Surgical pathology level 5 gross & microscopic examination at HCA HealthONE Rocky Mountain Children's at Presbyterian St. Luke's
2001 N High Street, Denver, CO · HCA HealthONE · · NPI 1720038946
$4,312.50
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.
$4,312.50
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.
$134.92 with Cigna vs $3,881.25 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 | $134.92 | ↓ -97% |
| Cigna | Connect-NSBP | $148.68 | ↓ -97% |
| Cigna | Broad | $185.85 | ↓ -96% |
| Cigna | Connect-SBP | $202.37 | ↓ -95% |
| Rocky Mountain Health Plan | AllPayerAppendix | $291.26 | ↓ -93% |
| United | ColoradoDoctorsPlan | $291.26 | ↓ -93% |
| United | AllPayerAppendix | $291.26 | ↓ -93% |
| Pinnacol Workers Comp | WORKERSCOMP | $553.11 | ↓ -87% |
| Multiplan | BeechStreetWorkersComp | $576.40 | ↓ -87% |
| Multiplan | WorkersComp | $576.40 | ↓ -87% |
| Vail Health | COMM | $655.50 | ↓ -85% |
| Anthem | PathwayEssentials | $707.76 | ↓ -84% |
| Kaiser | KPIF | $862.50 | ↓ -80% |
| Kaiser | KPSelect | $862.50 | ↓ -80% |
| Kaiser | CommercialSmallGroupPlans | $862.50 | ↓ -80% |
| United | OptionsPPO | $892.69 | ↓ -79% |
| Anthem | PathwayNSBP | $902.91 | ↓ -79% |
| Kaiser | HMO | $1,017.75 | ↓ -76% |
| Kaiser | PPO | $1,121.25 | ↓ -74% |
| Cigna Transplant | COMM | $1,250.63 | ↓ -71% |
| Bright Health | OON | $1,293.75 | ↓ -70% |
| Aetna | MCRADVHMO | $1,293.75 | ↓ -70% |
| Anthem | HMO | $1,383.48 | ↓ -68% |
| Anthem | PPO | $1,383.48 | ↓ -68% |
| United | GlobalBenefit | $1,940.63 | ↓ -55% |
| Kaiser National Transplant | COMM | $2,070.00 | ↓ -52% |
| Emerging Therapy Solutions | MGMCR | $2,070.00 | ↓ -52% |
| Colorado Program for Children with Special Needs | HCP | $2,199.38 | ↓ -49% |
| Aetna | Cofinity | $2,277.00 | ↓ -47% |
| Cigna | BroadLeanBenefitPlans | $2,760.00 | ↓ -36% |
| Cigna | Connect-SBPLeanBenefitPlans | $2,760.00 | ↓ -36% |
| Cigna | Connect-NSBPLeanBenefitPlans | $2,760.00 | ↓ -36% |
| Emerging Therapy Solutions | COMM | $2,760.00 | ↓ -36% |
| Cigna | SureFitLeanBenefitPlans | $2,760.00 | ↓ -36% |
| Western Plains Community Health | COMM | $2,803.13 | ↓ -35% |
| Multiplan | COMMPPOPRIMARYNETWORK | $3,018.75 | ↓ -30% |
| NorthCare | COMM | $3,018.75 | ↓ -30% |
| Physician Health Partners | MCR | $3,018.75 | ↓ -30% |
| Anthem | PAR | $3,191.25 | ↓ -26% |
| Medical Development International | COMM | $3,450.00 | ↓ -20% |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $3,665.63 | ↓ -15% |
| Prime Health | WORKERSCOMP | $3,881.25 | ↓ -10% |
| Multiplan | BeechStreetCOMMPPO | $3,881.25 | ↓ -10% |
| Aetna | ExistingBusiness | not published by hospital | — |
| Aetna | ASA | not published by hospital | — |
| Aetna | NBR | not published by hospital | — |
Visitor-reported prices
Comments
Surgical pathology level 5 gross & microscopic examination at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AdventHealth Porter | Denver | $2,283.57 | $370.56 – $699.52 |
| CENTRAL PARK ER, A PART OF ROSE | DENVER | $1,131.00 | $96.37 – $707.76 |
| HCA HealthONE PRESBYTERIAN ST. LUKE'S REHABILITATION, A PART OF SPALDING REHABILITATION | Denver | $1,014.16 | $291.26 – $576.40 |
| Banner Fort Collins Medical Center | Fort Collins | $587.09 | $350.66 – $1,147.60 |
| Banner North Colorado Medical Center - Loveland Campus | Loveland | $509.78 | $310.46 – $1,147.60 |
| Sterling Regional Medical Center | Sterling | $353.97 | $200.32 – $696.46 |
| East Morgan County Hospital | Brush | $442.29 | $302.57 – $696.46 |
| HCA HealthONE AURORA | Aurora | $4,471.91 | $112.89 – $707.76 |