Ot evaluation moderate complexity patient/family at HCA HealthONE SOUTH PARKER ER, A PART OF SKY RIDGE
12223 PINE BLUFFS WAY, PARKER, CO · HCA HealthONE · · NPI 1568409647
$1,730.00
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.
$1,730.00
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.
$89.27 with United Behavioral Health vs $1,384.00 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 |
|---|---|---|---|
| United Behavioral Health | VACCN | $89.27 | ↓ -95% |
| NDMS Definitive Care | MGMCR | $89.27 | ↓ -95% |
| HUMANA | MGMCRHMO | $89.27 | ↓ -95% |
| Wellmed | MGMCR | $89.27 | ↓ -95% |
| United | GVT | $89.27 | ↓ -95% |
| Veterans Evaluation Services | MCR | $89.27 | ↓ -95% |
| Devoted Health | MCR | $89.27 | ↓ -95% |
| CarePlus | MGMCR | $89.27 | ↓ -95% |
| HUMANA | MGMCRPPO | $89.27 | ↓ -95% |
| Humana | MCR | $90.78 | ↓ -95% |
| Ultimate Health Plan | MCR | $91.05 | ↓ -95% |
| United | MCR | $91.05 | ↓ -95% |
| BCBS | MCRPPO | $91.05 | ↓ -95% |
| BCBS | MCRHMO | $91.05 | ↓ -95% |
| Bright Health | DualEligible | $91.70 | ↓ -95% |
| Devoted Health | MCRAdvantage | $91.70 | ↓ -95% |
| Aetna | MCRADVHMO | $91.70 | ↓ -95% |
| Aetna | MCRADVPPO | $91.70 | ↓ -95% |
| TriWest Health Alliance | FED | $91.70 | ↓ -95% |
| Total LongTerm Care | MCR | $91.70 | ↓ -95% |
| Rocky Mountain Health | MGMCR | $91.70 | ↓ -95% |
| Mutual of Omaha | MCR | $91.70 | ↓ -95% |
| Cigna HealthSpring | Medicare | $91.70 | ↓ -95% |
| Bright Health | PFFS | $91.70 | ↓ -95% |
| Bright Health | MCRSNP | $91.70 | ↓ -95% |
| Bright Health | MCRPPO | $91.70 | ↓ -95% |
| Bright Health | MCRPOS | $91.70 | ↓ -95% |
| Bright Health | MCRHMO | $91.70 | ↓ -95% |
| Anthem BCBS | MCR | $91.70 | ↓ -95% |
| Aetna | MCR | $91.95 | ↓ -95% |
| InnovAge Pace | MCR | $93.53 | ↓ -95% |
| Kaiser | MGMCR | $93.53 | ↓ -95% |
| Prominence HealthFirst | MCRHMO | $93.73 | ↓ -95% |
| Sunshine State | MCR | $93.73 | ↓ -95% |
| WellCare | MCR | $94.45 | ↓ -95% |
| American Health Plan | MCR | $94.62 | ↓ -95% |
| Florida Complete Care | MCR | $95.52 | ↓ -94% |
| Cigna Healthspring | MCR | $95.52 | ↓ -94% |
| Delaware Life Insurance | MGMCR | $96.28 | ↓ -94% |
| Centurion | GVT | $98.19 | ↓ -94% |
| Sunshine State | MCD | $98.19 | ↓ -94% |
| Humana | TRICR | $98.45 | ↓ -94% |
| CorVel Corporation | WORKERSCOMP | $98.80 | ↓ -94% |
| Prime Health | WORKERSCOMP | $100.88 | ↓ -94% |
| CareWorks (Rockport) | WORKERSCOMP | $100.88 | ↓ -94% |
| AmeriHealth Caritas | MGMCR | $107.12 | ↓ -94% |
| Longevity Health Plan | MCR | $107.12 | ↓ -94% |
| Solis Health Plan | MCR | $129.44 | ↓ -93% |
| Vail Health | COMM | $132.00 | ↓ -92% |
| Optimum | MGMCR | $148.78 | ↓ -91% |
| Freedom Health | MGMCR | $148.78 | ↓ -91% |
| Kaiser | KPSelect | $173.69 | ↓ -90% |
| Kaiser | CommercialSmallGroupPlans | $173.69 | ↓ -90% |
| Kaiser | KPIF | $173.69 | ↓ -90% |
| United | OptionsPPO | $179.77 | ↓ -90% |
| AvMed | HIX | $224.90 | ↓ -87% |
