CT uppr extremity w/o&w/dye at HCA HealthONE SOUTH PARKER ER, A PART OF SKY RIDGE
12223 PINE BLUFFS WAY, PARKER, CO · HCA HealthONE · · NPI 1568409647
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.
$137.59 with Anthem vs $13,893.17 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 | $137.59 | — |
| Anthem | PathwayNSBP | $175.52 | — |
| Anthem | PPO | $280.84 | — |
| Anthem | HMO | $280.84 | — |
| Pinnacol Workers Comp | WORKERSCOMP | $282.72 | — |
| Multiplan | WorkersComp | $294.62 | — |
| Multiplan | BeechStreetWorkersComp | $294.62 | — |
| United | ColoradoDoctorsPlan | $303.54 | — |
| United | AllPayerAppendix | $401.74 | — |
| Rocky Mountain Health Plan | AllPayerAppendix | $401.74 | — |
| Optimum | MGMCR | $827.58 | — |
| Freedom Health | MGMCR | $827.58 | — |
| AvMed | HIX | $890.00 | — |
| Aetna | QHP | $1,087.00 | — |
| Aetna | NBR | $1,164.00 | — |
| Simply Healthcare Plans | MGMCR | $1,250.99 | — |
| Aetna | HMO | $1,326.00 | — |
| Aetna | ExistingBusiness | $1,419.00 | — |
| Aetna | PPO | $1,462.00 | — |
| Aetna | ASA | $1,763.00 | — |
| Molina | MCR | $1,828.37 | — |
| Health Sun Health Plan | MGMCR | $2,049.70 | — |
| Vail Health | COMM | $2,346.40 | — |
| Sunshine State Health Plan | QHP | $2,453.86 | — |
| Molina | HIX | $2,598.21 | — |
| United | OptionsPPO | $3,195.43 | — |
| Office of Sheiff Highland Co | GVT | $3,368.05 | — |
| AvMed | Engage | $3,533.00 | — |
| AvMed | FullyInsured | $3,533.00 | — |
| AvMed | Select | $3,533.00 | — |
| AvMed | Empower | $3,533.00 | — |
| AvMed | Focus | $3,533.00 | — |
| AvMed | Flex | $3,533.00 | — |
| AvMed | ASOEO | $3,879.00 | — |
| United PPO | OptionsPPO | $4,234.12 | — |
| United | GlobalBenefitPlanAppendix | $4,330.35 | — |
| Bright Health | OON | $4,631.06 | — |
| Prime Health Sherriff | COMM | $4,811.50 | — |
| AvMed | JacksonFirstNetworkOON | $4,811.50 | — |
| Plotkin Health | COMM | $4,811.50 | — |
| United | GlobalBenefit | $6,946.58 | — |
| Multiplan | COMMPPOPRIMARYNETWORK | $7,217.25 | — |
| Evernorth BH | COMM | $7,698.40 | — |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $8,179.55 | — |
| CorVel Corporation | WORKERSCOMP | $9,401.18 | — |
| Prime Health | WORKERSCOMP | $9,599.10 | — |
| CareWorks (Rockport) | WORKERSCOMP | $9,599.10 | — |
| Cigna | Connect-NSBPLeanBenefitPlans | $9,879.58 | — |
| Cigna | BroadLeanBenefitPlans | $9,879.58 | — |
| Cigna | SureFitLeanBenefitPlans | $9,879.58 | — |
| Cigna | Connect-SBPLeanBenefitPlans | $9,879.58 | — |
| Western Plains Community Health | COMM | $10,033.95 | — |
| NorthCare | COMM | $10,805.80 | — |
| Physician Health Partners | MCR | $10,805.80 | — |
| Anthem | PAR | $11,423.27 | — |
| Medical Development International | COMM | $12,349.48 | — |
| Multiplan | BeechStreetCOMMPPO | $13,893.17 | — |
| Aetna | Cofinity | not published by hospital | — |
Visitor-reported prices
Comments
CT uppr extremity w/o&w/dye at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AdventHealth Parker | Parker | $7,527.96 | $181.33 – $342.30 |
| Banner Fort Collins Medical Center | Fort Collins | $534.49 | $563.34 – $1,305.30 |
| Banner North Colorado Medical Center - Loveland Campus | Loveland | $458.92 | $88.40 – $1,305.30 |
| Sterling Regional Medical Center | Sterling | $916.92 | $947.48 – $3,294.12 |
| East Morgan County Hospital | Brush | $2,024.02 | $52.67 – $121.25 |
| AdventHealth Porter | Denver | $7,527.96 | $181.33 – $342.30 |
| AdventHealth Littleton | Littleton | $7,527.96 | $181.33 – $342.30 |
| AdventHealth Avista | Louisville | $7,527.96 | $183.34 – $346.10 |