Assay of phenylketones at HCA HealthONE MOUNTAIN RIDGE
9191 Grant Street, Thornton, CO · HCA HealthONE · · NPI 1821042979
$1,094.07
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.
$1,094.07
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.
$1.89 with Cigna vs $984.66 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 |
|---|---|---|---|
| Cigna | Connect-SBP | $1.89 | ↓ -100% |
| Cigna | SureFit | $2.54 | ↓ -100% |
| Cigna | Connect-NSBP | $2.80 | ↓ -100% |
| Cigna | Broad | $3.50 | ↓ -100% |
| Humana | MCR | $3.94 | ↓ -100% |
| United | MCR | $3.96 | ↓ -100% |
| Rocky Mountain Health Plan | AllPayerAppendix | $3.98 | ↓ -100% |
| Rocky Mountain Health | MGMCR | $3.98 | ↓ -100% |
| Mutual of Omaha | MCR | $3.98 | ↓ -100% |
| Cigna HealthSpring | Medicare | $3.98 | ↓ -100% |
| Bright Health | MCRSNP | $3.98 | ↓ -100% |
| Bright Health | MCRPPO | $3.98 | ↓ -100% |
| Bright Health | MCRPOS | $3.98 | ↓ -100% |
| Aetna | MCRADVHMO | $3.98 | ↓ -100% |
| Aetna | MCRADVPPO | $3.98 | ↓ -100% |
| Bright Health | MCRHMO | $3.98 | ↓ -100% |
| Bright Health | DualEligible | $3.98 | ↓ -100% |
| Anthem BCBS | MCR | $3.98 | ↓ -100% |
| United | AllPayerAppendix | $3.98 | ↓ -100% |
| United | ColoradoDoctorsPlan | $3.98 | ↓ -100% |
| Devoted Health | MCRAdvantage | $3.98 | ↓ -100% |
| TriWest Health Alliance | FED | $3.98 | ↓ -100% |
| Bright Health | PFFS | $3.98 | ↓ -100% |
| Total LongTerm Care | MCR | $3.98 | ↓ -100% |
| Kaiser | MGMCR | $4.06 | ↓ -100% |
| InnovAge Pace | MCR | $4.06 | ↓ -100% |
| WellCare | MCR | $4.10 | ↓ -100% |
| Delaware Life Insurance | MGMCR | $4.18 | ↓ -100% |
| Anthem | PathwayEssentials | $9.67 | ↓ -99% |
| Anthem | PathwayNSBP | $12.34 | ↓ -99% |
| Anthem | PPO | $18.91 | ↓ -98% |
| Anthem | HMO | $18.91 | ↓ -98% |
| Vail Health | COMM | $166.30 | ↓ -85% |
| Kaiser | HMO | $206.78 | ↓ -81% |
| United | OptionsPPO | $226.47 | ↓ -79% |
| Bright Health | OON | $328.22 | ↓ -70% |
| Life Source Services | COMM | $350.00 | ↓ -68% |
| Colorado Program for Children with Special Needs | HCP | $371.98 | ↓ -66% |
| Kaiser | PPO | $388.39 | ↓ -65% |
| United | GlobalBenefit | $492.33 | ↓ -55% |
| Aetna | Cofinity | $577.67 | ↓ -47% |
| Cigna | Connect-SBPLeanBenefitPlans | $700.20 | ↓ -36% |
| Cigna | BroadLeanBenefitPlans | $700.20 | ↓ -36% |
| Cigna | Connect-NSBPLeanBenefitPlans | $700.20 | ↓ -36% |
| Cigna | SureFitLeanBenefitPlans | $700.20 | ↓ -36% |
| Western Plains Community Health | COMM | $711.15 | ↓ -35% |
| NorthCare | COMM | $765.85 | ↓ -30% |
| Physician Health Partners | MCR | $765.85 | ↓ -30% |
| Multiplan | COMMPPOPRIMARYNETWORK | $765.85 | ↓ -30% |
| Anthem | PAR | $809.61 | ↓ -26% |
| Pinnacol Workers Comp | WORKERSCOMP | $820.55 | ↓ -25% |
| Medical Development International | COMM | $875.26 | ↓ -20% |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $929.96 | ↓ -15% |
| Prime Health | WORKERSCOMP | $984.66 | ↓ -10% |
| Multiplan | BeechStreetCOMMPPO | $984.66 | ↓ -10% |
| Aetna | ExistingBusiness | not published by hospital | — |
| Aetna | NBR | not published by hospital | — |
| Aetna | ASA | not published by hospital | — |
Visitor-reported prices
Comments
Assay of phenylketones at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AdventHealth Porter | Denver | not published | $3.90 – $7.36 |
| HCA HealthONE AURORA | Aurora | not published | $2.12 – $9.67 |
| CENTRAL PARK ER, A PART OF ROSE | DENVER | not published | $1.81 – $9.67 |
| HCA HealthONE Rocky Mountain Children's at Presbyterian St. Luke's | Denver | not published | $2.54 – $9.67 |
| HCA HealthONE SKY RIDGE | Lone Tree | not published | $2.28 – $9.67 |
| HCA HealthONE SOUTH PARKER ER, A PART OF SKY RIDGE | PARKER | not published | $2.28 – $78.66 |
| HCA HealthONE BELMAR ER, A PART OF SWEDISH | LAKEWOOD | not published | $2.33 – $9.67 |
| HCA HealthONE PRESBYTERIAN ST. LUKE'S REHABILITATION, A PART OF SPALDING REHABILITATION | Denver | not published | $3.94 – $4.18 |