healthcosts.net
Established Patient Office Visit (level 5) at Banner Fort Collins Medical Center
4700 Lady Moon Drive, Fort Collins, CO · Banner Health · · NPI 1659787554
$821.18
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.
$1,344.00
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.
$110.70 with Banner Health vs $772.80 with Anthem Blue Cross Blue Shield Colorado — 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 |
|---|---|---|---|
| Banner Health | Banner Choice Plus/Banner Select | $110.70 | ↓ -87% |
| Assist Health Group | AHG Specialty Network | $135.00 | ↓ -84% |
| Centivo | Self-Funded | $135.00 | ↓ -84% |
| United Healthcare | UnitedHealthcare Navigate/Colorado Doctors Plan Colorado Option | $145.26 | ↓ -82% |
| United Healthcare | UHC Colorado Doctors Plan | $162.00 | ↓ -80% |
| Hue Health, Inc | Medicare Advantage | $189.00 | ↓ -77% |
| United Healthcare | UHC Exchange | $200.61 | ↓ -76% |
| United Healthcare | Commercial | $223.02 | ↓ -73% |
| Medica | Commercial | $224.91 | ↓ -73% |
| Rocky Mountain Health Plans | Private Plan/Self Insured Plan | $227.99 | ↓ -72% |
| Apostrophe, Inc. | Commercial | $229.50 | ↓ -72% |
| Decent Health | Commercial | $229.50 | ↓ -72% |
| Aetna | Commercial | $237.33 | ↓ -71% |
| First Choice Health Network | Commercial | $243.00 | ↓ -70% |
| Multiplan | Commercial | $253.80 | ↓ -69% |
| First Choice of the Midwest | Commercial | $256.50 | ↓ -69% |
| Anthem Blue Cross Blue Shield Colorado | Priority/HMO/PPO/Indemnity | $772.80 | ↓ -6% |
Visitor-reported prices
Comments
Established Patient Office Visit (level 5) at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner North Colorado Medical Center - Loveland Campus | Loveland | $983.81 | $69.39 – $772.80 |
| Sterling Regional Medical Center | Sterling | $913.25 | $126.94 – $441.35 |
| East Morgan County Hospital | Brush | $1,112.57 | $191.74 – $441.35 |