Surgical pathology level 6 gross & microscopic examination at HCA HealthONE SKY RIDGE
10101 Ridgegate Parkway, Lone Tree, CO · HCA HealthONE · · NPI 1659325629
$4,219.57
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.
$4,219.57
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.
$171.16 with Cigna vs $3,797.61 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 |
|---|---|---|---|
| Cigna | Connect-SBP | $171.16 | ↓ -96% |
| Cigna | SureFit | $190.61 | ↓ -95% |
| Cigna | Connect-NSBP | $210.06 | ↓ -95% |
| Cigna | Broad | $262.58 | ↓ -94% |
| Vail Health | COMM | $641.37 | ↓ -85% |
| United | AllPayerAppendix | $656.15 | ↓ -84% |
| Rocky Mountain Health Plan | AllPayerAppendix | $656.15 | ↓ -84% |
| United | ColoradoDoctorsPlan | $656.15 | ↓ -84% |
| Kaiser | KPSelect | $843.91 | ↓ -80% |
| Kaiser | KPIF | $843.91 | ↓ -80% |
| Kaiser | CommercialSmallGroupPlans | $843.91 | ↓ -80% |
| United | OptionsPPO | $873.45 | ↓ -79% |
| Bright Health | OON | $1,265.87 | ↓ -70% |
| Pinnacol Workers Comp | WORKERSCOMP | $1,323.15 | ↓ -69% |
| Multiplan | WorkersComp | $1,378.86 | ↓ -67% |
| Multiplan | BeechStreetWorkersComp | $1,378.86 | ↓ -67% |
| Kaiser | PPO | $1,497.95 | ↓ -64% |
| Kaiser | HMO | $1,497.95 | ↓ -64% |
| Anthem | PathwayEssentials | $1,594.44 | ↓ -62% |
| United | GlobalBenefit | $1,898.81 | ↓ -55% |
| Anthem | PathwayNSBP | $2,034.07 | ↓ -52% |
| Aetna | Cofinity | $2,227.93 | ↓ -47% |
| Cigna | SureFitLeanBenefitPlans | $2,700.52 | ↓ -36% |
| Cigna | BroadLeanBenefitPlans | $2,700.52 | ↓ -36% |
| Cigna | Connect-NSBPLeanBenefitPlans | $2,700.52 | ↓ -36% |
| Cigna | Connect-SBPLeanBenefitPlans | $2,700.52 | ↓ -36% |
| Western Plains Community Health | COMM | $2,742.72 | ↓ -35% |
| Multiplan | COMMPPOPRIMARYNETWORK | $2,953.70 | ↓ -30% |
| NorthCare | COMM | $2,953.70 | ↓ -30% |
| Physician Health Partners | MCR | $2,953.70 | ↓ -30% |
| Anthem | HMO | $3,116.71 | ↓ -26% |
| Anthem | PPO | $3,116.71 | ↓ -26% |
| Anthem | PAR | $3,122.48 | ↓ -26% |
| Medical Development International | COMM | $3,375.66 | ↓ -20% |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $3,586.63 | ↓ -15% |
| Multiplan | BeechStreetCOMMPPO | $3,797.61 | ↓ -10% |
| Prime Health | WORKERSCOMP | $3,797.61 | ↓ -10% |
| Aetna | ASA | not published by hospital | — |
| Aetna | ExistingBusiness | not published by hospital | — |
| Aetna | NBR | not published by hospital | — |
Visitor-reported prices
Comments
Surgical pathology level 6 gross & microscopic examination at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Fort Collins Medical Center | Fort Collins | $823.77 | $694.95 – $1,970.33 |
| Banner North Colorado Medical Center - Loveland Campus | Loveland | $715.29 | $435.62 – $1,972.80 |
| Sterling Regional Medical Center | Sterling | $795.70 | $450.31 – $1,565.58 |
| East Morgan County Hospital | Brush | $994.22 | $680.14 – $1,565.58 |
| AdventHealth Porter | Denver | $4,803.71 | $532.17 – $1,572.31 |
| HCA HealthONE AURORA | Aurora | $4,998.06 | $159.49 – $1,594.44 |
| CENTRAL PARK ER, A PART OF ROSE | DENVER | $2,404.00 | $136.15 – $1,594.44 |
| HCA HealthONE Rocky Mountain Children's at Presbyterian St. Luke's | Denver | $6,189.75 | $190.61 – $1,594.44 |