App high cost ss f/n/g/h/f >100sq cm addl 100sq cm at Banner University Medical Center Phoenix
1111 East Mcdowell Road, Phoenix, AZ · Banner Health · · NPI 1841224870
$192.70
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.
$372.00
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.
$74.40 with Aetna vs $2,181.88 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 | $74.40 | ↓ -61% |
| Aetna | Qualified Health Plan | $83.70 | ↓ -57% |
| Health Choice Arizona, Inc. | Medicare Advantage | $111.60 | ↓ -42% |
| Aetna | Banner Employee Plans | $124.99 | ↓ -35% |
| Arizona Priority Care | Alignment Health Plans Medicare Advantage/Eternal Health Plan Medicare/SCAN Health Plan Medicare | $148.80 | ↓ -23% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $167.40 | ↓ -13% |
| Plotkin Health | Plotkin Health | $167.40 | ↓ -13% |
| Aetna | Joint Venture | $171.86 | ↓ -11% |
| United Healthcare | UHC Doctor's Plan | $180.42 | ↓ -6% |
| Aetna | Designated Group | $182.65 | ↓ -5% |
| Health Choice Arizona, Inc. | ACA Health Plan | $186.00 | ↓ -3% |
| Health Net | Medicare | $186.00 | ↓ -3% |
| Oscar Health Plan | Commercial | $186.00 | ↓ -3% |
| United Healthcare | UHC Core | $188.60 | ↓ -2% |
| Aetna | Medical Rental | $196.04 | ↑ +2% |
| United Healthcare | Commercial | $198.65 | ↑ +3% |
| Quiktrip Corporation | Commercial | $200.88 | ↑ +4% |
| Health Net | Commerical Exchange Product | $200.88 | ↑ +4% |
| Aetna | Broad Network | $214.64 | ↑ +11% |
| Arizona Physicians IPA | Medicaid | $242.50 | ↑ +26% |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $242.50 | ↑ +26% |
| Banner University Health Plan | University Family Plan | $242.50 | ↑ +26% |
| Health Choice Arizona, Inc. | Medicaid | $242.50 | ↑ +26% |
| Health Net | Medicaid | $242.50 | ↑ +26% |
| Mercy Care | Medicaid | $242.50 | ↑ +26% |
| Cigna Healthcare of Arizona, Inc. | LocalFlex | $244.40 | ↑ +27% |
| Cigna Healthcare of Arizona, Inc. | Commercial | $255.56 | ↑ +33% |
| Arizona Medical Network | Commercial | $260.40 | ↑ +35% |
| Provider Network of America | Commercial | $279.00 | ↑ +45% |
| Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Preferred | $636.64 | ↑ +230% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $1,636.41 | ↑ +749% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $1,745.50 | ↑ +806% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $1,832.76 | ↑ +851% |
| Blue Cross Blue Shield of Arizona | Commercial | $2,181.88 | ↑ +1032% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $2,181.88 | ↑ +1032% |
Visitor-reported prices
Comments
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Arizona General Hospital Laveen | Phoenix | not published | $57.58 – $1,026.23 |
| St. Joseph’s Hospital and Medical Center | Phoenix | not published | $57.58 – $1,187.47 |
| Banner Baywood Medical Center | Mesa | $142.85 | $74.40 – $1,636.41 |
| Banner Boswell Medical Center | Sun City | $89.71 | $74.40 – $1,249.51 |
| Banner Casa Grande Medical Center | Casa Grande | $167.40 | $74.40 – $958.32 |
| Mercy Gilbert Medical Center | Gilbert | not published | $57.58 – $1,215.84 |
| Banner University Medical Center Tucson | Tucson | not published | $242.50 – $1,396.11 |
| Banner University Medical Center South | Tucson | not published | $242.50 – $983.33 |