Ot evaluation moderate complexity patient/family at Banner Fort Collins Medical Center
4700 Lady Moon Drive, Fort Collins, CO · Banner Health · · NPI 1659787554
$139.55
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.
$392.00
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.
$160.72 with Banner Health vs $398.00 with United Healthcare — 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 | $160.72 | ↑ +15% |
| Centivo | Self-Funded | $196.00 | ↑ +40% |
| Assist Health Group | AHG Specialty Network | $196.00 | ↑ +40% |
| United Healthcare | UnitedHealthcare Navigate/Colorado Doctors Plan Colorado Option | $251.00 | ↑ +80% |
| Hue Health, Inc | Medicare Advantage | $274.40 | ↑ +97% |
| United Healthcare | UHC Colorado Doctors Plan | $286.00 | ↑ +105% |
| Anthem Blue Cross Blue Shield Colorado | Priority/HMO/PPO/Indemnity | $291.00 | ↑ +109% |
| Aetna | Commercial | $298.00 | ↑ +114% |
| Medica | Commercial | $326.54 | ↑ +134% |
| Rocky Mountain Health Plans | Private Plan/Self Insured Plan | $331.00 | ↑ +137% |
| Apostrophe, Inc. | Commercial | $333.20 | ↑ +139% |
| Decent Health | Commercial | $333.20 | ↑ +139% |
| First Choice Health Network | Commercial | $352.80 | ↑ +153% |
| United Healthcare | UHC Exchange | $357.00 | ↑ +156% |
| Multiplan | Commercial | $368.48 | ↑ +164% |
| First Choice of the Midwest | Commercial | $372.40 | ↑ +167% |
| United Healthcare | Commercial | $398.00 | ↑ +185% |
Visitor-reported prices
Comments
Ot evaluation moderate complexity patient/family at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner North Colorado Medical Center - Loveland Campus | Loveland | $152.10 | $88.40 – $372.40 |
| Sterling Regional Medical Center | Sterling | $104.33 | $70.31 – $244.44 |
| East Morgan County Hospital | Brush | $196.81 | $106.19 – $244.44 |
| AdventHealth Porter | Denver | $844.12 | $102.12 – $192.77 |
| HCA HealthONE SOUTH PARKER ER, A PART OF SKY RIDGE | PARKER | $1,730.00 | $89.27 – $129.44 |
| HCA HealthONE MOUNTAIN RIDGE | Thornton | $980.22 | $90.78 – $96.28 |
| AdventHealth Littleton | Littleton | $844.12 | $102.12 – $192.77 |
| AdventHealth Avista | Louisville | $844.12 | $102.12 – $192.77 |