Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet at Arizona General Hospital Laveen

7171 S 51st Ave, Phoenix, AZ · CommonSpirit Health · · NPI 1154748416

Source: hospital's published price file ↗ · Published Feb 28, 2026 · Ingested Sep 10, 2026

$869.75

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.

$3,798.00

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.

$279.44 with Mercy Care vs $1,630.74 with Multiplan — 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
Mercy Care Medicaid|All Plans $279.44 ↓ -68%
United Medicaid|All Plans $279.44 ↓ -68%
Health Choice Medicaid|All Plans $279.44 ↓ -68%
BCBS - AZ Commercial|Neighborhood $513.41 ↓ -41%
BCBS - AZ Commercial|MaricopaFocus $513.41 ↓ -41%
BCBS - AZ Commercial|All Other Plans $684.43 ↓ -21%
Coventry Commercial|All Plans $1,057.88 ↑ +22%
Multiplan Commercial|All Plans $1,630.74 ↑ +87%

Visitor-reported prices

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Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet at other Arizona hospitals

Hospital City Cash price Negotiated range
St. Joseph’s Hospital and Medical Center Phoenix $11,121.17 $280.56 – $1,583.16
Mercy Gilbert Medical Center Gilbert $24,814.27 $209.30 – $1,151.15
Arizona General Hospital Mesa Mesa $938.11 $279.44 – $1,630.74
Chandler Regional Medical Center Chandler $27,033.43 $209.30 – $1,255.80

All Arizona hospitals for this procedure →