Electrophysiology evaluation at Banner Fort Collins Medical Center
4700 Lady Moon Drive, Fort Collins, CO · Banner Health · · NPI 1659787554
$7,339.46
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.
$24,712.00
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.
$7,397.11 with United Healthcare vs $41,769.00 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 | $7,397.11 | ↑ +1% |
| Anthem Blue Cross Blue Shield Colorado | Medicare | $7,625.89 | ↑ +4% |
| Clear Spring Health | Medicare Advantage | $7,625.89 | ↑ +4% |
| Medica | Medicare Advantage | $7,625.89 | ↑ +4% |
| HealthSpring Life & Health Insurance Company, Inc. | Medicare Advantage | $7,625.89 | ↑ +4% |
| Medicare | Traditional Medicare | $7,625.89 | ↑ +4% |
| Cigna Healthcare of Arizona, Inc. | PPO Medicare Advantage Plan | $7,625.89 | ↑ +4% |
| Cigna Healthcare of Arizona, Inc. | HMO Medicare Advantage Plans | $7,625.89 | ↑ +4% |
| Longevity | Medicare Advantage | $7,854.67 | ↑ +7% |
| Humana | Medicare Advantage | $7,854.67 | ↑ +7% |
| Devoted Health Services | Medicare Advantage | $8,007.18 | ↑ +9% |
| Assist Health Group | AHG Specialty Network | $9,151.07 | ↑ +25% |
| Banner Health | Banner Choice Plus/Banner Select | $10,131.92 | ↑ +38% |
| Pinnacol Assurance Workers Comp | Pinnacol Assurance WC | $11,957.40 | ↑ +63% |
| Denver Health Medical Plan | Commercial | $13,629.75 | ↑ +86% |
| Anthem Blue Cross Blue Shield Colorado | Priority/HMO/PPO/Indemnity | $15,823.09 | ↑ +116% |
| Hue Health, Inc | Medicare Advantage | $17,298.40 | ↑ +136% |
| Centivo | Self-Funded | $18,302.14 | ↑ +149% |
| Medica | Commercial | $20,585.10 | ↑ +180% |
| Rocky Mountain Health Plans | Private Plan/Self Insured Plan | $20,866.81 | ↑ +184% |
| Apostrophe, Inc. | Commercial | $21,005.20 | ↑ +186% |
| Decent Health | Commercial | $21,005.20 | ↑ +186% |
| First Choice Health Network | Commercial | $22,240.80 | ↑ +203% |
| United Healthcare | UnitedHealthcare Navigate/Colorado Doctors Plan Colorado Option | $23,075.00 | ↑ +214% |
| Multiplan | Commercial | $23,229.28 | ↑ +216% |
| First Choice of the Midwest | Commercial | $23,476.40 | ↑ +220% |
| United Healthcare | UHC Colorado Doctors Plan | $26,291.00 | ↑ +258% |
| United Healthcare | UHC Exchange | $32,863.00 | ↑ +348% |
| United Healthcare | Commercial | $36,516.00 | ↑ +398% |
| Aetna | Commercial | $41,769.00 | ↑ +469% |
| TriWest Healthcare Alliance Corp - VA CCN | Tricare | not published by hospital | — |
Visitor-reported prices
Comments
Electrophysiology evaluation at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner North Colorado Medical Center - Loveland Campus | Loveland | $7,413.60 | $6,350.98 – $41,769.00 |
| AdventHealth Porter | Denver | $13,404.33 | $652.13 – $15,221.32 |
| HCA HealthONE AURORA | Aurora | $42,813.22 | $11,491.72 – $11,975.58 |
| CENTRAL PARK ER, A PART OF ROSE | DENVER | $44,351.00 | $11,491.72 – $11,975.58 |
| HCA HealthONE Rocky Mountain Children's at Presbyterian St. Luke's | Denver | $32,886.50 | $11,491.72 – $11,975.58 |
| HCA HealthONE SKY RIDGE | Lone Tree | $47,521.65 | $11,491.72 – $11,975.58 |
| HCA HealthONE SOUTH PARKER ER, A PART OF SKY RIDGE | PARKER | $47,521.65 | $275.50 – $11,975.58 |
| HCA HealthONE BELMAR ER, A PART OF SWEDISH | LAKEWOOD | $36,704.21 | $11,491.72 – $11,975.58 |