Oth resp proc, group at Banner University Medical Center Phoenix
1111 East Mcdowell Road, Phoenix, AZ · Banner Health · · NPI 1841224870
$52.38
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.
$270.00
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.
$26.24 with Blue Cross Blue Shield of Arizona vs $202.50 with Provider Network of America — 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 |
|---|---|---|---|
| Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Preferred | $26.24 | ↓ -50% |
| Arizona Physicians IPA | Medicaid | $38.91 | ↓ -26% |
| UPMC Health Plan | Medicare Advantage | $41.83 | ↓ -20% |
| United Healthcare | Medicare Advantage | $41.83 | ↓ -20% |
| TriWest Healthcare Alliance Corp - VA CCN | VA Community Care Network | $41.83 | ↓ -20% |
| Aetna | Medicare Advantage | $41.83 | ↓ -20% |
| Mercy Care | Mercy Care Advantage | $41.83 | ↓ -20% |
| Arizona Physicians IPA | Medicare Advantage | $41.83 | ↓ -20% |
| Cigna Healthcare of Arizona, Inc. | PPO Medicare Advantage Plan | $41.83 | ↓ -20% |
| Wellpoint | Medicare Advantage HMO | $41.83 | ↓ -20% |
| Health Net | Medicare | $41.83 | ↓ -20% |
| Health Choice Arizona, Inc. | Medicare Advantage | $41.83 | ↓ -20% |
| Blue Cross Blue Shield of Arizona | Medicare Advantage | $41.83 | ↓ -20% |
| Care 1st | Medicare Advantage | $41.83 | ↓ -20% |
| Gila River Health Care Corporation | Managed Care Program | $41.83 | ↓ -20% |
| Cigna Healthcare of Arizona, Inc. | HMO Medicare Advantage Plan | $41.83 | ↓ -20% |
| Banner Health | Medicare Advantage | $41.83 | ↓ -20% |
| Banner University Health Plan | Medicare Advantage | $41.83 | ↓ -20% |
| Banner University Health Plan | University Care Advantage | $41.83 | ↓ -20% |
| Kaiser Foundation Health Plan | Medicare Advantage | $41.83 | ↓ -20% |
| Humana | Medicare Advantage | $43.08 | ↓ -18% |
| Devoted Health Services | Medicare Advantage | $43.92 | ↓ -16% |
| Carelon | Medicare Advantage | $43.92 | ↓ -16% |
| Arizona Priority Care | Alignment Health Plans Medicare Advantage/Eternal Health Plan Medicare/SCAN Health Plan Medicare | $46.01 | ↓ -12% |
| Gold Kidney Health Plan | Medicare Advantage | $46.01 | ↓ -12% |
| NaphCare | Federal | $56.47 | ↑ +8% |
| Aetna | Qualified Health Plan | $56.89 | ↑ +9% |
| United Healthcare | Individual Exchange | $58.56 | ↑ +12% |
| Health Net | Commerical Exchange Product | $61.91 | ↑ +18% |
| Health Choice Arizona, Inc. | ACA Health Plan | $62.74 | ↑ +20% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $67.44 | ↑ +29% |
| Oscar Health Plan | Commercial | $69.02 | ↑ +32% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $71.94 | ↑ +37% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $75.54 | ↑ +44% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $89.92 | ↑ +72% |
| Blue Cross Blue Shield of Arizona | Commercial | $89.92 | ↑ +72% |
| Aetna | Banner Employee Plans | $90.72 | ↑ +73% |
| Plotkin Health | Plotkin Health | $121.50 | ↑ +132% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $121.50 | ↑ +132% |
| Aetna | Joint Venture | $124.74 | ↑ +138% |
| United Healthcare | UHC Doctor's Plan | $130.95 | ↑ +150% |
| Aetna | Designated Group | $132.57 | ↑ +153% |
| United Healthcare | UHC Core | $136.89 | ↑ +161% |
| Aetna | Medical Rental | $142.29 | ↑ +172% |
| United Healthcare | Commercial | $144.18 | ↑ +175% |
| Quiktrip Corporation | Commercial | $145.80 | ↑ +178% |
| Aetna | Broad Network | $155.79 | ↑ +197% |
| Cigna Healthcare of Arizona, Inc. | LocalFlex | $177.39 | ↑ +239% |
| Cigna Healthcare of Arizona, Inc. | Commercial | $185.49 | ↑ +254% |
| Arizona Medical Network | Commercial | $189.00 | ↑ +261% |
| Provider Network of America | Commercial | $202.50 | ↑ +287% |
| TriWest Healthcare Alliance Corp - VA CCN | Tricare | not published by hospital | — |
Visitor-reported prices
Comments
Oth resp proc, group at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner University Medical Center Tucson | Tucson | $70.72 | $41.83 – $276.00 |
| Banner Boswell Medical Center | Sun City | $55.62 | $38.91 – $216.00 |
| Banner Del Webb Medical Center | Sun City West | $54.00 | $26.24 – $216.00 |
| Banner Desert Medical Center | Mesa | $69.39 | $38.91 – $202.50 |
| Banner Heart Hospital | Mesa | $45.90 | $38.91 – $202.50 |
| Banner Payson Medical Center | Payson | $61.62 | $18.01 – $112.50 |
| Banner Thunderbird Medical Center | Glendale | $72.36 | $26.24 – $202.50 |