Lower Back (Lumbar Spine) X-ray 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.
$26.51 with Anthem vs $4,082.76 with Prime Health — 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 | $26.51 | — |
| Anthem | PathwayNSBP | $33.82 | — |
| Anthem | PPO | $54.11 | — |
| Anthem | HMO | $54.11 | — |
| Pinnacol Workers Comp | WORKERSCOMP | $169.18 | — |
| Multiplan | WorkersComp | $176.30 | — |
| Multiplan | BeechStreetWorkersComp | $176.30 | — |
| United | ColoradoDoctorsPlan | $185.25 | — |
| United | AllPayerAppendix | $245.18 | — |
| Rocky Mountain Health Plan | AllPayerAppendix | $245.18 | — |
| Cigna | Connect-SBP | $268.17 | — |
| Cigna | SureFit | $317.72 | — |
| Cigna | Connect-NSBP | $343.56 | — |
| Cigna | Broad | $430.80 | — |
| Vail Health | COMM | $689.53 | — |
| Kaiser | CommercialSmallGroupPlans | $907.28 | — |
| Kaiser | KPSelect | $907.28 | — |
| Kaiser | KPIF | $907.28 | — |
| United | OptionsPPO | $939.03 | — |
| Bright Health | OON | $1,360.92 | — |
| Kaiser | PPO | $1,610.42 | — |
| Kaiser | HMO | $1,610.42 | — |
| United | GlobalBenefit | $2,041.38 | — |
| Aetna | Cofinity | $2,395.22 | — |
| Cigna | BroadLeanBenefitPlans | $2,903.30 | — |
| Cigna | Connect-SBPLeanBenefitPlans | $2,903.30 | — |
| Cigna | SureFitLeanBenefitPlans | $2,903.30 | — |
| Cigna | Connect-NSBPLeanBenefitPlans | $2,903.30 | — |
| Western Plains Community Health | COMM | $2,948.66 | — |
| Multiplan | COMMPPOPRIMARYNETWORK | $3,175.48 | — |
| NorthCare | COMM | $3,175.48 | — |
| Physician Health Partners | MCR | $3,175.48 | — |
| Anthem | PAR | $3,356.94 | — |
| Medical Development International | COMM | $3,629.12 | — |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $3,855.94 | — |
| Multiplan | BeechStreetCOMMPPO | $4,082.76 | — |
| Prime Health | WORKERSCOMP | $4,082.76 | — |
| Aetna | ASA | not published by hospital | — |
| Aetna | NBR | not published by hospital | — |
| Aetna | ExistingBusiness | not published by hospital | — |
Visitor-reported prices
Comments
Lower Back (Lumbar Spine) X-ray at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Fort Collins Medical Center | Fort Collins | $83.88 | $66.01 – $256.49 |
| Banner North Colorado Medical Center - Loveland Campus | Loveland | $56.67 | $41.38 – $256.80 |
| Sterling Regional Medical Center | Sterling | $168.75 | $104.62 – $363.75 |
| East Morgan County Hospital | Brush | $249.00 | $10.11 – $23.28 |
| AdventHealth Porter | Denver | $1,669.25 | $53.39 – $204.02 |
| HCA HealthONE Rocky Mountain Children's at Presbyterian St. Luke's | Denver | $1,052.00 | $26.51 – $317.72 |
| AdventHealth Littleton | Littleton | $1,669.25 | $53.39 – $204.02 |
| AdventHealth Avista | Louisville | $1,669.25 | $53.39 – $206.29 |