Biopsy of salivary gland 42400 at Banner Fort Collins Medical Center
4700 Lady Moon Drive, Fort Collins, CO · Banner Health · · NPI 1659787554
$663.50
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.
$1,684.00
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.
$685.88 with United Healthcare vs $8,568.00 with Aetna — 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 |
|---|---|---|---|
| United Healthcare | UHC Medicare Advantage | $685.88 | ↑ +3% |
| Banner Health | Banner Choice Plus/Banner Select | $690.44 | ↑ +4% |
| Medica | Medicare Advantage | $707.09 | ↑ +7% |
| HealthSpring Life & Health Insurance Company, Inc. | Medicare Advantage | $707.09 | ↑ +7% |
| Anthem Blue Cross Blue Shield Colorado | Medicare | $707.09 | ↑ +7% |
| Cigna Healthcare of Arizona, Inc. | HMO Medicare Advantage Plans | $707.09 | ↑ +7% |
| Cigna Healthcare of Arizona, Inc. | PPO Medicare Advantage Plan | $707.09 | ↑ +7% |
| Clear Spring Health | Medicare Advantage | $707.09 | ↑ +7% |
| Medicare | Traditional Medicare | $707.09 | ↑ +7% |
| Longevity | Medicare Advantage | $728.30 | ↑ +10% |
| Humana | Medicare Advantage | $728.30 | ↑ +10% |
| Devoted Health Services | Medicare Advantage | $742.44 | ↑ +12% |
| Assist Health Group | AHG Specialty Network | $848.51 | ↑ +28% |
| Pinnacol Assurance Workers Comp | Pinnacol Assurance WC | $1,108.72 | ↑ +67% |
| Hue Health, Inc | Medicare Advantage | $1,178.80 | ↑ +78% |
| Denver Health Medical Plan | Commercial | $1,263.78 | ↑ +90% |
| Medica | Commercial | $1,402.77 | ↑ +111% |
| Rocky Mountain Health Plans | Private Plan/Self Insured Plan | $1,421.97 | ↑ +114% |
| Decent Health | Commercial | $1,431.40 | ↑ +116% |
| Apostrophe, Inc. | Commercial | $1,431.40 | ↑ +116% |
| First Choice Health Network | Commercial | $1,515.60 | ↑ +128% |
| Multiplan | Commercial | $1,582.96 | ↑ +139% |
| First Choice of the Midwest | Commercial | $1,599.80 | ↑ +141% |
| Centivo | Self-Funded | $1,697.02 | ↑ +156% |
| Anthem Blue Cross Blue Shield Colorado | Priority/HMO/PPO/Indemnity | $3,990.00 | ↑ +501% |
| Aetna | Commercial | $8,568.00 | ↑ +1191% |
| TriWest Healthcare Alliance Corp - VA CCN | Tricare | not published by hospital | — |
Visitor-reported prices
Comments
Biopsy of salivary gland 42400 at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner North Colorado Medical Center - Loveland Campus | Loveland | $752.75 | $432.79 – $8,568.00 |
| Sterling Regional Medical Center | Sterling | $689.27 | $451.42 – $1,569.46 |
| East Morgan County Hospital | Brush | $1,147.16 | $47.20 – $108.64 |
| AdventHealth Porter | Denver | $4,430.81 | $94.83 – $1,381.94 |
| AdventHealth Littleton | Littleton | $4,430.81 | $94.83 – $1,381.94 |
| AdventHealth Avista | Louisville | $4,430.81 | $94.83 – $1,397.28 |
| AdventHealth Castle Rock | Castle Rock | $4,430.81 | $94.83 – $1,381.94 |
| AdventHealth Parker | Parker | $4,430.81 | $94.83 – $1,381.94 |