Oth resp proc, indiv at HCA HealthONE SKY RIDGE
10101 Ridgegate Parkway, Lone Tree, CO · HCA HealthONE · · NPI 1659325629
$1,321.10
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.
$1,321.10
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.
$45.82 with Pinnacol Workers Comp vs $1,188.99 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 |
|---|---|---|---|
| Pinnacol Workers Comp | WORKERSCOMP | $45.82 | ↓ -97% |
| Multiplan | WorkersComp | $47.75 | ↓ -96% |
| Multiplan | BeechStreetWorkersComp | $47.75 | ↓ -96% |
| Vail Health | COMM | $200.81 | ↓ -85% |
| Kaiser | KPIF | $264.22 | ↓ -80% |
| Kaiser | KPSelect | $264.22 | ↓ -80% |
| Kaiser | CommercialSmallGroupPlans | $264.22 | ↓ -80% |
| United | OptionsPPO | $273.47 | ↓ -79% |
| Cigna | Connect-SBP | $309.14 | ↓ -77% |
| Cigna | SureFit | $335.56 | ↓ -75% |
| Cigna | Connect-NSBP | $342.16 | ↓ -74% |
| Bright Health | OON | $396.33 | ↓ -70% |
| Aetna | NBR | $430.68 | ↓ -67% |
| Cigna | Broad | $468.99 | ↓ -65% |
| Kaiser | PPO | $468.99 | ↓ -65% |
| Kaiser | HMO | $468.99 | ↓ -65% |
| Aetna | ExistingBusiness | $524.48 | ↓ -60% |
| United | GlobalBenefit | $594.49 | ↓ -55% |
| Aetna | ASA | $630.16 | ↓ -52% |
| Aetna | Cofinity | $697.54 | ↓ -47% |
| Cigna | SureFitLeanBenefitPlans | $845.50 | ↓ -36% |
| Cigna | Connect-SBPLeanBenefitPlans | $845.50 | ↓ -36% |
| Cigna | Connect-NSBPLeanBenefitPlans | $845.50 | ↓ -36% |
| Cigna | BroadLeanBenefitPlans | $845.50 | ↓ -36% |
| Western Plains Community Health | COMM | $858.72 | ↓ -35% |
| Physician Health Partners | MCR | $924.77 | ↓ -30% |
| Multiplan | COMMPPOPRIMARYNETWORK | $924.77 | ↓ -30% |
| NorthCare | COMM | $924.77 | ↓ -30% |
| Anthem | PAR | $977.61 | ↓ -26% |
| Medical Development International | COMM | $1,056.88 | ↓ -20% |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $1,122.93 | ↓ -15% |
| Prime Health | WORKERSCOMP | $1,188.99 | ↓ -10% |
| Multiplan | BeechStreetCOMMPPO | $1,188.99 | ↓ -10% |
Visitor-reported prices
Comments
Oth resp proc, indiv at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner North Colorado Medical Center - Loveland Campus | Loveland | $19.76 | $15.68 – $59.14 |
| Sterling Regional Medical Center | Sterling | $35.12 | $19.25 – $66.93 |
| East Morgan County Hospital | Brush | $36.78 | $29.08 – $66.93 |
| AdventHealth Porter | Denver | $137.05 | $18.94 – $56.45 |
| HCA HealthONE AURORA | Aurora | $312.86 | $45.82 – $47.75 |
| HCA HealthONE Rocky Mountain Children's at Presbyterian St. Luke's | Denver | $458.00 | $45.82 – $47.75 |
| HCA HealthONE MOUNTAIN RIDGE | Thornton | $356.14 | $45.82 – $47.75 |
| AdventHealth Littleton | Littleton | $137.05 | $18.94 – $56.45 |