New Patient Office Visit (level 4) 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.
$44.57 with Aetna vs $1,012.05 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 |
|---|---|---|---|
| Aetna | MCR | $44.57 | — |
| BCBS | MCRHMO | $46.51 | — |
| Optimum | MGMCR | $55.56 | — |
| Freedom Health | MGMCR | $55.56 | — |
| Simply Healthcare Plans | MGMCR | $83.98 | — |
| Freedom Health | MGMCD | $103.36 | — |
| BCBS | MBN | $104.65 | — |
| Aetna | QHP | $112.40 | — |
| BCBS | SBN | $122.09 | — |
| BCBS | HMO | $122.09 | — |
| Molina | MCR | $122.74 | — |
| Aetna | HMO | $125.97 | — |
| BCBS | PPO | $129.85 | — |
| BCBS | NWB | $129.85 | — |
| Health Sun Health Plan | MGMCR | $137.60 | — |
| CorVel Corporation | WORKERSCOMP | $145.35 | — |
| Prime Health | WORKERSCOMP | $148.41 | — |
| CareWorks (Rockport) | WORKERSCOMP | $148.41 | — |
| BCBS | BSLNON-PAR | $155.69 | — |
| BCBS | PHS | $155.69 | — |
| Aetna | PPO | $157.62 | — |
| Sunshine State Health Plan | QHP | $164.73 | — |
| Cigna | NewBusinessNBN | $169.90 | — |
| Vail Health | COMM | $170.92 | — |
| Molina | HIX | $174.42 | — |
| Aetna | ASA | $193.80 | — |
| Kaiser | CommercialSmallGroupPlans | $224.90 | — |
| Kaiser | KPSelect | $224.90 | — |
| Kaiser | KPIF | $224.90 | — |
| Office of Sheiff Highland Co | GVT | $226.10 | — |
| Cigna | HMO | $226.75 | — |
| Cigna | PPO | $226.75 | — |
| United | OptionsPPO | $232.77 | — |
| Humana | HMO | $239.02 | — |
| Humana | PPO | $258.40 | — |
| United PPO | OptionsPPO | $284.24 | — |
| United | GlobalBenefitPlanAppendix | $290.70 | — |
| Prime Health Sherriff | COMM | $323.00 | — |
| Plotkin Health | COMM | $323.00 | — |
| Aetna | MCRADVHMO | $337.35 | — |
| Bright Health | OON | $337.35 | — |
| Aetna | MCRADVPPO | $337.35 | — |
| Kaiser | PPO | $399.20 | — |
| Kaiser | HMO | $399.20 | — |
| Multiplan | COMMPPOPRIMARYNETWORK | $484.50 | — |
| United | GlobalBenefit | $506.02 | — |
| Evernorth BH | COMM | $516.80 | — |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $549.10 | — |
| Aetna | Cofinity | $593.74 | — |
| Cigna | SureFitLeanBenefitPlans | $719.68 | — |
| Cigna | BroadLeanBenefitPlans | $719.68 | — |
| Cigna | Connect-NSBPLeanBenefitPlans | $719.68 | — |
| Cigna | Connect-SBPLeanBenefitPlans | $719.68 | — |
| Western Plains Community Health | COMM | $730.92 | — |
| NorthCare | COMM | $787.15 | — |
| Physician Health Partners | MCR | $787.15 | — |
| Anthem | PAR | $832.13 | — |
| Pinnacol Workers Comp | WORKERSCOMP | $843.38 | — |
| Medical Development International | COMM | $899.60 | — |
| TriWest Health Alliance | FED | $899.60 | — |
| Multiplan | BeechStreetCOMMPPO | $1,012.05 | — |
Visitor-reported prices
Comments
New Patient Office Visit (level 4) at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AdventHealth Parker | Parker | $529.82 | $235.43 – $235.43 |
| Banner Fort Collins Medical Center | Fort Collins | $683.71 | $172.20 – $716.98 |
| Banner North Colorado Medical Center - Loveland Campus | Loveland | $819.11 | $107.94 – $716.98 |
| Sterling Regional Medical Center | Sterling | $758.27 | $126.94 – $441.35 |
| East Morgan County Hospital | Brush | $923.76 | $191.74 – $441.35 |
| AdventHealth Porter | Denver | $529.82 | $235.43 – $235.43 |
| AdventHealth Littleton | Littleton | $529.82 | $235.43 – $235.43 |
| AdventHealth Avista | Louisville | $529.82 | $235.43 – $235.43 |