Contrast x-ray of ankle 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.
$69.38 with Anthem vs $1,809.86 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 |
|---|---|---|---|
| Anthem | PathwayEssentials | $69.38 | — |
| Anthem | PathwayNSBP | $88.51 | — |
| Anthem | PPO | $141.61 | — |
| Anthem | HMO | $141.61 | — |
| Vail Health | COMM | $305.67 | — |
| Kaiser | KPSelect | $402.19 | — |
| Kaiser | CommercialSmallGroupPlans | $402.19 | — |
| Kaiser | KPIF | $402.19 | — |
| United | OptionsPPO | $416.27 | — |
| Kaiser | HMO | $591.22 | — |
| Pinnacol Workers Comp | WORKERSCOMP | $591.76 | — |
| Bright Health | OON | $603.29 | — |
| Multiplan | BeechStreetWorkersComp | $616.68 | — |
| Multiplan | WorkersComp | $616.68 | — |
| United | ColoradoDoctorsPlan | $625.80 | — |
| Kaiser | PPO | $649.54 | — |
| United | AllPayerAppendix | $828.27 | — |
| Rocky Mountain Health Plan | AllPayerAppendix | $828.27 | — |
| Colorado Program for Children with Special Needs | HCP | $884.82 | — |
| United | GlobalBenefit | $904.93 | — |
| Cigna | Connect-SBP | $942.95 | — |
| Aetna | Cofinity | $1,061.79 | — |
| Cigna | SureFit | $1,095.16 | — |
| Cigna | Connect-NSBP | $1,184.26 | — |
| Cigna | Connect-SBPLeanBenefitPlans | $1,287.01 | — |
| Cigna | SureFitLeanBenefitPlans | $1,287.01 | — |
| Cigna | Connect-NSBPLeanBenefitPlans | $1,287.01 | — |
| Cigna | BroadLeanBenefitPlans | $1,287.01 | — |
| Western Plains Community Health | COMM | $1,307.12 | — |
| Multiplan | COMMPPOPRIMARYNETWORK | $1,407.67 | — |
| NorthCare | COMM | $1,407.67 | — |
| Physician Health Partners | MCR | $1,407.67 | — |
| Cigna | Broad | $1,484.96 | — |
| Anthem | PAR | $1,488.11 | — |
| Medical Development International | COMM | $1,608.77 | — |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $1,709.32 | — |
| Multiplan | BeechStreetCOMMPPO | $1,809.86 | — |
| Prime Health | WORKERSCOMP | $1,809.86 | — |
| Aetna | ExistingBusiness | not published by hospital | — |
| Aetna | NBR | not published by hospital | — |
| Aetna | ASA | not published by hospital | — |
Visitor-reported prices
Comments
Contrast x-ray of ankle at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Fort Collins Medical Center | Fort Collins | $318.72 | $106.00 – $637.45 |
| Banner North Colorado Medical Center - Loveland Campus | Loveland | $270.90 | $112.00 – $637.45 |
| AdventHealth Porter | Denver | $3,895.09 | $179.48 – $680.84 |
| AdventHealth Littleton | Littleton | $3,895.09 | $179.48 – $680.84 |
| AdventHealth Avista | Louisville | $3,895.09 | $179.48 – $688.40 |
| AdventHealth Castle Rock | Castle Rock | $3,895.09 | $179.48 – $680.84 |
| AdventHealth Parker | Parker | $3,895.09 | $179.48 – $680.84 |
| HCA HealthONE AURORA | Aurora | not published | $69.38 – $857.56 |