Craniect/craniot w/wo duraplasty w/lobectomy 61323 at Arizona General Hospital Laveen
7171 S 51st Ave, Phoenix, AZ · CommonSpirit Health · · NPI 1154748416
not published by hospital
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.
not published by hospital
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.
$2,503.32 with Mercy Care vs $8,204.55 with BCBS - AZ — 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 |
|---|---|---|---|
| Mercy Care | Medicaid|All Plans | $2,503.32 | — |
| United | Medicaid|All Plans | $2,503.32 | — |
| Health Choice | Medicaid|All Plans | $2,503.32 | — |
| United | Commercial|Navigate | $3,193.00 | — |
| United | Commercial|All Other Plans | $4,044.00 | — |
| United | Commercial|Options | $4,110.00 | — |
| BCBS - AZ | Commercial|MaricopaFocus | $6,154.45 | — |
| BCBS - AZ | Commercial|Neighborhood | $6,154.45 | — |
| BCBS - AZ | Commercial|All Other Plans | $8,204.55 | — |
| Coventry | Commercial|All Plans | not published by hospital | — |
| Multiplan | Commercial|All Plans | not published by hospital | — |
Visitor-reported prices
Comments
Craniect/craniot w/wo duraplasty w/lobectomy 61323 at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Joseph’s Hospital and Medical Center | Phoenix | not published | $2,503.32 – $7,121.40 |
| Mercy Gilbert Medical Center | Gilbert | not published | $2,503.32 – $7,291.55 |
| Yavapai Regional Medical Center (East) | Prescott | not published | $2,503.32 – $2,628.49 |
| Arizona General Hospital Mesa | Mesa | not published | $2,503.32 – $6,154.45 |
| Chandler Regional Medical Center | Chandler | not published | $2,255.95 – $2,312.35 |