Dornhoffer fixed part w/window 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.
?
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.
?
The hospital's undiscounted list price — almost no one pays this.
$1,017.18 with Vail Health vs $81,885.41 with Aetna — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Vail Health | COMM | $1,017.18 | — |
| United | OptionsPPO | $1,385.24 | — |
| Bright Health | OON | $2,007.60 | — |
| Colorado Program for Children with Special Needs | HCP | $2,944.48 | — |
| United | GlobalBenefit | $3,011.40 | — |
| Cigna | Connect-SBPLeanBenefitPlans | $4,282.88 | — |
| Cigna | SureFitLeanBenefitPlans | $4,282.88 | — |
| Cigna | BroadLeanBenefitPlans | $4,282.88 | — |
| Cigna | Connect-NSBPLeanBenefitPlans | $4,282.88 | — |
| Western Plains Community Health | COMM | $4,349.80 | — |
| NorthCare | COMM | $4,684.40 | — |
| Physician Health Partners | MCR | $4,684.40 | — |
| Multiplan | COMMPPOPRIMARYNETWORK | $4,684.40 | — |
| Anthem | PAR | $4,952.08 | — |
| Pinnacol Workers Comp | WORKERSCOMP | $5,019.00 | — |
| Medical Development International | COMM | $5,353.60 | — |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $5,688.20 | — |
| Prime Health | WORKERSCOMP | $6,022.80 | — |
| Multiplan | BeechStreetCOMMPPO | $6,022.80 | — |
| Humana | MCR | $23,530.72 | — |
| United | MCR | $23,649.56 | — |
| Cigna HealthSpring | Medicare | $23,768.40 | — |
| Aetna | MCRADVHMO | $23,768.40 | — |
| Aetna | MCRADVPPO | $23,768.40 | — |
| Anthem BCBS | MCR | $23,768.40 | — |
| Bright Health | DualEligible | $23,768.40 | — |
| Bright Health | MCRHMO | $23,768.40 | — |
| Bright Health | MCRPOS | $23,768.40 | — |
| Bright Health | MCRPPO | $23,768.40 | — |
| Bright Health | MCRSNP | $23,768.40 | — |
| Bright Health | PFFS | $23,768.40 | — |
| Devoted Health | MCRAdvantage | $23,768.40 | — |
| Mutual of Omaha | MCR | $23,768.40 | — |
| Rocky Mountain Health | MGMCR | $23,768.40 | — |
| Total LongTerm Care | MCR | $23,768.40 | — |
| TriWest Health Alliance | FED | $23,768.40 | — |
| Kaiser | MGMCR | $24,243.77 | — |
| WellCare | MCR | $24,481.45 | — |
| Delaware Life Insurance | MGMCR | $24,956.82 | — |
| Kaiser | KPSelect | $31,017.20 | — |
| Kaiser | CommercialSmallGroupPlans | $31,017.20 | — |
| Kaiser | KPIF | $31,017.20 | — |
| Cigna | Connect-SBP | $36,755.38 | — |
| Cigna | SureFit | $39,391.84 | — |
| Cigna | Connect-NSBP | $40,167.27 | — |
| Kaiser | HMO | $45,595.28 | — |
| Kaiser | PPO | $50,092.78 | — |
| Aetna | NBR | $50,558.04 | — |
| Cigna | Broad | $55,055.53 | — |
| Aetna | ExistingBusiness | $61,569.14 | — |
| Aetna | ASA | $73,976.02 | — |
| Aetna | Cofinity | $81,885.41 | — |
Visitor-reported prices
Comments
Dornhoffer fixed part w/window at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Fort Collins Medical Center | Fort Collins | $88,258.61 | $20,651.70 – $128,162.82 |
| Banner North Colorado Medical Center - Loveland Campus | Loveland | $81,250.48 | $12,945.09 – $128,162.82 |
| Sterling Regional Medical Center | Sterling | $102,055.86 | $14,053.23 – $48,858.90 |
| East Morgan County Hospital | Brush | $117,167.14 | $21,225.92 – $48,858.90 |
| HCA HealthONE AURORA | Aurora | not published | $23,530.72 – $24,956.82 |
| CENTRAL PARK ER, A PART OF ROSE | DENVER | not published | $23,530.72 – $24,956.82 |
| HCA HealthONE Rocky Mountain Children's at Presbyterian St. Luke's | Denver | not published | $20,203.14 – $24,956.82 |
| HCA HealthONE SKY RIDGE | Lone Tree | not published | $23,530.72 – $24,956.82 |