Strep b assay w/optic at HCA HealthONE BELMAR ER, A PART OF SWEDISH
260 S WADSWORTH BLVD, LAKEWOOD, CO · HCA HealthONE · · NPI 1396790200
$476.28
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.
$476.28
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.
$7.44 with Cigna vs $428.65 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 |
|---|---|---|---|
| Cigna | Connect-SBP | $7.44 | ↓ -98% |
| Cigna | SureFit | $8.10 | ↓ -98% |
| Cigna | Connect-NSBP | $8.93 | ↓ -98% |
| Cigna | Broad | $11.16 | ↓ -98% |
| Humana | MCR | $12.60 | ↓ -97% |
| United | MCR | $12.67 | ↓ -97% |
| Devoted Health | MCRAdvantage | $12.73 | ↓ -97% |
| Aetna | MCRADVPPO | $12.73 | ↓ -97% |
| Rocky Mountain Health | MGMCR | $12.73 | ↓ -97% |
| Mutual of Omaha | MCR | $12.73 | ↓ -97% |
| United | AllPayerAppendix | $12.73 | ↓ -97% |
| United | ColoradoDoctorsPlan | $12.73 | ↓ -97% |
| Cigna HealthSpring | Medicare | $12.73 | ↓ -97% |
| Anthem BCBS | MCR | $12.73 | ↓ -97% |
| Bright Health | DualEligible | $12.73 | ↓ -97% |
| Bright Health | MCRHMO | $12.73 | ↓ -97% |
| Bright Health | MCRPOS | $12.73 | ↓ -97% |
| Bright Health | MCRPPO | $12.73 | ↓ -97% |
| Bright Health | MCRSNP | $12.73 | ↓ -97% |
| Bright Health | PFFS | $12.73 | ↓ -97% |
| TriWest Health Alliance | FED | $12.73 | ↓ -97% |
| Total LongTerm Care | MCR | $12.73 | ↓ -97% |
| Rocky Mountain Health Plan | AllPayerAppendix | $12.73 | ↓ -97% |
| Aetna | MCRADVHMO | $12.73 | ↓ -97% |
| Kaiser | MGMCR | $12.98 | ↓ -97% |
| WellCare | MCR | $13.11 | ↓ -97% |
| Delaware Life Insurance | MGMCR | $13.37 | ↓ -97% |
| Anthem | PathwayEssentials | $30.93 | ↓ -94% |
| Anthem | PathwayNSBP | $39.46 | ↓ -92% |
| Anthem | PPO | $60.47 | ↓ -87% |
| Anthem | HMO | $60.47 | ↓ -87% |
| Vail Health | COMM | $72.39 | ↓ -85% |
| Kaiser | KPIF | $95.26 | ↓ -80% |
| Kaiser | CommercialSmallGroupPlans | $95.26 | ↓ -80% |
| Kaiser | KPSelect | $95.26 | ↓ -80% |
| United | OptionsPPO | $98.59 | ↓ -79% |
| Kaiser | HMO | $140.03 | ↓ -71% |
| Bright Health | OON | $142.88 | ↓ -70% |
| Kaiser | PPO | $153.84 | ↓ -68% |
| Colorado Program for Children with Special Needs | HCP | $209.56 | ↓ -56% |
| United | GlobalBenefit | $214.33 | ↓ -55% |
| Aetna | Cofinity | $251.48 | ↓ -47% |
| Cigna | SureFitLeanBenefitPlans | $304.82 | ↓ -36% |
| Cigna | Connect-SBPLeanBenefitPlans | $304.82 | ↓ -36% |
| Cigna | Connect-NSBPLeanBenefitPlans | $304.82 | ↓ -36% |
| Cigna | BroadLeanBenefitPlans | $304.82 | ↓ -36% |
| Western Plains Community Health | COMM | $309.58 | ↓ -35% |
| Multiplan | COMMPPOPRIMARYNETWORK | $333.40 | ↓ -30% |
| NorthCare | COMM | $333.40 | ↓ -30% |
| Physician Health Partners | MCR | $333.40 | ↓ -30% |
| Anthem | PAR | $352.45 | ↓ -26% |
| Pinnacol Workers Comp | WORKERSCOMP | $357.21 | ↓ -25% |
| Medical Development International | COMM | $381.02 | ↓ -20% |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $404.84 | ↓ -15% |
| Prime Health | WORKERSCOMP | $428.65 | ↓ -10% |
| Multiplan | BeechStreetCOMMPPO | $428.65 | ↓ -10% |
| Aetna | NBR | not published by hospital | — |
| Aetna | ExistingBusiness | not published by hospital | — |
| Aetna | ASA | not published by hospital | — |
Visitor-reported prices
Comments
Strep b assay w/optic at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AdventHealth Porter | Denver | $632.00 | $12.48 – $23.55 |
| CENTRAL PARK ER, A PART OF ROSE | DENVER | $736.00 | $5.79 – $30.93 |
| HCA HealthONE MOUNTAIN RIDGE | Thornton | $642.96 | $6.04 – $30.93 |
| AdventHealth Littleton | Littleton | $632.00 | $12.48 – $23.55 |
| AdventHealth Avista | Louisville | $632.00 | $12.48 – $23.55 |
| AdventHealth Castle Rock | Castle Rock | $632.00 | $12.48 – $23.55 |
| AdventHealth Parker | Parker | $632.00 | $12.48 – $23.55 |
| HCA HealthONE PRESBYTERIAN ST. LUKE'S REHABILITATION, A PART OF SPALDING REHABILITATION | Denver | not published | $12.60 – $13.37 |