Upper Arm (Humerus) X-ray (left side) 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.
$20.07 with Anthem vs $1,719.13 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 | PathwayEssentialsStandard | $20.07 | — |
| Anthem | PathwaySBP | $23.34 | — |
| Anthem | HMO | $40.47 | — |
| Anthem | PPO | $40.47 | — |
| United | AllPayerAppendix | $137.53 | — |
| United | ColoradoDoctorsPlan | $137.53 | — |
| Pinnacol Workers Comp | WORKERSCOMP | $139.83 | — |
| Multiplan | BeechStreetWorkersComp | $145.72 | — |
| Multiplan | WorkersComp | $145.72 | — |
| Optimum | MGMCR | $179.14 | — |
| Freedom Health | MGMCR | $179.14 | — |
| Rocky Mountain Health Plan | AllPayerAppendix | $182.03 | — |
| Cigna | Connect-SBP | $217.97 | — |
| AvMed | HIX | $249.96 | — |
| Cigna | SureFit | $258.24 | — |
| Simply Healthcare Plans | MGMCR | $270.79 | — |
| Cigna | Connect-NSBP | $279.25 | — |
| Vail Health | COMM | $290.34 | — |
| Freedom Health | MGMCD | $333.28 | — |
| Cigna | Broad | $350.16 | — |
| Kaiser | KPIF | $382.03 | — |
| Kaiser | KPSelect | $382.03 | — |
| Kaiser | CommercialSmallGroupPlans | $382.03 | — |
| United | OptionsPPO | $395.40 | — |
| Molina | MCR | $395.77 | — |
| CorVel Corporation | WORKERSCOMP | $409.18 | — |
| Prime Health | WORKERSCOMP | $417.80 | — |
| CareWorks (Rockport) | WORKERSCOMP | $417.80 | — |
| Health Sun Health Plan | MGMCR | $443.68 | — |
| AvMed | Empower | $520.75 | — |
| AvMed | Select | $520.75 | — |
| AvMed | FullyInsured | $520.75 | — |
| AvMed | Focus | $520.75 | — |
| AvMed | Flex | $520.75 | — |
| AvMed | Engage | $520.75 | — |
| Sunshine State Health Plan | QHP | $531.16 | — |
| Molina | HIX | $562.41 | — |
| Bright Health | OON | $573.04 | — |
| WPPA | UnifiedHealthPlan | $573.04 | — |
| Aetna | ASA | $624.90 | — |
| AvMed | ASOEO | $624.90 | — |
| Kaiser | HMO | $678.10 | — |
| Kaiser | PPO | $678.10 | — |
| Office of Sheiff Highland Co | GVT | $729.05 | — |
| United | GlobalBenefit | $859.57 | — |
| United PPO | OptionsPPO | $891.52 | — |
| AmeriHealth Caritas | HIX | $916.52 | — |
| United | GlobalBenefitPlanAppendix | $937.35 | — |
| Aetna | Cofinity | $999.01 | — |
| AvMed | JacksonFirstNetworkOON | $1,041.50 | — |
| Plotkin Health | COMM | $1,041.50 | — |
| Prime Health Sherriff | COMM | $1,041.50 | — |
| WPPA | OutofServiceArea | $1,146.09 | — |
| Cigna | BroadLeanBenefitPlans | $1,222.50 | — |
| Cigna | SureFitLeanBenefitPlans | $1,222.50 | — |
| Cigna | Connect-SBPLeanBenefitPlans | $1,222.50 | — |
| Cigna | Connect-NSBPLeanBenefitPlans | $1,222.50 | — |
| Western Plains Community Health | COMM | $1,241.60 | — |
| Multiplan | COMMPPOPRIMARYNETWORK | $1,337.11 | — |
| Physician Health Partners | MCR | $1,337.11 | — |
| NorthCare | COMM | $1,337.11 | — |
| Anthem | PAR | $1,413.51 | — |
| Medical Development International | COMM | $1,528.12 | — |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $1,623.63 | — |
| Evernorth BH | COMM | $1,666.40 | — |
| Multiplan | BeechStreetCOMMPPO | $1,719.13 | — |
Visitor-reported prices
Comments
Upper Arm (Humerus) X-ray (left side) at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AdventHealth Parker | Parker | $1,096.90 | $44.77 – $169.83 |
| Banner Fort Collins Medical Center | Fort Collins | $88.57 | $69.70 – $161.50 |
| Banner North Colorado Medical Center - Loveland Campus | Loveland | $59.84 | $43.69 – $161.50 |
| Sterling Regional Medical Center | Sterling | $192.60 | $119.41 – $415.16 |
| East Morgan County Hospital | Brush | $284.19 | $7.59 – $17.46 |
| AdventHealth Porter | Denver | $1,096.90 | $44.77 – $169.83 |
| AdventHealth Littleton | Littleton | $1,096.90 | $44.77 – $169.83 |
| AdventHealth Avista | Louisville | $1,096.90 | $44.77 – $171.72 |