#covid19rsv-rsv 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.
$24.67 with Vail Health vs $350.00 with Life Source Services — 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 |
|---|---|---|---|
| Vail Health | COMM | $24.67 | — |
| Kaiser | HMO | $30.67 | — |
| Cigna | Connect-SBP | $33.31 | — |
| United | OptionsPPO | $33.60 | — |
| Cigna | SureFit | $44.72 | — |
| Bright Health | OON | $48.69 | — |
| Cigna | Connect-NSBP | $49.28 | — |
| Colorado Program for Children with Special Needs | HCP | $55.18 | — |
| Kaiser | PPO | $57.62 | — |
| Cigna | Broad | $61.60 | — |
| Humana | MCR | $69.50 | — |
| United | MCR | $69.85 | — |
| Bright Health | MCRPPO | $70.20 | — |
| United | AllPayerAppendix | $70.20 | — |
| United | ColoradoDoctorsPlan | $70.20 | — |
| Bright Health | MCRPOS | $70.20 | — |
| Bright Health | MCRHMO | $70.20 | — |
| Bright Health | DualEligible | $70.20 | — |
| Anthem BCBS | MCR | $70.20 | — |
| TriWest Health Alliance | FED | $70.20 | — |
| Total LongTerm Care | MCR | $70.20 | — |
| Rocky Mountain Health Plan | AllPayerAppendix | $70.20 | — |
| Rocky Mountain Health | MGMCR | $70.20 | — |
| Mutual of Omaha | MCR | $70.20 | — |
| Devoted Health | MCRAdvantage | $70.20 | — |
| Aetna | MCRADVHMO | $70.20 | — |
| Aetna | MCRADVPPO | $70.20 | — |
| Cigna HealthSpring | Medicare | $70.20 | — |
| Bright Health | PFFS | $70.20 | — |
| Bright Health | MCRSNP | $70.20 | — |
| Kaiser | MGMCR | $71.60 | — |
| InnovAge Pace | MCR | $71.60 | — |
| WellCare | MCR | $72.31 | — |
| United | GlobalBenefit | $73.04 | — |
| Delaware Life Insurance | MGMCR | $73.71 | — |
| Aetna | Cofinity | $85.69 | — |
| Cigna | Connect-SBPLeanBenefitPlans | $103.87 | — |
| Cigna | Connect-NSBPLeanBenefitPlans | $103.87 | — |
| Cigna | BroadLeanBenefitPlans | $103.87 | — |
| Cigna | SureFitLeanBenefitPlans | $103.87 | — |
| Western Plains Community Health | COMM | $105.50 | — |
| Multiplan | COMMPPOPRIMARYNETWORK | $113.61 | — |
| NorthCare | COMM | $113.61 | — |
| Physician Health Partners | MCR | $113.61 | — |
| Anthem | PAR | $120.10 | — |
| Medical Development International | COMM | $129.84 | — |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $137.96 | — |
| Multiplan | BeechStreetCOMMPPO | $146.07 | — |
| Prime Health | WORKERSCOMP | $146.07 | — |
| Anthem | PathwayEssentials | $170.59 | — |
| Pinnacol Workers Comp | WORKERSCOMP | $192.74 | — |
| Multiplan | WorkersComp | $200.85 | — |
| Multiplan | BeechStreetWorkersComp | $200.85 | — |
| Anthem | PathwayNSBP | $217.62 | — |
| Anthem | HMO | $333.45 | — |
| Anthem | PPO | $333.45 | — |
| Life Source Services | COMM | $350.00 | — |
| Aetna | ASA | not published by hospital | — |
| Aetna | NBR | not published by hospital | — |
| Aetna | ExistingBusiness | not published by hospital | — |
Visitor-reported prices
Comments
#covid19rsv-rsv at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Fort Collins Medical Center | Fort Collins | $30.59 | $68.09 – $200.45 |
| Banner North Colorado Medical Center - Loveland Campus | Loveland | $58.87 | $54.23 – $200.45 |
| Sterling Regional Medical Center | Sterling | $90.73 | $58.87 – $204.67 |
| East Morgan County Hospital | Brush | $140.95 | $88.92 – $204.67 |
| AdventHealth Porter | Denver | $595.82 | $68.80 – $129.87 |
| HCA HealthONE AURORA | Aurora | $139.15 | $37.42 – $200.85 |
| HCA HealthONE Rocky Mountain Children's at Presbyterian St. Luke's | Denver | $158.25 | $44.72 – $200.85 |
| HCA HealthONE SKY RIDGE | Lone Tree | $164.38 | $40.15 – $200.85 |