Dup scan/ue art/graft/bilat/comp 93930 at Sterling Regional Medical Center
615 Fairhurst Street, Sterling, CO · Banner Health · · NPI 1942238555
$485.73
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.
$1,285.00
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.
$242.92 with Clear Spring Health vs $1,246.45 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 |
|---|---|---|---|
| Clear Spring Health | Medicare Advantage | $242.92 | ↓ -50% |
| United Healthcare | UHC Medicare Advantage | $242.92 | ↓ -50% |
| Longevity | Medicare Advantage | $250.21 | ↓ -48% |
| Humana | Medicare Advantage | $257.50 | ↓ -47% |
| Devoted Health Services | Medicare Advantage | $267.21 | ↓ -45% |
| Aetna | Medicare Advantage | $358.51 | ↓ -26% |
| Pinnacol Assurance Workers Comp | Pinnacol Assurance WC | $380.90 | ↓ -22% |
| Banner Health | Banner Choice Plus/Banner Select | $398.35 | ↓ -18% |
| Anthem Blue Cross Blue Shield Colorado | Medicare | $398.35 | ↓ -18% |
| HealthSpring Life & Health Insurance Company, Inc. | Medicare Advantage | $398.35 | ↓ -18% |
| Medicare | Traditional Medicare | $398.35 | ↓ -18% |
| Medica | Medicare Advantage | $398.35 | ↓ -18% |
| Assist Health Group | AHG Specialty Network | $478.02 | ↓ -2% |
| Anthem Blue Cross Blue Shield Colorado | Pathway Standard | $680.66 | ↑ +40% |
| United Healthcare | Colorado Navigate/Colorado Option | $745.30 | ↑ +53% |
| Denver Health Medical Plan | Commercial | $778.07 | ↑ +60% |
| Anthem Blue Cross Blue Shield Colorado | Pathway | $948.07 | ↑ +95% |
| Anthem Blue Cross Blue Shield Colorado | Blue Priority/HMO/PPO/Indemnity | $976.47 | ↑ +101% |
| Medica | Commercial | $1,070.40 | ↑ +120% |
| United Healthcare | Colorado Doctor's Plan | $1,096.11 | ↑ +126% |
| Apostrophe, Inc. | Commercial | $1,156.50 | ↑ +138% |
| First Choice Health Network | Commercial | $1,156.50 | ↑ +138% |
| Aetna | Commercial/Medical Rental | $1,195.05 | ↑ +146% |
| United Healthcare | Commercial | $1,218.18 | ↑ +151% |
| First Choice of the Midwest | Commercial | $1,220.75 | ↑ +151% |
| Rocky Mountain Health Plans | Private Plan/Self Insured Plan | $1,220.75 | ↑ +151% |
| Hue Health, Inc | Medicare Advantage | $1,220.75 | ↑ +151% |
| Multiplan | Commercial | $1,246.45 | ↑ +157% |
| Molina Healthcare | Medicaid/CHIP | not published by hospital | — |
| TriWest Healthcare Alliance Corp - VA CCN | Tricare | not published by hospital | — |
Visitor-reported prices
Comments
Dup scan/ue art/graft/bilat/comp 93930 at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Fort Collins Medical Center | Fort Collins | $318.30 | $235.63 – $881.60 |
| Banner North Colorado Medical Center - Loveland Campus | Loveland | $289.54 | $235.93 – $881.60 |
| East Morgan County Hospital | Brush | $768.43 | $34.98 – $80.51 |
| AdventHealth Porter | Denver | $432.98 | $246.66 – $465.64 |
| HCA HealthONE Rocky Mountain Children's at Presbyterian St. Luke's | Denver | $3,272.00 | $377.05 – $694.14 |
| HCA HealthONE SOUTH PARKER ER, A PART OF SKY RIDGE | PARKER | $4,524.00 | $178.60 – $585.90 |
| HCA HealthONE PRESBYTERIAN ST. LUKE'S REHABILITATION, A PART OF SPALDING REHABILITATION | Denver | $2,993.75 | $377.05 – $392.93 |
| AdventHealth Littleton | Littleton | $432.98 | $246.66 – $465.64 |