Alpha-fetoprotein tumor marker 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.
$9.81 with Cigna vs $986.56 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 |
|---|---|---|---|
| Cigna | Connect-SBP | $9.81 | — |
| Cigna | SureFit | $10.68 | — |
| Cigna | Connect-NSBP | $11.77 | — |
| Cigna | Broad | $14.72 | — |
| Humana | MCR | $16.60 | — |
| United | MCR | $16.69 | — |
| Devoted Health | MCRAdvantage | $16.77 | — |
| Aetna | MCRADVPPO | $16.77 | — |
| Rocky Mountain Health | MGMCR | $16.77 | — |
| Mutual of Omaha | MCR | $16.77 | — |
| United | AllPayerAppendix | $16.77 | — |
| United | ColoradoDoctorsPlan | $16.77 | — |
| Cigna HealthSpring | Medicare | $16.77 | — |
| Anthem BCBS | MCR | $16.77 | — |
| Bright Health | DualEligible | $16.77 | — |
| Bright Health | MCRHMO | $16.77 | — |
| Bright Health | MCRPOS | $16.77 | — |
| Bright Health | MCRPPO | $16.77 | — |
| Bright Health | MCRSNP | $16.77 | — |
| Bright Health | PFFS | $16.77 | — |
| TriWest Health Alliance | FED | $16.77 | — |
| Total LongTerm Care | MCR | $16.77 | — |
| Rocky Mountain Health Plan | AllPayerAppendix | $16.77 | — |
| Aetna | MCRADVHMO | $16.77 | — |
| Kaiser | MGMCR | $17.11 | — |
| WellCare | MCR | $17.27 | — |
| Delaware Life Insurance | MGMCR | $17.61 | — |
| Anthem | PathwayEssentials | $40.75 | — |
| Anthem | PathwayNSBP | $51.99 | — |
| Anthem | PPO | $79.66 | — |
| Anthem | HMO | $79.66 | — |
| Vail Health | COMM | $166.62 | — |
| Kaiser | KPIF | $219.24 | — |
| Kaiser | CommercialSmallGroupPlans | $219.24 | — |
| Kaiser | KPSelect | $219.24 | — |
| United | OptionsPPO | $226.91 | — |
| Kaiser | HMO | $322.28 | — |
| Bright Health | OON | $328.85 | — |
| Kaiser | PPO | $354.07 | — |
| Colorado Program for Children with Special Needs | HCP | $482.32 | — |
| United | GlobalBenefit | $493.28 | — |
| Aetna | Cofinity | $578.78 | — |
| Cigna | SureFitLeanBenefitPlans | $701.56 | — |
| Cigna | Connect-SBPLeanBenefitPlans | $701.56 | — |
| Cigna | Connect-NSBPLeanBenefitPlans | $701.56 | — |
| Cigna | BroadLeanBenefitPlans | $701.56 | — |
| Western Plains Community Health | COMM | $712.52 | — |
| Multiplan | COMMPPOPRIMARYNETWORK | $767.33 | — |
| NorthCare | COMM | $767.33 | — |
| Physician Health Partners | MCR | $767.33 | — |
| Anthem | PAR | $811.17 | — |
| Pinnacol Workers Comp | WORKERSCOMP | $822.13 | — |
| Medical Development International | COMM | $876.94 | — |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $931.75 | — |
| Prime Health | WORKERSCOMP | $986.56 | — |
| Multiplan | BeechStreetCOMMPPO | $986.56 | — |
| Aetna | NBR | not published by hospital | — |
| Aetna | ExistingBusiness | not published by hospital | — |
| Aetna | ASA | not published by hospital | — |
Visitor-reported prices
Comments
Alpha-fetoprotein tumor marker at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Fort Collins Medical Center | Fort Collins | $11.58 | $16.27 – $48.45 |
| Banner North Colorado Medical Center - Loveland Campus | Loveland | $11.73 | $13.11 – $48.45 |
| Sterling Regional Medical Center | Sterling | $16.83 | $14.23 – $49.47 |
| East Morgan County Hospital | Brush | $31.42 | $21.49 – $49.47 |
| AdventHealth Porter | Denver | $481.50 | $16.43 – $31.02 |
| HCA HealthONE MOUNTAIN RIDGE | Thornton | $493.80 | $7.96 – $40.75 |
| HCA HealthONE PRESBYTERIAN ST. LUKE'S REHABILITATION, A PART OF SPALDING REHABILITATION | Denver | $26.40 | $16.60 – $17.61 |
| AdventHealth Littleton | Littleton | $481.50 | $16.43 – $31.02 |