Tc-99m mertiatide at Sterling Regional Medical Center
615 Fairhurst Street, Sterling, CO · Banner Health · · NPI 1942238555
$147.07
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.
$384.00
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.
$107.14 with Aetna vs $372.48 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 | $107.14 | ↓ -27% |
| Anthem Blue Cross Blue Shield Colorado | Medicare | $119.04 | ↓ -19% |
| Medica | Medicare Advantage | $119.04 | ↓ -19% |
| Banner Health | Banner Choice Plus/Banner Select | $119.04 | ↓ -19% |
| Medicare | Traditional Medicare | $119.04 | ↓ -19% |
| HealthSpring Life & Health Insurance Company, Inc. | Medicare Advantage | $119.04 | ↓ -19% |
| Assist Health Group | AHG Specialty Network | $142.85 | ↓ -3% |
| Pinnacol Assurance Workers Comp | Pinnacol Assurance WC | $186.66 | ↑ +27% |
| Anthem Blue Cross Blue Shield Colorado | Pathway Standard | $203.40 | ↑ +38% |
| Denver Health Medical Plan | Commercial | $232.51 | ↑ +58% |
| Anthem Blue Cross Blue Shield Colorado | Pathway | $283.32 | ↑ +93% |
| Anthem Blue Cross Blue Shield Colorado | Blue Priority/HMO/PPO/Indemnity | $291.80 | ↑ +98% |
| Medica | Commercial | $319.87 | ↑ +117% |
| United Healthcare | Colorado Navigate/Colorado Option | $320.64 | ↑ +118% |
| United Healthcare | Colorado Doctor's Plan | $327.55 | ↑ +123% |
| First Choice Health Network | Commercial | $345.60 | ↑ +135% |
| Apostrophe, Inc. | Commercial | $345.60 | ↑ +135% |
| Aetna | Commercial/Medical Rental | $357.12 | ↑ +143% |
| United Healthcare | Commercial | $364.03 | ↑ +148% |
| First Choice of the Midwest | Commercial | $364.80 | ↑ +148% |
| Hue Health, Inc | Medicare Advantage | $364.80 | ↑ +148% |
| Rocky Mountain Health Plans | Private Plan/Self Insured Plan | $364.80 | ↑ +148% |
| Multiplan | Commercial | $372.48 | ↑ +153% |
| Molina Healthcare | Medicaid/CHIP | not published by hospital | — |
Visitor-reported prices
Comments
Tc-99m mertiatide at other Colorado hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Fort Collins Medical Center | Fort Collins | $334.96 | $253.38 – $587.10 |
| Banner North Colorado Medical Center - Loveland Campus | Loveland | $310.74 | $159.08 – $588.05 |
| East Morgan County Hospital | Brush | $219.85 | $156.76 – $360.84 |
| CENTRAL PARK ER, A PART OF ROSE | DENVER | $3,700.42 | $1,308.90 – $2,379.81 |
| HCA HealthONE Rocky Mountain Children's at Presbyterian St. Luke's | Denver | $1,951.75 | $1,308.90 – $1,308.90 |
| HCA HealthONE SKY RIDGE | Lone Tree | $2,635.00 | $1,308.90 – $2,379.81 |
| HCA HealthONE SOUTH PARKER ER, A PART OF SKY RIDGE | PARKER | $3,859.00 | $1,308.90 – $2,379.81 |
| HCA HealthONE MOUNTAIN RIDGE | Thornton | $314.69 | $1,308.90 – $2,379.81 |