Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin at Banner Ocotillo Medical Center
1405 S Alma School Rd, Chandler, AZ · Banner Health · · NPI 1972139004
$20.16
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.
$60.00
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.
$11.98 with Aetna vs $54.93 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 →
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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 | $11.98 | ↓ -41% |
| Humana | Medicare Advantage | $11.98 | ↓ -41% |
| Arizona Physicians IPA | Medicare Advantage | $11.98 | ↓ -41% |
| Arizona Physicians IPA | Medicaid | $11.98 | ↓ -41% |
| TriWest Healthcare Alliance Corp - VA CCN | VA Community Care Network | $11.98 | ↓ -41% |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $11.98 | ↓ -41% |
| Banner University Health Plan | University Care Advantage | $11.98 | ↓ -41% |
| Mercy Care | Mercy Medicaid | $11.98 | ↓ -41% |
| Mercy Care | Mercy Care Advantage | $11.98 | ↓ -41% |
| Kaiser Foundation Health Plan | Medicare Advantage | $11.98 | ↓ -41% |
| Gila River Health Care Corporation | Managed Care Program | $11.98 | ↓ -41% |
| Cigna Healthcare of Arizona, Inc. | PPO Medicare Advantage Plan | $11.98 | ↓ -41% |
| Cigna Healthcare of Arizona, Inc. | HMO Medicare Advantage Plans | $11.98 | ↓ -41% |
| Health Choice Arizona, Inc. | Medicare Advantage | $11.98 | ↓ -41% |
| Health Choice Arizona, Inc. | Medicaid | $11.98 | ↓ -41% |
| Banner Health | Medicare Advantage | $11.98 | ↓ -41% |
| Wellpoint | Medicare Advantage HMO | $11.98 | ↓ -41% |
| United Healthcare | UHC Medicare Advantage | $11.98 | ↓ -41% |
| UPMC Health Plan | Medicare Advantage | $11.98 | ↓ -41% |
| Health Net | Medicaid | $11.98 | ↓ -41% |
| Health Net | Medicare | $11.98 | ↓ -41% |
| Blue Cross Blue Shield of Arizona | Medicare Advantage | $11.98 | ↓ -41% |
| Devoted Health Services | Medicare Advantage | $12.58 | ↓ -38% |
| Carelon | Medicare Advantage | $12.58 | ↓ -38% |
| Gold Kidney Health Plan | Medicare Advantage | $13.18 | ↓ -35% |
| Aetna | Qualified Health Plan | $16.29 | ↓ -19% |
| United Healthcare | Individual Exchange | $16.77 | ↓ -17% |
| Health Net | Commerical Exchange Product | $17.73 | ↓ -12% |
| Health Choice Arizona, Inc. | ACA Health Plan | $17.97 | ↓ -11% |
| Oscar Health Plan | Commercial | $19.77 | ↓ -2% |
| Aetna | Banner Employee Plans | $20.16 | ↑ +0% |
| Hospice of the Valley | Medicare | $21.00 | ↑ +4% |
| Cigna Healthcare of Arizona, Inc. | LocalFlex | $21.03 | ↑ +4% |
| United Healthcare | UHC Doctor's Plan | $22.15 | ↑ +10% |
| Cigna Healthcare of Arizona, Inc. | Commercial | $23.37 | ↑ +16% |
| United Healthcare | UHC Core | $24.50 | ↑ +22% |
| United Healthcare | Commercial | $26.95 | ↑ +34% |
| Plotkin Health | Plotkin Health | $27.00 | ↑ +34% |
| Aetna | Medical Rental | $31.62 | ↑ +57% |
| Quiktrip Corporation | Commercial | $32.40 | ↑ +61% |
| Aetna | Joint Venture | $40.23 | ↑ +100% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $41.19 | ↑ +104% |
| Arizona Medical Network | Commercial | $42.00 | ↑ +108% |
| Aetna | Designated Group | $42.74 | ↑ +112% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $43.94 | ↑ +118% |
| Provider Network of America | Commercial | $45.00 | ↑ +123% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $46.14 | ↑ +129% |
| Aetna | Broad Network | $50.29 | ↑ +149% |
| Blue Cross Blue Shield of Arizona | Commercial | $54.93 | ↑ +172% |
| Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Preferred | $54.93 | ↑ +172% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $54.93 | ↑ +172% |
Visitor-reported prices
Comments
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Chandler Regional Medical Center | Chandler | $40.20 | $6.72 – $40.32 |
| Mercy Gilbert Medical Center | Gilbert | $36.90 | $6.72 – $36.96 |
| Banner University Medical Center Phoenix | Phoenix | $13.26 | $11.98 – $45.00 |
| Banner University Medical Center Tucson | Tucson | $14.04 | $11.98 – $48.00 |
| Banner University Medical Center South | Tucson | $10.02 | $11.98 – $48.00 |
| Banner Baywood Medical Center | Mesa | $13.38 | $11.98 – $45.00 |
| Banner Behavioral Health Hospital | Scottsdale | $35.15 | $11.98 – $42.00 |
| Banner Boswell Medical Center | Sun City | $10.92 | $11.98 – $48.00 |