M.avium-intra dna amp prob at Sterling Regional Medical Center
615 Fairhurst Street, Sterling, CO · Banner Health · · NPI 1942238555
$116.10
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.
$270.00
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.
$35.09 with Clear Spring Health vs $261.90 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 | $35.09 | ↓ -70% |
| United Healthcare | UHC Medicare Advantage | $35.09 | ↓ -70% |
| Longevity | Medicare Advantage | $36.14 | ↓ -69% |
| Humana | Medicare Advantage | $37.20 | ↓ -68% |
| Devoted Health Services | Medicare Advantage | $38.60 | ↓ -67% |
| Pinnacol Assurance Workers Comp | Pinnacol Assurance WC | $55.02 | ↓ -53% |
| Aetna | Medicare Advantage | $75.33 | ↓ -35% |
| HealthSpring Life & Health Insurance Company, Inc. | Medicare Advantage | $83.70 | ↓ -28% |
| Medicare | Traditional Medicare | $83.70 | ↓ -28% |
| Banner Health | Banner Choice Plus/Banner Select | $83.70 | ↓ -28% |
| Anthem Blue Cross Blue Shield Colorado | Medicare | $83.70 | ↓ -28% |
| Medica | Medicare Advantage | $83.70 | ↓ -28% |
| Assist Health Group | AHG Specialty Network | $100.44 | ↓ -13% |
| Anthem Blue Cross Blue Shield Colorado | Pathway Standard | $143.02 | ↑ +23% |
| United Healthcare | Colorado Navigate/Colorado Option | $156.60 | ↑ +35% |
| Denver Health Medical Plan | Commercial | $163.49 | ↑ +41% |
| Anthem Blue Cross Blue Shield Colorado | Pathway | $199.21 | ↑ +72% |
| Anthem Blue Cross Blue Shield Colorado | Blue Priority/HMO/PPO/Indemnity | $205.17 | ↑ +77% |
| Medica | Commercial | $224.91 | ↑ +94% |
| United Healthcare | Colorado Doctor's Plan | $230.31 | ↑ +98% |
| First Choice Health Network | Commercial | $243.00 | ↑ +109% |
| Apostrophe, Inc. | Commercial | $243.00 | ↑ +109% |
| Aetna | Commercial/Medical Rental | $251.10 | ↑ +116% |
| United Healthcare | Commercial | $255.96 | ↑ +120% |
| First Choice of the Midwest | Commercial | $256.50 | ↑ +121% |
| Rocky Mountain Health Plans | Private Plan/Self Insured Plan | $256.50 | ↑ +121% |
| Hue Health, Inc | Medicare Advantage | $256.50 | ↑ +121% |
| Multiplan | Commercial | $261.90 | ↑ +126% |
| Molina Healthcare | Medicaid/CHIP | not published by hospital | — |
Visitor-reported prices
Comments
M.avium-intra dna amp prob at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Fort Collins Medical Center | Fort Collins | $39.15 | $34.04 – $256.50 |
| Banner North Colorado Medical Center - Loveland Campus | Loveland | $75.33 | $34.04 – $256.50 |
| East Morgan County Hospital | Brush | $180.36 | $113.78 – $261.90 |
| HCA HealthONE AURORA | Aurora | $572.84 | $18.70 – $85.27 |
| HCA HealthONE Rocky Mountain Children's at Presbyterian St. Luke's | Denver | $798.50 | $22.35 – $85.27 |
| AdventHealth Porter | Denver | not published | $34.39 – $64.92 |
| CENTRAL PARK ER, A PART OF ROSE | DENVER | not published | $15.97 – $85.27 |
| HCA HealthONE SKY RIDGE | Lone Tree | not published | $20.07 – $85.27 |