Adenovirus assay w/optic at HCA HealthONE MOUNTAIN RIDGE
9191 Grant Street, Thornton, CO · HCA HealthONE · · NPI 1821042979
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.
$10.32 with Cigna vs $103.36 with Anthem — 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 |
|---|---|---|---|
| Cigna | Connect-SBP | $10.32 | — |
| Cigna | SureFit | $13.86 | — |
| Cigna | Connect-NSBP | $15.27 | — |
| Cigna | Broad | $19.09 | — |
| Humana | MCR | $21.54 | — |
| United | MCR | $21.65 | — |
| Devoted Health | MCRAdvantage | $21.76 | — |
| United | ColoradoDoctorsPlan | $21.76 | — |
| Anthem BCBS | MCR | $21.76 | — |
| Bright Health | DualEligible | $21.76 | — |
| Bright Health | MCRHMO | $21.76 | — |
| Bright Health | MCRPOS | $21.76 | — |
| Bright Health | MCRPPO | $21.76 | — |
| Bright Health | MCRSNP | $21.76 | — |
| Bright Health | PFFS | $21.76 | — |
| Cigna HealthSpring | Medicare | $21.76 | — |
| Mutual of Omaha | MCR | $21.76 | — |
| Rocky Mountain Health | MGMCR | $21.76 | — |
| Rocky Mountain Health Plan | AllPayerAppendix | $21.76 | — |
| Total LongTerm Care | MCR | $21.76 | — |
| TriWest Health Alliance | FED | $21.76 | — |
| Aetna | MCRADVHMO | $21.76 | — |
| Aetna | MCRADVPPO | $21.76 | — |
| United | AllPayerAppendix | $21.76 | — |
| InnovAge Pace | MCR | $22.20 | — |
| Kaiser | MGMCR | $22.20 | — |
| WellCare | MCR | $22.41 | — |
| Delaware Life Insurance | MGMCR | $22.85 | — |
| Anthem | PathwayEssentials | $52.88 | — |
| Pinnacol Workers Comp | WORKERSCOMP | $59.75 | — |
| Multiplan | WorkersComp | $62.26 | — |
| Multiplan | BeechStreetWorkersComp | $62.26 | — |
| Anthem | PathwayNSBP | $67.46 | — |
| Anthem | PPO | $103.36 | — |
| Anthem | HMO | $103.36 | — |
| Aetna | ExistingBusiness | not published by hospital | — |
| Aetna | ASA | not published by hospital | — |
| Aetna | NBR | not published by hospital | — |
Visitor-reported prices
Comments
Adenovirus assay w/optic at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AdventHealth Porter | Denver | not published | $21.32 – $40.26 |
| HCA HealthONE AURORA | Aurora | not published | $11.59 – $62.26 |
| CENTRAL PARK ER, A PART OF ROSE | DENVER | not published | $9.90 – $62.26 |
| HCA HealthONE Rocky Mountain Children's at Presbyterian St. Luke's | Denver | not published | $13.86 – $62.26 |
| HCA HealthONE SKY RIDGE | Lone Tree | not published | $12.44 – $62.26 |
| HCA HealthONE SOUTH PARKER ER, A PART OF SKY RIDGE | PARKER | not published | $12.44 – $107.26 |
| HCA HealthONE BELMAR ER, A PART OF SWEDISH | LAKEWOOD | not published | $12.73 – $62.26 |
| HCA HealthONE PRESBYTERIAN ST. LUKE'S REHABILITATION, A PART OF SPALDING REHABILITATION | Denver | not published | $21.54 – $62.26 |