Catheterization collection of specimen single patient all places of service 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.
$3.00 with Rocky Mountain Health Plan vs $728.81 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 |
|---|---|---|---|
| Rocky Mountain Health Plan | AllPayerAppendix | $3.00 | — |
| United | ColoradoDoctorsPlan | $3.00 | — |
| United | AllPayerAppendix | $3.00 | — |
| Cigna | Connect-SBP | $5.01 | — |
| Cigna | SureFit | $5.46 | — |
| Cigna | Connect-NSBP | $6.02 | — |
| Anthem | PathwayEssentials | $7.29 | — |
| Cigna | Broad | $7.52 | — |
| Humana | MCR | $9.25 | — |
| United | MCR | $9.29 | — |
| Anthem | PathwayNSBP | $9.30 | — |
| Devoted Health | MCRAdvantage | $9.34 | — |
| TriWest Health Alliance | FED | $9.34 | — |
| Total LongTerm Care | MCR | $9.34 | — |
| Aetna | MCRADVHMO | $9.34 | — |
| Aetna | MCRADVPPO | $9.34 | — |
| Rocky Mountain Health | MGMCR | $9.34 | — |
| Mutual of Omaha | MCR | $9.34 | — |
| Cigna HealthSpring | Medicare | $9.34 | — |
| Anthem BCBS | MCR | $9.34 | — |
| Bright Health | DualEligible | $9.34 | — |
| Bright Health | MCRHMO | $9.34 | — |
| Bright Health | MCRPOS | $9.34 | — |
| Bright Health | MCRPPO | $9.34 | — |
| Bright Health | MCRSNP | $9.34 | — |
| Bright Health | PFFS | $9.34 | — |
| Kaiser | MGMCR | $9.53 | — |
| WellCare | MCR | $9.62 | — |
| Delaware Life Insurance | MGMCR | $9.81 | — |
| Anthem | HMO | $14.25 | — |
| Anthem | PPO | $14.25 | — |
| Vail Health | COMM | $123.09 | — |
| Kaiser | KPIF | $161.96 | — |
| Kaiser | KPSelect | $161.96 | — |
| Kaiser | CommercialSmallGroupPlans | $161.96 | — |
| United | OptionsPPO | $167.63 | — |
| Kaiser | HMO | $238.08 | — |
| Bright Health | OON | $242.94 | — |
| Kaiser | PPO | $261.56 | — |
| Aetna | NBR | $263.99 | — |
| Aetna | ExistingBusiness | $321.49 | — |
| Colorado Program for Children with Special Needs | HCP | $356.31 | — |
| United | GlobalBenefit | $364.41 | — |
| Aetna | ASA | $386.27 | — |
| Aetna | Cofinity | $427.57 | — |
| Cigna | SureFitLeanBenefitPlans | $518.27 | — |
| Cigna | Connect-NSBPLeanBenefitPlans | $518.27 | — |
| Cigna | BroadLeanBenefitPlans | $518.27 | — |
| Cigna | Connect-SBPLeanBenefitPlans | $518.27 | — |
| Western Plains Community Health | COMM | $526.36 | — |
| Physician Health Partners | MCR | $566.85 | — |
| NorthCare | COMM | $566.85 | — |
| Multiplan | COMMPPOPRIMARYNETWORK | $566.85 | — |
| Anthem | PAR | $599.24 | — |
| Pinnacol Workers Comp | WORKERSCOMP | $607.34 | — |
| Medical Development International | COMM | $647.83 | — |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $688.32 | — |
| Multiplan | BeechStreetCOMMPPO | $728.81 | — |
| Prime Health | WORKERSCOMP | $728.81 | — |
Visitor-reported prices
Comments
Catheterization collection of specimen single patient all places of service at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AdventHealth Porter | Denver | $433.63 | $4.50 – $618.00 |
| HCA HealthONE Rocky Mountain Children's at Presbyterian St. Luke's | Denver | $58.00 | $3.00 – $9.81 |
| HCA HealthONE PRESBYTERIAN ST. LUKE'S REHABILITATION, A PART OF SPALDING REHABILITATION | Denver | $52.82 | $3.00 – $9.81 |
| AdventHealth Littleton | Littleton | $433.63 | $4.50 – $618.00 |
| AdventHealth Avista | Louisville | $433.63 | $4.50 – $618.00 |
| AdventHealth Castle Rock | Castle Rock | $433.63 | $4.50 – $618.00 |
| AdventHealth Parker | Parker | $433.63 | $4.50 – $618.00 |
| HCA HealthONE AURORA | Aurora | not published | $3.00 – $9.81 |