Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin 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.
$6.86 with Cigna vs $221.60 with Evernorth BH — 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 | $6.86 | — |
| Cigna | SureFit | $7.63 | — |
| Cigna | Connect-NSBP | $8.41 | — |
| Cigna | Broad | $10.52 | — |
| Humana | MCR | $11.86 | — |
| United | MCR | $11.92 | — |
| Humana | TRICR | $11.93 | — |
| Wellmed | MGMCR | $11.98 | — |
| Veterans Evaluation Services | MCR | $11.98 | — |
| Bright Health | MCRPOS | $11.98 | — |
| Bright Health | MCRHMO | $11.98 | — |
| Bright Health | DualEligible | $11.98 | — |
| Anthem BCBS | MCR | $11.98 | — |
| United Behavioral Health | VACCN | $11.98 | — |
| NDMS Definitive Care | MGMCR | $11.98 | — |
| Devoted Health | MCR | $11.98 | — |
| HUMANA | MGMCRPPO | $11.98 | — |
| Bright Health | PFFS | $11.98 | — |
| Devoted Health | MCRAdvantage | $11.98 | — |
| HUMANA | MGMCRHMO | $11.98 | — |
| Aetna | MCRADVHMO | $11.98 | — |
| Aetna | MCRADVPPO | $11.98 | — |
| CarePlus | MGMCR | $11.98 | — |
| United | GVT | $11.98 | — |
| TriWest Health Alliance | FED | $11.98 | — |
| Total LongTerm Care | MCR | $11.98 | — |
| Rocky Mountain Health | MGMCR | $11.98 | — |
| Rocky Mountain Health Plan | AllPayerAppendix | $11.98 | — |
| United | AllPayerAppendix | $11.98 | — |
| United | ColoradoDoctorsPlan | $11.98 | — |
| Mutual of Omaha | MCR | $11.98 | — |
| Cigna HealthSpring | Medicare | $11.98 | — |
| Bright Health | MCRSNP | $11.98 | — |
| Bright Health | MCRPPO | $11.98 | — |
| BCBS | MCRPPO | $12.22 | — |
| Ultimate Health Plan | MCR | $12.22 | — |
| BCBS | MCRHMO | $12.22 | — |
| InnovAge Pace | MCR | $12.22 | — |
| Kaiser | MGMCR | $12.22 | — |
| WellCare | MCR | $12.34 | — |
| Aetna | MCR | $12.34 | — |
| Prominence HealthFirst | MCRHMO | $12.58 | — |
| Delaware Life Insurance | MGMCR | $12.58 | — |
| Sunshine State | MCR | $12.58 | — |
| American Health Plan | MCR | $12.70 | — |
| Florida Complete Care | MCR | $12.82 | — |
| Cigna Healthspring | MCR | $12.82 | — |
| Centurion | GVT | $13.18 | — |
| Sunshine State | MCD | $13.18 | — |
| AmeriHealth Caritas | MGMCR | $14.38 | — |
| Longevity Health Plan | MCR | $14.38 | — |
| Solis Health Plan | MCR | $17.37 | — |
| Vail Health | COMM | $19.38 | — |
| Oscar | HIX | $23.12 | — |
| Optimum | MGMCR | $23.82 | — |
| Freedom Health | MGMCR | $23.82 | — |
| Kaiser | CommercialSmallGroupPlans | $25.50 | — |
| Kaiser | KPIF | $25.50 | — |
| Kaiser | KPSelect | $25.50 | — |
| United | OptionsPPO | $26.39 | — |
| Simply Healthcare | HIX | $27.07 | — |
| Anthem | PathwayEssentials | $29.11 | — |
| Simply Healthcare Plans | MGMCR | $36.01 | — |
| AvMed | HIX | $36.01 | — |
| Anthem | PathwayNSBP | $37.14 | — |
| Bright Health | OON | $38.25 | — |
| Freedom Health | MGMCD | $44.32 | — |
| Kaiser | PPO | $45.26 | — |
| Kaiser | HMO | $45.26 | — |
| Molina | MCR | $52.63 | — |
| Anthem | HMO | $56.91 | — |
| Anthem | PPO | $56.91 | — |
| United | GlobalBenefit | $57.37 | — |
| Health Sun Health Plan | MGMCR | $59.00 | — |
| AvMed | FullyInsured | $66.48 | — |
| Aetna | Cofinity | $67.31 | — |
| Sunshine State Health Plan | QHP | $70.64 | — |
| AvMed | Engage | $72.02 | — |
| AvMed | Empower | $72.02 | — |
| AvMed | Focus | $72.02 | — |
| AvMed | Select | $72.02 | — |
| AvMed | Flex | $72.02 | — |
| Molina | HIX | $74.79 | — |
| AvMed | ASOEO | $77.56 | — |
| Cigna | BroadLeanBenefitPlans | $81.59 | — |
| Cigna | SureFitLeanBenefitPlans | $81.59 | — |
| Cigna | Connect-SBPLeanBenefitPlans | $81.59 | — |
| Cigna | Connect-NSBPLeanBenefitPlans | $81.59 | — |
| Western Plains Community Health | COMM | $82.87 | — |
| Aetna | ASA | $83.10 | — |
| NorthCare | COMM | $89.24 | — |
| Multiplan | COMMPPOPRIMARYNETWORK | $89.24 | — |
| Physician Health Partners | MCR | $89.24 | — |
| Anthem | PAR | $94.34 | — |
| Pinnacol Workers Comp | WORKERSCOMP | $95.62 | — |
| Office of Sheiff Highland Co | GVT | $96.95 | — |
| Medical Development International | COMM | $101.99 | — |
| Humana | HMO | $102.49 | — |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $108.37 | — |
| Humana | PPO | $110.80 | — |
| Prime Health | WORKERSCOMP | $114.74 | — |
| Multiplan | BeechStreetCOMMPPO | $114.74 | — |
| United PPO | OptionsPPO | $121.88 | — |
| United | GlobalBenefitPlanAppendix | $124.65 | — |
| Plotkin Health | COMM | $138.50 | — |
| Prime Health Sherriff | COMM | $138.50 | — |
| AvMed | JacksonFirstNetworkOON | $138.50 | — |
| CorVel Corporation | WORKERSCOMP | $156.07 | — |
| CareWorks (Rockport) | WORKERSCOMP | $159.35 | — |
| Evernorth BH | COMM | $221.60 | — |
| Aetna | PPO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | NBR | not published by hospital | — |
| Aetna | ExistingBusiness | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
Visitor-reported prices
Comments
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AdventHealth Parker | Parker | $355.12 | $11.74 – $22.16 |
| Banner Fort Collins Medical Center | Fort Collins | $8.70 | $11.62 – $57.00 |
| Banner North Colorado Medical Center - Loveland Campus | Loveland | $16.74 | $11.62 – $57.00 |
| Sterling Regional Medical Center | Sterling | $25.80 | $11.98 – $58.20 |
| East Morgan County Hospital | Brush | $40.08 | $25.28 – $58.20 |
| AdventHealth Porter | Denver | $355.12 | $11.74 – $22.16 |
| HCA HealthONE MOUNTAIN RIDGE | Thornton | $550.71 | $5.69 – $29.11 |
| HCA HealthONE PRESBYTERIAN ST. LUKE'S REHABILITATION, A PART OF SPALDING REHABILITATION | Denver | $283.38 | $11.86 – $12.58 |