Pet fdg brain metoblic eval sb 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.
$164.95 with Anthem vs $32,291.82 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 |
|---|---|---|---|
| Anthem | PathwayEssentials | $164.95 | — |
| Anthem | PathwayNSBP | $210.43 | — |
| Anthem | HMO | $336.68 | — |
| Anthem | PPO | $336.68 | — |
| AvMed | HIX | $1,483.00 | — |
| CorVel Corporation | WORKERSCOMP | $2,110.94 | — |
| Prime Health | WORKERSCOMP | $2,155.38 | — |
| CareWorks (Rockport) | WORKERSCOMP | $2,155.38 | — |
| Pinnacol Workers Comp | WORKERSCOMP | $2,407.32 | — |
| Aetna | NBR | $2,425.00 | — |
| Multiplan | BeechStreetWorkersComp | $2,508.68 | — |
| Multiplan | WorkersComp | $2,508.68 | — |
| United | ColoradoDoctorsPlan | $2,516.58 | — |
| Aetna | ExistingBusiness | $2,957.00 | — |
| United | AllPayerAppendix | $3,330.77 | — |
| Rocky Mountain Health Plan | AllPayerAppendix | $3,330.77 | — |
| AvMed | Empower | $3,533.00 | — |
| AvMed | Select | $3,533.00 | — |
| AvMed | Engage | $3,533.00 | — |
| AvMed | Flex | $3,533.00 | — |
| AvMed | Focus | $3,533.00 | — |
| AvMed | FullyInsured | $3,533.00 | — |
| Aetna | ASA | $3,674.00 | — |
| Aetna | QHP | $3,746.00 | — |
| AvMed | ASOEO | $3,879.00 | — |
| Aetna | HMO | $4,574.00 | — |
| Aetna | PPO | $5,031.00 | — |
| Vail Health | COMM | $5,453.73 | — |
| United | OptionsPPO | $7,427.12 | — |
| Bright Health | OON | $10,763.94 | — |
| United | GlobalBenefit | $16,145.91 | — |
| Aetna | Cofinity | $18,944.53 | — |
| Cigna | Connect-NSBPLeanBenefitPlans | $22,963.07 | — |
| Cigna | Connect-SBPLeanBenefitPlans | $22,963.07 | — |
| Cigna | SureFitLeanBenefitPlans | $22,963.07 | — |
| Cigna | BroadLeanBenefitPlans | $22,963.07 | — |
| Western Plains Community Health | COMM | $23,321.87 | — |
| NorthCare | COMM | $25,115.86 | — |
| Physician Health Partners | MCR | $25,115.86 | — |
| Multiplan | COMMPPOPRIMARYNETWORK | $25,115.86 | — |
| Anthem | PAR | $26,551.05 | — |
| Medical Development International | COMM | $28,703.84 | — |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $30,497.83 | — |
| Multiplan | BeechStreetCOMMPPO | $32,291.82 | — |
Visitor-reported prices
Comments
Pet fdg brain metoblic eval sb at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AdventHealth Parker | Parker | $11,934.11 | $120.89 – $2,790.59 |
| Banner North Colorado Medical Center - Loveland Campus | Loveland | $2,457.85 | $1,423.66 – $5,783.60 |
| Sterling Regional Medical Center | Sterling | $2,075.02 | $1,465.85 – $5,410.66 |
| AdventHealth Porter | Denver | $11,934.11 | $120.89 – $2,790.59 |
| AdventHealth Littleton | Littleton | $11,934.11 | $120.89 – $2,790.59 |
| AdventHealth Avista | Louisville | $11,934.11 | $120.89 – $2,821.57 |
| AdventHealth Castle Rock | Castle Rock | $11,934.11 | $120.89 – $2,790.59 |
| HCA HealthONE AURORA | Aurora | not published | $164.95 – $3,330.77 |