Lymphocyte transformation mitogen at East Morgan County Hospital
2400 Edison Street, Brush, CO · Banner Health · · NPI 1699708743
$109.37
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.
?
What you pay up front if you don't use insurance.
$148.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$62.37 with Pinnacol Assurance Workers Comp vs $143.56 with Multiplan — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $62.37 | ↓ -43% |
| Clear Spring Health | Medicare Advantage | $63.64 | ↓ -42% |
| Medicare | Traditional Medicare | $63.64 | ↓ -42% |
| TriWest Healthcare Alliance Corp - VA CCN | Tricare | $63.64 | ↓ -42% |
| Aetna | Medicare Advantage | $63.64 | ↓ -42% |
| Banner Health | Banner Choice Plus/Banner Select | $63.64 | ↓ -42% |
| Medica | Medicare Advantage | $63.64 | ↓ -42% |
| Anthem Blue Cross Blue Shield Colorado | Medicare | $63.64 | ↓ -42% |
| United Healthcare | UHC Medicare Advantage | $63.64 | ↓ -42% |
| HealthSpring Life & Health Insurance Company, Inc. | Medicare Advantage | $63.64 | ↓ -42% |
| Longevity | Medicare Advantage | $65.55 | ↓ -40% |
| Humana | Medicare Advantage | $67.46 | ↓ -38% |
| Devoted Health Services | Medicare Advantage | $70.00 | ↓ -36% |
| United Healthcare | Nebraska Medicaid/CHIP | $71.04 | ↓ -35% |
| Assist Health Group | AHG Specialty Network | $76.37 | ↓ -30% |
| Anthem Blue Cross Blue Shield Colorado | Pathway | $111.47 | ↑ +2% |
| Denver Health Medical Plan | Commercial | $118.40 | ↑ +8% |
| Medica | Commercial | $123.28 | ↑ +13% |
| United Healthcare | UHC Navigate/Colorado Doctors Plan | $128.02 | ↑ +17% |
| Apostrophe, Inc. | Commercial | $133.20 | ↑ +22% |
| First Choice Health Network | Commercial | $133.20 | ↑ +22% |
| Aetna | Commercial/Medical Rental | $137.64 | ↑ +26% |
| United Healthcare | Commercial | $137.64 | ↑ +26% |
| Hue Health, Inc | Medicare Advantage | $140.60 | ↑ +29% |
| Rocky Mountain Health Plans | Private Plan/Self Insured Plan | $140.60 | ↑ +29% |
| Multiplan | Commercial | $143.56 | ↑ +31% |
Visitor-reported prices
Comments
Lymphocyte transformation mitogen at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Fort Collins Medical Center | Fort Collins | $27.38 | $47.56 – $140.60 |
| Banner North Colorado Medical Center - Loveland Campus | Loveland | $39.52 | $38.04 – $140.60 |
| Sterling Regional Medical Center | Sterling | $60.24 | $41.29 – $143.56 |
| AdventHealth Porter | Denver | $737.94 | $48.05 – $90.71 |
| HCA HealthONE AURORA | Aurora | $1,035.95 | $26.13 – $119.14 |
| CENTRAL PARK ER, A PART OF ROSE | DENVER | $1,630.00 | $22.31 – $119.14 |
| HCA HealthONE Rocky Mountain Children's at Presbyterian St. Luke's | Denver | $454.75 | $31.23 – $119.14 |
| HCA HealthONE SKY RIDGE | Lone Tree | $802.36 | $28.05 – $119.14 |