Pt 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
$1,155.00
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.
$1,155.00
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.
$86.88 with NDMS Definitive Care vs $924.00 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 |
|---|---|---|---|
| NDMS Definitive Care | MGMCR | $86.88 | ↓ -92% |
| United Behavioral Health | VACCN | $86.88 | ↓ -92% |
| HUMANA | MGMCRPPO | $86.88 | ↓ -92% |
| CarePlus | MGMCR | $86.88 | ↓ -92% |
| United | GVT | $86.88 | ↓ -92% |
| Devoted Health | MCR | $86.88 | ↓ -92% |
| Wellmed | MGMCR | $86.88 | ↓ -92% |
| HUMANA | MGMCRHMO | $86.88 | ↓ -92% |
| Veterans Evaluation Services | MCR | $86.88 | ↓ -92% |
| Vail Health | COMM | $87.95 | ↓ -92% |
| Humana | MCR | $88.31 | ↓ -92% |
| United | MCR | $88.62 | ↓ -92% |
| Ultimate Health Plan | MCR | $88.62 | ↓ -92% |
| BCBS | MCRPPO | $88.62 | ↓ -92% |
| BCBS | MCRHMO | $88.62 | ↓ -92% |
| Anthem BCBS | MCR | $89.20 | ↓ -92% |
| Bright Health | MCRSNP | $89.20 | ↓ -92% |
| Bright Health | DualEligible | $89.20 | ↓ -92% |
| Bright Health | MCRPOS | $89.20 | ↓ -92% |
| TriWest Health Alliance | FED | $89.20 | ↓ -92% |
| Bright Health | PFFS | $89.20 | ↓ -92% |
| Aetna | MCRADVHMO | $89.20 | ↓ -92% |
| Aetna | MCRADVPPO | $89.20 | ↓ -92% |
| Total LongTerm Care | MCR | $89.20 | ↓ -92% |
| Rocky Mountain Health | MGMCR | $89.20 | ↓ -92% |
| Bright Health | MCRPPO | $89.20 | ↓ -92% |
| Mutual of Omaha | MCR | $89.20 | ↓ -92% |
| Devoted Health | MCRAdvantage | $89.20 | ↓ -92% |
| Bright Health | MCRHMO | $89.20 | ↓ -92% |
| Cigna HealthSpring | Medicare | $89.20 | ↓ -92% |
| Aetna | MCR | $89.49 | ↓ -92% |
| Kaiser | MGMCR | $90.98 | ↓ -92% |
| InnovAge Pace | MCR | $90.98 | ↓ -92% |
| Sunshine State | MCR | $91.23 | ↓ -92% |
| Prominence HealthFirst | MCRHMO | $91.23 | ↓ -92% |
| WellCare | MCR | $91.87 | ↓ -92% |
| American Health Plan | MCR | $92.09 | ↓ -92% |
| Cigna Healthspring | MCR | $92.96 | ↓ -92% |
| Florida Complete Care | MCR | $92.96 | ↓ -92% |
| CorVel Corporation | WORKERSCOMP | $93.10 | ↓ -92% |
| Delaware Life Insurance | MGMCR | $93.66 | ↓ -92% |
| Prime Health | WORKERSCOMP | $95.06 | ↓ -92% |
| CareWorks (Rockport) | WORKERSCOMP | $95.06 | ↓ -92% |
| Sunshine State | MCD | $95.57 | ↓ -92% |
| Centurion | GVT | $95.57 | ↓ -92% |
| Humana | TRICR | $95.94 | ↓ -92% |
| Freedom Health | MGMCR | $99.33 | ↓ -91% |
| Optimum | MGMCR | $99.33 | ↓ -91% |
| Longevity Health Plan | MCR | $104.26 | ↓ -91% |
| AmeriHealth Caritas | MGMCR | $104.26 | ↓ -91% |
| Kaiser | KPIF | $115.72 | ↓ -90% |
| Kaiser | KPSelect | $115.72 | ↓ -90% |
| Kaiser | CommercialSmallGroupPlans | $115.72 | ↓ -90% |
| United | OptionsPPO | $119.77 | ↓ -90% |
| Solis Health Plan | MCR | $125.98 | ↓ -89% |
| AvMed | HIX | $150.15 | ↓ -87% |
| Simply Healthcare Plans | MGMCR | $150.15 | ↓ -87% |
| Bright Health | OON | $173.58 | ↓ -85% |
