CMS Price Transparency Data

Diagnostic procedure preparation

Facility: HCA Healthone Rose

Billing Code: G0279 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0279
Insurance Median: $57
Cash Discount Price: $154
vs. Medicare Baseline: 1.41x Medicare

The contracted insurance negotiated median rate for a Diagnostic procedure preparation at HCA Healthone Rose is $57. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $154. Compared to the federal Medicare reimbursement reference rate of $40.41, this hospital’s rate is 1.41x the Medicare baseline. Located in 4567 E 9Th Ave, Denver, CO.

Cash / Self-Pay

$154

Average discount available for prompt cash payment at this facility.

Insurance Median

$57

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$40.41

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $40.41 (100%)

Cash / Self-Pay: $154 (381%)

Insurance Median: $57 (141%)

Cash: $154 (381% of Medicare)

Ins. Median: $57 (141% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $40.41 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
United	$13 - $69	32%
Humana	$13	32%
Blue Cross Blue Shield	$14 - $207	35%
Triwest Health Alliance	$14	35%
Wellcare	$14	35%
Total Longterm Care	$14	35%
Bright Health	$14 - $46	35%
Kaiser	$14 - $40	35%
Mutual of Omaha	$14	35%
Devoted Health	$14	35%
Rocky Mountain Health	$14	35%
Aetna	$14 - $81	35%
Innovage Pace	$14	35%
Delaware Life Insurance	$14	35%
Cigna	$14 - $102	35%
Vail Health	$23	57%
Rocky Mountain Health Plan	$57	141%
Colorado Program for Children With Special Needs	$69	171%
Western Plains Community Health	$100	247%
Physician Health Partners	$108	267%
Multiplan	$108 - $138	267%
Northcare	$108	267%
Pinnacol Workers Comp	$115	285%
Medical Development International	$123	304%
Rocky Mtn Planned Parenthood	$131	324%
Prime Health	$138	341%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $154.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: G0279.

Insurance In-Network Protection Plan

Contact your insurance company to confirm HCA Healthone Rose is fully in-network.
Ask your insurer if "Prior Authorization" is required for HCPCS code G0279.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.