Mnt subs tx for change dx 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.
$27.38 with Wellmed vs $39.70 with Solis Health Plan — 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 |
|---|---|---|---|
| Wellmed | MGMCR | $27.38 | — |
| United | GVT | $27.38 | — |
| HUMANA | MGMCRPPO | $27.38 | — |
| HUMANA | MGMCRHMO | $27.38 | — |
| NDMS Definitive Care | MGMCR | $27.38 | — |
| CarePlus | MGMCR | $27.38 | — |
| Devoted Health | MCR | $27.38 | — |
| United Behavioral Health | VACCN | $27.38 | — |
| Veterans Evaluation Services | MCR | $27.38 | — |
| Humana | MCR | $27.68 | — |
| United | MCR | $27.82 | — |
| BCBS | MCRPPO | $27.93 | — |
| Ultimate Health Plan | MCR | $27.93 | — |
| BCBS | MCRHMO | $27.93 | — |
| Aetna | MCRADVHMO | $27.96 | — |
| Rocky Mountain Health | MGMCR | $27.96 | — |
| Total LongTerm Care | MCR | $27.96 | — |
| TriWest Health Alliance | FED | $27.96 | — |
| Devoted Health | MCRAdvantage | $27.96 | — |
| Aetna | MCRADVPPO | $27.96 | — |
| Anthem BCBS | MCR | $27.96 | — |
| Bright Health | DualEligible | $27.96 | — |
| Bright Health | MCRHMO | $27.96 | — |
| Bright Health | MCRPOS | $27.96 | — |
| Bright Health | MCRPPO | $27.96 | — |
| Bright Health | MCRSNP | $27.96 | — |
| Bright Health | PFFS | $27.96 | — |
| Cigna HealthSpring | Medicare | $27.96 | — |
| Mutual of Omaha | MCR | $27.96 | — |
| Aetna | MCR | $28.20 | — |
| Kaiser | MGMCR | $28.52 | — |
| InnovAge Pace | MCR | $28.52 | — |
| Sunshine State | MCR | $28.75 | — |
| Prominence HealthFirst | MCRHMO | $28.75 | — |
| WellCare | MCR | $28.80 | — |
| American Health Plan | MCR | $29.02 | — |
| Florida Complete Care | MCR | $29.30 | — |
| Cigna Healthspring | MCR | $29.30 | — |
| Delaware Life Insurance | MGMCR | $29.36 | — |
| Sunshine State | MCD | $30.12 | — |
| Centurion | GVT | $30.12 | — |
| CorVel Corporation | WORKERSCOMP | $31.35 | — |
| Prime Health | WORKERSCOMP | $32.01 | — |
| CareWorks (Rockport) | WORKERSCOMP | $32.01 | — |
| Longevity Health Plan | MCR | $32.86 | — |
| AmeriHealth Caritas | MGMCR | $32.86 | — |
| Solis Health Plan | MCR | $39.70 | — |
Visitor-reported prices
Comments
Mnt subs tx for change dx at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AdventHealth Parker | Parker | not published | $22.13 – $41.77 |
| AdventHealth Porter | Denver | not published | $22.13 – $41.77 |
| HCA HealthONE AURORA | Aurora | not published | $27.68 – $29.36 |
| CENTRAL PARK ER, A PART OF ROSE | DENVER | not published | $27.68 – $29.36 |
| HCA HealthONE Rocky Mountain Children's at Presbyterian St. Luke's | Denver | not published | $23.77 – $29.36 |
| HCA HealthONE SKY RIDGE | Lone Tree | not published | $27.68 – $29.36 |
| HCA HealthONE BELMAR ER, A PART OF SWEDISH | LAKEWOOD | not published | $27.68 – $29.36 |
| HCA HealthONE MOUNTAIN RIDGE | Thornton | not published | $27.68 – $29.36 |