How many shoppable procedure prices are published for HCA Healthone Presbyterian St Luke's?

HCA Healthone Presbyterian St Luke's in Denver, CO currently has 125 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do HCA Healthone Presbyterian St Luke's's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, HCA Healthone Presbyterian St Luke's's median negotiated commercial rate is 1.3× the regionally adjusted fair BaseRate benchmark.

What is HCA Healthone Presbyterian St Luke's's CMS Care Compare overall star rating?

CMS Care Compare assigns HCA Healthone Presbyterian St Luke's an overall hospital quality rating of 2 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Government - State 311 Beds · rural Updated: 2026-09-01

HCA Healthone Presbyterian St Luke's

1719 E 19Th Ave, Denver, CO 80218 · 125 Priced Procedures · 73% Patient Recommendation

CMS Overall Rating 2 / 5 Stars

Above Fair Market · Negotiate

1.27×vs. Fair Market Price

Typical commercial prices here are +27% above the fair benchmark (1.27×) even after accounting for local nurse/doctor wages and patient complexity.

74/100 · Corroborated

74/100Self-Pay Cash Beats Insurance 3% of the Time

File Completeness100

Price Logic95

Peer Alignment62

Clean Billing92

Real Cash Discount6

Regional Benchmark Tier

3-Star CMS clinical quality rating paired with 1.27× fair market pricing.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

HCA Healthone Presbyterian St Luke's prices shoppable and inpatient services (1.8× to 1.0× Medicare, divergence 0.56×) in alignment with regional hospital peers (1.27× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#38 of 64 in CO · 57th State Percentile#2,187 of 3,385 in U.S. · 64th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.95× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 3% of shoppable procedures (25/100 Cash Honesty)
2-Star CMS clinical rating with 73% patient recommendation (67/100 safety score)
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (1.27× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Commercial insurance median sits at 1.43× Fair BaseRate (1.8× Medicare), so insured patients should always compare the self-pay cash price before paying.
Even at low-cost facilities (1.27× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Unnegotiated chargemaster list prices average 15.6× Medicare (14¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.8× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER0.56× Divergence

1.0× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+10% Upper Tail

Q25 0.95× · Q50 1.43× · Q75 1.57×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

1.8× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.7× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

0.9× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.7× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

0.7× MedicareGood

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

0.6× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

3% Cash Edge · 25/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

2 CMS · 67/100Fair

Procedure Prices at HCA Healthone Presbyterian St Luke's

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 125 published procedures.

Sort:

Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$27,582	$30,775	0.9×
Total hip replacement CPT Code: `27130`	—	$21,174	$13,413	1.6×
Total knee replacement CPT Code: `27447`	—	$21,174	$13,523	unverified
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$17,705	$19,432	0.9×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$16,974	$19,087	0.9×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$15,495	$17,936	0.9×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$9,252	$6,109	1.5×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$7,395	$8,223	0.9×
Vaginal delivery (full package) CPT Code: `59400`	—	$7,291	$2,680	2.7×
C-section delivery (full package) CPT Code: `59510`	—	$7,291	$2,975	2.5×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$5,969	$3,372	1.8×
Breast lump removal CPT Code: `19120`	—	$5,989	$3,875	1.5×
Inguinal hernia repair CPT Code: `49505`	—	$5,957	$3,629	1.6×
Cataract surgery with lens implant CPT Code: `66984`	—	$5,657	$2,540	unverified
Bunion correction surgery CPT Code: `28296`	—	$5,190	$3,446	1.5×
Colonoscopy with biopsy CPT Code: `45380`	—	$3,605	$1,256	unverified
Colonoscopy (diagnostic) CPT Code: `45378`	—	$2,651	$981	2.7×
Upper endoscopy with biopsy CPT Code: `43239`	—	$2,651	$987	2.7×
Sleep study (overnight, in lab) CPT Code: `95810`	$8,040	$2,456	$1,021	2.4×
Trauma team activation HCPCS Code: `G0390`	$8,850	$2,195	$1,453	1.5×
Injection procedure for pain management HCPCS Code: `G0260`	—	$2,082	$855	2.4×
Blood transfusion CPT Code: `36430`	$8,305	$2,082	$498	unverified
Echocardiogram (heart ultrasound) CPT Code: `93306`	$5,914	$885	$583	1.5×
New patient office visit (30-44 min) CPT Code: `99203`	$769	$769	$110	7.0×
MRI, brain (with and without contrast) CPT Code: `70553`	$21,904	$790	$511	1.5×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$13,025	$750	$448	1.7×
Office visit, established patient (30-39 min) CPT Code: `99214`	$700	$700	$123	5.7×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$5,257	$694	$272	unverified
Hospital observation (per hour) HCPCS Code: `G0378`	$642	$642	$86	7.5×
Psychological testing by technician CPT Code: `96138`	—	$639	$395	unverified
Office visit, established patient (20-29 min) CPT Code: `99213`	$510	$510	$87	5.9×
MRI, brain (no contrast) CPT Code: `70551`	$13,494	$487	$343	1.4×
MRI, knee or other leg joint CPT Code: `73721`	$15,211	$510	$369	1.4×
Neurobehavioral status check CPT Code: `96116`	$647	$503	$231	unverified
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$8,262	$454	$303	1.5×
MRI, lower back (no contrast) CPT Code: `72148`	$13,494	$477	$338	1.4×
Rabies immune globulin HCPCS Code: `90375`	$16,463	$454	$322	1.4×
CT scan, head (with and without contrast) CPT Code: `70470`	$8,888	$402	$258	1.6×
CT scan, head (with contrast) CPT Code: `70460`	$8,022	$369	$242	1.5×
Breathing treatment (nebulizer) CPT Code: `94640`	$818	$342	$201	unverified
Ultrasound, pelvis CPT Code: `76856`	$1,885	$245	$130	1.9×
Ultrasound, thyroid and neck CPT Code: `76536`	$2,985	$245	$132	1.9×
Ultrasound, abdomen (complete) CPT Code: `76700`	$3,841	$245	$134	1.8×
Psychotherapy session (45 minutes) CPT Code: `90834`	—	$256	$166	1.5×
CT scan, pelvis CPT Code: `72192`	$4,686	$251	$163	1.5×
CT scan, head (no contrast) CPT Code: `70450`	$6,248	$245	$160	1.5×
Hepatitis B immune globulin HCPCS Code: `90371`	$1,590	$231	$151	1.5×
CT scan, chest (no contrast) CPT Code: `71250`	$4,686	$249	$167	1.5×
Family therapy session CPT Code: `90847`	—	$256	$173	1.5×
CT scan, sinuses CPT Code: `70486`	$4,686	$245	$166	1.5×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$2,604	$245	$168	1.5×
CT scan, neck (cervical spine) CPT Code: `72125`	$2,604	$245	$169	1.4×
Psychotherapy session (60 minutes) CPT Code: `90837`	—	$256	$181	1.4×
Psychiatric evaluation (first visit) CPT Code: `90791`	$3,649	$256	$185	1.4×
Ultrasound, abdomen (limited) CPT Code: `76705`	$2,301	$219	$126	unverified
X-ray, lower back CPT Code: `72110`	$1,120	$181	$112	1.6×
Psychological testing evaluation CPT Code: `96136`	—	$205	$128	1.6×
X-ray, neck (cervical spine) CPT Code: `72040`	$1,344	$146	$93	1.6×
X-ray, ankle CPT Code: `73610`	$1,537	$146	$93	1.6×
X-ray, shoulder CPT Code: `73030`	$1,688	$141	$92	1.5×
X-ray, chest (two views) CPT Code: `71046`	$1,018	$139	$93	1.5×
Group therapy session CPT Code: `90853`	—	$143	$100	1.4×
X-ray, chest (single view) CPT Code: `71045`	$955	$131	$92	1.4×
X-ray, pelvis CPT Code: `72170`	$762	$146	$110	1.3×
X-ray, hand CPT Code: `73130`	$1,480	$146	$93	unverified
X-ray, hip CPT Code: `73502`	$259	$146	$93	unverified
Diagnostic mammogram (both breasts) CPT Code: `77066`	—	$117	$148	0.8×
X-ray, foot CPT Code: `73630`	$1,635	$139	$92	unverified
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$861	$98	$64	1.5×
Screening mammogram (both breasts) CPT Code: `77067`	—	$97	$123	0.8×
Typhoid vaccine HCPCS Code: `90675`	$2,701	$520	$347	1.5×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$1,252	$380	$203	1.9×
Pneumococcal vaccine HCPCS Code: `90732`	$911	$220	$140	1.6×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$959	$193	$111	1.7×
Drug screening test HCPCS Code: `G0480`	—	$114	$116	1.0×
Flu vaccine injection HCPCS Code: `G0008`	$224	$76	$48	1.6×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$171	$61	$39	1.6×
Pneumonia vaccine injection HCPCS Code: `G0009`	$229	$76	$49	1.6×
Colorectal cancer screening HCPCS Code: `G0010`	$143	$76	$49	1.6×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$443	$65	$56	1.2×
Flu vaccine (high dose) HCPCS Code: `90656`	$64	$38	$25	1.5×
Hepatitis B vaccine HCPCS Code: `90744`	$91	$55	$37	1.5×
Speech therapy (language evaluation) CPT Code: `92507`	$654	$79	$86	0.9×
Prosthetic fitting and training CPT Code: `97761`	$255	$42	$45	0.9×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$2,117	$11	$11	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$277	$5	$5	1.0×
Blood test, magnesium CPT Code: `83735`	$501	$7	$7	1.0×
Blood test, potassium CPT Code: `84132`	$277	$5	$5	1.0×
Blood test, sodium CPT Code: `84295`	$277	$5	$5	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$640	$4	$4	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	—	$8	$8	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$662	$6	$6	1.0×
Culture, bacterial CPT Code: `87070`	$1,214	$9	$9	1.0×
Blood test, vitamin D CPT Code: `82306`	$66	$30	$31	1.0×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	—	$26	$27	1.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	—	$19	$20	0.9×
Blood test, PSA (prostate screen) CPT Code: `84153`	$1,001	$18	$19	0.9×
Blood test, thyroid (TSH) CPT Code: `84443`	$1,309	$17	$18	0.9×
Hepatitis C antibody test CPT Code: `86803`	—	$14	$15	0.9×
Speech therapy (group session) CPT Code: `92508`	$263	$25	$27	0.9×
Orthotic fitting and training CPT Code: `97760`	$260	$44	$51	0.9×
Urinalysis (automated, with microscopy) CPT Code: `81001`	—	$3	$3	1.0×
Blood test, calcium CPT Code: `82310`	$496	$5	$5	1.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$21	$14	$14	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$277	$4	$4	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$27	$10	$10	1.0×
Blood test, lipase CPT Code: `83690`	$876	$7	$7	1.0×
Blood test, vitamin B12 CPT Code: `82607`	$1,309	$15	$16	0.9×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$15	$13	$14	0.9×
Culture, blood CPT Code: `87040`	$1,180	$10	$11	0.9×
Blood test, basic metabolic panel CPT Code: `80048`	—	$8	$9	0.9×
Blood test, liver function panel CPT Code: `80076`	—	$8	$9	0.9×
Blood test, amylase CPT Code: `82150`	$685	$6	$7	0.9×
Electrical stimulation therapy HCPCS Code: `G0283`	$261	$12	$14	0.9×
Physical therapy (functional capacity test) CPT Code: `97750`	—	$32	$38	0.8×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$260	$33	$40	0.8×
Physical therapy (gait training) CPT Code: `97116`	$261	$27	$33	0.8×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$260	$31	$38	0.8×
Occupational therapy (self-care training) CPT Code: `97535`	$257	$31	$38	0.8×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$662	$4	$5	0.8×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$243	$27	$35	0.8×
Physical therapy (manual therapy) CPT Code: `97140`	$260	$26	$34	0.8×
Blood test, hemoglobin CPT Code: `85018`	$277	$2	$3	0.7×
Diagnostic procedure preparation HCPCS Code: `G0279`	—	$14	$35	0.4×
Blood antibody screen CPT Code: `86850`	$984	$10	$46	0.2×

