#a/b/c/c/h pnl-candida albicans ab at HCA HealthONE BELMAR ER, A PART OF SWEDISH
260 S WADSWORTH BLVD, LAKEWOOD, CO · HCA HealthONE · · NPI 1396790200
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.
$7.03 with Cigna vs $57.05 with Anthem — 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 | Connect-SBP | $7.03 | — |
| Cigna | SureFit | $7.65 | — |
| Cigna | Connect-NSBP | $8.43 | — |
| Cigna | Broad | $10.54 | — |
| Humana | MCR | $11.89 | — |
| United | MCR | $11.95 | — |
| TriWest Health Alliance | FED | $12.01 | — |
| Bright Health | MCRPOS | $12.01 | — |
| Bright Health | MCRPPO | $12.01 | — |
| Bright Health | MCRSNP | $12.01 | — |
| Bright Health | PFFS | $12.01 | — |
| Cigna HealthSpring | Medicare | $12.01 | — |
| Mutual of Omaha | MCR | $12.01 | — |
| Rocky Mountain Health | MGMCR | $12.01 | — |
| Rocky Mountain Health Plan | AllPayerAppendix | $12.01 | — |
| Total LongTerm Care | MCR | $12.01 | — |
| Devoted Health | MCRAdvantage | $12.01 | — |
| Aetna | MCRADVHMO | $12.01 | — |
| Aetna | MCRADVPPO | $12.01 | — |
| United | AllPayerAppendix | $12.01 | — |
| United | ColoradoDoctorsPlan | $12.01 | — |
| Anthem BCBS | MCR | $12.01 | — |
| Bright Health | DualEligible | $12.01 | — |
| Bright Health | MCRHMO | $12.01 | — |
| Kaiser | MGMCR | $12.25 | — |
| WellCare | MCR | $12.37 | — |
| Delaware Life Insurance | MGMCR | $12.61 | — |
| Anthem | PathwayEssentials | $29.18 | — |
| Anthem | PathwayNSBP | $37.23 | — |
| Anthem | PPO | $57.05 | — |
| Anthem | HMO | $57.05 | — |
| Aetna | NBR | not published by hospital | — |
| Aetna | ExistingBusiness | not published by hospital | — |
| Aetna | ASA | not published by hospital | — |
Visitor-reported prices
Comments
#a/b/c/c/h pnl-candida albicans ab at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Fort Collins Medical Center | Fort Collins | $13.13 | $11.65 – $67.45 |
| Banner North Colorado Medical Center - Loveland Campus | Loveland | $18.96 | $11.65 – $67.45 |
| Sterling Regional Medical Center | Sterling | $28.90 | $12.01 – $68.87 |
| East Morgan County Hospital | Brush | $52.47 | $29.92 – $68.87 |
| AdventHealth Porter | Denver | $191.03 | $11.77 – $22.22 |
| AdventHealth Littleton | Littleton | $191.03 | $11.77 – $22.22 |
| AdventHealth Avista | Louisville | $191.03 | $11.77 – $22.22 |
| AdventHealth Castle Rock | Castle Rock | $191.03 | $11.77 – $22.22 |