Quant diff pulm perf w/imaging at Sterling Regional Medical Center
615 Fairhurst Street, Sterling, CO · Banner Health · · NPI 1942238555
$378.10
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.
$950.00
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.
$265.05 with Aetna vs $921.50 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 | $265.05 | ↓ -30% |
| Anthem Blue Cross Blue Shield Colorado | Medicare | $294.50 | ↓ -22% |
| Banner Health | Banner Choice Plus/Banner Select | $294.50 | ↓ -22% |
| HealthSpring Life & Health Insurance Company, Inc. | Medicare Advantage | $294.50 | ↓ -22% |
| Medicare | Traditional Medicare | $294.50 | ↓ -22% |
| Medica | Medicare Advantage | $294.50 | ↓ -22% |
| Assist Health Group | AHG Specialty Network | $353.40 | ↓ -7% |
| United Healthcare | UHC Medicare Advantage | $403.83 | ↑ +7% |
| Clear Spring Health | Medicare Advantage | $403.83 | ↑ +7% |
| Longevity | Medicare Advantage | $415.94 | ↑ +10% |
| Humana | Medicare Advantage | $428.06 | ↑ +13% |
| Devoted Health Services | Medicare Advantage | $444.21 | ↑ +17% |
| Pinnacol Assurance Workers Comp | Pinnacol Assurance WC | $461.80 | ↑ +22% |
| Anthem Blue Cross Blue Shield Colorado | Pathway Standard | $503.21 | ↑ +33% |
| United Healthcare | Colorado Navigate/Colorado Option | $551.00 | ↑ +46% |
| Denver Health Medical Plan | Commercial | $575.23 | ↑ +52% |
| Anthem Blue Cross Blue Shield Colorado | Pathway | $700.91 | ↑ +85% |
| Anthem Blue Cross Blue Shield Colorado | Blue Priority/HMO/PPO/Indemnity | $721.90 | ↑ +91% |
| Medica | Commercial | $791.35 | ↑ +109% |
| United Healthcare | Colorado Doctor's Plan | $810.35 | ↑ +114% |
| Apostrophe, Inc. | Commercial | $855.00 | ↑ +126% |
| First Choice Health Network | Commercial | $855.00 | ↑ +126% |
| Aetna | Commercial/Medical Rental | $883.50 | ↑ +134% |
| United Healthcare | Commercial | $900.60 | ↑ +138% |
| First Choice of the Midwest | Commercial | $902.50 | ↑ +139% |
| Rocky Mountain Health Plans | Private Plan/Self Insured Plan | $902.50 | ↑ +139% |
| Hue Health, Inc | Medicare Advantage | $902.50 | ↑ +139% |
| Multiplan | Commercial | $921.50 | ↑ +144% |
| Molina Healthcare | Medicaid/CHIP | not published by hospital | — |
| TriWest Healthcare Alliance Corp - VA CCN | Tricare | not published by hospital | — |
Visitor-reported prices
Comments
Quant diff pulm perf w/imaging at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Fort Collins Medical Center | Fort Collins | $963.56 | $391.72 – $1,679.60 |
| Banner North Colorado Medical Center - Loveland Campus | Loveland | $873.39 | $392.21 – $1,679.60 |
| East Morgan County Hospital | Brush | $551.00 | $30.76 – $70.81 |
| AdventHealth Porter | Denver | $3,879.26 | $272.72 – $780.17 |
| HCA HealthONE AURORA | Aurora | $1,325.77 | $81.72 – $904.69 |
| CENTRAL PARK ER, A PART OF ROSE | DENVER | $2,433.31 | $81.72 – $848.52 |
| HCA HealthONE Rocky Mountain Children's at Presbyterian St. Luke's | Denver | $11,731.00 | $81.72 – $1,155.34 |
| HCA HealthONE SKY RIDGE | Lone Tree | $8,802.50 | $81.72 – $975.18 |