Oth resp proc, indiv at Banner University Medical Center Phoenix
1111 East Mcdowell Road, Phoenix, AZ · Banner Health · · NPI 1841224870
$41.32
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.
$213.00
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.
$26.10 with Cigna Healthcare of Arizona, Inc. vs $159.75 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 |
|---|---|---|---|
| Cigna Healthcare of Arizona, Inc. | PPO Medicare Advantage Plan | $26.10 | ↓ -37% |
| Wellpoint | Medicare Advantage HMO | $26.10 | ↓ -37% |
| UPMC Health Plan | Medicare Advantage | $26.10 | ↓ -37% |
| United Healthcare | Medicare Advantage | $26.10 | ↓ -37% |
| TriWest Healthcare Alliance Corp - VA CCN | VA Community Care Network | $26.10 | ↓ -37% |
| Aetna | Medicare Advantage | $26.10 | ↓ -37% |
| Banner University Health Plan | University Care Advantage | $26.10 | ↓ -37% |
| Kaiser Foundation Health Plan | Medicare Advantage | $26.10 | ↓ -37% |
| Health Net | Medicare | $26.10 | ↓ -37% |
| Health Choice Arizona, Inc. | Medicare Advantage | $26.10 | ↓ -37% |
| Blue Cross Blue Shield of Arizona | Medicare Advantage | $26.10 | ↓ -37% |
| Care 1st | Medicare Advantage | $26.10 | ↓ -37% |
| Gila River Health Care Corporation | Managed Care Program | $26.10 | ↓ -37% |
| Cigna Healthcare of Arizona, Inc. | HMO Medicare Advantage Plan | $26.10 | ↓ -37% |
| Mercy Care | Mercy Care Advantage | $26.10 | ↓ -37% |
| Arizona Physicians IPA | Medicare Advantage | $26.10 | ↓ -37% |
| Banner Health | Medicare Advantage | $26.10 | ↓ -37% |
| Banner University Health Plan | Medicare Advantage | $26.10 | ↓ -37% |
| Humana | Medicare Advantage | $26.88 | ↓ -35% |
| Carelon | Medicare Advantage | $27.41 | ↓ -34% |
| Devoted Health Services | Medicare Advantage | $27.41 | ↓ -34% |
| Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Preferred | $28.61 | ↓ -31% |
| Gold Kidney Health Plan | Medicare Advantage | $28.71 | ↓ -31% |
| Arizona Priority Care | Alignment Health Plans Medicare Advantage/Eternal Health Plan Medicare/SCAN Health Plan Medicare | $28.71 | ↓ -31% |
| Arizona Physicians IPA | Medicaid | $30.69 | ↓ -26% |
| NaphCare | Federal | $35.23 | ↓ -15% |
| Aetna | Qualified Health Plan | $35.50 | ↓ -14% |
| United Healthcare | Individual Exchange | $36.54 | ↓ -12% |
| Health Net | Commerical Exchange Product | $38.63 | ↓ -7% |
| Health Choice Arizona, Inc. | ACA Health Plan | $39.15 | ↓ -5% |
| Oscar Health Plan | Commercial | $43.06 | ↑ +4% |
| Aetna | Banner Employee Plans | $71.57 | ↑ +73% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $73.54 | ↑ +78% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $78.45 | ↑ +90% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $82.37 | ↑ +99% |
| Plotkin Health | Plotkin Health | $95.85 | ↑ +132% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $95.85 | ↑ +132% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $98.06 | ↑ +137% |
| Blue Cross Blue Shield of Arizona | Commercial | $98.06 | ↑ +137% |
| Aetna | Joint Venture | $98.41 | ↑ +138% |
| United Healthcare | UHC Doctor's Plan | $103.31 | ↑ +150% |
| Aetna | Designated Group | $104.58 | ↑ +153% |
| United Healthcare | UHC Core | $107.99 | ↑ +161% |
| Aetna | Medical Rental | $112.25 | ↑ +172% |
| United Healthcare | Commercial | $113.74 | ↑ +175% |
| Quiktrip Corporation | Commercial | $115.02 | ↑ +178% |
| Aetna | Broad Network | $122.90 | ↑ +197% |
| Cigna Healthcare of Arizona, Inc. | LocalFlex | $139.94 | ↑ +239% |
| Cigna Healthcare of Arizona, Inc. | Commercial | $146.33 | ↑ +254% |
| Arizona Medical Network | Commercial | $149.10 | ↑ +261% |
| Provider Network of America | Commercial | $159.75 | ↑ +287% |
| TriWest Healthcare Alliance Corp - VA CCN | Tricare | not published by hospital | — |
Visitor-reported prices
Comments
Oth resp proc, indiv at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Del Webb Medical Center | Sun City West | $42.60 | $26.10 – $170.40 |
| Banner Desert Medical Center | Mesa | $54.74 | $26.10 – $159.75 |
| Banner Heart Hospital | Mesa | $36.21 | $26.10 – $159.75 |
| Banner Thunderbird Medical Center | Glendale | $57.08 | $26.10 – $159.75 |