Ghs simple repair 7.6 - 12.5 cm - 12004 at Banner North Colorado Medical Center - Loveland Campus
2000 Boise Avenue, Loveland, CO · Banner Health · · NPI 1720004450
$236.12
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.
$583.00
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.
$149.83 with Banner Health vs $8,568.00 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 |
|---|---|---|---|
| Banner Health | Banner Choice Plus/Banner Select | $149.83 | ↓ -37% |
| United Healthcare | UHC Medicare Advantage | $193.94 | ↓ -18% |
| Medica | Medicare Advantage | $199.94 | ↓ -15% |
| Anthem Blue Cross Blue Shield Colorado | Medicare | $199.94 | ↓ -15% |
| HealthSpring Life & Health Insurance Company, Inc. | Medicare Advantage | $199.94 | ↓ -15% |
| Medicare | Traditional Medicare | $199.94 | ↓ -15% |
| Clear Spring Health | Medicare Advantage | $199.94 | ↓ -15% |
| Longevity | Medicare Advantage | $205.94 | ↓ -13% |
| Humana | Medicare Advantage | $205.94 | ↓ -13% |
| Devoted Health Services | Medicare Advantage | $209.94 | ↓ -11% |
| Assist Health Group | AHG Specialty Network | $239.93 | ↑ +2% |
| United Healthcare | UnitedHealthcare Navigate/Colorado Doctors Plan Colorado Option | $272.84 | ↑ +16% |
| Pinnacol Assurance Workers Comp | Pinnacol Assurance WC | $313.51 | ↑ +33% |
| Coventry | Auto | $332.31 | ↑ +41% |
| Denver Health Medical Plan | Commercial | $357.37 | ↑ +51% |
| United Healthcare | UHC Colorado Doctors Plan | $370.79 | ↑ +57% |
| Hue Health, Inc | Medicare Advantage | $408.10 | ↑ +73% |
| United Healthcare | UHC Exchange | $464.07 | ↑ +97% |
| Coventry | Workers Comp | $466.40 | ↑ +98% |
| Centivo | Self-Funded | $479.86 | ↑ +103% |
| Medica | Commercial | $485.64 | ↑ +106% |
| Apostrophe, Inc. | Commercial | $495.55 | ↑ +110% |
| Rocky Mountain Health Plans | Private Plan/Self Insured Plan | $495.55 | ↑ +110% |
| Cigna Healthcare & Life Insurance Company – WY | HMO Benefit Plan/Network Benefit Plan/Open Access Plus Benefit Plan | $495.55 | ↑ +110% |
| Decent Health | Commercial | $495.55 | ↑ +110% |
| United Healthcare | Commercial | $515.37 | ↑ +118% |
| Multiplan | Commercial | $548.02 | ↑ +132% |
| First Choice of the Midwest | Commercial | $553.85 | ↑ +135% |
| Anthem Blue Cross Blue Shield Colorado | Priority/HMO/PPO/Indemnity | $3,990.00 | ↑ +1590% |
| Aetna | Commercial | $8,568.00 | ↑ +3529% |
| TriWest Healthcare Alliance Corp - VA CCN | Tricare | not published by hospital | — |
Visitor-reported prices
Comments
Ghs simple repair 7.6 - 12.5 cm - 12004 at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| East Morgan County Hospital | Brush | $78.47 | $65.74 – $151.32 |
| AdventHealth Porter | Denver | $983.92 | $127.23 – $1,083.00 |
| AdventHealth Littleton | Littleton | $983.92 | $127.23 – $1,083.00 |
| AdventHealth Avista | Louisville | $983.92 | $127.23 – $1,083.00 |
| AdventHealth Castle Rock | Castle Rock | $983.92 | $127.23 – $1,083.00 |
| AdventHealth Parker | Parker | $983.92 | $127.23 – $1,083.00 |
| HCA HealthONE AURORA | Aurora | not published | $308.07 – $321.04 |
| CENTRAL PARK ER, A PART OF ROSE | DENVER | not published | $308.07 – $321.04 |