Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604 at Banner University Medical Center Phoenix
1111 East Mcdowell Road, Phoenix, AZ · Banner Health · · NPI 1841224870
$417.79
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.
$1,167.00
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.
$155.60 with Aetna vs $5,506.00 with Aetna — 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 | $155.60 | ↓ -63% |
| Aetna | Qualified Health Plan | $175.05 | ↓ -58% |
| Health Net | Medicaid | $189.35 | ↓ -55% |
| Mercy Care | Medicaid | $189.35 | ↓ -55% |
| Banner University Health Plan | University Family Plan | $189.35 | ↓ -55% |
| Arizona Physicians IPA | Medicaid | $189.35 | ↓ -55% |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $189.35 | ↓ -55% |
| Health Choice Arizona, Inc. | Medicaid | $189.35 | ↓ -55% |
| Health Choice Arizona, Inc. | Medicare Advantage | $233.40 | ↓ -44% |
| Arizona Priority Care | Alignment Health Plans Medicare Advantage/Eternal Health Plan Medicare/SCAN Health Plan Medicare | $311.20 | ↓ -26% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $350.10 | ↓ -16% |
| Plotkin Health | Plotkin Health | $350.10 | ↓ -16% |
| Cigna Healthcare of Arizona, Inc. | LocalFlex | $360.00 | ↓ -14% |
| Oscar Health Plan | Commercial | $389.00 | ↓ -7% |
| Health Net | Medicare | $389.00 | ↓ -7% |
| Health Choice Arizona, Inc. | ACA Health Plan | $389.00 | ↓ -7% |
| Cigna Healthcare of Arizona, Inc. | Commercial | $400.00 | ↓ -4% |
| Aetna | Medical Rental | $410.01 | ↓ -2% |
| Health Net | Commerical Exchange Product | $420.12 | ↑ +1% |
| Quiktrip Corporation | Commercial | $420.12 | ↑ +1% |
| Arizona Medical Network | Commercial | $544.60 | ↑ +30% |
| Provider Network of America | Commercial | $583.50 | ↑ +40% |
| Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Preferred | $949.44 | ↑ +127% |
| Aetna | Banner Employee Plans | $1,170.00 | ↑ +180% |
| United Healthcare | UHC Doctor's Plan | $2,114.00 | ↑ +406% |
| United Healthcare | UHC Core | $2,210.00 | ↑ +429% |
| United Healthcare | Commercial | $2,326.00 | ↑ +457% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $2,440.42 | ↑ +484% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $2,603.12 | ↑ +523% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $2,733.25 | ↑ +554% |
| Blue Cross Blue Shield of Arizona | Commercial | $3,253.90 | ↑ +679% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $3,253.90 | ↑ +679% |
| Aetna | Joint Venture | $4,405.00 | ↑ +954% |
| Aetna | Designated Group | $4,680.00 | ↑ +1020% |
| Aetna | Broad Network | $5,506.00 | ↑ +1218% |
| TriWest Healthcare Alliance Corp - VA CCN | Tricare | not published by hospital | — |
Visitor-reported prices
Comments
Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604 at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Estrella Medical Center | Phoenix | $451.63 | $155.60 – $2,440.42 |
| St. Joseph’s Hospital and Medical Center | Phoenix | $418.68 | $47.92 – $865.84 |
| Arizona General Hospital Laveen | Phoenix | not published | $47.92 – $324.06 |
| Mercy Gilbert Medical Center | Gilbert | $456.09 | $47.92 – $1,427.58 |
| Banner University Medical Center Tucson | Tucson | $364.82 | $134.00 – $536.00 |
| Banner University Medical Center South | Tucson | $529.64 | $134.00 – $2,041.00 |
| Banner Baywood Medical Center | Mesa | $399.11 | $155.60 – $2,440.42 |
| Banner Del Webb Medical Center | Sun City West | $372.27 | $155.60 – $2,114.00 |