healthcosts.net
Diagnostic Mammogram (one breast) at Banner North Colorado Medical Center - Loveland Campus
2000 Boise Avenue, Loveland, CO · Banner Health · · NPI 1720004450
$125.15
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.
?
What you pay up front if you don't use insurance.
$310.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$79.67 with Banner Health vs $700.00 with Aetna — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $79.67 | ↓ -36% |
| Assist Health Group | AHG Specialty Network | $155.00 | ↑ +24% |
| Centivo | Self-Funded | $155.00 | ↑ +24% |
| Coventry | Auto | $176.70 | ↑ +41% |
| Anthem Blue Cross Blue Shield Colorado | Priority/HMO/PPO/Indemnity | $198.49 | ↑ +59% |
| United Healthcare | UnitedHealthcare Navigate/Colorado Doctors Plan Colorado Option | $211.00 | ↑ +69% |
| Hue Health, Inc | Medicare Advantage | $217.00 | ↑ +73% |
| Coventry | Workers Comp | $248.00 | ↑ +98% |
| Medica | Commercial | $258.23 | ↑ +106% |
| Cigna Healthcare & Life Insurance Company – WY | HMO Benefit Plan/Network Benefit Plan/Open Access Plus Benefit Plan | $260.40 | ↑ +108% |
| Apostrophe, Inc. | Commercial | $263.50 | ↑ +111% |
| Decent Health | Commercial | $263.50 | ↑ +111% |
| Rocky Mountain Health Plans | Private Plan/Self Insured Plan | $263.50 | ↑ +111% |
| Multiplan | Commercial | $291.40 | ↑ +133% |
| First Choice of the Midwest | Commercial | $294.50 | ↑ +135% |
| United Healthcare | UHC Colorado Doctors Plan | $295.00 | ↑ +136% |
| United Healthcare | UHC Exchange | $369.00 | ↑ +195% |
| United Healthcare | Commercial | $409.00 | ↑ +227% |
| Aetna | Commercial | $700.00 | ↑ +459% |
Visitor-reported prices
Comments
Diagnostic Mammogram (one breast) at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Fort Collins Medical Center | Fort Collins | $179.49 | $127.10 – $700.00 |
| Sterling Regional Medical Center | Sterling | $197.28 | $80.35 – $279.36 |
| East Morgan County Hospital | Brush | $224.93 | $35.40 – $81.48 |