Electrd sq emblem s-icd at Sterling Regional Medical Center
615 Fairhurst Street, Sterling, CO · Banner Health · · NPI 1942238555
$5,396.28
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.
$11,580.00
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.
$1,939.05 with Aetna vs $6,741.50 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 | $1,939.05 | ↓ -64% |
| Medicare | Traditional Medicare | $2,154.50 | ↓ -60% |
| Anthem Blue Cross Blue Shield Colorado | Medicare | $2,154.50 | ↓ -60% |
| Banner Health | Banner Choice Plus/Banner Select | $2,154.50 | ↓ -60% |
| HealthSpring Life & Health Insurance Company, Inc. | Medicare Advantage | $2,154.50 | ↓ -60% |
| Medica | Medicare Advantage | $2,154.50 | ↓ -60% |
| Assist Health Group | AHG Specialty Network | $2,585.40 | ↓ -52% |
| Pinnacol Assurance Workers Comp | Pinnacol Assurance WC | $3,378.39 | ↓ -37% |
| Anthem Blue Cross Blue Shield Colorado | Pathway Standard | $3,681.41 | ↓ -32% |
| United Healthcare | Colorado Navigate/Colorado Option | $4,031.00 | ↓ -25% |
| Denver Health Medical Plan | Commercial | $4,208.23 | ↓ -22% |
| Anthem Blue Cross Blue Shield Colorado | Pathway | $5,127.71 | ↓ -5% |
| Anthem Blue Cross Blue Shield Colorado | Blue Priority/HMO/PPO/Indemnity | $5,281.31 | ↓ -2% |
| Medica | Commercial | $5,789.35 | ↑ +7% |
| United Healthcare | Colorado Doctor's Plan | $5,928.35 | ↑ +10% |
| First Choice Health Network | Commercial | $6,255.00 | ↑ +16% |
| Apostrophe, Inc. | Commercial | $6,255.00 | ↑ +16% |
| Aetna | Commercial/Medical Rental | $6,463.50 | ↑ +20% |
| United Healthcare | Commercial | $6,588.60 | ↑ +22% |
| Rocky Mountain Health Plans | Private Plan/Self Insured Plan | $6,602.50 | ↑ +22% |
| Hue Health, Inc | Medicare Advantage | $6,602.50 | ↑ +22% |
| First Choice of the Midwest | Commercial | $6,602.50 | ↑ +22% |
| Multiplan | Commercial | $6,741.50 | ↑ +25% |
| Molina Healthcare | Medicaid/CHIP | not published by hospital | — |
Visitor-reported prices
Comments
Electrd sq emblem s-icd at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Fort Collins Medical Center | Fort Collins | $7,944.74 | $2,849.50 – $6,602.50 |
| Banner North Colorado Medical Center - Loveland Campus | Loveland | $8,938.87 | $692.62 – $2,560.25 |
| East Morgan County Hospital | Brush | $6,195.30 | $1,135.67 – $2,614.15 |