Mycophenolate mofetil 250 mg capsule 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.
$0.15 with Humana vs $74.88 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 |
|---|---|---|---|
| Humana | TRICR | $0.15 | — |
| Cigna | Broad | $0.18 | — |
| Cigna | SureFit | $0.18 | — |
| Cigna | Connect-NSBP | $0.18 | — |
| United | ColoradoDoctorsPlan | $0.25 | — |
| United | AllPayerAppendix | $0.25 | — |
| Cigna | Connect-SBP | $0.31 | — |
| Rocky Mountain Health Plan | AllPayerAppendix | $0.45 | — |
| Vail Health | COMM | $1.49 | — |
| Kaiser | CommercialSmallGroupPlans | $1.96 | — |
| Kaiser | KPIF | $1.96 | — |
| Kaiser | KPSelect | $1.96 | — |
| United | OptionsPPO | $2.03 | — |
| Aetna | MCRADVHMO | $2.94 | — |
| Bright Health | OON | $2.94 | — |
| Aetna | MCRADVPPO | $2.94 | — |
| Aetna | NBR | $3.19 | — |
| Kaiser | PPO | $3.48 | — |
| Kaiser | HMO | $3.48 | — |
| Aetna | ExistingBusiness | $3.89 | — |
| United | GlobalBenefit | $4.41 | — |
| Aetna | ASA | $4.67 | — |
| Aetna | Cofinity | $5.17 | — |
| Cigna | BroadLeanBenefitPlans | $6.27 | — |
| Cigna | SureFitLeanBenefitPlans | $6.27 | — |
| Cigna | Connect-SBPLeanBenefitPlans | $6.27 | — |
| Cigna | Connect-NSBPLeanBenefitPlans | $6.27 | — |
| Western Plains Community Health | COMM | $6.37 | — |
| Aetna | MCR | $6.46 | — |
| BCBS | MCRHMO | $6.74 | — |
| Multiplan | COMMPPOPRIMARYNETWORK | $6.86 | — |
| NorthCare | COMM | $6.86 | — |
| Physician Health Partners | MCR | $6.86 | — |
| Anthem | PAR | $7.25 | — |
| Pinnacol Workers Comp | WORKERSCOMP | $7.35 | — |
| Medical Development International | COMM | $7.84 | — |
| TriWest Health Alliance | FED | $7.84 | — |
| Optimum | MGMCR | $8.05 | — |
| Freedom Health | MGMCR | $8.05 | — |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $8.33 | — |
| Multiplan | BeechStreetCOMMPPO | $8.82 | — |
| Prime Health | WORKERSCOMP | $8.82 | — |
| Simply Healthcare Plans | MGMCR | $12.17 | — |
| AvMed | HIX | $12.17 | — |
| Freedom Health | MGMCD | $14.98 | — |
| BCBS | MBN | $15.16 | — |
| BCBS | SBN | $17.69 | — |
| BCBS | HMO | $17.69 | — |
| Molina | MCR | $17.78 | — |
| Oscar | HIX | $17.78 | — |
| BCBS | NWB | $18.81 | — |
| BCBS | PPO | $18.81 | — |
| Health Sun Health Plan | MGMCR | $19.94 | — |
| Simply Healthcare | HIX | $22.00 | — |
| AvMed | FullyInsured | $22.46 | — |
| BCBS | BSLNON-PAR | $22.56 | — |
| BCBS | PHS | $22.56 | — |
| Sunshine State Health Plan | QHP | $23.87 | — |
| AvMed | Engage | $24.34 | — |
| AvMed | Select | $24.34 | — |
| AvMed | Empower | $24.34 | — |
| AvMed | Flex | $24.34 | — |
| AvMed | Focus | $24.34 | — |
| Cigna | NewBusinessNBN | $24.62 | — |
| Molina | HIX | $25.27 | — |
| AvMed | ASOEO | $26.21 | — |
| Office of Sheiff Highland Co | GVT | $32.76 | — |
| Cigna | PPO | $32.85 | — |
| Cigna | HMO | $32.85 | — |
| Humana | HMO | $34.63 | — |
| Humana | PPO | $37.44 | — |
| United PPO | OptionsPPO | $41.18 | — |
| United | GlobalBenefitPlanAppendix | $42.12 | — |
| AvMed | JacksonFirstNetworkOON | $46.80 | — |
| Prime Health Sherriff | COMM | $46.80 | — |
| Plotkin Health | COMM | $46.80 | — |
| Evernorth BH | COMM | $74.88 | — |
| Aetna | HMO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
Visitor-reported prices
Comments
Mycophenolate mofetil 250 mg capsule at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AdventHealth Parker | Parker | $71.68 | $0.17 – $0.29 |
| AdventHealth Porter | Denver | $71.68 | $0.17 – $0.29 |
| AdventHealth Littleton | Littleton | $71.68 | $0.17 – $0.29 |
| AdventHealth Avista | Louisville | $71.68 | $0.17 – $0.29 |
| AdventHealth Castle Rock | Castle Rock | $71.68 | $0.17 – $0.29 |
| HCA HealthONE AURORA | Aurora | not published | $0.18 – $0.45 |
| CENTRAL PARK ER, A PART OF ROSE | DENVER | not published | $0.18 – $0.45 |
| HCA HealthONE Rocky Mountain Children's at Presbyterian St. Luke's | Denver | not published | $0.18 – $0.25 |