Dup scan/ue art/graft/bilat/comp 93930 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.
$199.51 with Vail Health vs $1,181.30 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 |
|---|---|---|---|
| Vail Health | COMM | $199.51 | — |
| Kaiser | HMO | $248.07 | — |
| United | OptionsPPO | $271.70 | — |
| Life Source Services | COMM | $350.00 | — |
| Pinnacol Workers Comp | WORKERSCOMP | $377.05 | — |
| Multiplan | WorkersComp | $392.93 | — |
| Multiplan | BeechStreetWorkersComp | $392.93 | — |
| Bright Health | OON | $393.77 | — |
| Colorado Program for Children with Special Needs | HCP | $446.27 | — |
| Kaiser | PPO | $465.96 | — |
| Cigna | Connect-SBP | $482.37 | — |
| United | GlobalBenefit | $590.65 | — |
| Aetna | Cofinity | $693.03 | — |
| Cigna | SureFit | $694.14 | — |
| Cigna | Connect-NSBP | $750.61 | — |
| Cigna | SureFitLeanBenefitPlans | $840.04 | — |
| Cigna | BroadLeanBenefitPlans | $840.04 | — |
| Cigna | Connect-NSBPLeanBenefitPlans | $840.04 | — |
| Cigna | Connect-SBPLeanBenefitPlans | $840.04 | — |
| Western Plains Community Health | COMM | $853.16 | — |
| NorthCare | COMM | $918.79 | — |
| Multiplan | COMMPPOPRIMARYNETWORK | $918.79 | — |
| Physician Health Partners | MCR | $918.79 | — |
| Cigna | Broad | $941.20 | — |
| Anthem | PAR | $971.29 | — |
| Medical Development International | COMM | $1,050.05 | — |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $1,115.68 | — |
| Prime Health | WORKERSCOMP | $1,181.30 | — |
| Multiplan | BeechStreetCOMMPPO | $1,181.30 | — |
| Aetna | ExistingBusiness | not published by hospital | — |
| Aetna | NBR | not published by hospital | — |
| Aetna | ASA | not published by hospital | — |
Visitor-reported prices
Comments
Dup scan/ue art/graft/bilat/comp 93930 at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Fort Collins Medical Center | Fort Collins | $318.30 | $235.63 – $881.60 |
| Banner North Colorado Medical Center - Loveland Campus | Loveland | $289.54 | $235.93 – $881.60 |
| Sterling Regional Medical Center | Sterling | $485.73 | $242.92 – $1,246.45 |
| East Morgan County Hospital | Brush | $768.43 | $34.98 – $80.51 |
| AdventHealth Porter | Denver | $432.98 | $246.66 – $465.64 |
| HCA HealthONE Rocky Mountain Children's at Presbyterian St. Luke's | Denver | $3,272.00 | $377.05 – $694.14 |
| HCA HealthONE SOUTH PARKER ER, A PART OF SKY RIDGE | PARKER | $4,524.00 | $178.60 – $585.90 |
| HCA HealthONE PRESBYTERIAN ST. LUKE'S REHABILITATION, A PART OF SPALDING REHABILITATION | Denver | $2,993.75 | $377.05 – $392.93 |