Ustekinumab 45 mg/0.5 ml subcutaneous solution 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.
$246.39 with Pinnacol Workers Comp vs $74,153.48 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 |
|---|---|---|---|
| Pinnacol Workers Comp | WORKERSCOMP | $246.39 | — |
| Multiplan | BeechStreetWorkersComp | $256.77 | — |
| Multiplan | WorkersComp | $256.77 | — |
| Cigna | Connect-SBP | $388.63 | — |
| United | ColoradoDoctorsPlan | $672.72 | — |
| United | AllPayerAppendix | $672.72 | — |
| Rocky Mountain Health Plan | AllPayerAppendix | $672.72 | — |
| Vail Health | COMM | $12,523.70 | — |
| Kaiser | KPSelect | $16,478.55 | — |
| Kaiser | CommercialSmallGroupPlans | $16,478.55 | — |
| Kaiser | KPIF | $16,478.55 | — |
| United | OptionsPPO | $17,055.30 | — |
| Kaiser | HMO | $19,444.69 | — |
| Cigna | SureFit | $20,927.76 | — |
| Cigna | Connect-NSBP | $21,339.72 | — |
| Kaiser | PPO | $21,422.12 | — |
| Cigna Transplant | COMM | $23,893.90 | — |
| Bright Health | OON | $24,717.83 | — |
| Aetna | MCRADVPPO | $24,717.83 | — |
| Aetna | MCRADVHMO | $24,717.83 | — |
| Aetna | NBR | $26,860.04 | — |
| Cigna | Broad | $29,249.43 | — |
| Aetna | ExistingBusiness | $32,709.92 | — |
| United | GlobalBenefit | $37,076.74 | — |
| Aetna | ASA | $39,301.34 | — |
| Kaiser National Transplant | COMM | $39,548.52 | — |
| Emerging Therapy Solutions | MGMCR | $39,548.52 | — |
| Colorado Program for Children with Special Needs | HCP | $42,020.30 | — |
| Aetna | Cofinity | $43,503.37 | — |
| Cigna | Connect-NSBPLeanBenefitPlans | $52,731.36 | — |
| Cigna | BroadLeanBenefitPlans | $52,731.36 | — |
| Cigna | SureFitLeanBenefitPlans | $52,731.36 | — |
| Cigna | Connect-SBPLeanBenefitPlans | $52,731.36 | — |
| Emerging Therapy Solutions | COMM | $52,731.36 | — |
| Western Plains Community Health | COMM | $53,555.29 | — |
| Physician Health Partners | MCR | $57,674.93 | — |
| NorthCare | COMM | $57,674.93 | — |
| Multiplan | COMMPPOPRIMARYNETWORK | $57,674.93 | — |
| Anthem | PAR | $60,970.64 | — |
| Medical Development International | COMM | $65,914.20 | — |
| TriWest Health Alliance | FED | $65,914.20 | — |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $70,033.84 | — |
| Multiplan | BeechStreetCOMMPPO | $74,153.48 | — |
| Prime Health | WORKERSCOMP | $74,153.48 | — |
Visitor-reported prices
Comments
Ustekinumab 45 mg/0.5 ml subcutaneous solution at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AdventHealth Porter | Denver | not published | $260.17 – $606.20 |
| CENTRAL PARK ER, A PART OF ROSE | DENVER | not published | $184.32 – $1,223.13 |
| HCA HealthONE PRESBYTERIAN ST. LUKE'S REHABILITATION, A PART OF SPALDING REHABILITATION | Denver | not published | $246.39 – $1,223.13 |
| HCA HealthONE AURORA | Aurora | not published | $215.75 – $1,223.13 |
| HCA HealthONE SKY RIDGE | Lone Tree | not published | $234.32 – $1,223.13 |
| HCA HealthONE SOUTH PARKER ER, A PART OF SKY RIDGE | PARKER | not published | $234.32 – $1,223.13 |
| HCA HealthONE BELMAR ER, A PART OF SWEDISH | LAKEWOOD | not published | $237.18 – $1,223.13 |
| HCA HealthONE MOUNTAIN RIDGE | Thornton | not published | $192.89 – $1,223.13 |