Drug assay vedolizumab at Sterling Regional Medical Center
615 Fairhurst Street, Sterling, CO · Banner Health · · NPI 1942238555
$104.61
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.
$317.00
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.
$38.57 with Clear Spring Health vs $307.49 with Multiplan — 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 |
|---|---|---|---|
| Clear Spring Health | Medicare Advantage | $38.57 | ↓ -63% |
| United Healthcare | UHC Medicare Advantage | $38.57 | ↓ -63% |
| Longevity | Medicare Advantage | $39.73 | ↓ -62% |
| Humana | Medicare Advantage | $40.88 | ↓ -61% |
| Devoted Health Services | Medicare Advantage | $42.43 | ↓ -59% |
| Pinnacol Assurance Workers Comp | Pinnacol Assurance WC | $60.48 | ↓ -42% |
| Aetna | Medicare Advantage | $88.44 | ↓ -15% |
| HealthSpring Life & Health Insurance Company, Inc. | Medicare Advantage | $98.27 | ↓ -6% |
| Medicare | Traditional Medicare | $98.27 | ↓ -6% |
| Banner Health | Banner Choice Plus/Banner Select | $98.27 | ↓ -6% |
| Anthem Blue Cross Blue Shield Colorado | Medicare | $98.27 | ↓ -6% |
| Medica | Medicare Advantage | $98.27 | ↓ -6% |
| Assist Health Group | AHG Specialty Network | $117.92 | ↑ +13% |
| Anthem Blue Cross Blue Shield Colorado | Pathway Standard | $167.91 | ↑ +61% |
| United Healthcare | Colorado Navigate/Colorado Option | $183.86 | ↑ +76% |
| Denver Health Medical Plan | Commercial | $191.94 | ↑ +83% |
| Anthem Blue Cross Blue Shield Colorado | Pathway | $233.88 | ↑ +124% |
| Anthem Blue Cross Blue Shield Colorado | Blue Priority/HMO/PPO/Indemnity | $240.89 | ↑ +130% |
| Medica | Commercial | $264.06 | ↑ +152% |
| United Healthcare | Colorado Doctor's Plan | $270.40 | ↑ +158% |
| First Choice Health Network | Commercial | $285.30 | ↑ +173% |
| Apostrophe, Inc. | Commercial | $285.30 | ↑ +173% |
| Aetna | Commercial/Medical Rental | $294.81 | ↑ +182% |
| United Healthcare | Commercial | $300.52 | ↑ +187% |
| First Choice of the Midwest | Commercial | $301.15 | ↑ +188% |
| Rocky Mountain Health Plans | Private Plan/Self Insured Plan | $301.15 | ↑ +188% |
| Hue Health, Inc | Medicare Advantage | $301.15 | ↑ +188% |
| Multiplan | Commercial | $307.49 | ↑ +194% |
| Molina Healthcare | Medicaid/CHIP | not published by hospital | — |
Visitor-reported prices
Comments
Drug assay vedolizumab at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner North Colorado Medical Center - Loveland Campus | Loveland | $72.91 | $37.41 – $301.15 |
| AdventHealth Porter | Denver | $164.16 | $37.80 – $71.35 |
| AdventHealth Littleton | Littleton | $164.16 | $37.80 – $71.35 |
| AdventHealth Avista | Louisville | $164.16 | $37.80 – $71.35 |
| AdventHealth Castle Rock | Castle Rock | $164.16 | $37.80 – $71.35 |
| AdventHealth Parker | Parker | $164.16 | $37.80 – $71.35 |
| HCA HealthONE AURORA | Aurora | not published | $20.56 – $93.73 |
| CENTRAL PARK ER, A PART OF ROSE | DENVER | not published | $17.55 – $93.73 |