Biopsy abdominal mass at Banner Ocotillo Medical Center
1405 S Alma School Rd, Chandler, AZ · Banner Health · · NPI 1972139004
$996.26
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.
$2,209.00
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.
$773.15 with Hospice of the Valley vs $5,506.00 with Aetna — 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 |
|---|---|---|---|
| Hospice of the Valley | Medicare | $773.15 | ↓ -22% |
| Plotkin Health | Plotkin Health | $994.05 | ↓ -0% |
| Health Choice Arizona, Inc. | Medicaid | $1,020.08 | ↑ +2% |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $1,020.08 | ↑ +2% |
| Health Net | Medicaid | $1,020.08 | ↑ +2% |
| Mercy Care | Mercy Medicaid | $1,020.08 | ↑ +2% |
| Arizona Physicians IPA | Medicaid | $1,020.08 | ↑ +2% |
| Aetna | Medical Rental | $1,164.14 | ↑ +17% |
| Aetna | Banner Employee Plans | $1,170.00 | ↑ +17% |
| Quiktrip Corporation | Commercial | $1,192.86 | ↑ +20% |
| Arizona Medical Network | Commercial | $1,546.30 | ↑ +55% |
| Provider Network of America | Commercial | $1,656.75 | ↑ +66% |
| Banner University Health Plan | University Care Advantage | $1,726.88 | ↑ +73% |
| Aetna | Medicare Advantage | $1,726.88 | ↑ +73% |
| Arizona Physicians IPA | Medicare Advantage | $1,726.88 | ↑ +73% |
| Banner Health | Medicare Advantage | $1,726.88 | ↑ +73% |
| Blue Cross Blue Shield of Arizona | Medicare Advantage | $1,726.88 | ↑ +73% |
| Cigna Healthcare of Arizona, Inc. | HMO Medicare Advantage Plans | $1,726.88 | ↑ +73% |
| Cigna Healthcare of Arizona, Inc. | PPO Medicare Advantage Plan | $1,726.88 | ↑ +73% |
| Gila River Health Care Corporation | Managed Care Program | $1,726.88 | ↑ +73% |
| Health Choice Arizona, Inc. | Medicare Advantage | $1,726.88 | ↑ +73% |
| Health Net | Medicare | $1,726.88 | ↑ +73% |
| Humana | Medicare Advantage | $1,726.88 | ↑ +73% |
| Kaiser Foundation Health Plan | Medicare Advantage | $1,726.88 | ↑ +73% |
| Mercy Care | Mercy Care Advantage | $1,726.88 | ↑ +73% |
| TriWest Healthcare Alliance Corp - VA CCN | VA Community Care Network | $1,726.88 | ↑ +73% |
| United Healthcare | UHC Medicare Advantage | $1,726.88 | ↑ +73% |
| UPMC Health Plan | Medicare Advantage | $1,726.88 | ↑ +73% |
| Wellpoint | Medicare Advantage HMO | $1,726.88 | ↑ +73% |
| Carelon | Medicare Advantage | $1,813.22 | ↑ +82% |
| Devoted Health Services | Medicare Advantage | $1,813.22 | ↑ +82% |
| Gold Kidney Health Plan | Medicare Advantage | $1,899.57 | ↑ +91% |
| Aetna | Qualified Health Plan | $2,348.56 | ↑ +136% |
| United Healthcare | Individual Exchange | $2,417.63 | ↑ +143% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $2,440.42 | ↑ +145% |
| Health Net | Commerical Exchange Product | $2,555.78 | ↑ +157% |
| Health Choice Arizona, Inc. | ACA Health Plan | $2,590.32 | ↑ +160% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $2,603.12 | ↑ +161% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $2,733.25 | ↑ +174% |
| Oscar Health Plan | Commercial | $2,849.35 | ↑ +186% |
| Blue Cross Blue Shield of Arizona | Commercial | $3,253.90 | ↑ +227% |
| Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Preferred | $3,253.90 | ↑ +227% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $3,253.90 | ↑ +227% |
| Cigna Healthcare of Arizona, Inc. | LocalFlex | $4,018.00 | ↑ +303% |
| Aetna | Joint Venture | $4,405.00 | ↑ +342% |
| Cigna Healthcare of Arizona, Inc. | Commercial | $4,464.00 | ↑ +348% |
| United Healthcare | UHC Doctor's Plan | $4,640.00 | ↑ +366% |
| Aetna | Designated Group | $4,680.00 | ↑ +370% |
| United Healthcare | UHC Core | $4,850.00 | ↑ +387% |
| United Healthcare | Commercial | $5,105.00 | ↑ +412% |
| Aetna | Broad Network | $5,506.00 | ↑ +453% |
| TriWest Healthcare Alliance Corp - VA CCN | Tricare | not published by hospital | — |
Visitor-reported prices
Comments
Biopsy abdominal mass at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Chandler Regional Medical Center | Chandler | $844.74 | $85.11 – $2,379.72 |
| Mercy Gilbert Medical Center | Gilbert | $775.40 | $85.11 – $2,181.41 |
| Banner University Medical Center Phoenix | Phoenix | $790.82 | $949.44 – $2,849.35 |
| Banner University Medical Center Tucson | Tucson | $843.98 | $813.75 – $2,849.35 |
| Banner University Medical Center South | Tucson | $1,225.28 | $813.75 – $2,849.35 |
| Banner Baywood Medical Center | Mesa | $755.48 | $773.15 – $4,018.00 |
| Banner Boswell Medical Center | Sun City | $638.40 | $773.15 – $2,849.35 |
| Banner Casa Grande Medical Center | Casa Grande | $611.89 | $773.15 – $2,590.32 |