ -10% |
| Multiplan | BeechStreetCOMMPPO | $10,557.90 | ↓ -10% |
| Aetna | ExistingBusiness | not published by hospital | — |
| Aetna | ASA | not published by hospital | — |
| Aetna | NBR | not published by hospital | — |
Visitor-reported prices
Comments
Quant diff pulm perf w/imaging at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AdventHealth Porter | Denver | $3,879.26 | $272.72 – $780.17 |
| CENTRAL PARK ER, A PART OF ROSE | DENVER | $2,433.31 | $81.72 – $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 | $963.56 | $391.72 – $1,679.60 |
| Banner North Colorado Medical Center - Loveland Campus | Loveland | $873.39 | $392.21 – $1,679.60 |
| Sterling Regional Medical Center | Sterling | $378.10 | $265.05 – $921.50 |
| East Morgan County Hospital | Brush | $551.00 | $30.76 – $70.81 |
| HCA HealthONE AURORA | Aurora | $1,325.77 | $81.72 – $904.69 |