Compatibility test incubate at HCA HealthONE SOUTH PARKER ER, A PART OF SKY RIDGE
12223 PINE BLUFFS WAY, PARKER, CO · HCA HealthONE · · NPI 1568409647
$246.00
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.
$246.00
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.
$21.16 with Optimum vs $708.51 with Anthem — 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 |
|---|---|---|---|
| Optimum | MGMCR | $21.16 | ↓ -91% |
| Freedom Health | MGMCR | $21.16 | ↓ -91% |
| AvMed | HIX | $31.98 | ↓ -87% |
| Simply Healthcare Plans | MGMCR | $31.98 | ↓ -87% |
| Freedom Health | MGMCD | $39.36 | ↓ -84% |
| Oscar | HIX | $46.74 | ↓ -81% |
| Molina | MCR | $46.74 | ↓ -81% |
| Health Sun Health Plan | MGMCR | $52.40 | ↓ -79% |
| CorVel Corporation | WORKERSCOMP | $53.02 | ↓ -78% |
| Prime Health | WORKERSCOMP | $54.14 | ↓ -78% |
| CareWorks (Rockport) | WORKERSCOMP | $54.14 | ↓ -78% |
| Simply Healthcare | HIX | $57.81 | ↓ -77% |
| AvMed | FullyInsured | $59.04 | ↓ -76% |
| Sunshine State Health Plan | QHP | $62.73 | ↓ -75% |
| AvMed | Select | $63.96 | ↓ -74% |
| AvMed | Focus | $63.96 | ↓ -74% |
| AvMed | Empower | $63.96 | ↓ -74% |
| AvMed | Flex | $63.96 | ↓ -74% |
| AvMed | Engage | $63.96 | ↓ -74% |
| Molina | HIX | $66.42 | ↓ -73% |
| AvMed | ASOEO | $68.88 | ↓ -72% |
| Aetna | ASA | $73.80 | ↓ -70% |
| Office of Sheiff Highland Co | GVT | $86.10 | ↓ -65% |
| Humana | HMO | $91.02 | ↓ -63% |
| Humana | PPO | $98.40 | ↓ -60% |
| United PPO | OptionsPPO | $108.24 | ↓ -56% |
| United | GlobalBenefitPlanAppendix | $110.70 | ↓ -55% |
| Plotkin Health | COMM | $123.00 | ↓ -50% |
| Prime Health Sherriff | COMM | $123.00 | ↓ -50% |
| AvMed | JacksonFirstNetworkOON | $123.00 | ↓ -50% |
| United | ColoradoDoctorsPlan | $149.16 | ↓ -39% |
| Rocky Mountain Health Plan | AllPayerAppendix | $149.16 | ↓ -39% |
| United | AllPayerAppendix | $149.16 | ↓ -39% |
| Multiplan | COMMPPOPRIMARYNETWORK | $184.50 | ↓ -25% |
| Evernorth BH | COMM | $196.80 | ↓ -20% |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $209.10 | ↓ -15% |
| Pinnacol Workers Comp | WORKERSCOMP | $262.83 | ↑ +7% |
| Multiplan | WorkersComp | $273.89 | ↑ +11% |
| Multiplan | BeechStreetWorkersComp | $273.89 | ↑ +11% |
| Anthem | PathwayEssentials | $362.46 | ↑ +47% |
| Anthem | PathwayNSBP | $462.40 | ↑ +88% |
| Anthem | PPO | $708.51 | ↑ +188% |
| Anthem | HMO | $708.51 | ↑ +188% |
| Aetna | QHP | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
| Aetna | ExistingBusiness | not published by hospital | — |
| Aetna | NBR | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
Visitor-reported prices
Comments
Compatibility test incubate at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AdventHealth Parker | Parker | not published | $56.35 – $332.48 |
| AdventHealth Porter | Denver | not published | $56.35 – $332.48 |
| HCA HealthONE AURORA | Aurora | not published | $149.16 – $362.46 |
| HCA HealthONE Rocky Mountain Children's at Presbyterian St. Luke's | Denver | not published | $149.16 – $362.46 |
| HCA HealthONE SKY RIDGE | Lone Tree | not published | $149.16 – $362.46 |
| HCA HealthONE BELMAR ER, A PART OF SWEDISH | LAKEWOOD | not published | $149.16 – $362.46 |
| HCA HealthONE MOUNTAIN RIDGE | Thornton | not published | $149.16 – $362.46 |
| HCA HealthONE PRESBYTERIAN ST. LUKE'S REHABILITATION, A PART OF SPALDING REHABILITATION | Denver | not published | $149.16 – $273.89 |