Shoulder MRI (without contrast) 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.
$156.03 with Anthem vs $17,579.43 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 | $156.03 | — |
| Anthem | PathwayNSBP | $199.05 | — |
| Anthem | PPO | $318.48 | — |
| Anthem | HMO | $318.48 | — |
| Pinnacol Workers Comp | WORKERSCOMP | $377.05 | — |
| United | ColoradoDoctorsPlan | $391.22 | — |
| Multiplan | WorkersComp | $392.93 | — |
| Multiplan | BeechStreetWorkersComp | $392.93 | — |
| United | AllPayerAppendix | $517.79 | — |
| Rocky Mountain Health Plan | AllPayerAppendix | $517.79 | — |
| Freedom Health | MGMCR | $1,050.15 | — |
| Optimum | MGMCR | $1,050.15 | — |
| AvMed | HIX | $1,088.00 | — |
| Aetna | QHP | $1,499.00 | — |
| Aetna | NBR | $1,552.00 | — |
| Simply Healthcare Plans | MGMCR | $1,587.43 | — |
| Aetna | HMO | $1,831.00 | — |
| Aetna | ExistingBusiness | $1,893.00 | — |
| Aetna | PPO | $2,012.00 | — |
| Molina | MCR | $2,320.09 | — |
| Aetna | ASA | $2,352.00 | — |
| Health Sun Health Plan | MGMCR | $2,600.94 | — |
| Vail Health | COMM | $2,968.97 | — |
| Sunshine State Health Plan | QHP | $3,113.80 | — |
| Molina | HIX | $3,296.97 | — |
| CorVel Corporation | WORKERSCOMP | $3,348.49 | — |
| CareWorks (Rockport) | WORKERSCOMP | $3,418.99 | — |
| Prime Health | WORKERSCOMP | $3,418.99 | — |
| AvMed | Empower | $3,533.00 | — |
| AvMed | Engage | $3,533.00 | — |
| AvMed | Flex | $3,533.00 | — |
| AvMed | FullyInsured | $3,533.00 | — |
| AvMed | Focus | $3,533.00 | — |
| AvMed | Select | $3,533.00 | — |
| AvMed | ASOEO | $3,879.00 | — |
| United | OptionsPPO | $4,043.27 | — |
| Office of Sheiff Highland Co | GVT | $4,273.85 | — |
| United PPO | OptionsPPO | $5,372.84 | — |
| United | GlobalBenefitPlanAppendix | $5,494.95 | — |
| Bright Health | OON | $5,859.81 | — |
| Prime Health Sherriff | COMM | $6,105.50 | — |
| AvMed | JacksonFirstNetworkOON | $6,105.50 | — |
| Plotkin Health | COMM | $6,105.50 | — |
| United | GlobalBenefit | $8,789.72 | — |
| Multiplan | COMMPPOPRIMARYNETWORK | $9,158.25 | — |
| Evernorth BH | COMM | $9,768.80 | — |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $10,379.35 | — |
| Cigna | Connect-SBPLeanBenefitPlans | $12,500.93 | — |
| Cigna | SureFitLeanBenefitPlans | $12,500.93 | — |
| Cigna | Connect-NSBPLeanBenefitPlans | $12,500.93 | — |
| Cigna | BroadLeanBenefitPlans | $12,500.93 | — |
| Western Plains Community Health | COMM | $12,696.25 | — |
| Physician Health Partners | MCR | $13,672.89 | — |
| NorthCare | COMM | $13,672.89 | — |
| Anthem | PAR | $14,454.20 | — |
| Medical Development International | COMM | $15,626.16 | — |
| Multiplan | BeechStreetCOMMPPO | $17,579.43 | — |
| Aetna | Cofinity | not published by hospital | — |
Visitor-reported prices
Comments
Shoulder MRI (without contrast) at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AdventHealth Parker | Parker | $5,285.27 | $246.66 – $465.64 |
| Banner Fort Collins Medical Center | Fort Collins | $403.33 | $437.47 – $1,119.00 |
| Banner North Colorado Medical Center - Loveland Campus | Loveland | $411.86 | $274.22 – $1,119.00 |
| Sterling Regional Medical Center | Sterling | $875.44 | $529.82 – $1,842.03 |
| East Morgan County Hospital | Brush | $1,390.07 | $59.42 – $136.77 |
| AdventHealth Porter | Denver | $5,285.27 | $246.66 – $465.64 |
| AdventHealth Littleton | Littleton | $5,285.27 | $246.66 – $465.64 |
| AdventHealth Avista | Louisville | $5,285.27 | $249.40 – $470.81 |