| Simply Healthcare Plans | MGMCR | $224.90 | ↓ -87% |
| Bright Health | OON | $260.54 | ↓ -85% |
| Freedom Health | MGMCD | $276.80 | ↓ -84% |
| Kaiser | PPO | $308.30 | ↓ -82% |
| Kaiser | HMO | $308.30 | ↓ -82% |
| Oscar | HIX | $328.70 | ↓ -81% |
| Molina | MCR | $328.70 | ↓ -81% |
| Health Sun Health Plan | MGMCR | $368.49 | ↓ -79% |
| United | GlobalBenefit | $390.80 | ↓ -77% |
| Simply Healthcare | HIX | $406.55 | ↓ -77% |
| AvMed | FullyInsured | $415.20 | ↓ -76% |
| Sunshine State Health Plan | QHP | $441.15 | ↓ -75% |
| AvMed | Empower | $449.80 | ↓ -74% |
| AvMed | Focus | $449.80 | ↓ -74% |
| AvMed | Flex | $449.80 | ↓ -74% |
| AvMed | Select | $449.80 | ↓ -74% |
| AvMed | Engage | $449.80 | ↓ -74% |
| Cigna | NewBusinessNBN | $454.99 | ↓ -74% |
| Aetna | Cofinity | $458.54 | ↓ -73% |
| Molina | HIX | $467.10 | ↓ -73% |
| AvMed | ASOEO | $484.40 | ↓ -72% |
| Aetna | ASA | $519.00 | ↓ -70% |
| Cigna | SureFitLeanBenefitPlans | $555.81 | ↓ -68% |
| Cigna | Connect-SBPLeanBenefitPlans | $555.81 | ↓ -68% |
| Cigna | Connect-NSBPLeanBenefitPlans | $555.81 | ↓ -68% |
| Cigna | BroadLeanBenefitPlans | $555.81 | ↓ -68% |
| Western Plains Community Health | COMM | $564.49 | ↓ -67% |
| Office of Sheiff Highland Co | GVT | $605.50 | ↓ -65% |
| Cigna | HMO | $607.23 | ↓ -65% |
| Cigna | PPO | $607.23 | ↓ -65% |
| Physician Health Partners | MCR | $607.91 | ↓ -65% |
| NorthCare | COMM | $607.91 | ↓ -65% |
| Multiplan | COMMPPOPRIMARYNETWORK | $607.91 | ↓ -65% |
| Humana | HMO | $640.10 | ↓ -63% |
| Anthem | PAR | $642.65 | ↓ -63% |
| Pinnacol Workers Comp | WORKERSCOMP | $651.34 | ↓ -62% |
| Humana | PPO | $692.00 | ↓ -60% |
| Medical Development International | COMM | $694.76 | ↓ -60% |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $738.18 | ↓ -57% |
| United PPO | OptionsPPO | $761.20 | ↓ -56% |
| United | GlobalBenefitPlanAppendix | $778.50 | ↓ -55% |
| Multiplan | BeechStreetCOMMPPO | $781.61 | ↓ -55% |
| Plotkin Health | COMM | $865.00 | ↓ -50% |
| Prime Health Sherriff | COMM | $865.00 | ↓ -50% |
| AvMed | JacksonFirstNetworkOON | $865.00 | ↓ -50% |
| Evernorth BH | COMM | $1,384.00 | ↓ -20% |
| Aetna | PPO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
Visitor-reported prices
Comments
Ot evaluation moderate complexity patient/family at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AdventHealth Parker | Parker | $844.12 | $102.12 – $192.77 |
| Banner Fort Collins Medical Center | Fort Collins | $139.55 | $160.72 – $372.40 |
| Banner North Colorado Medical Center - Loveland Campus | Loveland | $152.10 | $88.40 – $372.40 |
| Sterling Regional Medical Center | Sterling | $104.33 | $70.31 – $244.44 |
| East Morgan County Hospital | Brush | $196.81 | $106.19 – $244.44 |
| AdventHealth Porter | Denver | $844.12 | $102.12 – $192.77 |
| HCA HealthONE MOUNTAIN RIDGE | Thornton | $980.22 | $90.78 – $96.28 |
| AdventHealth Littleton | Littleton | $844.12 | $102.12 – $192.77 |