Nm imaging bone/joint 3 phase study at Sterling Regional Medical Center
615 Fairhurst Street, Sterling, CO · Banner Health · · NPI 1942238555
$1,103.65
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.
$2,773.00
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.
$403.83 with Clear Spring Health vs $2,689.81 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 | $403.83 | ↓ -63% |
| United Healthcare | UHC Medicare Advantage | $403.83 | ↓ -63% |
| Longevity | Medicare Advantage | $415.94 | ↓ -62% |
| Humana | Medicare Advantage | $428.06 | ↓ -61% |
| Devoted Health Services | Medicare Advantage | $444.21 | ↓ -60% |
| Pinnacol Assurance Workers Comp | Pinnacol Assurance WC | $633.21 | ↓ -43% |
| Aetna | Medicare Advantage | $773.67 | ↓ -30% |
| Banner Health | Banner Choice Plus/Banner Select | $859.63 | ↓ -22% |
| Anthem Blue Cross Blue Shield Colorado | Medicare | $859.63 | ↓ -22% |
| HealthSpring Life & Health Insurance Company, Inc. | Medicare Advantage | $859.63 | ↓ -22% |
| Medicare | Traditional Medicare | $859.63 | ↓ -22% |
| Medica | Medicare Advantage | $859.63 | ↓ -22% |
| Assist Health Group | AHG Specialty Network | $1,031.56 | ↓ -7% |
| Anthem Blue Cross Blue Shield Colorado | Pathway Standard | $1,468.86 | ↑ +33% |
| United Healthcare | Colorado Navigate/Colorado Option | $1,608.34 | ↑ +46% |
| Denver Health Medical Plan | Commercial | $1,679.05 | ↑ +52% |
| Anthem Blue Cross Blue Shield Colorado | Pathway | $1,887.72 | ↑ +71% |
| Anthem Blue Cross Blue Shield Colorado | Blue Priority/HMO/PPO/Indemnity | $1,887.72 | ↑ +71% |
| Medica | Commercial | $2,309.91 | ↑ +109% |
| United Healthcare | Colorado Doctor's Plan | $2,365.37 | ↑ +114% |
| Apostrophe, Inc. | Commercial | $2,495.70 | ↑ +126% |
| First Choice Health Network | Commercial | $2,495.70 | ↑ +126% |
| Aetna | Commercial/Medical Rental | $2,578.89 | ↑ +134% |
| United Healthcare | Commercial | $2,628.80 | ↑ +138% |
| First Choice of the Midwest | Commercial | $2,634.35 | ↑ +139% |
| Rocky Mountain Health Plans | Private Plan/Self Insured Plan | $2,634.35 | ↑ +139% |
| Hue Health, Inc | Medicare Advantage | $2,634.35 | ↑ +139% |
| Multiplan | Commercial | $2,689.81 | ↑ +144% |
| Molina Healthcare | Medicaid/CHIP | not published by hospital | — |
| TriWest Healthcare Alliance Corp - VA CCN | Tricare | not published by hospital | — |
Visitor-reported prices
Comments
Nm imaging bone/joint 3 phase study at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Fort Collins Medical Center | Fort Collins | $1,663.89 | $391.72 – $2,900.35 |
| Banner North Colorado Medical Center - Loveland Campus | Loveland | $1,508.18 | $392.21 – $2,900.35 |
| East Morgan County Hospital | Brush | $1,608.34 | $43.83 – $100.88 |
| AdventHealth Porter | Denver | $5,650.46 | $413.28 – $780.17 |
| CENTRAL PARK ER, A PART OF ROSE | DENVER | $8,366.23 | $113.85 – $848.52 |
| HCA HealthONE Rocky Mountain Children's at Presbyterian St. Luke's | Denver | $8,198.75 | $113.85 – $1,155.34 |
| HCA HealthONE SKY RIDGE | Lone Tree | $13,489.50 | $113.85 – $975.18 |
| HCA HealthONE SOUTH PARKER ER, A PART OF SKY RIDGE | PARKER | $13,489.50 | $113.85 – $2,155.38 |