Culture typing added method 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.
$4.53 with Cigna vs $36.77 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 | $4.53 | — |
| Cigna | SureFit | $4.93 | — |
| Cigna | Connect-NSBP | $5.43 | — |
| Cigna | Broad | $6.79 | — |
| Humana | MCR | $7.66 | — |
| United | MCR | $7.70 | — |
| TriWest Health Alliance | FED | $7.74 | — |
| Bright Health | MCRPOS | $7.74 | — |
| Bright Health | MCRPPO | $7.74 | — |
| Bright Health | MCRSNP | $7.74 | — |
| Bright Health | PFFS | $7.74 | — |
| Cigna HealthSpring | Medicare | $7.74 | — |
| Mutual of Omaha | MCR | $7.74 | — |
| Rocky Mountain Health | MGMCR | $7.74 | — |
| Rocky Mountain Health Plan | AllPayerAppendix | $7.74 | — |
| Total LongTerm Care | MCR | $7.74 | — |
| Devoted Health | MCRAdvantage | $7.74 | — |
| Aetna | MCRADVHMO | $7.74 | — |
| Aetna | MCRADVPPO | $7.74 | — |
| United | AllPayerAppendix | $7.74 | — |
| United | ColoradoDoctorsPlan | $7.74 | — |
| Anthem BCBS | MCR | $7.74 | — |
| Bright Health | DualEligible | $7.74 | — |
| Bright Health | MCRHMO | $7.74 | — |
| Kaiser | MGMCR | $7.89 | — |
| WellCare | MCR | $7.97 | — |
| Delaware Life Insurance | MGMCR | $8.13 | — |
| Anthem | PathwayEssentials | $18.81 | — |
| Anthem | PathwayNSBP | $23.99 | — |
| Anthem | PPO | $36.77 | — |
| Anthem | HMO | $36.77 | — |
| Aetna | NBR | not published by hospital | — |
| Aetna | ExistingBusiness | not published by hospital | — |
| Aetna | ASA | not published by hospital | — |
Visitor-reported prices
Comments
Culture typing added method at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CENTRAL PARK ER, A PART OF ROSE | DENVER | not published | $3.52 – $18.81 |
| HCA HealthONE Rocky Mountain Children's at Presbyterian St. Luke's | Denver | not published | $4.93 – $18.81 |
| HCA HealthONE MOUNTAIN RIDGE | Thornton | not published | $3.67 – $18.81 |
| HCA HealthONE PRESBYTERIAN ST. LUKE'S REHABILITATION, A PART OF SPALDING REHABILITATION | Denver | not published | $7.66 – $8.13 |