Nm imaging hepatobiliary system w/pharmacologic intervention at HCA HealthONE SKY RIDGE
10101 Ridgegate Parkway, Lone Tree, CO · HCA HealthONE · · NPI 1659325629
$11,363.00
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.
$11,363.00
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.
$101.36 with Anthem vs $10,226.70 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 | $101.36 | ↓ -99% |
| Anthem | PathwayNSBP | $129.30 | ↓ -99% |
| Anthem | PPO | $206.88 | ↓ -98% |
| Anthem | HMO | $206.88 | ↓ -98% |
| Pinnacol Workers Comp | WORKERSCOMP | $831.71 | ↓ -93% |
| United | ColoradoDoctorsPlan | $831.98 | ↓ -93% |
| Multiplan | WorkersComp | $866.73 | ↓ -92% |
| Multiplan | BeechStreetWorkersComp | $866.73 | ↓ -92% |
| United | AllPayerAppendix | $1,101.15 | ↓ -90% |
| Rocky Mountain Health Plan | AllPayerAppendix | $1,101.15 | ↓ -90% |
| Cigna | Connect-SBP | $1,265.79 | ↓ -89% |
| Cigna | SureFit | $1,499.63 | ↓ -87% |
| Cigna | Connect-NSBP | $1,621.64 | ↓ -86% |
| Vail Health | COMM | $1,727.18 | ↓ -85% |
| Cigna | Broad | $2,033.40 | ↓ -82% |
| Kaiser | CommercialSmallGroupPlans | $2,272.60 | ↓ -80% |
| Kaiser | KPSelect | $2,272.60 | ↓ -80% |
| Kaiser | KPIF | $2,272.60 | ↓ -80% |
| United | OptionsPPO | $2,352.14 | ↓ -79% |
| Bright Health | OON | $3,408.90 | ↓ -70% |
| Kaiser | PPO | $4,033.86 | ↓ -65% |
| Kaiser | HMO | $4,033.86 | ↓ -65% |
| United | GlobalBenefit | $5,113.35 | ↓ -55% |
| Aetna | Cofinity | $5,999.66 | ↓ -47% |
| Cigna | BroadLeanBenefitPlans | $7,272.32 | ↓ -36% |
| Cigna | Connect-SBPLeanBenefitPlans | $7,272.32 | ↓ -36% |
| Cigna | SureFitLeanBenefitPlans | $7,272.32 | ↓ -36% |
| Cigna | Connect-NSBPLeanBenefitPlans | $7,272.32 | ↓ -36% |
| Western Plains Community Health | COMM | $7,385.95 | ↓ -35% |
| Multiplan | COMMPPOPRIMARYNETWORK | $7,954.10 | ↓ -30% |
| NorthCare | COMM | $7,954.10 | ↓ -30% |
| Physician Health Partners | MCR | $7,954.10 | ↓ -30% |
| Anthem | PAR | $8,408.62 | ↓ -26% |
| Medical Development International | COMM | $9,090.40 | ↓ -20% |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $9,658.55 | ↓ -15% |
| Multiplan | BeechStreetCOMMPPO | $10,226.70 | ↓ -10% |
| Prime Health | WORKERSCOMP | $10,226.70 | ↓ -10% |
| Aetna | ASA | not published by hospital | — |
| Aetna | NBR | not published by hospital | — |
| Aetna | ExistingBusiness | not published by hospital | — |
Visitor-reported prices
Comments
Nm imaging hepatobiliary system w/pharmacologic intervention at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Fort Collins Medical Center | Fort Collins | $2,247.04 | $524.72 – $3,916.85 |
| Banner North Colorado Medical Center - Loveland Campus | Loveland | $2,036.76 | $525.38 – $3,916.85 |
| Sterling Regional Medical Center | Sterling | $1,031.22 | $540.95 – $2,513.27 |
| East Morgan County Hospital | Brush | $1,502.78 | $38.77 – $89.24 |
| AdventHealth Porter | Denver | $4,788.24 | $561.31 – $1,059.62 |
| CENTRAL PARK ER, A PART OF ROSE | DENVER | $9,480.00 | $101.36 – $1,101.15 |
| HCA HealthONE Rocky Mountain Children's at Presbyterian St. Luke's | Denver | $7,199.50 | $101.36 – $1,499.63 |
| HCA HealthONE SOUTH PARKER ER, A PART OF SKY RIDGE | PARKER | $11,363.00 | $101.36 – $1,751.89 |