Radphm lcl tmr spect/ct 2+ areas/2+ days at Sterling Regional Medical Center
615 Fairhurst Street, Sterling, CO · Banner Health · · NPI 1942238555
$653.12
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.
$1,641.00
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.
$457.84 with Aetna vs $1,591.77 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 | $457.84 | ↓ -30% |
| Anthem Blue Cross Blue Shield Colorado | Medicare | $508.71 | ↓ -22% |
| Medica | Medicare Advantage | $508.71 | ↓ -22% |
| Banner Health | Banner Choice Plus/Banner Select | $508.71 | ↓ -22% |
| Medicare | Traditional Medicare | $508.71 | ↓ -22% |
| HealthSpring Life & Health Insurance Company, Inc. | Medicare Advantage | $508.71 | ↓ -22% |
| Assist Health Group | AHG Specialty Network | $610.45 | ↓ -7% |
| Pinnacol Assurance Workers Comp | Pinnacol Assurance WC | $797.69 | ↑ +22% |
| Anthem Blue Cross Blue Shield Colorado | Pathway Standard | $869.24 | ↑ +33% |
| United Healthcare | Colorado Navigate/Colorado Option | $951.78 | ↑ +46% |
| Denver Health Medical Plan | Commercial | $993.63 | ↑ +52% |
| Anthem Blue Cross Blue Shield Colorado | Pathway | $1,210.73 | ↑ +85% |
| Anthem Blue Cross Blue Shield Colorado | Blue Priority/HMO/PPO/Indemnity | $1,247.00 | ↑ +91% |
| Clear Spring Health | Medicare Advantage | $1,311.98 | ↑ +101% |
| United Healthcare | UHC Medicare Advantage | $1,311.98 | ↑ +101% |
| Longevity | Medicare Advantage | $1,351.34 | ↑ +107% |
| Medica | Commercial | $1,366.95 | ↑ +109% |
| Humana | Medicare Advantage | $1,390.70 | ↑ +113% |
| United Healthcare | Colorado Doctor's Plan | $1,399.77 | ↑ +114% |
| Devoted Health Services | Medicare Advantage | $1,443.18 | ↑ +121% |
| Apostrophe, Inc. | Commercial | $1,476.90 | ↑ +126% |
| First Choice Health Network | Commercial | $1,476.90 | ↑ +126% |
| Aetna | Commercial/Medical Rental | $1,526.13 | ↑ +134% |
| United Healthcare | Commercial | $1,555.67 | ↑ +138% |
| Hue Health, Inc | Medicare Advantage | $1,558.95 | ↑ +139% |
| Rocky Mountain Health Plans | Private Plan/Self Insured Plan | $1,558.95 | ↑ +139% |
| First Choice of the Midwest | Commercial | $1,558.95 | ↑ +139% |
| Multiplan | Commercial | $1,591.77 | ↑ +144% |
| TriWest Healthcare Alliance Corp - VA CCN | Tricare | not published by hospital | — |
| Molina Healthcare | Medicaid/CHIP | not published by hospital | — |
Visitor-reported prices
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Radphm lcl tmr spect/ct 2+ areas/2+ days at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Fort Collins Medical Center | Fort Collins | $2,065.00 | $1,272.62 – $3,599.55 |
| Banner North Colorado Medical Center - Loveland Campus | Loveland | $1,871.77 | $973.77 – $3,599.55 |
| CENTRAL PARK ER, A PART OF ROSE | DENVER | $16,732.44 | $199.67 – $2,938.37 |
| HCA HealthONE Rocky Mountain Children's at Presbyterian St. Luke's | Denver | $7,006.75 | $199.67 – $3,945.30 |
| HCA HealthONE SKY RIDGE | Lone Tree | $7,460.50 | $199.67 – $3,330.10 |
| HCA HealthONE SOUTH PARKER ER, A PART OF SKY RIDGE | PARKER | $7,460.50 | $199.67 – $3,330.10 |
| HCA HealthONE MOUNTAIN RIDGE | Thornton | $12,697.20 | $199.67 – $2,938.37 |
| HCA HealthONE PRESBYTERIAN ST. LUKE'S REHABILITATION, A PART OF SPALDING REHABILITATION | Denver | $3,816.15 | $2,184.98 – $2,938.37 |