Tc-99m exametazime diag at HCA HealthONE Rocky Mountain Children's at Presbyterian St. Luke's
2001 N High Street, Denver, CO · HCA HealthONE · · NPI 1720038946
$23,033.75
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.
$23,033.75
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.
$1,530.72 with Rocky Mountain Health Plan vs $20,730.38 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 |
|---|---|---|---|
| Rocky Mountain Health Plan | AllPayerAppendix | $1,530.72 | ↓ -93% |
| United | AllPayerAppendix | $1,530.72 | ↓ -93% |
| United | ColoradoDoctorsPlan | $1,530.72 | ↓ -93% |
| Vail Health | COMM | $3,501.13 | ↓ -85% |
| Kaiser | CommercialSmallGroupPlans | $4,606.75 | ↓ -80% |
| Kaiser | KPIF | $4,606.75 | ↓ -80% |
| Kaiser | KPSelect | $4,606.75 | ↓ -80% |
| United | OptionsPPO | $4,767.99 | ↓ -79% |
| Kaiser | HMO | $5,435.97 | ↓ -76% |
| Cigna | SureFit | $5,850.57 | ↓ -75% |
| Cigna | Connect-NSBP | $5,965.74 | ↓ -74% |
| Kaiser | PPO | $5,988.77 | ↓ -74% |
| Cigna Transplant | COMM | $6,679.79 | ↓ -71% |
| Bright Health | OON | $6,910.13 | ↓ -70% |
| Aetna | MCRADVHMO | $6,910.13 | ↓ -70% |
| Aetna | NBR | $7,509.00 | ↓ -67% |
| Cigna | Broad | $8,176.98 | ↓ -65% |
| Cigna | Connect-SBP | $8,960.13 | ↓ -61% |
| Aetna | ExistingBusiness | $9,144.40 | ↓ -60% |
| United | GlobalBenefit | $10,365.19 | ↓ -55% |
| Aetna | ASA | $10,987.10 | ↓ -52% |
| Kaiser National Transplant | COMM | $11,056.20 | ↓ -52% |
| Emerging Therapy Solutions | MGMCR | $11,056.20 | ↓ -52% |
| Colorado Program for Children with Special Needs | HCP | $11,747.21 | ↓ -49% |
| Aetna | Cofinity | $12,161.82 | ↓ -47% |
| Cigna | SureFitLeanBenefitPlans | $14,741.60 | ↓ -36% |
| Cigna | BroadLeanBenefitPlans | $14,741.60 | ↓ -36% |
| Cigna | Connect-NSBPLeanBenefitPlans | $14,741.60 | ↓ -36% |
| Cigna | Connect-SBPLeanBenefitPlans | $14,741.60 | ↓ -36% |
| Emerging Therapy Solutions | COMM | $14,741.60 | ↓ -36% |
| Western Plains Community Health | COMM | $14,971.94 | ↓ -35% |
| NorthCare | COMM | $16,123.63 | ↓ -30% |
| Multiplan | COMMPPOPRIMARYNETWORK | $16,123.63 | ↓ -30% |
| Physician Health Partners | MCR | $16,123.63 | ↓ -30% |
| Anthem | PAR | $17,044.97 | ↓ -26% |
| Pinnacol Workers Comp | WORKERSCOMP | $17,275.31 | ↓ -25% |
| Medical Development International | COMM | $18,427.00 | ↓ -20% |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $19,578.69 | ↓ -15% |
| Multiplan | BeechStreetCOMMPPO | $20,730.38 | ↓ -10% |
| Prime Health | WORKERSCOMP | $20,730.38 | ↓ -10% |
Visitor-reported prices
Comments
Tc-99m exametazime diag at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CENTRAL PARK ER, A PART OF ROSE | DENVER | $17,836.36 | $1,530.72 – $2,783.13 |
| AdventHealth Porter | Denver | not published | $909.16 – $1,716.26 |
| HCA HealthONE PRESBYTERIAN ST. LUKE'S REHABILITATION, A PART OF SPALDING REHABILITATION | Denver | not published | $1,530.72 – $2,783.13 |
| Banner Fort Collins Medical Center | Fort Collins | $981.02 | $742.10 – $1,925.62 |
| Banner North Colorado Medical Center - Loveland Campus | Loveland | $910.13 | $406.00 – $1,925.62 |
| HCA HealthONE SKY RIDGE | Lone Tree | $8,385.00 | $1,530.72 – $2,783.13 |
| HCA HealthONE SOUTH PARKER ER, A PART OF SKY RIDGE | PARKER | $18,490.00 | $1,530.72 – $2,783.13 |
| HCA HealthONE BELMAR ER, A PART OF SWEDISH | LAKEWOOD | $11,968.20 | $1,530.72 – $2,783.13 |