| Freedom Health | MGMCD | $184.80 | ↓ -84% |
| Kaiser | HMO | $205.40 | ↓ -82% |
| Kaiser | PPO | $205.40 | ↓ -82% |
| Molina | MCR | $219.45 | ↓ -81% |
| Oscar | HIX | $219.45 | ↓ -81% |
| Health Sun Health Plan | MGMCR | $246.01 | ↓ -79% |
| United | GlobalBenefit | $260.37 | ↓ -77% |
| Simply Healthcare | HIX | $271.43 | ↓ -76% |
| AvMed | FullyInsured | $277.20 | ↓ -76% |
| Sunshine State Health Plan | QHP | $294.52 | ↓ -75% |
| AvMed | Engage | $300.30 | ↓ -74% |
| AvMed | Select | $300.30 | ↓ -74% |
| AvMed | Empower | $300.30 | ↓ -74% |
| AvMed | Flex | $300.30 | ↓ -74% |
| AvMed | Focus | $300.30 | ↓ -74% |
| Cigna | NewBusinessNBN | $303.76 | ↓ -74% |
| Aetna | Cofinity | $305.50 | ↓ -74% |
| Molina | HIX | $311.85 | ↓ -73% |
| AvMed | ASOEO | $323.40 | ↓ -72% |
| Aetna | ASA | $346.50 | ↓ -70% |
| Cigna | Connect-NSBPLeanBenefitPlans | $370.30 | ↓ -68% |
| Cigna | BroadLeanBenefitPlans | $370.30 | ↓ -68% |
| Cigna | SureFitLeanBenefitPlans | $370.30 | ↓ -68% |
| Cigna | Connect-SBPLeanBenefitPlans | $370.30 | ↓ -68% |
| Western Plains Community Health | COMM | $376.09 | ↓ -67% |
| Office of Sheiff Highland Co | GVT | $404.25 | ↓ -65% |
| Multiplan | COMMPPOPRIMARYNETWORK | $405.02 | ↓ -65% |
| Physician Health Partners | MCR | $405.02 | ↓ -65% |
| NorthCare | COMM | $405.02 | ↓ -65% |
| Cigna | PPO | $405.40 | ↓ -65% |
| Cigna | HMO | $405.40 | ↓ -65% |
| Humana | HMO | $427.35 | ↓ -63% |
| Anthem | PAR | $428.16 | ↓ -63% |
| Pinnacol Workers Comp | WORKERSCOMP | $433.95 | ↓ -62% |
| Humana | PPO | $462.00 | ↓ -60% |
| Medical Development International | COMM | $462.88 | ↓ -60% |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $491.81 | ↓ -57% |
| United PPO | OptionsPPO | $508.20 | ↓ -56% |
| United | GlobalBenefitPlanAppendix | $519.75 | ↓ -55% |
| Multiplan | BeechStreetCOMMPPO | $520.74 | ↓ -55% |
| Plotkin Health | COMM | $577.50 | ↓ -50% |
| Prime Health Sherriff | COMM | $577.50 | ↓ -50% |
| AvMed | JacksonFirstNetworkOON | $577.50 | ↓ -50% |
| Evernorth BH | COMM | $924.00 | ↓ -20% |
| Aetna | PPO | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
Visitor-reported prices
Comments
Pt evaluation moderate complexity patient/family at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AdventHealth Parker | Parker | $844.12 | $99.33 – $187.52 |
| Banner Fort Collins Medical Center | Fort Collins | $147.00 | $160.72 – $372.40 |
| Banner North Colorado Medical Center - Loveland Campus | Loveland | $170.52 | $100.74 – $372.40 |
| Sterling Regional Medical Center | Sterling | $124.49 | $70.31 – $244.44 |
| East Morgan County Hospital | Brush | $178.92 | $106.19 – $244.44 |
| AdventHealth Porter | Denver | $844.12 | $99.33 – $187.52 |
| HCA HealthONE MOUNTAIN RIDGE | Thornton | $980.21 | $88.31 – $93.66 |
| HCA HealthONE PRESBYTERIAN ST. LUKE'S REHABILITATION, A PART OF SPALDING REHABILITATION | Denver | $1,875.63 | $88.31 – $93.66 |