Established Patient Office Visit (level 1) 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.
$18.05 with CorVel Corporation vs $336.15 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 |
|---|---|---|---|
| CorVel Corporation | WORKERSCOMP | $18.05 | — |
| CareWorks (Rockport) | WORKERSCOMP | $18.43 | — |
| Prime Health | WORKERSCOMP | $18.43 | — |
| Aetna | MCR | $19.11 | — |
| BCBS | MCRHMO | $19.94 | — |
| Freedom Health | MGMCR | $23.82 | — |
| Optimum | MGMCR | $23.82 | — |
| Simply Healthcare Plans | MGMCR | $36.01 | — |
| Freedom Health | MGMCD | $44.32 | — |
| BCBS | MBN | $44.87 | — |
| Aetna | QHP | $48.20 | — |
| BCBS | HMO | $52.35 | — |
| BCBS | SBN | $52.35 | — |
| Molina | MCR | $52.63 | — |
| Aetna | HMO | $54.02 | — |
| BCBS | NWB | $55.68 | — |
| BCBS | PPO | $55.68 | — |
| Vail Health | COMM | $56.77 | — |
| Health Sun Health Plan | MGMCR | $59.00 | — |
| BCBS | PHS | $66.76 | — |
| BCBS | BSLNON-PAR | $66.76 | — |
| Aetna | PPO | $67.59 | — |
| Sunshine State Health Plan | QHP | $70.64 | — |
| Cigna | NewBusinessNBN | $72.85 | — |
| Kaiser | CommercialSmallGroupPlans | $74.70 | — |
| Kaiser | KPSelect | $74.70 | — |
| Kaiser | KPIF | $74.70 | — |
| Molina | HIX | $74.79 | — |
| United | OptionsPPO | $77.31 | — |
| Aetna | ASA | $83.10 | — |
| Office of Sheiff Highland Co | GVT | $96.95 | — |
| Cigna | HMO | $97.23 | — |
| Cigna | PPO | $97.23 | — |
| Humana | HMO | $102.49 | — |
| Humana | PPO | $110.80 | — |
| Bright Health | OON | $112.05 | — |
| Aetna | MCRADVHMO | $112.05 | — |
| Aetna | MCRADVPPO | $112.05 | — |
| United PPO | OptionsPPO | $121.88 | — |
| United | GlobalBenefitPlanAppendix | $124.65 | — |
| Kaiser | PPO | $132.59 | — |
| Kaiser | HMO | $132.59 | — |
| Plotkin Health | COMM | $138.50 | — |
| Prime Health Sherriff | COMM | $138.50 | — |
| United | GlobalBenefit | $168.07 | — |
| Aetna | Cofinity | $197.21 | — |
| Multiplan | COMMPPOPRIMARYNETWORK | $207.75 | — |
| Evernorth BH | COMM | $221.60 | — |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $235.45 | — |
| Cigna | SureFitLeanBenefitPlans | $239.04 | — |
| Cigna | Connect-NSBPLeanBenefitPlans | $239.04 | — |
| Cigna | Connect-SBPLeanBenefitPlans | $239.04 | — |
| Cigna | BroadLeanBenefitPlans | $239.04 | — |
| Western Plains Community Health | COMM | $242.78 | — |
| NorthCare | COMM | $261.45 | — |
| Physician Health Partners | MCR | $261.45 | — |
| Anthem | PAR | $276.39 | — |
| Pinnacol Workers Comp | WORKERSCOMP | $280.13 | — |
| TriWest Health Alliance | FED | $298.80 | — |
| Medical Development International | COMM | $298.80 | — |
| Multiplan | BeechStreetCOMMPPO | $336.15 | — |
Visitor-reported prices
Comments
Established Patient Office Visit (level 1) at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AdventHealth Parker | Parker | $352.82 | $15.39 – $15.39 |
| Banner Fort Collins Medical Center | Fort Collins | $76.38 | $46.86 – $109.25 |
| Banner North Colorado Medical Center - Loveland Campus | Loveland | $91.50 | $29.55 – $109.25 |
| Sterling Regional Medical Center | Sterling | $93.62 | $29.30 – $101.85 |
| East Morgan County Hospital | Brush | $96.70 | $44.25 – $101.85 |
| AdventHealth Porter | Denver | $352.82 | $15.39 – $15.39 |
| AdventHealth Littleton | Littleton | $352.82 | $15.39 – $15.39 |
| AdventHealth Avista | Louisville | $352.82 | $15.39 – $15.39 |