Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm at Banner Ocotillo Medical Center

1405 S Alma School Rd, Chandler, AZ · Banner Health · · NPI 1972139004

Source: hospital's published price file ↗ · Published Mar 2, 2026 · Ingested Aug 12, 2026

$592.46

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$2,093.50

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$67.05 with Arizona Physicians IPA vs $985.63 with Blue Cross Blue Shield of Arizona — 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 →

Payer
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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
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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
Arizona Physicians IPA Medicaid $67.05 ↓ -89%
Aetna Medicare Advantage $93.06 ↓ -84%
Aetna Qualified Health Plan $118.19 ↓ -80%
Health Choice Arizona, Inc. Medicare Advantage $139.59 ↓ -76%
Aetna Banner Employee Plans $156.34 ↓ -74%
Hospice of the Valley Medicare $162.85 ↓ -73%
Cigna Healthcare of Arizona, Inc. LocalFlex $202.23 ↓ -66%
Plotkin Health Plotkin Health $209.38 ↓ -65%
Aetna Joint Venture $212.18 ↓ -64%
Cigna Healthcare of Arizona, Inc. Commercial $224.70 ↓ -62%
Aetna Designated Group $225.21 ↓ -62%
United Healthcare UHC Doctor's Plan $225.67 ↓ -62%
Health Choice Arizona, Inc. ACA Health Plan $232.65 ↓ -61%
Oscar Health Plan Commercial $232.65 ↓ -61%
Health Net Medicare $232.65 ↓ -61%
United Healthcare UHC Core $235.91 ↓ -60%
Aetna Medical Rental $245.21 ↓ -59%
United Healthcare Commercial $248.47 ↓ -58%
Quiktrip Corporation Commercial $251.26 ↓ -58%
Health Net Commerical Exchange Product $251.26 ↓ -58%
Aetna Broad Network $265.22 ↓ -55%
Arizona Medical Network Commercial $325.71 ↓ -45%
Provider Network of America Commercial $348.98 ↓ -41%
Blue Cross Blue Shield of Arizona BXBSAZ Neighborhood $739.22 ↑ +25%
Blue Cross Blue Shield of Arizona BCBSAZ Alliance/Blue HPN $788.50 ↑ +33%
Blue Cross Blue Shield of Arizona BXBSAZ Alliance CHS $827.92 ↑ +40%
Blue Cross Blue Shield of Arizona Commercial $985.63 ↑ +66%
Blue Cross Blue Shield of Arizona Medicare Supplemental Senior Preferred $985.63 ↑ +66%
Blue Cross Blue Shield of Arizona BCBSAZ Workers Comp $985.63 ↑ +66%

Visitor-reported prices

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Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm at other Arizona hospitals

Hospital City Cash price Negotiated range
Chandler Regional Medical Center Chandler $5,573.06 $65.10 – $465.00
Mercy Gilbert Medical Center Gilbert $5,115.57 $65.10 – $465.00
Banner University Medical Center Phoenix Phoenix $598.74 $29.66 – $287.59
Banner University Medical Center Tucson Tucson $194.98 $29.66 – $630.67
Banner University Medical Center South Tucson $131.21 $29.66 – $444.20
Banner Baywood Medical Center Mesa $180.39 $67.05 – $739.22
Banner Boswell Medical Center Sun City $163.15 $44.70 – $564.45
Banner Casa Grande Medical Center Casa Grande $114.00 $44.70 – $432.90

All Arizona hospitals for this procedure →