Pt application of modality >=1 area ultrasound each 15 minutes 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.
?
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.
?
The hospital's undiscounted list price — almost no one pays this.
$12.91 with Humana vs $380.65 with Multiplan — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $12.91 | — |
| United | MCR | $12.98 | — |
| Mutual of Omaha | MCR | $13.04 | — |
| Aetna | MCRADVHMO | $13.04 | — |
| Aetna | MCRADVPPO | $13.04 | — |
| Anthem BCBS | MCR | $13.04 | — |
| Bright Health | DualEligible | $13.04 | — |
| Bright Health | MCRHMO | $13.04 | — |
| Bright Health | MCRPOS | $13.04 | — |
| Bright Health | MCRPPO | $13.04 | — |
| Bright Health | MCRSNP | $13.04 | — |
| Bright Health | PFFS | $13.04 | — |
| Cigna HealthSpring | Medicare | $13.04 | — |
| Devoted Health | MCRAdvantage | $13.04 | — |
| Rocky Mountain Health | MGMCR | $13.04 | — |
| Total LongTerm Care | MCR | $13.04 | — |
| TriWest Health Alliance | FED | $13.04 | — |
| Kaiser | MGMCR | $13.30 | — |
| InnovAge Pace | MCR | $13.30 | — |
| WellCare | MCR | $13.43 | — |
| Delaware Life Insurance | MGMCR | $13.69 | — |
| Vail Health | COMM | $64.29 | — |
| Kaiser | KPSelect | $84.59 | — |
| Kaiser | CommercialSmallGroupPlans | $84.59 | — |
| Kaiser | KPIF | $84.59 | — |
| United | OptionsPPO | $87.55 | — |
| Bright Health | OON | $126.89 | — |
| Kaiser | PPO | $150.15 | — |
| Kaiser | HMO | $150.15 | — |
| United | GlobalBenefit | $190.33 | — |
| Aetna | Cofinity | $223.32 | — |
| Cigna | SureFitLeanBenefitPlans | $270.69 | — |
| Cigna | BroadLeanBenefitPlans | $270.69 | — |
| Cigna | Connect-NSBPLeanBenefitPlans | $270.69 | — |
| Cigna | Connect-SBPLeanBenefitPlans | $270.69 | — |
| Western Plains Community Health | COMM | $274.92 | — |
| NorthCare | COMM | $296.06 | — |
| Multiplan | COMMPPOPRIMARYNETWORK | $296.06 | — |
| Physician Health Partners | MCR | $296.06 | — |
| Anthem | PAR | $312.98 | — |
| Pinnacol Workers Comp | WORKERSCOMP | $317.21 | — |
| Medical Development International | COMM | $338.36 | — |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $359.51 | — |
| Prime Health | WORKERSCOMP | $380.65 | — |
| Multiplan | BeechStreetCOMMPPO | $380.65 | — |
Visitor-reported prices
Comments
Pt application of modality >=1 area ultrasound each 15 minutes at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Fort Collins Medical Center | Fort Collins | $10.90 | $32.39 – $298.00 |
| Banner North Colorado Medical Center - Loveland Campus | Loveland | $37.60 | $20.30 – $298.00 |
| Sterling Regional Medical Center | Sterling | $75.46 | $30.69 – $106.70 |
| East Morgan County Hospital | Brush | $76.45 | $46.35 – $106.70 |
| AdventHealth Porter | Denver | $282.73 | $14.52 – $27.42 |
| AdventHealth Littleton | Littleton | $282.73 | $14.52 – $27.42 |
| AdventHealth Avista | Louisville | $282.73 | $14.52 – $27.42 |
| AdventHealth Castle Rock | Castle Rock | $282.73 | $14.52 – $27.42 |