Ins pm gen w/exist mlt leads 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.
$518.23 with CorVel Corporation vs $60,389.00 with Aetna — 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 | $518.23 | — |
| Prime Health | WORKERSCOMP | $529.14 | — |
| CareWorks (Rockport) | WORKERSCOMP | $529.14 | — |
| Cigna | Connect-SBP | $1,442.00 | — |
| Freedom Health | MGMCD | $1,495.00 | — |
| Cigna | SureFit | $1,650.00 | — |
| Molina | MCR | $1,950.00 | — |
| Health Sun Health Plan | MGMCR | $2,050.00 | — |
| Simply Healthcare Plans | MGMCR | $2,160.00 | — |
| Freedom Health | MGMCR | $2,350.00 | — |
| Optimum | MGMCR | $2,350.00 | — |
| Molina | HIX | $2,702.00 | — |
| Kaiser | KPSelect | $3,633.00 | — |
| Kaiser | CommercialSmallGroupPlans | $3,633.00 | — |
| Kaiser | KPIF | $3,633.00 | — |
| Aetna | NBR | $5,079.00 | — |
| Cigna | Connect-NSBP | $5,358.00 | — |
| Kaiser | HMO | $5,613.00 | — |
| Kaiser | PPO | $5,613.00 | — |
| Aetna | ExistingBusiness | $6,194.00 | — |
| Aetna | ASA | $7,698.00 | — |
| Cigna | Broad | $8,132.00 | — |
| AvMed | HIX | $18,863.00 | — |
| Cigna | NewBusinessNBN | $20,100.00 | — |
| BCBS | MBN | $21,742.00 | — |
| BCBS | PPO | $23,689.00 | — |
| BCBS | NWB | $23,689.00 | — |
| BCBS | SBN | $23,866.00 | — |
| BCBS | HMO | $23,866.00 | — |
| BCBS | PHS | $24,677.00 | — |
| BCBS | BSLNON-PAR | $24,677.00 | — |
| Cigna | PPO | $27,002.00 | — |
| Cigna | HMO | $27,002.00 | — |
| Anthem | PathwayEssentials | $27,394.00 | — |
| Pinnacol Workers Comp | WORKERSCOMP | $29,983.04 | — |
| United | ColoradoDoctorsPlan | $31,053.00 | — |
| Multiplan | WorkersComp | $31,245.49 | — |
| Multiplan | BeechStreetWorkersComp | $31,245.49 | — |
| United | AllPayerAppendix | $32,000.00 | — |
| Humana | HMO | $33,333.00 | — |
| Anthem | PathwayNSBP | $35,717.00 | — |
| Humana | PPO | $38,887.00 | — |
| AvMed | Select | $40,980.00 | — |
| AvMed | Empower | $40,980.00 | — |
| AvMed | Engage | $40,980.00 | — |
| AvMed | Flex | $40,980.00 | — |
| AvMed | Focus | $40,980.00 | — |
| AvMed | FullyInsured | $40,980.00 | — |
| Simply Healthcare | HIX | $42,205.00 | — |
| Oscar | HIX | $42,516.00 | — |
| AvMed | ASOEO | $45,016.00 | — |
| Aetna | QHP | $49,158.00 | — |
| Rocky Mountain Health Plan | AllPayerAppendix | $56,455.00 | — |
| Anthem | HMO | $59,698.00 | — |
| Anthem | PPO | $59,698.00 | — |
| Aetna | HMO | $60,024.00 | — |
| Aetna | PPO | $60,389.00 | — |
Visitor-reported prices
Comments
Ins pm gen w/exist mlt leads at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AdventHealth Parker | Parker | $24,032.55 | $619.58 – $37,589.87 |
| Banner North Colorado Medical Center - Loveland Campus | Loveland | $7,939.61 | $4,564.83 – $46,056.38 |
| AdventHealth Porter | Denver | $24,032.55 | $619.58 – $37,589.87 |
| AdventHealth Littleton | Littleton | $24,032.55 | $619.58 – $37,589.87 |
| AdventHealth Avista | Louisville | $24,032.55 | $619.58 – $38,007.08 |
| AdventHealth Castle Rock | Castle Rock | $24,032.55 | $619.58 – $37,589.87 |
| HCA HealthONE AURORA | Aurora | not published | $29,983.04 – $31,245.49 |
| CENTRAL PARK ER, A PART OF ROSE | DENVER | not published | $29,983.04 – $31,245.49 |