Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr at HCA HealthONE BELMAR ER, A PART OF SWEDISH

260 S WADSWORTH BLVD, LAKEWOOD, CO · HCA HealthONE · · NPI 1396790200

Source: hospital's published price file ↗ · Published Mar 1, 2026 · Ingested Sep 10, 2026

not published by hospital

Cash price

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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

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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.

$0.04 with Cigna vs $5.26 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 →

Payer
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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
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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 Broad $0.04
Cigna SureFit $0.04
Cigna Connect-NSBP $0.04
Cigna Connect-SBP $0.08
United ColoradoDoctorsPlan $0.20
United AllPayerAppendix $0.36
Rocky Mountain Health Plan AllPayerAppendix $0.36
Vail Health COMM $0.89
Kaiser CommercialSmallGroupPlans $1.17
Kaiser KPIF $1.17
Kaiser KPSelect $1.17
United OptionsPPO $1.21
Kaiser HMO $1.72
Aetna MCRADVHMO $1.75
Bright Health OON $1.75
Aetna MCRADVPPO $1.75
Kaiser PPO $1.89
Colorado Program for Children with Special Needs HCP $2.57
United GlobalBenefit $2.63
Cigna Connect-SBPLeanBenefitPlans $3.74
Cigna Connect-NSBPLeanBenefitPlans $3.74
Cigna SureFitLeanBenefitPlans $3.74
Cigna BroadLeanBenefitPlans $3.74
Western Plains Community Health COMM $3.80
Multiplan COMMPPOPRIMARYNETWORK $4.09
NorthCare COMM $4.09
Physician Health Partners MCR $4.09
Anthem PAR $4.32
Pinnacol Workers Comp WORKERSCOMP $4.38
Medical Development International COMM $4.67
TriWest Health Alliance FED $4.67
Multiplan COMMPPOCOMPLEMENTARYNETWORK $4.96
Multiplan BeechStreetCOMMPPO $5.26
Prime Health WORKERSCOMP $5.26
Aetna ExistingBusiness not published by hospital
Aetna ASA not published by hospital
Aetna NBR not published by hospital

Visitor-reported prices

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Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr at other Colorado hospitals

Hospital City Cash price Negotiated range
AdventHealth Porter Denver $134.59 $0.03 – $0.07
HCA HealthONE PRESBYTERIAN ST. LUKE'S REHABILITATION, A PART OF SPALDING REHABILITATION Denver $120.59 $0.20 – $0.36
AdventHealth Littleton Littleton $134.59 $0.03 – $0.07
AdventHealth Avista Louisville $134.59 $0.03 – $0.07
AdventHealth Castle Rock Castle Rock $134.59 $0.03 – $0.07
AdventHealth Parker Parker $134.59 $0.03 – $0.07
HCA HealthONE AURORA Aurora not published $0.04 – $0.36
CENTRAL PARK ER, A PART OF ROSE DENVER not published $0.04 – $0.36

All Colorado hospitals for this procedure →