Venous sampling s&i at HCA HealthONE Rocky Mountain Children's at Presbyterian St. Luke's
2001 N High Street, Denver, CO · HCA HealthONE · · NPI 1720038946
$10,343.75
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.
$10,343.75
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.
$63.74 with Anthem vs $21,492.56 with Cigna — 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 | $63.74 | ↓ -99% |
| Anthem | PathwayNSBP | $81.31 | ↓ -99% |
| Anthem | PPO | $130.10 | ↓ -99% |
| Anthem | HMO | $130.10 | ↓ -99% |
| Vail Health | COMM | $1,572.25 | ↓ -85% |
| Kaiser | KPIF | $2,068.75 | ↓ -80% |
| Kaiser | CommercialSmallGroupPlans | $2,068.75 | ↓ -80% |
| Kaiser | KPSelect | $2,068.75 | ↓ -80% |
| United | OptionsPPO | $2,141.16 | ↓ -79% |
| Kaiser | HMO | $2,441.13 | ↓ -76% |
| Kaiser | PPO | $2,689.38 | ↓ -74% |
| Cigna Transplant | COMM | $2,999.69 | ↓ -71% |
| Aetna | MCRADVHMO | $3,103.13 | ↓ -70% |
| Bright Health | OON | $3,103.13 | ↓ -70% |
| United | GlobalBenefit | $4,654.69 | ↓ -55% |
| Emerging Therapy Solutions | MGMCR | $4,965.00 | ↓ -52% |
| Kaiser National Transplant | COMM | $4,965.00 | ↓ -52% |
| Colorado Program for Children with Special Needs | HCP | $5,275.31 | ↓ -49% |
| Aetna | Cofinity | $5,461.50 | ↓ -47% |
| Cigna | SureFitLeanBenefitPlans | $6,620.00 | ↓ -36% |
| Cigna | BroadLeanBenefitPlans | $6,620.00 | ↓ -36% |
| Cigna | Connect-NSBPLeanBenefitPlans | $6,620.00 | ↓ -36% |
| Emerging Therapy Solutions | COMM | $6,620.00 | ↓ -36% |
| Cigna | Connect-SBPLeanBenefitPlans | $6,620.00 | ↓ -36% |
| Western Plains Community Health | COMM | $6,723.44 | ↓ -35% |
| NorthCare | COMM | $7,240.63 | ↓ -30% |
| Multiplan | COMMPPOPRIMARYNETWORK | $7,240.63 | ↓ -30% |
| Physician Health Partners | MCR | $7,240.63 | ↓ -30% |
| Anthem | PAR | $7,654.38 | ↓ -26% |
| United | ColoradoDoctorsPlan | $8,109.63 | ↓ -22% |
| Medical Development International | COMM | $8,275.00 | ↓ -20% |
| Pinnacol Workers Comp | WORKERSCOMP | $8,456.01 | ↓ -18% |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $8,792.19 | ↓ -15% |
| Multiplan | WorkersComp | $8,812.05 | ↓ -15% |
| Multiplan | BeechStreetWorkersComp | $8,812.05 | ↓ -15% |
| Prime Health | WORKERSCOMP | $9,309.38 | ↓ -10% |
| Multiplan | BeechStreetCOMMPPO | $9,309.38 | ↓ -10% |
| Rocky Mountain Health Plan | AllPayerAppendix | $10,733.33 | ↑ +4% |
| United | AllPayerAppendix | $10,733.33 | ↑ +4% |
| Cigna | SureFit | $15,277.84 | ↑ +48% |
| Cigna | Connect-NSBP | $16,520.79 | ↑ +60% |
| Cigna | Broad | $20,715.72 | ↑ +100% |
| Cigna | Connect-SBP | $21,492.56 | ↑ +108% |
| Aetna | ExistingBusiness | not published by hospital | — |
| Aetna | NBR | not published by hospital | — |
| Aetna | ASA | not published by hospital | — |
Visitor-reported prices
Comments
Venous sampling s&i at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AdventHealth Porter | Denver | $7,462.18 | $147.98 – $10,859.29 |
| CENTRAL PARK ER, A PART OF ROSE | DENVER | $20,745.00 | $63.74 – $10,733.33 |
| HCA HealthONE PRESBYTERIAN ST. LUKE'S REHABILITATION, A PART OF SPALDING REHABILITATION | Denver | not published | $8,109.63 – $10,733.33 |
| Banner Fort Collins Medical Center | Fort Collins | $3,559.99 | $106.00 – $13,038.29 |
| Banner North Colorado Medical Center - Loveland Campus | Loveland | $2,405.22 | $112.00 – $13,054.63 |
| HCA HealthONE AURORA | Aurora | $18,281.60 | $63.74 – $11,963.33 |
| HCA HealthONE SKY RIDGE | Lone Tree | $24,026.20 | $63.74 – $12,895.54 |
| HCA HealthONE SOUTH PARKER ER, A PART OF SKY RIDGE | PARKER | $24,026.20 | $63.74 – $12,895.54 |