Special physics consult 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.
$208.79 with Pinnacol Workers Comp vs $9,604.92 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 |
|---|---|---|---|
| Pinnacol Workers Comp | WORKERSCOMP | $208.79 | — |
| Multiplan | BeechStreetWorkersComp | $217.58 | — |
| Multiplan | WorkersComp | $217.58 | — |
| Cigna | Connect-SBP | $341.38 | — |
| Cigna | SureFit | $396.48 | — |
| Cigna | Connect-NSBP | $428.74 | — |
| Cigna | Broad | $537.60 | — |
| Vail Health | COMM | $1,622.16 | — |
| Kaiser | KPSelect | $2,134.43 | — |
| Kaiser | KPIF | $2,134.43 | — |
| Kaiser | CommercialSmallGroupPlans | $2,134.43 | — |
| United | OptionsPPO | $2,209.13 | — |
| Kaiser | HMO | $3,137.61 | — |
| Bright Health | OON | $3,201.64 | — |
| Kaiser | PPO | $3,447.10 | — |
| Colorado Program for Children with Special Needs | HCP | $4,695.74 | — |
| United | GlobalBenefit | $4,802.46 | — |
| Aetna | Cofinity | $5,634.88 | — |
| Cigna | Connect-SBPLeanBenefitPlans | $6,830.16 | — |
| Cigna | Connect-NSBPLeanBenefitPlans | $6,830.16 | — |
| Cigna | SureFitLeanBenefitPlans | $6,830.16 | — |
| Cigna | BroadLeanBenefitPlans | $6,830.16 | — |
| Western Plains Community Health | COMM | $6,936.88 | — |
| Multiplan | COMMPPOPRIMARYNETWORK | $7,470.49 | — |
| NorthCare | COMM | $7,470.49 | — |
| Physician Health Partners | MCR | $7,470.49 | — |
| Anthem | PAR | $7,897.38 | — |
| Medical Development International | COMM | $8,537.70 | — |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $9,071.31 | — |
| Prime Health | WORKERSCOMP | $9,604.92 | — |
| Multiplan | BeechStreetCOMMPPO | $9,604.92 | — |
| Aetna | ExistingBusiness | not published by hospital | — |
| Aetna | ASA | not published by hospital | — |
| Aetna | NBR | not published by hospital | — |
Visitor-reported prices
Comments
Special physics consult at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner North Colorado Medical Center - Loveland Campus | Loveland | $700.74 | $129.59 – $1,361.35 |
| Sterling Regional Medical Center | Sterling | $518.23 | $133.43 – $878.82 |
| AdventHealth Porter | Denver | $3,809.10 | $138.95 – $262.30 |
| CENTRAL PARK ER, A PART OF ROSE | DENVER | $6,550.00 | $208.79 – $263.42 |
| HCA HealthONE Rocky Mountain Children's at Presbyterian St. Luke's | Denver | $6,536.25 | $208.79 – $396.48 |
| AdventHealth Littleton | Littleton | $3,809.10 | $138.95 – $262.30 |
| AdventHealth Avista | Louisville | $3,809.10 | $140.49 – $265.21 |
| AdventHealth Castle Rock | Castle Rock | $3,809.10 | $138.95 – $262.30 |