Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes at HCA HealthONE Rocky Mountain Children's at Presbyterian St. Luke's
2001 N High Street, Denver, CO · HCA HealthONE · · NPI 1720038946
not published by hospital
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.
not published by hospital
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.
$23.77 with OptumHealth Care Solutions vs $170.10 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 |
|---|---|---|---|
| OptumHealth Care Solutions | MCD | $23.77 | — |
| Humana | MCR | $27.68 | — |
| United | MCR | $27.82 | — |
| Rocky Mountain Health | MGMCR | $27.96 | — |
| Aetna | MCRADVPPO | $27.96 | — |
| Anthem BCBS | MCR | $27.96 | — |
| Bright Health | DualEligible | $27.96 | — |
| Bright Health | MCRHMO | $27.96 | — |
| Bright Health | MCRPOS | $27.96 | — |
| Bright Health | MCRPPO | $27.96 | — |
| Bright Health | MCRSNP | $27.96 | — |
| Bright Health | PFFS | $27.96 | — |
| Cigna HealthSpring | Medicare | $27.96 | — |
| Mutual of Omaha | MCR | $27.96 | — |
| Devoted Health | MCRAdvantage | $27.96 | — |
| Total LongTerm Care | MCR | $27.96 | — |
| TriWest Health Alliance | FED | $27.96 | — |
| Humana National Transplant Network | MCRHMO | $27.96 | — |
| Humana National Transplant Network | MCRPPO | $27.96 | — |
| Humana National Transplant Network | PFFS | $27.96 | — |
| Kaiser National Transplant | MGMCR | $27.96 | — |
| Kaiser | MGMCR | $28.52 | — |
| InnovAge Pace | MCR | $28.52 | — |
| Vail Health | COMM | $28.73 | — |
| WellCare | MCR | $28.80 | — |
| Delaware Life Insurance | MGMCR | $29.36 | — |
| Kaiser | CommercialSmallGroupPlans | $37.80 | — |
| Kaiser | KPIF | $37.80 | — |
| Kaiser | KPSelect | $37.80 | — |
| United | OptionsPPO | $39.12 | — |
| Kaiser | HMO | $44.60 | — |
| Cigna | SureFit | $48.01 | — |
| Cigna | Connect-NSBP | $48.95 | — |
| Kaiser | PPO | $49.14 | — |
| Cigna Transplant | COMM | $54.81 | — |
| Bright Health | OON | $56.70 | — |
| Aetna | NBR | $61.61 | — |
| Cigna | Broad | $67.09 | — |
| Cigna | Connect-SBP | $73.52 | — |
| Aetna | ExistingBusiness | $75.03 | — |
| United | GlobalBenefit | $85.05 | — |
| Aetna | ASA | $90.15 | — |
| Kaiser National Transplant | COMM | $90.72 | — |
| Emerging Therapy Solutions | MGMCR | $90.72 | — |
| Colorado Program for Children with Special Needs | HCP | $96.39 | — |
| Aetna | Cofinity | $99.79 | — |
| Cigna | Connect-SBPLeanBenefitPlans | $120.96 | — |
| Cigna | SureFitLeanBenefitPlans | $120.96 | — |
| Emerging Therapy Solutions | COMM | $120.96 | — |
| Cigna | BroadLeanBenefitPlans | $120.96 | — |
| Cigna | Connect-NSBPLeanBenefitPlans | $120.96 | — |
| Western Plains Community Health | COMM | $122.85 | — |
| Multiplan | COMMPPOPRIMARYNETWORK | $132.30 | — |
| Physician Health Partners | MCR | $132.30 | — |
| NorthCare | COMM | $132.30 | — |
| Anthem | PAR | $139.86 | — |
| Pinnacol Workers Comp | WORKERSCOMP | $141.75 | — |
| Medical Development International | COMM | $151.20 | — |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $160.65 | — |
| Prime Health | WORKERSCOMP | $170.10 | — |
| Multiplan | BeechStreetCOMMPPO | $170.10 | — |
Visitor-reported prices
Comments
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AdventHealth Porter | Denver | $87.97 | $22.13 – $41.77 |
| CENTRAL PARK ER, A PART OF ROSE | DENVER | not published | $27.68 – $29.36 |
| HCA HealthONE PRESBYTERIAN ST. LUKE'S REHABILITATION, A PART OF SPALDING REHABILITATION | Denver | not published | $27.68 – $29.36 |
| Sterling Regional Medical Center | Sterling | $23.59 | $12.83 – $44.62 |
| HCA HealthONE SKY RIDGE | Lone Tree | $285.50 | $27.68 – $29.36 |
| HCA HealthONE SOUTH PARKER ER, A PART OF SKY RIDGE | PARKER | $285.50 | $27.38 – $39.70 |
| AdventHealth Littleton | Littleton | $87.97 | $22.13 – $41.77 |
| AdventHealth Avista | Louisville | $87.97 | $22.13 – $41.77 |