Quant diff pulm perf and vent w/imaging at HCA HealthONE MOUNTAIN RIDGE
9191 Grant Street, Thornton, CO · HCA HealthONE · · NPI 1821042979
$24,648.28
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.
$24,648.28
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.
$93.17 with Anthem vs $22,183.45 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 | $93.17 | ↓ -100% |
| Anthem | PathwayNSBP | $118.85 | ↓ -100% |
| Anthem | HMO | $190.17 | ↓ -99% |
| Anthem | PPO | $190.17 | ↓ -99% |
| Life Source Services | COMM | $350.00 | ↓ -99% |
| Pinnacol Workers Comp | WORKERSCOMP | $831.71 | ↓ -97% |
| United | ColoradoDoctorsPlan | $831.98 | ↓ -97% |
| Multiplan | BeechStreetWorkersComp | $866.73 | ↓ -96% |
| Multiplan | WorkersComp | $866.73 | ↓ -96% |
| Cigna | Connect-SBP | $1,042.12 | ↓ -96% |
| United | AllPayerAppendix | $1,101.15 | ↓ -96% |
| Rocky Mountain Health Plan | AllPayerAppendix | $1,101.15 | ↓ -96% |
| Cigna | SureFit | $1,499.63 | ↓ -94% |
| Cigna | Connect-NSBP | $1,621.64 | ↓ -93% |
| Cigna | Broad | $2,033.40 | ↓ -92% |
| Vail Health | COMM | $3,746.54 | ↓ -85% |
| Kaiser | HMO | $4,658.52 | ↓ -81% |
| United | OptionsPPO | $5,102.19 | ↓ -79% |
| Bright Health | OON | $7,394.48 | ↓ -70% |
| Colorado Program for Children with Special Needs | HCP | $8,380.42 | ↓ -66% |
| Kaiser | PPO | $8,750.14 | ↓ -64% |
| United | GlobalBenefit | $11,091.73 | ↓ -55% |
| Aetna | Cofinity | $13,014.29 | ↓ -47% |
| Cigna | BroadLeanBenefitPlans | $15,774.90 | ↓ -36% |
| Cigna | Connect-SBPLeanBenefitPlans | $15,774.90 | ↓ -36% |
| Cigna | Connect-NSBPLeanBenefitPlans | $15,774.90 | ↓ -36% |
| Cigna | SureFitLeanBenefitPlans | $15,774.90 | ↓ -36% |
| Western Plains Community Health | COMM | $16,021.38 | ↓ -35% |
| Physician Health Partners | MCR | $17,253.80 | ↓ -30% |
| Multiplan | COMMPPOPRIMARYNETWORK | $17,253.80 | ↓ -30% |
| NorthCare | COMM | $17,253.80 | ↓ -30% |
| Anthem | PAR | $18,239.73 | ↓ -26% |
| Medical Development International | COMM | $19,718.62 | ↓ -20% |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $20,951.04 | ↓ -15% |
| Prime Health | WORKERSCOMP | $22,183.45 | ↓ -10% |
| Multiplan | BeechStreetCOMMPPO | $22,183.45 | ↓ -10% |
| Aetna | NBR | not published by hospital | — |
| Aetna | ExistingBusiness | not published by hospital | — |
| Aetna | ASA | not published by hospital | — |
Visitor-reported prices
Comments
Quant diff pulm perf and vent w/imaging at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Fort Collins Medical Center | Fort Collins | $997.35 | $524.72 – $1,738.50 |
| Banner North Colorado Medical Center - Loveland Campus | Loveland | $904.02 | $470.31 – $1,738.50 |
| Sterling Regional Medical Center | Sterling | $618.49 | $433.57 – $1,507.38 |
| East Morgan County Hospital | Brush | $901.32 | $35.40 – $81.48 |
| AdventHealth Porter | Denver | $3,879.26 | $425.15 – $1,059.62 |
| HCA HealthONE AURORA | Aurora | $1,699.78 | $93.17 – $1,174.29 |
| CENTRAL PARK ER, A PART OF ROSE | DENVER | $13,369.22 | $93.17 – $1,101.15 |
| HCA HealthONE SKY RIDGE | Lone Tree | $15,303.50 | $93.17 – $1,265.79 |