Allgrft implnt knee w/scope at HCA HealthONE SKY RIDGE
10101 Ridgegate Parkway, Lone Tree, CO · HCA HealthONE · · NPI 1659325629
not published by hospital
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.
not published by hospital
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.
$1,442.00 with Cigna vs $21,104.51 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 | $1,442.00 | — |
| Cigna | SureFit | $1,650.00 | — |
| Aetna | NBR | $5,079.00 | — |
| Cigna | Connect-NSBP | $5,358.00 | — |
| Aetna | ExistingBusiness | $6,194.00 | — |
| Aetna | ASA | $7,698.00 | — |
| United | ColoradoDoctorsPlan | $8,068.00 | — |
| Cigna | Broad | $8,132.00 | — |
| Anthem | PathwayEssentials | $11,402.00 | — |
| Anthem | PathwayNSBP | $11,526.00 | — |
| United | AllPayerAppendix | $13,938.00 | — |
| Rocky Mountain Health Plan | AllPayerAppendix | $13,938.00 | — |
| Pinnacol Workers Comp | WORKERSCOMP | $20,251.81 | — |
| Anthem | PPO | $20,468.00 | — |
| Anthem | HMO | $20,468.00 | — |
| Multiplan | WorkersComp | $21,104.51 | — |
| Multiplan | BeechStreetWorkersComp | $21,104.51 | — |
Visitor-reported prices
Comments
Allgrft implnt knee w/scope at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sterling Regional Medical Center | Sterling | not published | not published |
| AdventHealth Porter | Denver | not published | $905.00 – $25,055.14 |
| HCA HealthONE AURORA | Aurora | not published | $20,251.81 – $21,104.51 |
| CENTRAL PARK ER, A PART OF ROSE | DENVER | not published | $20,251.81 – $21,104.51 |
| HCA HealthONE Rocky Mountain Children's at Presbyterian St. Luke's | Denver | not published | $20,251.81 – $21,104.51 |
| HCA HealthONE SOUTH PARKER ER, A PART OF SKY RIDGE | PARKER | not published | $4,751.11 – $21,104.51 |
| HCA HealthONE BELMAR ER, A PART OF SWEDISH | LAKEWOOD | not published | $20,251.81 – $21,104.51 |
| HCA HealthONE MOUNTAIN RIDGE | Thornton | not published | $20,251.81 – $21,104.51 |