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From the Price Files

How to look up what your insurance pays a hospital — in 3 minutes

By 4 min read

The price that matters isn't the headline on a procedure page — it's the one tied to the card in your wallet. Here is how to find it in about three minutes.

The headline price on a hospital procedure page is a median across every insurer — a useful summary, and the wrong number to plan around. The figure that decides your bill is the one your hospital negotiated with the insurer named on your card, and that figure can sit far above or far below the headline. The two are routinely hundreds of dollars apart for the same scan at the same hospital. The good news: the rate tied to your carrier is published too — and at one Boulder hospital it runs more than double the headline for the same scan. Here's how to pull up yours.

Every Colorado hospital posts its negotiated rates in a federally required file, and we load those files behind each procedure page. What most people never do is the one step that turns a statewide median into their own number: tell the page which insurance they carry. Here is how, start to finish.

The walkthrough

Open the page for the care you need — say, the knee-MRI page — and you will land on the statewide view: Colorado hospitals ranked by their median published rate for that scan. That ranking treats every insurer the same. Your next move makes it yours.

  1. Pick your insurance carrier. Find the carrier dropdown near the top of the procedure page and choose the insurer on your card. The hospital table re-ranks on the spot, and a column fills in with each hospital's published rate for that carrier — the figure your plan actually negotiated, in place of the all-insurer median.
  2. Read the re-ranked table. Hospitals that looked cheap on the statewide median can move up once your carrier's rate replaces it, and ones that looked expensive can fall. Where a hospital hasn't published a rate for your carrier, the table says so plainly rather than guessing — an honest blank is more useful than a fabricated number.
  3. Pin a few hospitals to compare. Pin up to three you would realistically use and read their carrier rates side by side. This is where a real decision lives: not the cheapest hospital in the state, but the cheapest among the ones you can actually get to.
  4. Read the "What to do next" block. Below the table, a short rights section explains your Good Faith Estimate under the federal No Surprises Act — the written estimate a provider owes you before scheduled care — and how to ask for one.
  5. Verify before you schedule. Take the carrier, the hospital, and the procedure name to your insurer and confirm two things: that the hospital is in-network for your specific plan, and what your share would be given your deductible. A published rate is a strong starting point for that call, not a substitute for it.

Why the carrier step matters

Boulder Community Health Foothills Hospital is a good illustration. On the statewide knee-MRI ranking it reads as one of the more affordable options in the state — its all-insurer median sits well under the Colorado median. Pick Cigna, though, and the hospital's published Cigna rate for that same scan shows as $733 — more than double the hospital's own headline. A Cigna member who stopped at the statewide ranking would have read the wrong number entirely. The carrier step is the difference between a hospital that looks cheap and one that is cheap for you.

One caution travels with all of this. A published rate is not a confirmation that your plan is in-network at that hospital, and it is not a quote for your bill. What you ultimately pay turns on your deductible, your coinsurance, your out-of-pocket maximum, and the clinical specifics of the visit — none of which live in a price file.

Read more · Procedure

MRI of the Knee, Without Contrast

CPT 73721 · Imaging

Related procedures

Numbers and citations on this page trace back to hospitals’ own machine-readable files under 45 CFR §180.50. See the methodology page for how the prices are aggregated, and the editorial policy for what we will and won’t do as a publisher.