Blood draw capillary 36416 at Sterling Regional Medical Center
615 Fairhurst Street, Sterling, CO · Banner Health · · NPI 1942238555
$17.95
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.
$34.00
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.
$9.49 with Aetna vs $32.98 with Multiplan — 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 |
|---|---|---|---|
| Aetna | Medicare Advantage | $9.49 | ↓ -47% |
| Medicare | Traditional Medicare | $10.54 | ↓ -41% |
| Anthem Blue Cross Blue Shield Colorado | Medicare | $10.54 | ↓ -41% |
| Banner Health | Banner Choice Plus/Banner Select | $10.54 | ↓ -41% |
| HealthSpring Life & Health Insurance Company, Inc. | Medicare Advantage | $10.54 | ↓ -41% |
| Medica | Medicare Advantage | $10.54 | ↓ -41% |
| Assist Health Group | AHG Specialty Network | $12.65 | ↓ -30% |
| Pinnacol Assurance Workers Comp | Pinnacol Assurance WC | $16.53 | ↓ -8% |
| Anthem Blue Cross Blue Shield Colorado | Pathway Standard | $18.01 | ↑ +0% |
| United Healthcare | Colorado Navigate/Colorado Option | $19.72 | ↑ +10% |
| Denver Health Medical Plan | Commercial | $20.59 | ↑ +15% |
| Anthem Blue Cross Blue Shield Colorado | Pathway | $25.09 | ↑ +40% |
| Anthem Blue Cross Blue Shield Colorado | Blue Priority/HMO/PPO/Indemnity | $25.84 | ↑ +44% |
| Medica | Commercial | $28.32 | ↑ +58% |
| United Healthcare | Colorado Doctor's Plan | $29.00 | ↑ +62% |
| First Choice Health Network | Commercial | $30.60 | ↑ +70% |
| Apostrophe, Inc. | Commercial | $30.60 | ↑ +70% |
| Aetna | Commercial/Medical Rental | $31.62 | ↑ +76% |
| United Healthcare | Commercial | $32.23 | ↑ +80% |
| Rocky Mountain Health Plans | Private Plan/Self Insured Plan | $32.30 | ↑ +80% |
| Hue Health, Inc | Medicare Advantage | $32.30 | ↑ +80% |
| First Choice of the Midwest | Commercial | $32.30 | ↑ +80% |
| Multiplan | Commercial | $32.98 | ↑ +84% |
| Molina Healthcare | Medicaid/CHIP | not published by hospital | — |
Visitor-reported prices
Comments
Blood draw capillary 36416 at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Fort Collins Medical Center | Fort Collins | $13.12 | $13.94 – $32.30 |
| Banner North Colorado Medical Center - Loveland Campus | Loveland | $14.38 | $8.74 – $32.30 |
| East Morgan County Hospital | Brush | $29.95 | $14.33 – $32.98 |
| AdventHealth Porter | Denver | $28.84 | $4.71 – $6.26 |
| HCA HealthONE AURORA | Aurora | $120.37 | $3.14 – $7.63 |
| HCA HealthONE Rocky Mountain Children's at Presbyterian St. Luke's | Denver | $109.50 | $3.14 – $7.63 |
| HCA HealthONE BELMAR ER, A PART OF SWEDISH | LAKEWOOD | $106.41 | $3.14 – $7.63 |
| HCA HealthONE MOUNTAIN RIDGE | Thornton | $173.83 | $3.14 – $7.63 |