Vaccine pneumococcal conjugate 13 valent (pcv13) im at HCA HealthONE BELMAR ER, A PART OF SWEDISH
260 S WADSWORTH BLVD, LAKEWOOD, CO · HCA HealthONE · · NPI 1396790200
$1,288.11
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.
$1,288.11
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.
$195.79 with Vail Health vs $1,159.30 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 |
|---|---|---|---|
| Vail Health | COMM | $195.79 | ↓ -85% |
| Kaiser | CommercialSmallGroupPlans | $257.62 | ↓ -80% |
| Kaiser | KPSelect | $257.62 | ↓ -80% |
| Kaiser | KPIF | $257.62 | ↓ -80% |
| United | OptionsPPO | $266.64 | ↓ -79% |
| Cigna | Connect-SBP | $305.28 | ↓ -76% |
| Cigna | SureFit | $327.18 | ↓ -75% |
| Cigna | Connect-NSBP | $333.62 | ↓ -74% |
| Kaiser | HMO | $378.70 | ↓ -71% |
| Bright Health | OON | $386.43 | ↓ -70% |
| Kaiser | PPO | $416.06 | ↓ -68% |
| United | ColoradoDoctorsPlan | $425.45 | ↓ -67% |
| Cigna | Broad | $457.28 | ↓ -64% |
| Colorado Program for Children with Special Needs | HCP | $566.77 | ↓ -56% |
| United | GlobalBenefit | $579.65 | ↓ -55% |
| United | AllPayerAppendix | $773.55 | ↓ -40% |
| Rocky Mountain Health Plan | AllPayerAppendix | $773.55 | ↓ -40% |
| Cigna | Connect-NSBPLeanBenefitPlans | $824.39 | ↓ -36% |
| Cigna | Connect-SBPLeanBenefitPlans | $824.39 | ↓ -36% |
| Cigna | BroadLeanBenefitPlans | $824.39 | ↓ -36% |
| Cigna | SureFitLeanBenefitPlans | $824.39 | ↓ -36% |
| Western Plains Community Health | COMM | $837.27 | ↓ -35% |
| Physician Health Partners | MCR | $901.68 | ↓ -30% |
| Multiplan | COMMPPOPRIMARYNETWORK | $901.68 | ↓ -30% |
| NorthCare | COMM | $901.68 | ↓ -30% |
| Anthem | PAR | $953.20 | ↓ -26% |
| Pinnacol Workers Comp | WORKERSCOMP | $966.08 | ↓ -25% |
| Medical Development International | COMM | $1,030.49 | ↓ -20% |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $1,094.89 | ↓ -15% |
| Prime Health | WORKERSCOMP | $1,159.30 | ↓ -10% |
| Multiplan | BeechStreetCOMMPPO | $1,159.30 | ↓ -10% |
| Cigna HealthSpring | Medicare | not published by hospital | — |
| Delaware Life Insurance | MGMCR | not published by hospital | — |
| Bright Health | PFFS | not published by hospital | — |
| Bright Health | MCRSNP | not published by hospital | — |
| Bright Health | MCRPPO | not published by hospital | — |
| Bright Health | MCRPOS | not published by hospital | — |
| Bright Health | MCRHMO | not published by hospital | — |
| Kaiser | MGMCR | not published by hospital | — |
| Bright Health | DualEligible | not published by hospital | — |
| Mutual of Omaha | MCR | not published by hospital | — |
| Anthem BCBS | MCR | not published by hospital | — |
| United | MCR | not published by hospital | — |
| Aetna | MCRADVPPO | not published by hospital | — |
| Devoted Health | MCRAdvantage | not published by hospital | — |
| Rocky Mountain Health | MGMCR | not published by hospital | — |
| Aetna | MCRADVHMO | not published by hospital | — |
| Total LongTerm Care | MCR | not published by hospital | — |
| TriWest Health Alliance | FED | not published by hospital | — |
| WellCare | MCR | not published by hospital | — |
| Humana | MCR | not published by hospital | — |
Visitor-reported prices
Comments
Vaccine pneumococcal conjugate 13 valent (pcv13) im at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner North Colorado Medical Center - Loveland Campus | Loveland | $67.25 | $54.35 – $428.26 |
| CENTRAL PARK ER, A PART OF ROSE | DENVER | $1,521.00 | $425.45 – $773.55 |
| HCA HealthONE Rocky Mountain Children's at Presbyterian St. Luke's | Denver | $1,419.00 | $425.45 – $425.45 |
| HCA HealthONE SOUTH PARKER ER, A PART OF SKY RIDGE | PARKER | $2,161.00 | $250.25 – $773.55 |
| HCA HealthONE MOUNTAIN RIDGE | Thornton | $2,038.55 | $425.45 – $773.55 |
| HCA HealthONE PRESBYTERIAN ST. LUKE'S REHABILITATION, A PART OF SPALDING REHABILITATION | Denver | $737.80 | $425.45 – $773.55 |
| AdventHealth Porter | Denver | not published | $425.68 – $482.83 |
| HCA HealthONE AURORA | Aurora | not published | $425.45 – $773.55 |