Colorado Disclaimers

Dear health care consumer:

This site has been created as a resource for potential decisions you may make regarding health care services provided by Banner Health facilities in Colorado.

The price information on this site primarily applies to patients who do not have insurance. As more people become insured we anticipate that this price information will not be as relevant.

The majority of uninsured patients that will use this pricing information will relate to the self-pay discounted prices that are part of Banner’s financial assistance program. This program is designed to provide uninsured patients rates similar to those who have insurance.

If you have questions, you can contact Banner Patient Financial Services at (480) 684-7409. Thank you.

This page lists disclaimer language for Colorado price disclosures.

Hospital - Inpatient

This site lists health care prices and approximate price or range of discounted uninsured self-pay prices for the most common inpatient and most common outpatient diagnoses/services provided by the specified Banner Health hospital. The price is the maximum price that a patient would pay for the standard treatments for the specified diagnoses/services regardless of insurance status, if paid directly by the patient or the patient’s employer. The price is based upon the upper end of the usual and customary charges that would be incurred for the treatments, excluding complications and exceptional treatments. 

The actual charges incurred will vary based on a variety of factors, such as severity of illness, selected medical devices, and length of stay. If the actual charges incurred for a patient’s care are less than the price, the patient will only be responsible to Banner Health for the actual charges. The price does not include the charges for care related to complications or exceptional treatment. The price also does not include fees charged by physicians working in the hospital, such as surgeons, radiologists, pathologists, hospitalists and anesthesiologists.

In most instances, Medicare, Medicaid and commercial insurers pay an amount that is substantially less than the price. Patients with insurance are encouraged to contact their insurance carrier to determine the specific amount that must be paid based on insurance plan coverage. Reduced self-pay package pricing is also available for certain services. Prompt pay discounts may also be available.

The site also lists the approximate price or range of discounted prices that would be charged to uninsured patients who qualify for Banner’s Basic Financial Assistance program for the listed inpatient and outpatient hospital diagnoses/services. These prices are based upon the average usual and customary charges typically incurred for the listed inpatient and outpatient diagnoses/services, discounted based upon the average of the amounts generally paid to the specific Banner hospital for such diagnoses/services by Medicare and commercial insurers. These are not guaranteed prices, and will vary among Banner hospitals and based upon the level of services actually provided to a specific eligible uninsured patient. Patients without insurance may contact Banner Patient Financial Services at (480) 684-7409 to determine their eligibility for financial assistance under the Banner Health policy for Financial Assistance Programs for Uninsured Hospital Patients. You may also view the policy and a plain language summary of the policy on our Financial Assistance Programs webpage.

Hospital - Outpatient

This site lists health care prices and approximate price or range of discounted uninsured self-pay prices for the most common inpatient and most common outpatient diagnoses/services provided by the specified Banner Health hospital. The price is the maximum price that a patient would pay for the standard treatments for the specified diagnoses/services regardless of insurance status, if paid directly by the patient or the patient’s employer. The price is based upon the upper end of the usual and customary charges that would be incurred for the treatments, excluding complications and exceptional treatments. 

The actual charges incurred will vary based on a variety of factors, such as severity of illness, selected medical devices, and length of stay. If the actual charges incurred for a patient’s care are less than the price, the patient will only be responsible to Banner Health for the actual charges. The price does not include the charges for care related to complications or exceptional treatment. The price also does not include fees charged by physicians working in the hospital, such as surgeons, radiologists, pathologists, hospitalists and anesthesiologists.

In most instances, Medicare, Medicaid and commercial insurers pay an amount that is substantially less than the price. Patients with insurance are encouraged to contact their insurance carrier to determine the specific amount that must be paid based on insurance plan coverage. Reduced self-pay package pricing is also available for certain services. Prompt pay discounts may also be available.

The site also lists the approximate price or range of discounted prices that would be charged to uninsured patients who qualify for Banner’s Basic Financial Assistance program for the listed inpatient and outpatient hospital diagnoses/services. These prices are based upon the average usual and customary charges typically incurred for the listed inpatient and outpatient diagnoses/services, discounted based upon the average of the amounts generally paid to the specific Banner hospital for such diagnoses/services by Medicare and commercial insurers. These are not guaranteed prices, and will vary among Banner hospitals and based upon the level of services actually provided to a specific eligible uninsured patient. Patients without insurance may contact Banner Patient Financial Services at (480) 684-7409 to determine their eligibility for financial assistance under the Banner Health policy for Financial Assistance Programs for Uninsured Hospital Patients. You may also view the policy and a plain language summary of the policy on our Financial Assistance Programs webpage.

