Cyclophosphamide 25 mg capsule 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.
$1.58 with Cigna vs $32.45 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 |
|---|---|---|---|
| Cigna | Connect-SBP | $1.58 | — |
| Cigna | SureFit | $1.61 | — |
| Cigna | Broad | $1.61 | — |
| Cigna | Connect-NSBP | $1.61 | — |
| United | ColoradoDoctorsPlan | $3.00 | — |
| United | AllPayerAppendix | $5.46 | — |
| Rocky Mountain Health Plan | AllPayerAppendix | $5.46 | — |
| Vail Health | COMM | $5.48 | — |
| Kaiser | CommercialSmallGroupPlans | $7.21 | — |
| Kaiser | KPSelect | $7.21 | — |
| Kaiser | KPIF | $7.21 | — |
| United | OptionsPPO | $7.46 | — |
| Kaiser | HMO | $10.60 | — |
| Aetna | MCRADVHMO | $10.82 | — |
| Bright Health | OON | $10.82 | — |
| Aetna | MCRADVPPO | $10.82 | — |
| Kaiser | PPO | $11.65 | — |
| Colorado Program for Children with Special Needs | HCP | $15.87 | — |
| United | GlobalBenefit | $16.23 | — |
| Cigna | Connect-SBPLeanBenefitPlans | $23.08 | — |
| Cigna | Connect-NSBPLeanBenefitPlans | $23.08 | — |
| Cigna | SureFitLeanBenefitPlans | $23.08 | — |
| Cigna | BroadLeanBenefitPlans | $23.08 | — |
| Western Plains Community Health | COMM | $23.44 | — |
| Multiplan | COMMPPOPRIMARYNETWORK | $25.24 | — |
| NorthCare | COMM | $25.24 | — |
| Physician Health Partners | MCR | $25.24 | — |
| Anthem | PAR | $26.68 | — |
| Pinnacol Workers Comp | WORKERSCOMP | $27.05 | — |
| Medical Development International | COMM | $28.85 | — |
| TriWest Health Alliance | FED | $28.85 | — |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $30.65 | — |
| Multiplan | BeechStreetCOMMPPO | $32.45 | — |
| Prime Health | WORKERSCOMP | $32.45 | — |
| Aetna | ExistingBusiness | not published by hospital | — |
| Aetna | ASA | not published by hospital | — |
| Aetna | NBR | not published by hospital | — |
Visitor-reported prices
Comments
Cyclophosphamide 25 mg capsule at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CENTRAL PARK ER, A PART OF ROSE | DENVER | $20.00 | $1.23 – $5.46 |
| HCA HealthONE Rocky Mountain Children's at Presbyterian St. Luke's | Denver | $48.25 | $1.61 – $3.00 |
| HCA HealthONE SKY RIDGE | Lone Tree | $25.76 | $1.56 – $5.46 |
| HCA HealthONE SOUTH PARKER ER, A PART OF SKY RIDGE | PARKER | $93.00 | $1.11 – $5.46 |
| HCA HealthONE MOUNTAIN RIDGE | Thornton | $129.00 | $1.28 – $5.46 |
| HCA HealthONE PRESBYTERIAN ST. LUKE'S REHABILITATION, A PART OF SPALDING REHABILITATION | Denver | $34.47 | $3.00 – $5.46 |
| AdventHealth Porter | Denver | not published | $1.50 – $3.51 |
| HCA HealthONE AURORA | Aurora | not published | $1.43 – $5.46 |