Analysis; simple cranial nerv pulse gen prgrmg 95976 at Banner University Medical Center Phoenix
1111 East Mcdowell Road, Phoenix, AZ · Banner Health · · NPI 1841224870
$416.14
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.
?
What you pay up front if you don't use insurance.
$466.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$26.93 with Banner University Health Plan vs $667.00 with United Healthcare — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Banner University Health Plan | AZ Medicaid - AHCCCS | $26.93 | ↓ -94% |
| Arizona Physicians IPA | Medicaid | $26.93 | ↓ -94% |
| Health Net | Medicaid | $26.93 | ↓ -94% |
| Health Choice Arizona, Inc. | Medicaid | $26.93 | ↓ -94% |
| Banner University Health Plan | University Family Plan | $26.93 | ↓ -94% |
| Mercy Care | Medicaid | $26.93 | ↓ -94% |
| Wellpoint | Medicare Advantage HMO | $39.74 | ↓ -90% |
| Aetna | Medicare Advantage | $39.74 | ↓ -90% |
| Arizona Physicians IPA | Medicare Advantage | $39.74 | ↓ -90% |
| Banner Health | Medicare Advantage | $39.74 | ↓ -90% |
| Banner University Health Plan | Medicare Advantage | $39.74 | ↓ -90% |
| Banner University Health Plan | University Care Advantage | $39.74 | ↓ -90% |
| Blue Cross Blue Shield of Arizona | Medicare Advantage | $39.74 | ↓ -90% |
| Care 1st | Medicare Advantage | $39.74 | ↓ -90% |
| Cigna Healthcare of Arizona, Inc. | HMO Medicare Advantage Plan | $39.74 | ↓ -90% |
| Cigna Healthcare of Arizona, Inc. | PPO Medicare Advantage Plan | $39.74 | ↓ -90% |
| Gila River Health Care Corporation | Managed Care Program | $39.74 | ↓ -90% |
| Health Choice Arizona, Inc. | Medicare Advantage | $39.74 | ↓ -90% |
| Health Net | Medicare | $39.74 | ↓ -90% |
| Kaiser Foundation Health Plan | Medicare Advantage | $39.74 | ↓ -90% |
| Mercy Care | Mercy Care Advantage | $39.74 | ↓ -90% |
| TriWest Healthcare Alliance Corp - VA CCN | VA Community Care Network | $39.74 | ↓ -90% |
| United Healthcare | Medicare Advantage | $39.74 | ↓ -90% |
| UPMC Health Plan | Medicare Advantage | $39.74 | ↓ -90% |
| Humana | Medicare Advantage | $40.93 | ↓ -90% |
| Carelon | Medicare Advantage | $41.73 | ↓ -90% |
| Devoted Health Services | Medicare Advantage | $41.73 | ↓ -90% |
| Gold Kidney Health Plan | Medicare Advantage | $43.71 | ↓ -89% |
| Arizona Priority Care | Alignment Health Plans Medicare Advantage/Eternal Health Plan Medicare/SCAN Health Plan Medicare | $43.71 | ↓ -89% |
| NaphCare | Federal | $53.65 | ↓ -87% |
| Aetna | Qualified Health Plan | $54.05 | ↓ -87% |
| United Healthcare | Individual Exchange | $55.64 | ↓ -87% |
| Health Net | Commerical Exchange Product | $58.82 | ↓ -86% |
| Health Choice Arizona, Inc. | ACA Health Plan | $59.61 | ↓ -86% |
| Oscar Health Plan | Commercial | $65.57 | ↓ -84% |
| Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Preferred | $88.39 | ↓ -79% |
| Aetna | Banner Employee Plans | $156.58 | ↓ -62% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $209.70 | ↓ -50% |
| Plotkin Health | Plotkin Health | $209.70 | ↓ -50% |
| Aetna | Joint Venture | $215.29 | ↓ -48% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $227.21 | ↓ -45% |
| Aetna | Designated Group | $228.81 | ↓ -45% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $242.35 | ↓ -42% |
| Aetna | Medical Rental | $245.58 | ↓ -41% |
| Quiktrip Corporation | Commercial | $251.64 | ↓ -40% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $254.47 | ↓ -39% |
| Aetna | Broad Network | $268.88 | ↓ -35% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $302.94 | ↓ -27% |
| Blue Cross Blue Shield of Arizona | Commercial | $302.94 | ↓ -27% |
| Cigna Healthcare of Arizona, Inc. | LocalFlex | $306.16 | ↓ -26% |
| Cigna Healthcare of Arizona, Inc. | Commercial | $320.14 | ↓ -23% |
| Arizona Medical Network | Commercial | $326.20 | ↓ -22% |
| Provider Network of America | Commercial | $349.50 | ↓ -16% |
| United Healthcare | UHC Doctor's Plan | $606.00 | ↑ +46% |
| United Healthcare | UHC Core | $634.00 | ↑ +52% |
| United Healthcare | Commercial | $667.00 | ↑ +60% |
| TriWest Healthcare Alliance Corp - VA CCN | Tricare | not published by hospital | — |
Visitor-reported prices
Comments
Analysis; simple cranial nerv pulse gen prgrmg 95976 at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Yavapai Regional Medical Center (East) | Prescott | $60.11 | $39.74 – $68.85 |