Biopsy of prostate at Banner University Medical Center Phoenix
1111 East Mcdowell Road, Phoenix, AZ · Banner Health · · NPI 1841224870
$576.74
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.
$1,611.00
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.
$724.95 with National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) vs $6,483.00 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 |
|---|---|---|---|
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $724.95 | ↑ +26% |
| Plotkin Health | Plotkin Health | $724.95 | ↑ +26% |
| Aetna | Medical Rental | $849.00 | ↑ +47% |
| Quiktrip Corporation | Commercial | $869.94 | ↑ +51% |
| Arizona Medical Network | Commercial | $1,127.70 | ↑ +96% |
| Provider Network of America | Commercial | $1,208.25 | ↑ +109% |
| Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Preferred | $1,271.44 | ↑ +120% |
| Mercy Care | Medicaid | $1,299.92 | ↑ +125% |
| Health Net | Medicaid | $1,299.92 | ↑ +125% |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $1,299.92 | ↑ +125% |
| Health Choice Arizona, Inc. | Medicaid | $1,299.92 | ↑ +125% |
| Banner University Health Plan | University Family Plan | $1,299.92 | ↑ +125% |
| Arizona Physicians IPA | Medicaid | $1,299.92 | ↑ +125% |
| Wellpoint | Medicare Advantage HMO | $2,183.34 | ↑ +279% |
| Aetna | Medicare Advantage | $2,183.34 | ↑ +279% |
| Arizona Physicians IPA | Medicare Advantage | $2,183.34 | ↑ +279% |
| Banner Health | Medicare Advantage | $2,183.34 | ↑ +279% |
| Banner University Health Plan | Medicare Advantage | $2,183.34 | ↑ +279% |
| Banner University Health Plan | University Care Advantage | $2,183.34 | ↑ +279% |
| Blue Cross Blue Shield of Arizona | Medicare Advantage | $2,183.34 | ↑ +279% |
| Care 1st | Medicare Advantage | $2,183.34 | ↑ +279% |
| Cigna Healthcare of Arizona, Inc. | HMO Medicare Advantage Plan | $2,183.34 | ↑ +279% |
| Cigna Healthcare of Arizona, Inc. | PPO Medicare Advantage Plan | $2,183.34 | ↑ +279% |
| Gila River Health Care Corporation | Managed Care Program | $2,183.34 | ↑ +279% |
| Health Choice Arizona, Inc. | Medicare Advantage | $2,183.34 | ↑ +279% |
| Health Net | Medicare | $2,183.34 | ↑ +279% |
| Kaiser Foundation Health Plan | Medicare Advantage | $2,183.34 | ↑ +279% |
| Mercy Care | Mercy Care Advantage | $2,183.34 | ↑ +279% |
| TriWest Healthcare Alliance Corp - VA CCN | VA Community Care Network | $2,183.34 | ↑ +279% |
| United Healthcare | Medicare Advantage | $2,183.34 | ↑ +279% |
| UPMC Health Plan | Medicare Advantage | $2,183.34 | ↑ +279% |
| Humana | Medicare Advantage | $2,248.84 | ↑ +290% |
| Devoted Health Services | Medicare Advantage | $2,292.51 | ↑ +297% |
| Carelon | Medicare Advantage | $2,292.51 | ↑ +297% |
| Gold Kidney Health Plan | Medicare Advantage | $2,401.67 | ↑ +316% |
| Arizona Priority Care | Alignment Health Plans Medicare Advantage/Eternal Health Plan Medicare/SCAN Health Plan Medicare | $2,401.67 | ↑ +316% |
| Aetna | Banner Employee Plans | $2,633.00 | ↑ +357% |
| NaphCare | Federal | $2,947.51 | ↑ +411% |
| Aetna | Qualified Health Plan | $2,969.34 | ↑ +415% |
| United Healthcare | Individual Exchange | $3,056.68 | ↑ +430% |
| Health Net | Commerical Exchange Product | $3,231.34 | ↑ +460% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $3,268.08 | ↑ +467% |
| Health Choice Arizona, Inc. | ACA Health Plan | $3,275.01 | ↑ +468% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $3,485.96 | ↑ +504% |
| Oscar Health Plan | Commercial | $3,602.51 | ↑ +525% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $3,660.23 | ↑ +535% |
| Cigna Healthcare of Arizona, Inc. | LocalFlex | $4,018.00 | ↑ +597% |
| Blue Cross Blue Shield of Arizona | Commercial | $4,357.45 | ↑ +656% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $4,357.45 | ↑ +656% |
| Cigna Healthcare of Arizona, Inc. | Commercial | $4,464.00 | ↑ +674% |
| United Healthcare | UHC Doctor's Plan | $4,640.00 | ↑ +705% |
| United Healthcare | UHC Core | $4,850.00 | ↑ +741% |
| United Healthcare | Commercial | $5,105.00 | ↑ +785% |
| Aetna | Joint Venture | $5,186.00 | ↑ +799% |
| Aetna | Designated Group | $5,511.00 | ↑ +856% |
| Aetna | Broad Network | $6,483.00 | ↑ +1024% |
| TriWest Healthcare Alliance Corp - VA CCN | Tricare | not published by hospital | — |
Visitor-reported prices
Comments
Biopsy of prostate at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Estrella Medical Center | Phoenix | $3,000.21 | $563.85 – $3,602.51 |
| St. Joseph’s Hospital and Medical Center | Phoenix | $2,674.00 | $135.54 – $5,530.00 |
| Arizona General Hospital Laveen | Phoenix | not published | $135.54 – $2,248.85 |
| Banner University Medical Center Tucson | Tucson | $1,030.19 | $993.30 – $3,602.51 |
| Banner Baywood Medical Center | Mesa | $550.96 | $563.85 – $4,018.00 |
| Banner Boswell Medical Center | Sun City | $465.58 | $563.85 – $3,602.51 |
| Banner Casa Grande Medical Center | Casa Grande | $446.25 | $563.85 – $3,275.01 |
| Banner Del Webb Medical Center | Sun City West | $513.91 | $563.85 – $3,602.51 |