Crtj pericardial window/prtl resecj w/drg/bx at Banner University Medical Center Phoenix
1111 East Mcdowell Road, Phoenix, AZ · Banner Health · · NPI 1841224870
$643.68
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.
$1,798.00
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.
$359.60 with Aetna vs $13,084.95 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 | $359.60 | ↓ -44% |
| Health Choice Arizona, Inc. | Medicaid | $402.75 | ↓ -37% |
| Arizona Physicians IPA | Medicaid | $402.75 | ↓ -37% |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $402.75 | ↓ -37% |
| Banner University Health Plan | University Family Plan | $402.75 | ↓ -37% |
| Mercy Care | Medicaid | $402.75 | ↓ -37% |
| Health Net | Medicaid | $402.75 | ↓ -37% |
| Aetna | Qualified Health Plan | $404.55 | ↓ -37% |
| Health Choice Arizona, Inc. | Medicare Advantage | $539.40 | ↓ -16% |
| Arizona Priority Care | Alignment Health Plans Medicare Advantage/Eternal Health Plan Medicare/SCAN Health Plan Medicare | $719.20 | ↑ +12% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $809.10 | ↑ +26% |
| Plotkin Health | Plotkin Health | $809.10 | ↑ +26% |
| Oscar Health Plan | Commercial | $899.00 | ↑ +40% |
| Health Choice Arizona, Inc. | ACA Health Plan | $899.00 | ↑ +40% |
| Health Net | Medicare | $899.00 | ↑ +40% |
| Aetna | Banner Employee Plans | $936.00 | ↑ +45% |
| Aetna | Medical Rental | $947.55 | ↑ +47% |
| Health Net | Commerical Exchange Product | $970.92 | ↑ +51% |
| Quiktrip Corporation | Commercial | $970.92 | ↑ +51% |
| Arizona Medical Network | Commercial | $1,258.60 | ↑ +96% |
| Provider Network of America | Commercial | $1,348.50 | ↑ +109% |
| Aetna | Joint Venture | $3,617.00 | ↑ +462% |
| Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Preferred | $3,818.00 | ↑ +493% |
| Aetna | Designated Group | $3,843.00 | ↑ +497% |
| Cigna Healthcare of Arizona, Inc. | LocalFlex | $4,018.00 | ↑ +524% |
| Cigna Healthcare of Arizona, Inc. | Commercial | $4,464.00 | ↑ +594% |
| Aetna | Broad Network | $4,521.00 | ↑ +602% |
| United Healthcare | UHC Doctor's Plan | $4,640.00 | ↑ +621% |
| United Healthcare | UHC Core | $4,850.00 | ↑ +653% |
| United Healthcare | Commercial | $5,105.00 | ↑ +693% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $9,813.71 | ↑ +1425% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $10,467.96 | ↑ +1526% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $10,991.27 | ↑ +1608% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $13,084.95 | ↑ +1933% |
| Blue Cross Blue Shield of Arizona | Commercial | $13,084.95 | ↑ +1933% |
Visitor-reported prices
Comments
Crtj pericardial window/prtl resecj w/drg/bx at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Arizona General Hospital Laveen | Phoenix | not published | $793.55 – $6,154.45 |
| St. Joseph’s Hospital and Medical Center | Phoenix | not published | $793.55 – $7,121.40 |
| Yavapai Regional Medical Center (East) | Prescott | $12,738.66 | $793.55 – $1,501.00 |
| Mercy Gilbert Medical Center | Gilbert | not published | $793.55 – $7,291.55 |
| Arizona General Hospital Mesa | Mesa | not published | $793.55 – $6,154.45 |
| Chandler Regional Medical Center | Chandler | not published | $721.55 – $739.59 |