Cardiac perf planar sgl/ef/wm at HCA HealthONE MOUNTAIN RIDGE
9191 Grant Street, Thornton, CO · HCA HealthONE · · NPI 1821042979
$20,016.33
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.
$20,016.33
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.
$112.17 with Anthem vs $18,014.70 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 | $112.17 | ↓ -99% |
| Anthem | PathwayNSBP | $143.10 | ↓ -99% |
| Anthem | PPO | $228.95 | ↓ -99% |
| Anthem | HMO | $228.95 | ↓ -99% |
| Life Source Services | COMM | $350.00 | ↓ -98% |
| Pinnacol Workers Comp | WORKERSCOMP | $2,184.98 | ↓ -89% |
| United | ColoradoDoctorsPlan | $2,220.10 | ↓ -89% |
| Multiplan | WorkersComp | $2,276.98 | ↓ -89% |
| Multiplan | BeechStreetWorkersComp | $2,276.98 | ↓ -89% |
| Cigna | Connect-SBP | $2,741.65 | ↓ -86% |
| United | AllPayerAppendix | $2,938.37 | ↓ -85% |
| Rocky Mountain Health Plan | AllPayerAppendix | $2,938.37 | ↓ -85% |
| Vail Health | COMM | $3,042.48 | ↓ -85% |
| Kaiser | HMO | $3,783.09 | ↓ -81% |
| Cigna | SureFit | $3,945.30 | ↓ -80% |
| United | OptionsPPO | $4,143.38 | ↓ -79% |
| Cigna | Connect-NSBP | $4,266.27 | ↓ -79% |
| Cigna | Broad | $5,349.56 | ↓ -73% |
| Bright Health | OON | $6,004.90 | ↓ -70% |
| Colorado Program for Children with Special Needs | HCP | $6,805.55 | ↓ -66% |
| Kaiser | PPO | $7,105.80 | ↓ -64% |
| United | GlobalBenefit | $9,007.35 | ↓ -55% |
| Aetna | Cofinity | $10,568.62 | ↓ -47% |
| Cigna | SureFitLeanBenefitPlans | $12,810.45 | ↓ -36% |
| Cigna | Connect-SBPLeanBenefitPlans | $12,810.45 | ↓ -36% |
| Cigna | Connect-NSBPLeanBenefitPlans | $12,810.45 | ↓ -36% |
| Cigna | BroadLeanBenefitPlans | $12,810.45 | ↓ -36% |
| Western Plains Community Health | COMM | $13,010.61 | ↓ -35% |
| Multiplan | COMMPPOPRIMARYNETWORK | $14,011.43 | ↓ -30% |
| NorthCare | COMM | $14,011.43 | ↓ -30% |
| Physician Health Partners | MCR | $14,011.43 | ↓ -30% |
| Anthem | PAR | $14,812.08 | ↓ -26% |
| Medical Development International | COMM | $16,013.06 | ↓ -20% |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $17,013.88 | ↓ -15% |
| Prime Health | WORKERSCOMP | $18,014.70 | ↓ -10% |
| Multiplan | BeechStreetCOMMPPO | $18,014.70 | ↓ -10% |
| Aetna | ASA | not published by hospital | — |
| Aetna | NBR | not published by hospital | — |
| Aetna | ExistingBusiness | not published by hospital | — |
Visitor-reported prices
Comments
Cardiac perf planar sgl/ef/wm at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Fort Collins Medical Center | Fort Collins | $722.12 | $543.25 – $3,148.75 |
| Banner North Colorado Medical Center - Loveland Campus | Loveland | $654.55 | $340.52 – $3,152.71 |
| AdventHealth Porter | Denver | not published | $401.78 – $2,526.55 |
| HCA HealthONE AURORA | Aurora | not published | $112.17 – $3,089.37 |
| CENTRAL PARK ER, A PART OF ROSE | DENVER | not published | $112.17 – $2,938.37 |
| HCA HealthONE Rocky Mountain Children's at Presbyterian St. Luke's | Denver | not published | $112.17 – $3,945.30 |
| HCA HealthONE BELMAR ER, A PART OF SWEDISH | LAKEWOOD | not published | $112.17 – $3,396.97 |
| HCA HealthONE PRESBYTERIAN ST. LUKE'S REHABILITATION, A PART OF SPALDING REHABILITATION | Denver | not published | $2,184.98 – $2,938.37 |