Lipoprotein blood quant at Sterling Regional Medical Center
615 Fairhurst Street, Sterling, CO · Banner Health · · NPI 1942238555
$33.99
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.
$103.00
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.
$28.74 with Aetna vs $99.91 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 | $28.74 | ↓ -15% |
| Medicare | Traditional Medicare | $31.93 | ↓ -6% |
| HealthSpring Life & Health Insurance Company, Inc. | Medicare Advantage | $31.93 | ↓ -6% |
| Anthem Blue Cross Blue Shield Colorado | Medicare | $31.93 | ↓ -6% |
| Banner Health | Banner Choice Plus/Banner Select | $31.93 | ↓ -6% |
| Medica | Medicare Advantage | $31.93 | ↓ -6% |
| Clear Spring Health | Medicare Advantage | $34.19 | ↑ +1% |
| United Healthcare | UHC Medicare Advantage | $34.19 | ↑ +1% |
| Longevity | Medicare Advantage | $35.22 | ↑ +4% |
| Humana | Medicare Advantage | $36.24 | ↑ +7% |
| Devoted Health Services | Medicare Advantage | $37.61 | ↑ +11% |
| Assist Health Group | AHG Specialty Network | $38.32 | ↑ +13% |
| Pinnacol Assurance Workers Comp | Pinnacol Assurance WC | $50.07 | ↑ +47% |
| Anthem Blue Cross Blue Shield Colorado | Pathway Standard | $54.56 | ↑ +61% |
| United Healthcare | Colorado Navigate/Colorado Option | $59.74 | ↑ +76% |
| Denver Health Medical Plan | Commercial | $62.37 | ↑ +83% |
| Anthem Blue Cross Blue Shield Colorado | Pathway | $75.99 | ↑ +124% |
| Anthem Blue Cross Blue Shield Colorado | Blue Priority/HMO/PPO/Indemnity | $78.27 | ↑ +130% |
| Medica | Commercial | $85.80 | ↑ +152% |
| United Healthcare | Colorado Doctor's Plan | $87.86 | ↑ +158% |
| First Choice Health Network | Commercial | $92.70 | ↑ +173% |
| Apostrophe, Inc. | Commercial | $92.70 | ↑ +173% |
| Aetna | Commercial/Medical Rental | $95.79 | ↑ +182% |
| United Healthcare | Commercial | $97.64 | ↑ +187% |
| First Choice of the Midwest | Commercial | $97.85 | ↑ +188% |
| Rocky Mountain Health Plans | Private Plan/Self Insured Plan | $97.85 | ↑ +188% |
| Hue Health, Inc | Medicare Advantage | $97.85 | ↑ +188% |
| Multiplan | Commercial | $99.91 | ↑ +194% |
| Molina Healthcare | Medicaid/CHIP | not published by hospital | — |
Visitor-reported prices
Comments
Lipoprotein blood quant at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Fort Collins Medical Center | Fort Collins | $23.38 | $33.16 – $97.85 |
| Banner North Colorado Medical Center - Loveland Campus | Loveland | $23.69 | $26.47 – $97.85 |
| East Morgan County Hospital | Brush | $63.45 | $43.40 – $99.91 |
| AdventHealth Porter | Denver | $511.62 | $33.51 – $63.25 |
| CENTRAL PARK ER, A PART OF ROSE | DENVER | $340.00 | $15.55 – $83.08 |
| HCA HealthONE SKY RIDGE | Lone Tree | $333.10 | $19.55 – $83.08 |
| HCA HealthONE SOUTH PARKER ER, A PART OF SKY RIDGE | PARKER | $333.10 | $19.55 – $83.08 |
| HCA HealthONE MOUNTAIN RIDGE | Thornton | $420.66 | $16.22 – $83.08 |