Diagnostic Mammogram (one breast) 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.
$90.67 with Humana vs $372.56 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 | $90.67 | — |
| United | MCR | $91.13 | — |
| TriWest Health Alliance | FED | $91.59 | — |
| Total LongTerm Care | MCR | $91.59 | — |
| Rocky Mountain Health | MGMCR | $91.59 | — |
| Mutual of Omaha | MCR | $91.59 | — |
| Cigna HealthSpring | Medicare | $91.59 | — |
| Aetna | MCRADVHMO | $91.59 | — |
| Aetna | MCRADVPPO | $91.59 | — |
| Bright Health | PFFS | $91.59 | — |
| Bright Health | MCRSNP | $91.59 | — |
| Bright Health | MCRPPO | $91.59 | — |
| Bright Health | DualEligible | $91.59 | — |
| Devoted Health | MCRAdvantage | $91.59 | — |
| Anthem BCBS | MCR | $91.59 | — |
| Bright Health | MCRPOS | $91.59 | — |
| Bright Health | MCRHMO | $91.59 | — |
| Anthem | PathwayEssentials | $93.09 | — |
| InnovAge Pace | MCR | $93.42 | — |
| Kaiser | MGMCR | $93.42 | — |
| WellCare | MCR | $94.34 | — |
| Delaware Life Insurance | MGMCR | $96.17 | — |
| Anthem | PathwayNSBP | $118.76 | — |
| United | ColoradoDoctorsPlan | $155.41 | — |
| Anthem | PPO | $190.02 | — |
| Anthem | HMO | $190.02 | — |
| Rocky Mountain Health Plan | AllPayerAppendix | $205.70 | — |
| United | AllPayerAppendix | $205.70 | — |
| Cigna | Connect-SBP | $231.92 | — |
| Cigna | SureFit | $274.76 | — |
| Cigna | Connect-NSBP | $297.12 | — |
| Cigna | Broad | $372.56 | — |
| Aetna | ASA | not published by hospital | — |
| Aetna | ExistingBusiness | not published by hospital | — |
| Aetna | NBR | not published by hospital | — |
Visitor-reported prices
Comments
Diagnostic Mammogram (one breast) at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Fort Collins Medical Center | Fort Collins | $179.49 | $127.10 – $700.00 |
| Banner North Colorado Medical Center - Loveland Campus | Loveland | $125.15 | $79.67 – $700.00 |
| Sterling Regional Medical Center | Sterling | $197.28 | $80.35 – $279.36 |
| East Morgan County Hospital | Brush | $224.93 | $35.40 – $81.48 |
| AdventHealth Porter | Denver | $391.23 | $89.76 – $169.44 |
| AdventHealth Littleton | Littleton | $391.23 | $89.76 – $169.44 |
| AdventHealth Avista | Louisville | $391.23 | $89.76 – $169.44 |
| AdventHealth Castle Rock | Castle Rock | $391.23 | $89.76 – $169.44 |