Breath test analysis c-14 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.
$93.47 with Humana vs $397.08 with Cigna — 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 |
|---|---|---|---|
| Humana | MCR | $93.47 | — |
| United | MCR | $93.94 | — |
| Devoted Health | MCRAdvantage | $94.41 | — |
| Aetna | MCRADVHMO | $94.41 | — |
| Aetna | MCRADVPPO | $94.41 | — |
| Anthem BCBS | MCR | $94.41 | — |
| Bright Health | DualEligible | $94.41 | — |
| Bright Health | MCRHMO | $94.41 | — |
| Bright Health | MCRPOS | $94.41 | — |
| Bright Health | MCRPPO | $94.41 | — |
| Bright Health | MCRSNP | $94.41 | — |
| Bright Health | PFFS | $94.41 | — |
| Cigna HealthSpring | Medicare | $94.41 | — |
| Mutual of Omaha | MCR | $94.41 | — |
| Rocky Mountain Health | MGMCR | $94.41 | — |
| Total LongTerm Care | MCR | $94.41 | — |
| TriWest Health Alliance | FED | $94.41 | — |
| InnovAge Pace | MCR | $96.30 | — |
| Kaiser | MGMCR | $96.30 | — |
| WellCare | MCR | $97.24 | — |
| Delaware Life Insurance | MGMCR | $99.13 | — |
| United | ColoradoDoctorsPlan | $160.50 | — |
| United | AllPayerAppendix | $212.42 | — |
| Rocky Mountain Health Plan | AllPayerAppendix | $212.42 | — |
| Cigna | Connect-SBP | $247.18 | — |
| Cigna | SureFit | $292.85 | — |
| Cigna | Connect-NSBP | $316.67 | — |
| Cigna | Broad | $397.08 | — |
| Aetna | ASA | not published by hospital | — |
| Aetna | NBR | not published by hospital | — |
| Aetna | ExistingBusiness | not published by hospital | — |
Visitor-reported prices
Comments
Breath test analysis c-14 at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sterling Regional Medical Center | Sterling | $113.03 | $79.24 – $275.48 |
| AdventHealth Porter | Denver | $1,220.88 | $92.52 – $174.66 |
| AdventHealth Littleton | Littleton | $1,220.88 | $92.52 – $174.66 |
| AdventHealth Avista | Louisville | $1,220.88 | $92.52 – $174.66 |
| AdventHealth Castle Rock | Castle Rock | $1,220.88 | $92.52 – $174.66 |
| AdventHealth Parker | Parker | $1,220.88 | $92.52 – $174.66 |
| HCA HealthONE AURORA | Aurora | not published | $93.47 – $229.31 |
| CENTRAL PARK ER, A PART OF ROSE | DENVER | not published | $93.47 – $212.42 |