Sm-153 lexidron ther at Banner Fort Collins Medical Center
4700 Lady Moon Drive, Fort Collins, CO · Banner Health · · NPI 1659787554
$8,483.97
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.
$19,039.00
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.
$4,185.46 with United Healthcare vs $27,029.58 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 |
|---|---|---|---|
| United Healthcare | UHC Medicare Advantage | $4,185.46 | ↓ -51% |
| Cigna Healthcare of Arizona, Inc. | PPO Medicare Advantage Plan | $4,314.91 | ↓ -49% |
| Anthem Blue Cross Blue Shield Colorado | Medicare | $4,314.91 | ↓ -49% |
| Medicare | Traditional Medicare | $4,314.91 | ↓ -49% |
| Clear Spring Health | Medicare Advantage | $4,314.91 | ↓ -49% |
| Medica | Medicare Advantage | $4,314.91 | ↓ -49% |
| Cigna Healthcare of Arizona, Inc. | HMO Medicare Advantage Plans | $4,314.91 | ↓ -49% |
| HealthSpring Life & Health Insurance Company, Inc. | Medicare Advantage | $4,314.91 | ↓ -49% |
| Humana | Medicare Advantage | $4,444.36 | ↓ -48% |
| Longevity | Medicare Advantage | $4,444.36 | ↓ -48% |
| Devoted Health Services | Medicare Advantage | $4,530.66 | ↓ -47% |
| Assist Health Group | AHG Specialty Network | $5,177.89 | ↓ -39% |
| Pinnacol Assurance Workers Comp | Pinnacol Assurance WC | $6,765.78 | ↓ -20% |
| Denver Health Medical Plan | Commercial | $7,712.04 | ↓ -9% |
| Banner Health | Banner Choice Plus/Banner Select | $7,805.99 | ↓ -8% |
| Centivo | Self-Funded | $10,355.78 | ↑ +22% |
| Hue Health, Inc | Medicare Advantage | $11,003.02 | ↑ +30% |
| United Healthcare | UHC Colorado Doctors Plan | $11,747.34 | ↑ +38% |
| United Healthcare | UHC Exchange | $11,747.34 | ↑ +38% |
| United Healthcare | Commercial | $11,747.34 | ↑ +38% |
| United Healthcare | UnitedHealthcare Navigate/Colorado Doctors Plan Colorado Option | $11,747.34 | ↑ +38% |
| Medica | Commercial | $15,859.49 | ↑ +87% |
| Rocky Mountain Health Plans | Private Plan/Self Insured Plan | $16,076.53 | ↑ +89% |
| Apostrophe, Inc. | Commercial | $16,183.15 | ↑ +91% |
| Decent Health | Commercial | $16,183.15 | ↑ +91% |
| Aetna | Commercial | $16,735.28 | ↑ +97% |
| First Choice Health Network | Commercial | $17,135.10 | ↑ +102% |
| Multiplan | Commercial | $17,896.66 | ↑ +111% |
| First Choice of the Midwest | Commercial | $18,087.05 | ↑ +113% |
| Anthem Blue Cross Blue Shield Colorado | Priority/HMO/PPO/Indemnity | $27,029.58 | ↑ +219% |
| TriWest Healthcare Alliance Corp - VA CCN | Tricare | not published by hospital | — |
Visitor-reported prices
Comments
Sm-153 lexidron ther at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner North Colorado Medical Center - Loveland Campus | Loveland | $8,659.14 | $111.54 – $10,871.61 |
| AdventHealth Porter | Denver | not published | $3,096.60 – $5,845.63 |
| HCA HealthONE AURORA | Aurora | not published | $5,213.67 – $29,048.33 |
| CENTRAL PARK ER, A PART OF ROSE | DENVER | not published | $5,213.67 – $29,048.33 |
| HCA HealthONE Rocky Mountain Children's at Presbyterian St. Luke's | Denver | not published | $5,213.67 – $29,048.33 |
| HCA HealthONE SKY RIDGE | Lone Tree | not published | $5,213.67 – $29,048.33 |
| HCA HealthONE SOUTH PARKER ER, A PART OF SKY RIDGE | PARKER | not published | $5,213.67 – $29,048.33 |
| HCA HealthONE BELMAR ER, A PART OF SWEDISH | LAKEWOOD | not published | $5,213.67 – $29,048.33 |