HCA Healthone Mountain Ridge
9191 Grant St, Thornton, CO 80229 · 125 Priced Procedures · 51% Patient Recommendation
Typical commercial prices here are +37% above the fair benchmark (1.37×) even after accounting for local nurse/doctor wages and patient complexity.
1-Star CMS clinical quality rating paired with 1.37× fair market pricing.
Aligned Regional Benchmark Peer
HCA Healthone Mountain Ridge prices shoppable and inpatient services (1.7× to 1.0× Medicare, divergence 0.59×) in alignment with regional hospital peers (1.37× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 0.95× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 4% of shoppable procedures (25/100 Cash Honesty)
- CMS clinical safety score (52/100 safety score) with 51% patient recommendation
- Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling
Where You Can Get Burned (Markup Traps)
- Even at low-cost facilities (1.37× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
- Commercial insurance median sits at 1.43× Fair BaseRate (1.7× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Specialty infusion drugs (J-codes) average 1.5× Medicare — verify per-unit billing on itemized statements
- Unnegotiated chargemaster list prices average 19.9× Medicare (14¢ true HCRIS cost per $1 gross)
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at HCA Healthone Mountain Ridge
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 125 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Spinal fusion, single level (inpatient stay) MS-DRG Code: 451 | $28,138 | 0.9× |
| Total hip replacement CPT Code: 27130 | $21,105 | unverified |
| Total knee replacement CPT Code: 27447 | $21,105 | unverified |
| Sepsis treatment (inpatient stay) MS-DRG Code: 871 | $17,946 | 0.9× |
| Hip or knee replacement (inpatient stay) MS-DRG Code: 470 | $17,838 | 0.9× |
| Heart stent placement (inpatient stay) MS-DRG Code: 322 | $16,525 | 0.9× |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $9,252 | 1.5× |
| Digestive disorders treatment (inpatient stay) MS-DRG Code: 392 | $8,743 | 1.1× |
| Vaginal delivery (full package) CPT Code: 59400 | $7,419 | 2.8× |
| C-section delivery (full package) CPT Code: 59510 | $7,419 | 2.5× |
| Breast lump removal CPT Code: 19120 | $5,989 | 1.5× |
| Cataract surgery with lens implant CPT Code: 66984 | $5,657 | 2.2× |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $5,660 | 1.7× |
| Inguinal hernia repair CPT Code: 49505 | $5,548 | 1.5× |
| Bunion correction surgery CPT Code: 28296 | $5,190 | 1.5× |
| Colonoscopy with biopsy CPT Code: 45380 | $3,486 | 2.8× |
| Colonoscopy (diagnostic) CPT Code: 45378 | $2,651 | 2.7× |
| Upper endoscopy with biopsy CPT Code: 43239 | $2,651 | 2.7× |
| Sleep study (overnight, in lab) CPT Code: 95810 | $2,435 | 2.4× |
| Trauma team activation HCPCS Code: G0390 | $2,195 | 1.5× |
| Injection procedure for pain management HCPCS Code: G0260 | $2,003 | 2.3× |
| Blood transfusion CPT Code: 36430 | $2,003 | unverified |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $885 | 1.5× |
| Office visit, established patient (30-39 min) CPT Code: 99214 | $746 | 6.1× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $760 | 1.5× |
Audit a Bill or Quote at HCA Healthone Mountain Ridge (Zero PHI Required)
Above Standard 400% FPL Financial-Assistance Ceiling
At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask HCA Healthone Mountain Ridge's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.
Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)
Your bill ($67,531) is $36,756 above the denoised Fair BaseRate ($30,775) and 2.9× the $23,504 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Public IRS & CMS ownership records classify HCA Healthone Mountain Ridge as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.
Clinical Quality, Patient Experience & Infection Benchmarks
Healthcare-Associated Infections (CDC NHSN / CMS HAI)
1.00 SIR = National Predicted Baseline (Lower Is Safer)Source: CMS Hospital Care Compare (524 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for HCA Healthone Mountain Ridge.
Notable Payer Contract Outliers (SVD Matrix Anomalies)
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.