X-ray exam entire spi 4/5 vw 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.
$42.16 with Anthem vs $2,941.75 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 | $42.16 | — |
| Anthem | PathwayNSBP | $53.79 | — |
| Anthem | HMO | $86.06 | — |
| Anthem | PPO | $86.06 | — |
| Pinnacol Workers Comp | WORKERSCOMP | $169.18 | — |
| Multiplan | WorkersComp | $176.30 | — |
| Multiplan | BeechStreetWorkersComp | $176.30 | — |
| United | ColoradoDoctorsPlan | $185.25 | — |
| Cigna | Connect-SBP | $220.78 | — |
| United | AllPayerAppendix | $245.18 | — |
| Rocky Mountain Health Plan | AllPayerAppendix | $245.18 | — |
| Cigna | SureFit | $317.72 | — |
| Cigna | Connect-NSBP | $343.56 | — |
| Life Source Services | COMM | $350.00 | — |
| Cigna | Broad | $430.80 | — |
| Vail Health | COMM | $496.83 | — |
| Kaiser | HMO | $617.77 | — |
| United | OptionsPPO | $676.60 | — |
| Bright Health | OON | $980.58 | — |
| Colorado Program for Children with Special Needs | HCP | $1,111.33 | — |
| Kaiser | PPO | $1,160.36 | — |
| United | GlobalBenefit | $1,470.87 | — |
| Aetna | Cofinity | $1,725.83 | — |
| Cigna | Connect-NSBPLeanBenefitPlans | $2,091.91 | — |
| Cigna | SureFitLeanBenefitPlans | $2,091.91 | — |
| Cigna | BroadLeanBenefitPlans | $2,091.91 | — |
| Cigna | Connect-SBPLeanBenefitPlans | $2,091.91 | — |
| Western Plains Community Health | COMM | $2,124.60 | — |
| Multiplan | COMMPPOPRIMARYNETWORK | $2,288.03 | — |
| NorthCare | COMM | $2,288.03 | — |
| Physician Health Partners | MCR | $2,288.03 | — |
| Anthem | PAR | $2,418.77 | — |
| Medical Development International | COMM | $2,614.89 | — |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $2,778.32 | — |
| Prime Health | WORKERSCOMP | $2,941.75 | — |
| Multiplan | BeechStreetCOMMPPO | $2,941.75 | — |
| Aetna | ASA | not published by hospital | — |
| Aetna | ExistingBusiness | not published by hospital | — |
| Aetna | NBR | not published by hospital | — |
Visitor-reported prices
Comments
X-ray exam entire spi 4/5 vw at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Fort Collins Medical Center | Fort Collins | $152.65 | $103.66 – $278.35 |
| Banner North Colorado Medical Center - Loveland Campus | Loveland | $103.14 | $75.30 – $278.35 |
| Sterling Regional Medical Center | Sterling | $254.70 | $106.87 – $549.02 |
| AdventHealth Porter | Denver | $1,718.26 | $108.08 – $204.02 |
| HCA HealthONE Rocky Mountain Children's at Presbyterian St. Luke's | Denver | $920.50 | $42.16 – $317.72 |
| AdventHealth Littleton | Littleton | $1,718.26 | $108.08 – $204.02 |
| AdventHealth Avista | Louisville | $1,718.26 | $109.28 – $206.29 |
| AdventHealth Castle Rock | Castle Rock | $1,718.26 | $108.08 – $204.02 |