Target gsa panel hmtlmph neop at Sterling Regional Medical Center
615 Fairhurst Street, Sterling, CO · Banner Health · · NPI 1942238555
$737.66
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.
$2,395.00
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.
$635.84 with Aetna vs $2,210.63 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 | $635.84 | ↓ -14% |
| Medicare | Traditional Medicare | $706.49 | ↓ -4% |
| HealthSpring Life & Health Insurance Company, Inc. | Medicare Advantage | $706.49 | ↓ -4% |
| Anthem Blue Cross Blue Shield Colorado | Medicare | $706.49 | ↓ -4% |
| Banner Health | Banner Choice Plus/Banner Select | $706.49 | ↓ -4% |
| Medica | Medicare Advantage | $706.49 | ↓ -4% |
| Clear Spring Health | Medicare Advantage | $759.53 | ↑ +3% |
| United Healthcare | UHC Medicare Advantage | $759.53 | ↑ +3% |
| Longevity | Medicare Advantage | $782.32 | ↑ +6% |
| Humana | Medicare Advantage | $805.10 | ↑ +9% |
| Devoted Health Services | Medicare Advantage | $835.48 | ↑ +13% |
| Assist Health Group | AHG Specialty Network | $847.79 | ↑ +15% |
| Pinnacol Assurance Workers Comp | Pinnacol Assurance WC | $1,107.82 | ↑ +50% |
| Anthem Blue Cross Blue Shield Colorado | Pathway Standard | $1,207.19 | ↑ +64% |
| United Healthcare | Colorado Navigate/Colorado Option | $1,321.82 | ↑ +79% |
| Denver Health Medical Plan | Commercial | $1,379.93 | ↑ +87% |
| Anthem Blue Cross Blue Shield Colorado | Pathway | $1,681.45 | ↑ +128% |
| Anthem Blue Cross Blue Shield Colorado | Blue Priority/HMO/PPO/Indemnity | $1,731.81 | ↑ +135% |
| Medica | Commercial | $1,898.41 | ↑ +157% |
| United Healthcare | Colorado Doctor's Plan | $1,943.99 | ↑ +164% |
| First Choice Health Network | Commercial | $2,051.10 | ↑ +178% |
| Apostrophe, Inc. | Commercial | $2,051.10 | ↑ +178% |
| Aetna | Commercial/Medical Rental | $2,119.47 | ↑ +187% |
| United Healthcare | Commercial | $2,160.49 | ↑ +193% |
| First Choice of the Midwest | Commercial | $2,165.05 | ↑ +194% |
| Rocky Mountain Health Plans | Private Plan/Self Insured Plan | $2,165.05 | ↑ +194% |
| Hue Health, Inc | Medicare Advantage | $2,165.05 | ↑ +194% |
| Multiplan | Commercial | $2,210.63 | ↑ +200% |
| Molina Healthcare | Medicaid/CHIP | not published by hospital | — |
Visitor-reported prices
Comments
Target gsa panel hmtlmph neop at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Fort Collins Medical Center | Fort Collins | $332.91 | $736.74 – $2,165.05 |
| Banner North Colorado Medical Center - Loveland Campus | Loveland | $1,034.64 | $585.70 – $2,165.05 |
| East Morgan County Hospital | Brush | $1,513.64 | $960.37 – $2,210.63 |
| AdventHealth Porter | Denver | $1,981.27 | $744.34 – $1,405.13 |
| HCA HealthONE AURORA | Aurora | $17,536.21 | $404.83 – $1,845.66 |
| HCA HealthONE Rocky Mountain Children's at Presbyterian St. Luke's | Denver | $16,065.75 | $483.82 – $1,845.66 |
| HCA HealthONE SKY RIDGE | Lone Tree | $10,815.28 | $434.45 – $1,845.66 |
| HCA HealthONE SOUTH PARKER ER, A PART OF SKY RIDGE | PARKER | $10,815.28 | $109.54 – $1,845.66 |