Nm imaging pulmonary ventilation/perfusion at Sterling Regional Medical Center
615 Fairhurst Street, Sterling, CO · Banner Health · · NPI 1942238555
$725.16
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.
?
What you pay up front if you don't use insurance.
$1,822.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$508.34 with Aetna vs $1,767.34 with Multiplan — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $508.34 | ↓ -30% |
| Clear Spring Health | Medicare Advantage | $540.95 | ↓ -25% |
| United Healthcare | UHC Medicare Advantage | $540.95 | ↓ -25% |
| Longevity | Medicare Advantage | $557.18 | ↓ -23% |
| Banner Health | Banner Choice Plus/Banner Select | $564.82 | ↓ -22% |
| Anthem Blue Cross Blue Shield Colorado | Medicare | $564.82 | ↓ -22% |
| HealthSpring Life & Health Insurance Company, Inc. | Medicare Advantage | $564.82 | ↓ -22% |
| Medicare | Traditional Medicare | $564.82 | ↓ -22% |
| Medica | Medicare Advantage | $564.82 | ↓ -22% |
| Humana | Medicare Advantage | $573.41 | ↓ -21% |
| Devoted Health Services | Medicare Advantage | $595.04 | ↓ -18% |
| Assist Health Group | AHG Specialty Network | $677.78 | ↓ -7% |
| Pinnacol Assurance Workers Comp | Pinnacol Assurance WC | $848.21 | ↑ +17% |
| Anthem Blue Cross Blue Shield Colorado | Pathway Standard | $965.11 | ↑ +33% |
| United Healthcare | Colorado Navigate/Colorado Option | $1,056.76 | ↑ +46% |
| Denver Health Medical Plan | Commercial | $1,103.22 | ↑ +52% |
| Anthem Blue Cross Blue Shield Colorado | Pathway | $1,344.27 | ↑ +85% |
| Anthem Blue Cross Blue Shield Colorado | Blue Priority/HMO/PPO/Indemnity | $1,384.54 | ↑ +91% |
| Medica | Commercial | $1,517.73 | ↑ +109% |
| United Healthcare | Colorado Doctor's Plan | $1,554.17 | ↑ +114% |
| Apostrophe, Inc. | Commercial | $1,639.80 | ↑ +126% |
| First Choice Health Network | Commercial | $1,639.80 | ↑ +126% |
| Aetna | Commercial/Medical Rental | $1,694.46 | ↑ +134% |
| United Healthcare | Commercial | $1,727.26 | ↑ +138% |
| First Choice of the Midwest | Commercial | $1,730.90 | ↑ +139% |
| Rocky Mountain Health Plans | Private Plan/Self Insured Plan | $1,730.90 | ↑ +139% |
| Hue Health, Inc | Medicare Advantage | $1,730.90 | ↑ +139% |
| Multiplan | Commercial | $1,767.34 | ↑ +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 pulmonary ventilation/perfusion at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Fort Collins Medical Center | Fort Collins | $1,684.60 | $524.72 – $2,936.45 |
| Banner North Colorado Medical Center - Loveland Campus | Loveland | $1,526.95 | $525.38 – $2,936.45 |
| East Morgan County Hospital | Brush | $1,056.76 | $45.51 – $104.76 |
| AdventHealth Porter | Denver | $5,549.56 | $455.91 – $1,059.62 |
| CENTRAL PARK ER, A PART OF ROSE | DENVER | $13,369.22 | $119.46 – $1,101.15 |
| HCA HealthONE Rocky Mountain Children's at Presbyterian St. Luke's | Denver | $7,944.00 | $119.46 – $1,499.63 |
| HCA HealthONE SKY RIDGE | Lone Tree | $14,415.00 | $119.46 – $1,265.79 |
| HCA HealthONE SOUTH PARKER ER, A PART OF SKY RIDGE | PARKER | $14,415.00 | $119.46 – $2,258.55 |