Pet image w/ct lmtd at Sterling Regional Medical Center
615 Fairhurst Street, Sterling, CO · Banner Health · · NPI 1942238555
$1,867.44
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.
$5,020.00
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.
$1,400.58 with Aetna vs $4,869.40 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 | $1,400.58 | ↓ -25% |
| United Healthcare | UHC Medicare Advantage | $1,465.85 | ↓ -22% |
| Clear Spring Health | Medicare Advantage | $1,465.85 | ↓ -22% |
| Longevity | Medicare Advantage | $1,509.83 | ↓ -19% |
| Humana | Medicare Advantage | $1,553.80 | ↓ -17% |
| Banner Health | Banner Choice Plus/Banner Select | $1,556.20 | ↓ -17% |
| Anthem Blue Cross Blue Shield Colorado | Medicare | $1,556.20 | ↓ -17% |
| HealthSpring Life & Health Insurance Company, Inc. | Medicare Advantage | $1,556.20 | ↓ -17% |
| Medicare | Traditional Medicare | $1,556.20 | ↓ -17% |
| Medica | Medicare Advantage | $1,556.20 | ↓ -17% |
| Devoted Health Services | Medicare Advantage | $1,612.43 | ↓ -14% |
| Assist Health Group | AHG Specialty Network | $1,867.44 | ↑ +0% |
| Pinnacol Assurance Workers Comp | Pinnacol Assurance WC | $2,298.45 | ↑ +23% |
| Anthem Blue Cross Blue Shield Colorado | Pathway Standard | $2,659.09 | ↑ +42% |
| United Healthcare | Colorado Navigate/Colorado Option | $2,911.60 | ↑ +56% |
| Denver Health Medical Plan | Commercial | $3,039.61 | ↑ +63% |
| Anthem Blue Cross Blue Shield Colorado | Pathway | $3,703.76 | ↑ +98% |
| Anthem Blue Cross Blue Shield Colorado | Blue Priority/HMO/PPO/Indemnity | $3,814.70 | ↑ +104% |
| Medica | Commercial | $4,181.66 | ↑ +124% |
| United Healthcare | Colorado Doctor's Plan | $4,282.06 | ↑ +129% |
| Apostrophe, Inc. | Commercial | $4,518.00 | ↑ +142% |
| First Choice Health Network | Commercial | $4,518.00 | ↑ +142% |
| Aetna | Commercial/Medical Rental | $4,668.60 | ↑ +150% |
| United Healthcare | Commercial | $4,758.96 | ↑ +155% |
| First Choice of the Midwest | Commercial | $4,769.00 | ↑ +155% |
| Rocky Mountain Health Plans | Private Plan/Self Insured Plan | $4,769.00 | ↑ +155% |
| Hue Health, Inc | Medicare Advantage | $4,769.00 | ↑ +155% |
| Multiplan | Commercial | $4,869.40 | ↑ +161% |
| Molina Healthcare | Medicaid/CHIP | not published by hospital | — |
| TriWest Healthcare Alliance Corp - VA CCN | Tricare | not published by hospital | — |
Visitor-reported prices
Comments
Pet image w/ct lmtd at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner North Colorado Medical Center - Loveland Campus | Loveland | $2,131.24 | $1,356.70 – $5,015.05 |
| AdventHealth Porter | Denver | $10,907.30 | $178.05 – $2,790.59 |
| AdventHealth Littleton | Littleton | $10,907.30 | $178.05 – $2,790.59 |
| AdventHealth Avista | Louisville | $10,907.30 | $178.05 – $2,821.57 |
| AdventHealth Castle Rock | Castle Rock | $10,907.30 | $178.05 – $2,790.59 |
| AdventHealth Parker | Parker | $10,907.30 | $178.05 – $2,790.59 |
| HCA HealthONE AURORA | Aurora | not published | $243.15 – $3,330.77 |
| CENTRAL PARK ER, A PART OF ROSE | DENVER | not published | $243.15 – $3,330.77 |