Showing top 25 high-impact procedures of 125 total

Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at HCA Healthone Presbyterian St Luke's (Zero PHI Required)

CMS CCN: 060014

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $27,582

1. Amount on Your Bill or Quote ($) Pre-filled with HCA Healthone Presbyterian St Luke's’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 274% of 2026 FPL

Above Standard 400% FPL Financial-Assistance Ceiling

At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask HCA Healthone Presbyterian St Luke's's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$35,422 Above Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your bill ($66,197) is $35,422 above the denoised Fair BaseRate ($30,775) and 2.8× the $23,504 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) For-Profit / Non-501(c)(3)

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

EIN: 841321373

Public IRS & CMS ownership records classify HCA Healthone Presbyterian St Luke's as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall3/5 Stars (3/5)

Safety Composite67/100

Would Recommend73%

Rated 9 or 10 (HCAHPS)74%

Median ER Wait117 min

Left ER Before Seen0%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate3.8%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionsame

C. diff Hospital-Onset Infectionbetter

Source: CMS Hospital Care Compare (670 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Regional Quality & Price Benchmark

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for HCA Healthone Presbyterian St Luke's.

Price Index: 0.94× regional baseline

Quality: 62/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Humana

-67.5%

Mutual of Omaha

-59.5%

HealthPartners

+104.1%

Median Household Income$91,681U.S. Census ACS

Local Uninsured Share8.8%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 74/100 · Corroborated CMS CCN 060014 EIN 841321373

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 060014) ↗ Verify IRS Form 990 (EIN 841321373) ↗ CMS HCRIS Cost Reports ↗

Published MRF File84-1321373_HCA-HEALTHONE-PRESBYTERIAN-ST-LUKES_standardcharges.json

Publication / Vintage2026-09-01 · 587.31 MB

Validated Rate Rows7,993 (CMS v3.0.0)

File Integrity Digest7420160ebdd18295a1d3…

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy

HCA Healthone Presbyterian St Luke's

Aligned Regional Benchmark Peer

Where They're Good (Patient & Payer Edge)

Where You Can Get Burned (Markup Traps)

REA Pricing Decompiler · 5-Layer Cost-to-Charge Reverse Engineering

Insurer Bargaining Power & Cash-Vulnerability Matrix

Procedure Prices at HCA Healthone Presbyterian St Luke's

Audit a Bill or Quote at HCA Healthone Presbyterian St Luke's (Zero PHI Required)

Above Standard 400% FPL Financial-Assistance Ceiling

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

Clinical Quality, Patient Experience & Infection Benchmarks

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings