Shoulder MRI (with contrast) 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.
$185.80 with Anthem vs $19,833.66 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 |
|---|---|---|---|
| Anthem | PathwayEssentials | $185.80 | — |
| Anthem | PathwayNSBP | $237.03 | — |
| Anthem | HMO | $379.24 | — |
| Anthem | PPO | $379.24 | — |
| United | ColoradoDoctorsPlan | $1,215.81 | — |
| Pinnacol Workers Comp | WORKERSCOMP | $1,232.06 | — |
| Multiplan | WorkersComp | $1,283.93 | — |
| Multiplan | BeechStreetWorkersComp | $1,283.93 | — |
| Aetna | NBR | $1,552.00 | — |
| Rocky Mountain Health Plan | AllPayerAppendix | $1,609.16 | — |
| United | AllPayerAppendix | $1,609.16 | — |
| Aetna | ExistingBusiness | $1,893.00 | — |
| Aetna | ASA | $2,352.00 | — |
| Vail Health | COMM | $3,349.68 | — |
| United | OptionsPPO | $4,561.74 | — |
| Bright Health | OON | $6,611.22 | — |
| United | GlobalBenefit | $9,916.83 | — |
| Cigna | BroadLeanBenefitPlans | $14,103.94 | — |
| Cigna | Connect-NSBPLeanBenefitPlans | $14,103.94 | — |
| Cigna | Connect-SBPLeanBenefitPlans | $14,103.94 | — |
| Cigna | SureFitLeanBenefitPlans | $14,103.94 | — |
| Western Plains Community Health | COMM | $14,324.31 | — |
| Multiplan | COMMPPOPRIMARYNETWORK | $15,426.18 | — |
| NorthCare | COMM | $15,426.18 | — |
| Physician Health Partners | MCR | $15,426.18 | — |
| Anthem | PAR | $16,307.68 | — |
| Medical Development International | COMM | $17,629.92 | — |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $18,731.79 | — |
| Prime Health | WORKERSCOMP | $19,833.66 | — |
| Multiplan | BeechStreetCOMMPPO | $19,833.66 | — |
| Aetna | Cofinity | not published by hospital | — |
Visitor-reported prices
Comments
Shoulder MRI (with contrast) at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Fort Collins Medical Center | Fort Collins | $504.25 | $546.94 – $1,267.30 |
| Banner North Colorado Medical Center - Loveland Campus | Loveland | $514.92 | $342.84 – $1,267.30 |
| Sterling Regional Medical Center | Sterling | $1,094.41 | $662.35 – $2,302.78 |
| East Morgan County Hospital | Brush | $1,737.77 | $70.80 – $162.96 |
| AdventHealth Porter | Denver | $6,305.42 | $440.05 – $1,529.85 |
| AdventHealth Littleton | Littleton | $6,305.42 | $440.05 – $1,529.85 |
| AdventHealth Avista | Louisville | $6,305.42 | $440.05 – $1,546.83 |
| AdventHealth Castle Rock | Castle Rock | $6,305.42 | $440.05 – $1,529.85 |