Removal of breast lesion at Banner University Medical Center Phoenix
1111 East Mcdowell Road, Phoenix, AZ · Banner Health · · NPI 1841224870
$2,324.78
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.
$4,488.00
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.
$1,455.44 with Blue Cross Blue Shield of Arizona vs $6,734.18 with Oscar Health Plan — 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 | $1,455.44 | ↓ -37% |
| Aetna | Banner Employee Plans | $1,507.97 | ↓ -35% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $2,019.60 | ↓ -13% |
| Plotkin Health | Plotkin Health | $2,019.60 | ↓ -13% |
| Aetna | Joint Venture | $2,073.46 | ↓ -11% |
| United Healthcare | UHC Doctor's Plan | $2,176.68 | ↓ -6% |
| Aetna | Designated Group | $2,203.61 | ↓ -5% |
| United Healthcare | UHC Core | $2,275.42 | ↓ -2% |
| Health Net | Medicaid | $2,289.36 | ↓ -2% |
| Arizona Physicians IPA | Medicaid | $2,289.36 | ↓ -2% |
| Health Choice Arizona, Inc. | Medicaid | $2,289.36 | ↓ -2% |
| Banner University Health Plan | University Family Plan | $2,289.36 | ↓ -2% |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $2,289.36 | ↓ -2% |
| Mercy Care | Medicaid | $2,289.36 | ↓ -2% |
| Aetna | Medical Rental | $2,365.18 | ↑ +2% |
| United Healthcare | Commercial | $2,396.59 | ↑ +3% |
| Quiktrip Corporation | Commercial | $2,423.52 | ↑ +4% |
| Aetna | Broad Network | $2,589.58 | ↑ +11% |
| Cigna Healthcare of Arizona, Inc. | LocalFlex | $2,948.62 | ↑ +27% |
| Cigna Healthcare of Arizona, Inc. | Commercial | $3,083.26 | ↑ +33% |
| Arizona Medical Network | Commercial | $3,141.60 | ↑ +35% |
| Provider Network of America | Commercial | $3,366.00 | ↑ +45% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $3,741.03 | ↑ +61% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $3,990.44 | ↑ +72% |
| Arizona Physicians IPA | Medicare Advantage | $4,081.32 | ↑ +76% |
| Gila River Health Care Corporation | Managed Care Program | $4,081.32 | ↑ +76% |
| United Healthcare | Medicare Advantage | $4,081.32 | ↑ +76% |
| UPMC Health Plan | Medicare Advantage | $4,081.32 | ↑ +76% |
| Blue Cross Blue Shield of Arizona | Medicare Advantage | $4,081.32 | ↑ +76% |
| Banner University Health Plan | University Care Advantage | $4,081.32 | ↑ +76% |
| Banner University Health Plan | Medicare Advantage | $4,081.32 | ↑ +76% |
| Mercy Care | Mercy Care Advantage | $4,081.32 | ↑ +76% |
| Cigna Healthcare of Arizona, Inc. | PPO Medicare Advantage Plan | $4,081.32 | ↑ +76% |
| Cigna Healthcare of Arizona, Inc. | HMO Medicare Advantage Plan | $4,081.32 | ↑ +76% |
| Aetna | Medicare Advantage | $4,081.32 | ↑ +76% |
| Banner Health | Medicare Advantage | $4,081.32 | ↑ +76% |
| Health Choice Arizona, Inc. | Medicare Advantage | $4,081.32 | ↑ +76% |
| Kaiser Foundation Health Plan | Medicare Advantage | $4,081.32 | ↑ +76% |
| TriWest Healthcare Alliance Corp - VA CCN | VA Community Care Network | $4,081.32 | ↑ +76% |
| Health Net | Medicare | $4,081.32 | ↑ +76% |
| Wellpoint | Medicare Advantage HMO | $4,081.32 | ↑ +76% |
| Care 1st | Medicare Advantage | $4,081.32 | ↑ +76% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $4,189.93 | ↑ +80% |
| Humana | Medicare Advantage | $4,203.76 | ↑ +81% |
| Devoted Health Services | Medicare Advantage | $4,285.39 | ↑ +84% |
| Carelon | Medicare Advantage | $4,285.39 | ↑ +84% |
| Arizona Priority Care | Alignment Health Plans Medicare Advantage/Eternal Health Plan Medicare/SCAN Health Plan Medicare | $4,489.45 | ↑ +93% |
| Gold Kidney Health Plan | Medicare Advantage | $4,489.45 | ↑ +93% |
| Blue Cross Blue Shield of Arizona | Commercial | $4,988.05 | ↑ +115% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $4,988.05 | ↑ +115% |
| NaphCare | Federal | $5,509.78 | ↑ +137% |
| Aetna | Qualified Health Plan | $5,550.60 | ↑ +139% |
| United Healthcare | Individual Exchange | $5,713.85 | ↑ +146% |
| Health Net | Commerical Exchange Product | $6,040.35 | ↑ +160% |
| Health Choice Arizona, Inc. | ACA Health Plan | $6,121.98 | ↑ +163% |
| Oscar Health Plan | Commercial | $6,734.18 | ↑ +190% |
| TriWest Healthcare Alliance Corp - VA CCN | Tricare | not published by hospital | — |
Visitor-reported prices
Comments
Removal of breast lesion at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Joseph’s Hospital and Medical Center | Phoenix | $5,771.64 | $440.23 – $11,935.32 |
| Banner Estrella Medical Center | Phoenix | not published | $2,289.36 – $3,741.03 |
| Arizona General Hospital Laveen | Phoenix | not published | $440.23 – $4,203.76 |
| Banner Page Hospital | Page | $765.38 | $367.35 – $1,028.85 |
| Yavapai Regional Medical Center (East) | Prescott | $647.03 | $440.23 – $924.32 |
| Mercy Gilbert Medical Center | Gilbert | not published | $440.23 – $4,081.32 |
| Banner University Medical Center Tucson | Tucson | not published | $2,289.36 – $3,191.68 |
| Banner Baywood Medical Center | Mesa | not published | $2,289.36 – $3,741.03 |