Reptilase test at HCA HealthONE MOUNTAIN RIDGE
9191 Grant Street, Thornton, CO · HCA HealthONE · · NPI 1821042979
$1,237.97
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.
$1,237.97
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.
$4.67 with Cigna vs $1,114.17 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 |
|---|---|---|---|
| Cigna | Connect-SBP | $4.67 | ↓ -100% |
| Cigna | SureFit | $6.27 | ↓ -99% |
| Cigna | Connect-NSBP | $6.91 | ↓ -99% |
| Cigna | Broad | $8.64 | ↓ -99% |
| Humana | MCR | $9.75 | ↓ -99% |
| United | MCR | $9.80 | ↓ -99% |
| Rocky Mountain Health | MGMCR | $9.85 | ↓ -99% |
| Devoted Health | MCRAdvantage | $9.85 | ↓ -99% |
| Mutual of Omaha | MCR | $9.85 | ↓ -99% |
| Cigna HealthSpring | Medicare | $9.85 | ↓ -99% |
| Aetna | MCRADVHMO | $9.85 | ↓ -99% |
| Aetna | MCRADVPPO | $9.85 | ↓ -99% |
| Bright Health | PFFS | $9.85 | ↓ -99% |
| Bright Health | MCRPPO | $9.85 | ↓ -99% |
| Bright Health | MCRPOS | $9.85 | ↓ -99% |
| United | AllPayerAppendix | $9.85 | ↓ -99% |
| United | ColoradoDoctorsPlan | $9.85 | ↓ -99% |
| Bright Health | MCRHMO | $9.85 | ↓ -99% |
| Bright Health | DualEligible | $9.85 | ↓ -99% |
| Anthem BCBS | MCR | $9.85 | ↓ -99% |
| Bright Health | MCRSNP | $9.85 | ↓ -99% |
| TriWest Health Alliance | FED | $9.85 | ↓ -99% |
| Total LongTerm Care | MCR | $9.85 | ↓ -99% |
| Rocky Mountain Health Plan | AllPayerAppendix | $9.85 | ↓ -99% |
| InnovAge Pace | MCR | $10.05 | ↓ -99% |
| Kaiser | MGMCR | $10.05 | ↓ -99% |
| WellCare | MCR | $10.15 | ↓ -99% |
| Delaware Life Insurance | MGMCR | $10.34 | ↓ -99% |
| Anthem | PathwayEssentials | $23.94 | ↓ -98% |
| Anthem | PathwayNSBP | $30.54 | ↓ -98% |
| Anthem | PPO | $46.79 | ↓ -96% |
| Anthem | HMO | $46.79 | ↓ -96% |
| Vail Health | COMM | $188.17 | ↓ -85% |
| Kaiser | HMO | $233.98 | ↓ -81% |
| United | OptionsPPO | $256.26 | ↓ -79% |
| Life Source Services | COMM | $350.00 | ↓ -72% |
| Bright Health | OON | $371.39 | ↓ -70% |
| Colorado Program for Children with Special Needs | HCP | $420.91 | ↓ -66% |
| Kaiser | PPO | $439.48 | ↓ -64% |
| United | GlobalBenefit | $557.09 | ↓ -55% |
| Aetna | Cofinity | $653.65 | ↓ -47% |
| Cigna | Connect-SBPLeanBenefitPlans | $792.30 | ↓ -36% |
| Cigna | BroadLeanBenefitPlans | $792.30 | ↓ -36% |
| Cigna | SureFitLeanBenefitPlans | $792.30 | ↓ -36% |
| Cigna | Connect-NSBPLeanBenefitPlans | $792.30 | ↓ -36% |
| Western Plains Community Health | COMM | $804.68 | ↓ -35% |
| Physician Health Partners | MCR | $866.58 | ↓ -30% |
| Multiplan | COMMPPOPRIMARYNETWORK | $866.58 | ↓ -30% |
| NorthCare | COMM | $866.58 | ↓ -30% |
| Anthem | PAR | $916.10 | ↓ -26% |
| Pinnacol Workers Comp | WORKERSCOMP | $928.48 | ↓ -25% |
| Medical Development International | COMM | $990.38 | ↓ -20% |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $1,052.27 | ↓ -15% |
| Prime Health | WORKERSCOMP | $1,114.17 | ↓ -10% |
| Multiplan | BeechStreetCOMMPPO | $1,114.17 | ↓ -10% |
| Aetna | ExistingBusiness | not published by hospital | — |
| Aetna | ASA | not published by hospital | — |
| Aetna | NBR | not published by hospital | — |
Visitor-reported prices
Comments
Reptilase test at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner North Colorado Medical Center - Loveland Campus | Loveland | $8.46 | $7.71 – $28.50 |
| East Morgan County Hospital | Brush | $18.69 | $12.64 – $29.10 |
| AdventHealth Porter | Denver | $128.67 | $9.65 – $18.22 |
| AdventHealth Littleton | Littleton | $128.67 | $9.65 – $18.22 |
| AdventHealth Avista | Louisville | $128.67 | $9.65 – $18.22 |
| AdventHealth Castle Rock | Castle Rock | $128.67 | $9.65 – $18.22 |
| AdventHealth Parker | Parker | $128.67 | $9.65 – $18.22 |
| HCA HealthONE AURORA | Aurora | not published | $5.25 – $23.94 |