healthcosts.net
Established Patient Office Visit (level 1) at East Morgan County Hospital
2400 Edison Street, Brush, CO · Banner Health · · NPI 1699708743
$96.70
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.
$125.00
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.
$44.25 with Pinnacol Assurance Workers Comp vs $101.85 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 |
|---|---|---|---|
| Pinnacol Assurance Workers Comp | Pinnacol Assurance WC | $44.25 | ↓ -54% |
| Aetna | Medicare Advantage | $45.15 | ↓ -53% |
| Anthem Blue Cross Blue Shield Colorado | Medicare | $45.15 | ↓ -53% |
| Banner Health | Banner Choice Plus/Banner Select | $45.15 | ↓ -53% |
| Clear Spring Health | Medicare Advantage | $45.15 | ↓ -53% |
| HealthSpring Life & Health Insurance Company, Inc. | Medicare Advantage | $45.15 | ↓ -53% |
| Medica | Medicare Advantage | $45.15 | ↓ -53% |
| Medicare | Traditional Medicare | $45.15 | ↓ -53% |
| TriWest Healthcare Alliance Corp - VA CCN | Tricare | $45.15 | ↓ -53% |
| United Healthcare | UHC Medicare Advantage | $45.15 | ↓ -53% |
| Longevity | Medicare Advantage | $46.50 | ↓ -52% |
| Humana | Medicare Advantage | $47.86 | ↓ -51% |
| Devoted Health Services | Medicare Advantage | $49.66 | ↓ -49% |
| United Healthcare | Nebraska Medicaid/CHIP | $50.40 | ↓ -48% |
| Assist Health Group | AHG Specialty Network | $54.18 | ↓ -44% |
| Anthem Blue Cross Blue Shield Colorado | Pathway | $79.09 | ↓ -18% |
| Denver Health Medical Plan | Commercial | $84.00 | ↓ -13% |
| Medica | Commercial | $87.47 | ↓ -10% |
| United Healthcare | UHC Navigate/Colorado Doctors Plan | $90.83 | ↓ -6% |
| Apostrophe, Inc. | Commercial | $94.50 | ↓ -2% |
| First Choice Health Network | Commercial | $94.50 | ↓ -2% |
| Aetna | Commercial/Medical Rental | $97.65 | ↑ +1% |
| United Healthcare | Commercial | $97.65 | ↑ +1% |
| Hue Health, Inc | Medicare Advantage | $99.75 | ↑ +3% |
| Rocky Mountain Health Plans | Private Plan/Self Insured Plan | $99.75 | ↑ +3% |
| Multiplan | Commercial | $101.85 | ↑ +5% |
Visitor-reported prices
Comments
Established Patient Office Visit (level 1) at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Fort Collins Medical Center | Fort Collins | $76.38 | $46.86 – $109.25 |
| Banner North Colorado Medical Center - Loveland Campus | Loveland | $91.50 | $29.55 – $109.25 |
| Sterling Regional Medical Center | Sterling | $93.62 | $29.30 – $101.85 |