M/phmtrc alysishquant/semiq at AdventHealth Avista
100 Health Park Dr, Louisville, CO · AdventHealth · · NPI 1891709192
$156.08
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.
$156.08
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.
$128.76 with Unitedhealthcare vs $289.96 with Cigna — 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 |
|---|---|---|---|
| Unitedhealthcare | Hmo/Ppo | $128.76 | ↓ -18% |
| Unitedhealthcare | Colorado Doctors Epo | $128.76 | ↓ -18% |
| Unitedhealthcare | Navigate/Core/Charter/Nexusaco Other Commercial Plan | $128.76 | ↓ -18% |
| Unitedhealthcare | Select Colorado Other Commercial Plan | $128.76 | ↓ -18% |
| Aetna | Whole Health Other Commercial Plan | $165.77 | ↑ +6% |
| Bcbs | All Commercial Plans | $180.11 | ↑ +15% |
| Aetna | Medical Rental Other Commercial Plan | $181.49 | ↑ +16% |
| Aetna | Hmo/Ppo | $207.21 | ↑ +33% |
| Cigna | Local Plus Other Commercial Plan | $275.59 | ↑ +77% |
| Cigna | Open Choice Hmo/Ppo | $289.96 | ↑ +86% |
Visitor-reported prices
Comments
M/phmtrc alysishquant/semiq at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Fort Collins Medical Center | Fort Collins | $269.73 | $227.55 – $727.92 |
| Banner North Colorado Medical Center - Loveland Campus | Loveland | $234.21 | $142.63 – $727.92 |
| Sterling Regional Medical Center | Sterling | $145.44 | $28.18 – $97.97 |
| East Morgan County Hospital | Brush | $62.22 | $42.56 – $97.97 |
| AdventHealth Porter | Denver | $156.08 | $128.76 – $275.59 |
| HCA HealthONE AURORA | Aurora | $297.97 | $48.40 – $208.59 |
| HCA HealthONE Rocky Mountain Children's at Presbyterian St. Luke's | Denver | $1,425.00 | $57.85 – $208.59 |
| AdventHealth Littleton | Littleton | $156.08 | $128.76 – $275.59 |