Telehealth original site facility fee 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.
$30.08 with Humana vs $4,723.29 with Prime Health — 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 |
|---|---|---|---|
| Humana | TRICR | $30.08 | — |
| Vail Health | COMM | $797.71 | — |
| Kaiser | KPSelect | $1,049.62 | — |
| Kaiser | KPIF | $1,049.62 | — |
| Kaiser | CommercialSmallGroupPlans | $1,049.62 | — |
| United | OptionsPPO | $1,086.36 | — |
| Cigna | Connect-SBP | $1,228.06 | — |
| Cigna | SureFit | $1,333.02 | — |
| Cigna | Connect-NSBP | $1,359.26 | — |
| Aetna | MCRADVPPO | $1,574.43 | — |
| Bright Health | OON | $1,574.43 | — |
| Aetna | MCRADVHMO | $1,574.43 | — |
| Aetna | NBR | $1,710.88 | — |
| Kaiser | PPO | $1,863.08 | — |
| Cigna | Broad | $1,863.08 | — |
| Kaiser | HMO | $1,863.08 | — |
| Aetna | ExistingBusiness | $2,083.50 | — |
| United | GlobalBenefit | $2,361.65 | — |
| Aetna | ASA | $2,503.34 | — |
| Aetna | Cofinity | $2,771.00 | — |
| Cigna | Connect-NSBPLeanBenefitPlans | $3,358.78 | — |
| Cigna | SureFitLeanBenefitPlans | $3,358.78 | — |
| Cigna | Connect-SBPLeanBenefitPlans | $3,358.78 | — |
| Cigna | BroadLeanBenefitPlans | $3,358.78 | — |
| Western Plains Community Health | COMM | $3,411.26 | — |
| Physician Health Partners | MCR | $3,673.67 | — |
| Multiplan | COMMPPOPRIMARYNETWORK | $3,673.67 | — |
| NorthCare | COMM | $3,673.67 | — |
| Anthem | PAR | $3,883.59 | — |
| Pinnacol Workers Comp | WORKERSCOMP | $3,936.07 | — |
| TriWest Health Alliance | FED | $4,198.48 | — |
| Medical Development International | COMM | $4,198.48 | — |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $4,460.89 | — |
| Multiplan | BeechStreetCOMMPPO | $4,723.29 | — |
| Prime Health | WORKERSCOMP | $4,723.29 | — |