Capsulotomy; interphalangeal joint, each joint (separate proc) at Banner University Medical Center Phoenix
1111 East Mcdowell Road, Phoenix, AZ · Banner Health · · NPI 1841224870
$1,983.94
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.
$3,830.00
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.
$510.60 with Aetna vs $4,988.05 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 | $510.60 | ↓ -74% |
| Aetna | Qualified Health Plan | $574.42 | ↓ -71% |
| Health Choice Arizona, Inc. | Medicare Advantage | $765.90 | ↓ -61% |
| Aetna | Banner Employee Plans | $857.81 | ↓ -57% |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $1,009.45 | ↓ -49% |
| Health Net | Medicaid | $1,009.45 | ↓ -49% |
| Health Choice Arizona, Inc. | Medicaid | $1,009.45 | ↓ -49% |
| Mercy Care | Medicaid | $1,009.45 | ↓ -49% |
| Banner University Health Plan | University Family Plan | $1,009.45 | ↓ -49% |
| Arizona Physicians IPA | Medicaid | $1,009.45 | ↓ -49% |
| Arizona Priority Care | Alignment Health Plans Medicare Advantage/Eternal Health Plan Medicare/SCAN Health Plan Medicare | $1,021.20 | ↓ -49% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $1,148.85 | ↓ -42% |
| Plotkin Health | Plotkin Health | $1,148.85 | ↓ -42% |
| Aetna | Joint Venture | $1,179.49 | ↓ -41% |
| United Healthcare | UHC Doctor's Plan | $1,238.20 | ↓ -38% |
| Aetna | Designated Group | $1,253.52 | ↓ -37% |
| Health Net | Medicare | $1,276.50 | ↓ -36% |
| Health Choice Arizona, Inc. | ACA Health Plan | $1,276.50 | ↓ -36% |
| Oscar Health Plan | Commercial | $1,276.50 | ↓ -36% |
| United Healthcare | UHC Core | $1,294.37 | ↓ -35% |
| Aetna | Medical Rental | $1,345.43 | ↓ -32% |
| United Healthcare | Commercial | $1,363.30 | ↓ -31% |
| Quiktrip Corporation | Commercial | $1,378.62 | ↓ -31% |
| Health Net | Commerical Exchange Product | $1,378.62 | ↓ -31% |
| Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Preferred | $1,455.44 | ↓ -27% |
| Aetna | Broad Network | $1,473.08 | ↓ -26% |
| Cigna Healthcare of Arizona, Inc. | LocalFlex | $1,677.32 | ↓ -15% |
| Cigna Healthcare of Arizona, Inc. | Commercial | $1,753.91 | ↓ -12% |
| Arizona Medical Network | Commercial | $1,787.10 | ↓ -10% |
| Provider Network of America | Commercial | $1,914.75 | ↓ -3% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $3,741.03 | ↑ +89% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $3,990.44 | ↑ +101% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $4,189.93 | ↑ +111% |
| Blue Cross Blue Shield of Arizona | Commercial | $4,988.05 | ↑ +151% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $4,988.05 | ↑ +151% |
| TriWest Healthcare Alliance Corp - VA CCN | Tricare | not published by hospital | — |
Visitor-reported prices
Comments
Capsulotomy; interphalangeal joint, each joint (separate proc) at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Arizona General Hospital Laveen | Phoenix | not published | $267.50 – $1,756.93 |
| St. Joseph’s Hospital and Medical Center | Phoenix | not published | $267.50 – $1,756.92 |
| Mercy Gilbert Medical Center | Gilbert | not published | $267.50 – $1,705.75 |
| Banner Baywood Medical Center | Mesa | not published | $1,009.45 – $3,741.03 |
| Banner Boswell Medical Center | Sun City | not published | $1,009.45 – $2,856.54 |
| Banner Gateway Medical Center | Gilbert | not published | $1,009.45 – $3,741.03 |
| Yavapai Regional Medical Center (East) | Prescott | not published | $267.50 – $1,808.10 |
| Arizona General Hospital Mesa | Mesa | not published | $267.50 – $1,756.93 |