Hospital - Emergency

If you have a life-threatening emergency, please dial 911.

This site has been created as a resource for potential decisions you may make regarding health care services provided by Banner Health facilities in Colorado. 

The pricing information on this site primarily applies to patients who do not have insurance and who will relate to the self-pay discounted prices that are part of Banner’s financial assistance program. The program is designed to provide uninsured patients rates similar to those who have insurance.

If you have questions, you can contact Banner Patient Financial Services at (480) 684-7409. 

Emergency departments are required by federal law to perform a medical screening exam on every patient that comes to us for care. Often the medical screening exam is needed to find whether the patient is having an “emergency condition.” For example a patient arriving in the Emergency department with a severe headache may simply have a headache or may be having a stroke. The screening exam to find what the condition is can be complex, costly and time consuming. The charges billed for that patient are not based on what the condition ultimately was. Instead, the charges are based on what exams were performed in the process of finding the medical condition.

Emergency department patients are charged different levels based on the severity of the visit from Level 1 to Level 5. A description of each level is included in the chart.

The levels do not include fees charged by physicians working in the hospital, such as surgeons, radiologists, pathologists, hospitalists and anesthesiologists.

In most instances, Medicare, Medicaid and commercial insurers pay an amount that is substantially less than the price. Patients with insurance are encouraged to contact their insurance carrier to determine the specific amount that must be paid based on insurance plan coverage. Reduced self-pay package pricing is also available for certain services. Prompt pay discounts may also be available.

Patients without insurance may contact Banner Patient Financial Services at (480) 684-7409 to determine their eligibility for financial assistance under the Banner Health policy for Financial Assistance Programs for Uninsured Hospital Patients. You may also view the policy and a plain language summary of the policy on our Financial Assistance Programs webpage.

Banner Health Centers & Clinics

This site lists the health care prices for the most common services provided by various physician specialties within Banner Medical Group. The price is the maximum price that a patient would pay for the standard treatments for the specified services regardless of insurance status, if paid directly by the patient or the patient’s employer. The price for a physician’s service will vary, depending upon whether the service is provided in a facility such as a hospital, outpatient hospital department, ambulatory surgery center or skilled nursing facility, or in a non-facility location, such as a physician clinic or patient’s home. The site lists separately the prices applicable to physician services provided at facility and non-facility locations.

The price does not include the charges for care related to complications or exceptional treatment. The price also does not include the amounts that may be charged by Banner Health hospitals or other facilities at which patients receive care from Banner Medical Group physicians.

In most instances, Medicare, Medicaid and commercial insurers pay an amount that is substantially less than the price. Patients with insurance are encouraged to contact their insurance carrier to determine the specific amount that must be paid based on insurance plan coverage. Reduced self-pay package pricing is available for certain services. Prompt pay discounts may also be available. Patients without any insurance may also qualify for discounts or other financial assistance under the Banner Medical Group Financial Assistance Policy. Uninsured patients may contact Banner Patient Financial Services at (480) 684-7409 for further information.

 

Ambulatory Surgery Centers

This site lists the prices and the discounted uninsured self-pay prices for the most common procedures provided by the specified Banner Surgery Center. The price is the maximum price that a patient would pay for the standard procedures performed regardless of insurance status, if paid directly by the patient or the patient’s employer. The price is based upon the current charge master pricing for the procedure. The price does not include any implants that may be required with the procedure nor does it include the charges for care related to complications or exceptional treatment. The price also does not include the fees charged by physicians working in the Surgery Center, such as surgeons, anesthesiologists, radiologists and pathologists.

In most instances, Medicare, Medicaid and commercial insurers pay an amount that is substantially less than the price. Patients with insurance are encouraged to contact their insurance carrier to determine the specific amount that must be paid based on insurance plan coverage. Reduced self-pay package pricing is available for certain services. Prompt pay discounts may also be available.

The site also lists the price that would be charged to uninsured patients.  These prices are determined based on the type of procedure(s) ordered by the surgeon, plus the cost of any implants if required. Patients without any insurance may contact Banner Surgery Centers at (970) 810-0067 to determine pricing for specific procedures at Mountain Vista Surgery Center and Skyline Surgery Center.