Pros sheath/sock w gel cushn 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.
$92.66 with Humana vs $938.70 with Multiplan — 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 |
|---|---|---|---|
| Humana | MCR | $92.66 | — |
| United | MCR | $93.13 | — |
| TriWest Health Alliance | FED | $93.60 | — |
| Total LongTerm Care | MCR | $93.60 | — |
| Devoted Health | MCRAdvantage | $93.60 | — |
| Aetna | MCRADVHMO | $93.60 | — |
| Aetna | MCRADVPPO | $93.60 | — |
| Bright Health | PFFS | $93.60 | — |
| Rocky Mountain Health | MGMCR | $93.60 | — |
| Mutual of Omaha | MCR | $93.60 | — |
| Bright Health | DualEligible | $93.60 | — |
| Cigna HealthSpring | Medicare | $93.60 | — |
| Bright Health | MCRHMO | $93.60 | — |
| Anthem BCBS | MCR | $93.60 | — |
| Bright Health | MCRSNP | $93.60 | — |
| Bright Health | MCRPPO | $93.60 | — |
| Bright Health | MCRPOS | $93.60 | — |
| Kaiser | MGMCR | $95.47 | — |
| WellCare | MCR | $96.41 | — |
| Delaware Life Insurance | MGMCR | $98.28 | — |
| Vail Health | COMM | $158.54 | — |
| Kaiser | KPIF | $208.60 | — |
| Kaiser | CommercialSmallGroupPlans | $208.60 | — |
| Kaiser | KPSelect | $208.60 | — |
| United | OptionsPPO | $215.90 | — |
| Cigna | Connect-SBP | $247.19 | — |
| Cigna | SureFit | $264.92 | — |
| Cigna | Connect-NSBP | $270.14 | — |
| Kaiser | HMO | $306.64 | — |
| Bright Health | OON | $312.90 | — |
| Kaiser | PPO | $336.89 | — |
| Aetna | NBR | $340.02 | — |
| Cigna | Broad | $370.26 | — |
| Aetna | ExistingBusiness | $414.07 | — |
| Colorado Program for Children with Special Needs | HCP | $458.92 | — |
| United | GlobalBenefit | $469.35 | — |
| Aetna | ASA | $497.51 | — |
| Aetna | Cofinity | $550.70 | — |
| Cigna | BroadLeanBenefitPlans | $667.52 | — |
| Cigna | Connect-NSBPLeanBenefitPlans | $667.52 | — |
| Cigna | Connect-SBPLeanBenefitPlans | $667.52 | — |
| Cigna | SureFitLeanBenefitPlans | $667.52 | — |
| Western Plains Community Health | COMM | $677.95 | — |
| NorthCare | COMM | $730.10 | — |
| Physician Health Partners | MCR | $730.10 | — |
| Multiplan | COMMPPOPRIMARYNETWORK | $730.10 | — |
| Anthem | PAR | $771.82 | — |
| Pinnacol Workers Comp | WORKERSCOMP | $782.25 | — |
| Medical Development International | COMM | $834.40 | — |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $886.55 | — |
| Prime Health | WORKERSCOMP | $938.70 | — |
| Multiplan | BeechStreetCOMMPPO | $938.70 | — |
Visitor-reported prices
Comments
Pros sheath/sock w gel cushn at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HealthONE AURORA | Aurora | $243.00 | $92.66 – $98.28 |
| CENTRAL PARK ER, A PART OF ROSE | DENVER | not published | $92.66 – $98.28 |
| HCA HealthONE SKY RIDGE | Lone Tree | not published | $92.66 – $98.28 |
| HCA HealthONE SOUTH PARKER ER, A PART OF SKY RIDGE | PARKER | not published | $90.31 – $134.99 |
| HCA HealthONE MOUNTAIN RIDGE | Thornton | not published | $92.66 – $98.28 |
| HCA HealthONE PRESBYTERIAN ST. LUKE'S REHABILITATION, A PART OF SPALDING REHABILITATION | Denver | not published | $92.66 – $98.28 |