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Avul nail plate addl at Banner Casa Grande Medical Center
1800 East Florence Boulevard, Casa Grande, AZ · Banner Health · · NPI 1003232976
$60.75
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.
$135.00
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.
$27.00 with Aetna vs $101.25 with Provider Network of America — 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 | $27.00 | ↓ -56% |
| Aetna | Qualified Health Plan | $37.53 | ↓ -38% |
| Health Choice Arizona, Inc. | Medicare Advantage | $40.50 | ↓ -33% |
| Hospice of the Valley | Medicare | $47.25 | ↓ -22% |
| Aetna | Banner Employee Plans | $51.44 | ↓ -15% |
| Arizona Priority Care | Medicare Advantage | $54.00 | ↓ -11% |
| Aetna | Designated Group | $57.24 | ↓ -6% |
| United Healthcare | UHC Doctor's Plan | $58.99 | ↓ -3% |
| Plotkin Health | Plotkin Health | $60.75 | ↑ +0% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $60.75 | ↑ +0% |
| United Healthcare | UHC Core | $62.23 | ↑ +2% |
| Aetna | Joint Venture | $62.37 | ↑ +3% |
| United Healthcare | Commercial | $65.47 | ↑ +8% |
| Cigna Healthcare of Arizona, Inc. | Commerical/HMO Benefit Plan/Local Flex Plan/Network Benefit Plan/Open Access Plan | $66.69 | ↑ +10% |
| Aetna | Broad Network | $67.36 | ↑ +11% |
| Oscar Health Plan | Commercial | $67.50 | ↑ +11% |
| Health Net | Medicare | $67.50 | ↑ +11% |
| Health Choice Arizona, Inc. | ACA Health Plan | $67.50 | ↑ +11% |
| Arizona Physicians IPA | Medicaid | $68.99 | ↑ +14% |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $68.99 | ↑ +14% |
| Health Choice Arizona, Inc. | Medicaid | $68.99 | ↑ +14% |
| Health Net | Medicaid | $68.99 | ↑ +14% |
| Mercy Care | Mercy Medicaid | $68.99 | ↑ +14% |
| Aetna | Medical Rental | $71.14 | ↑ +17% |
| Health Net | Commerical Exchange Product | $72.90 | ↑ +20% |
| Quiktrip Corporation | Commercial | $72.90 | ↑ +20% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $74.78 | ↑ +23% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $79.77 | ↑ +31% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $83.76 | ↑ +38% |
| Arizona Medical Network | Commercial | $94.50 | ↑ +56% |
| Blue Cross Blue Shield of Arizona | Commercial | $99.71 | ↑ +64% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $99.71 | ↑ +64% |
| Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Preferred | $99.71 | ↑ +64% |
| Provider Network of America | Commercial | $101.25 | ↑ +67% |
Visitor-reported prices
Comments
Avul nail plate addl at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner University Medical Center Phoenix | Phoenix | $69.93 | $27.00 – $101.25 |
| Banner Baywood Medical Center | Mesa | $51.84 | $27.00 – $127.70 |
| Banner Boswell Medical Center | Sun City | $32.56 | $27.00 – $108.00 |
| Banner Payson Medical Center | Payson | $20.56 | $14.65 – $32.40 |
| Banner University Medical Center Tucson | Tucson | not published | $68.99 – $108.94 |
| Banner Desert Medical Center | Mesa | not published | $68.99 – $127.70 |
| Banner Estrella Medical Center | Phoenix | not published | $68.99 – $127.70 |
| Banner Gateway Medical Center | Gilbert | not published | $68.99 – $127.70 |