X-ray of mammary ducts at HCA HealthONE AURORA
1501 S. Potomac Street, Aurora, CO · HCA HealthONE · · NPI 1659327013
$5,018.43
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.
$5,018.43
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.
$51.86 with Anthem vs $4,516.59 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 |
|---|---|---|---|
| Anthem | PathwayEssentials | $51.86 | ↓ -99% |
| Anthem | PathwayNSBP | $66.15 | ↓ -99% |
| Anthem | HMO | $105.85 | ↓ -98% |
| Anthem | PPO | $105.85 | ↓ -98% |
| Pinnacol Workers Comp | WORKERSCOMP | $377.05 | ↓ -92% |
| United | ColoradoDoctorsPlan | $391.22 | ↓ -92% |
| Multiplan | WorkersComp | $392.93 | ↓ -92% |
| Multiplan | BeechStreetWorkersComp | $392.93 | ↓ -92% |
| United | AllPayerAppendix | $517.79 | ↓ -90% |
| Rocky Mountain Health Plan | AllPayerAppendix | $517.79 | ↓ -90% |
| Cigna | Connect-SBP | $543.54 | ↓ -89% |
| Cigna | SureFit | $694.14 | ↓ -86% |
| Cigna | Connect-NSBP | $750.61 | ↓ -85% |
| Vail Health | COMM | $762.80 | ↓ -85% |
| Cigna | Broad | $941.20 | ↓ -81% |
| Kaiser | CommercialSmallGroupPlans | $1,003.69 | ↓ -80% |
| Kaiser | KPIF | $1,003.69 | ↓ -80% |
| Kaiser | KPSelect | $1,003.69 | ↓ -80% |
| United | OptionsPPO | $1,038.82 | ↓ -79% |
| Bright Health | OON | $1,505.53 | ↓ -70% |
| Kaiser | PPO | $1,781.54 | ↓ -65% |
| Kaiser | HMO | $1,781.54 | ↓ -65% |
| Colorado Program for Children with Special Needs | HCP | $2,107.74 | ↓ -58% |
| United | GlobalBenefit | $2,258.29 | ↓ -55% |
| Evernorth (Cigna Behavioral Health) | COMM | $2,509.22 | ↓ -50% |
| Aetna | Cofinity | $2,649.73 | ↓ -47% |
| Cigna | SureFitLeanBenefitPlans | $3,211.80 | ↓ -36% |
| Cigna | Connect-NSBPLeanBenefitPlans | $3,211.80 | ↓ -36% |
| Cigna | BroadLeanBenefitPlans | $3,211.80 | ↓ -36% |
| Cigna | Connect-SBPLeanBenefitPlans | $3,211.80 | ↓ -36% |
| Western Plains Community Health | COMM | $3,261.98 | ↓ -35% |
| Multiplan | COMMPPOPRIMARYNETWORK | $3,512.90 | ↓ -30% |
| NorthCare | COMM | $3,512.90 | ↓ -30% |
| Physician Health Partners | MCR | $3,512.90 | ↓ -30% |
| Anthem | PAR | $3,713.64 | ↓ -26% |
| Medical Development International | COMM | $4,014.74 | ↓ -20% |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $4,265.67 | ↓ -15% |
| Prime Health | WORKERSCOMP | $4,516.59 | ↓ -10% |
| Multiplan | BeechStreetCOMMPPO | $4,516.59 | ↓ -10% |
| Aetna | ASA | not published by hospital | — |
| Aetna | NBR | not published by hospital | — |
| Aetna | ExistingBusiness | not published by hospital | — |
Visitor-reported prices
Comments
X-ray of mammary ducts at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Fort Collins Medical Center | Fort Collins | $287.07 | $106.00 – $583.01 |
| Banner North Colorado Medical Center - Loveland Campus | Loveland | $193.95 | $112.00 – $583.75 |
| Sterling Regional Medical Center | Sterling | $243.90 | $151.22 – $525.74 |
| East Morgan County Hospital | Brush | $359.89 | $19.81 – $45.59 |
| AdventHealth Porter | Denver | $1,879.35 | $89.07 – $465.64 |
| CENTRAL PARK ER, A PART OF ROSE | DENVER | $4,140.00 | $51.86 – $517.79 |
| HCA HealthONE MOUNTAIN RIDGE | Thornton | $3,884.58 | $51.86 – $517.79 |
| AdventHealth Littleton | Littleton | $1,879.35 | $89.07 – $465.64 |