Pt evaluation moderate complexity patient/family at HCA HealthONE MOUNTAIN RIDGE
9191 Grant Street, Thornton, CO · HCA HealthONE · · NPI 1821042979
$980.21
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.
$980.21
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.
$88.31 with Humana vs $882.19 with Prime Health — 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 |
|---|---|---|---|
| Humana | MCR | $88.31 | ↓ -91% |
| United | MCR | $88.75 | ↓ -91% |
| Devoted Health | MCRAdvantage | $89.20 | ↓ -91% |
| Aetna | MCRADVHMO | $89.20 | ↓ -91% |
| Aetna | MCRADVPPO | $89.20 | ↓ -91% |
| Anthem BCBS | MCR | $89.20 | ↓ -91% |
| Bright Health | DualEligible | $89.20 | ↓ -91% |
| Bright Health | MCRHMO | $89.20 | ↓ -91% |
| Bright Health | MCRPOS | $89.20 | ↓ -91% |
| Bright Health | MCRPPO | $89.20 | ↓ -91% |
| Bright Health | MCRSNP | $89.20 | ↓ -91% |
| Bright Health | PFFS | $89.20 | ↓ -91% |
| Cigna HealthSpring | Medicare | $89.20 | ↓ -91% |
| Mutual of Omaha | MCR | $89.20 | ↓ -91% |
| Rocky Mountain Health | MGMCR | $89.20 | ↓ -91% |
| Total LongTerm Care | MCR | $89.20 | ↓ -91% |
| TriWest Health Alliance | FED | $89.20 | ↓ -91% |
| InnovAge Pace | MCR | $90.98 | ↓ -91% |
| Kaiser | MGMCR | $90.98 | ↓ -91% |
| WellCare | MCR | $91.87 | ↓ -91% |
| Delaware Life Insurance | MGMCR | $93.66 | ↓ -90% |
| Vail Health | COMM | $148.99 | ↓ -85% |
| Kaiser | HMO | $185.26 | ↓ -81% |
| United | OptionsPPO | $202.90 | ↓ -79% |
| Bright Health | OON | $294.06 | ↓ -70% |
| Colorado Program for Children with Special Needs | HCP | $333.27 | ↓ -66% |
| Kaiser | PPO | $347.97 | ↓ -65% |
| Life Source Services | COMM | $350.00 | ↓ -64% |
| United | GlobalBenefit | $441.09 | ↓ -55% |
| Aetna | Cofinity | $517.55 | ↓ -47% |
| Cigna | SureFitLeanBenefitPlans | $627.33 | ↓ -36% |
| Cigna | Connect-NSBPLeanBenefitPlans | $627.33 | ↓ -36% |
| Cigna | Connect-SBPLeanBenefitPlans | $627.33 | ↓ -36% |
| Cigna | BroadLeanBenefitPlans | $627.33 | ↓ -36% |
| Western Plains Community Health | COMM | $637.14 | ↓ -35% |
| Physician Health Partners | MCR | $686.15 | ↓ -30% |
| Multiplan | COMMPPOPRIMARYNETWORK | $686.15 | ↓ -30% |
| NorthCare | COMM | $686.15 | ↓ -30% |
| Anthem | PAR | $725.36 | ↓ -26% |
| Pinnacol Workers Comp | WORKERSCOMP | $735.16 | ↓ -25% |
| Medical Development International | COMM | $784.17 | ↓ -20% |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $833.18 | ↓ -15% |
| Multiplan | BeechStreetCOMMPPO | $882.19 | ↓ -10% |
| Prime Health | WORKERSCOMP | $882.19 | ↓ -10% |
Visitor-reported prices
Comments
Pt evaluation moderate complexity patient/family at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Fort Collins Medical Center | Fort Collins | $147.00 | $160.72 – $372.40 |
| Banner North Colorado Medical Center - Loveland Campus | Loveland | $170.52 | $100.74 – $372.40 |
| Sterling Regional Medical Center | Sterling | $124.49 | $70.31 – $244.44 |
| East Morgan County Hospital | Brush | $178.92 | $106.19 – $244.44 |
| AdventHealth Porter | Denver | $844.12 | $99.33 – $187.52 |
| HCA HealthONE SOUTH PARKER ER, A PART OF SKY RIDGE | PARKER | $1,155.00 | $86.88 – $125.98 |
| HCA HealthONE PRESBYTERIAN ST. LUKE'S REHABILITATION, A PART OF SPALDING REHABILITATION | Denver | $1,875.63 | $88.31 – $93.66 |
| AdventHealth Littleton | Littleton | $844.12 | $99.33 – $187.52 |