Repr elbw med ligmnt w/tissu at Banner University Medical Center Phoenix
1111 East Mcdowell Road, Phoenix, AZ · Banner Health · · NPI 1841224870
not published by hospital
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.
not published by hospital
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.
$704.98 with Humana vs $12,775.92 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 |
|---|---|---|---|
| Humana | Medicare Advantage | $704.98 | — |
| Aetna | Banner Employee Plans | $2,764.00 | — |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $3,384.17 | — |
| Cigna Healthcare of Arizona, Inc. | LocalFlex | $3,559.00 | — |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $3,609.78 | — |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $3,790.27 | — |
| Cigna Healthcare of Arizona, Inc. | Commercial | $3,954.00 | — |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $4,512.23 | — |
| Blue Cross Blue Shield of Arizona | Commercial | $4,512.23 | — |
| Health Net | Medicaid | $4,542.09 | — |
| Mercy Care | Medicaid | $4,542.09 | — |
| Health Choice Arizona, Inc. | Medicaid | $4,542.09 | — |
| Banner University Health Plan | University Family Plan | $4,542.09 | — |
| Arizona Physicians IPA | Medicaid | $4,542.09 | — |
| Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Preferred | $4,596.53 | — |
| Aetna | Joint Venture | $5,351.00 | — |
| Aetna | Designated Group | $5,686.00 | — |
| Aetna | Broad Network | $6,689.00 | — |
| United Healthcare | UHC Doctor's Plan | $6,927.00 | — |
| United Healthcare | UHC Core | $7,312.00 | — |
| United Healthcare | Commercial | $7,697.00 | — |
| Mercy Care | Mercy Care Advantage | $7,742.98 | — |
| Aetna | Medicare Advantage | $7,742.98 | — |
| Arizona Physicians IPA | Medicare Advantage | $7,742.98 | — |
| Banner Health | Medicare Advantage | $7,742.98 | — |
| Banner University Health Plan | University Care Advantage | $7,742.98 | — |
| Blue Cross Blue Shield of Arizona | Medicare Advantage | $7,742.98 | — |
| Care 1st | Medicare Advantage | $7,742.98 | — |
| Cigna Healthcare of Arizona, Inc. | HMO Medicare Advantage Plans | $7,742.98 | — |
| Cigna Healthcare of Arizona, Inc. | PPO Medicare Advantage Plan | $7,742.98 | — |
| Gila River Health Care Corporation | Managed Care Program | $7,742.98 | — |
| Health Choice Arizona, Inc. | Medicare Advantage | $7,742.98 | — |
| Health Net | Medicare | $7,742.98 | — |
| Kaiser Foundation Health Plan | Medicare Advantage | $7,742.98 | — |
| TriWest Healthcare Alliance Corp - VA CCN | VA Community Care Network | $7,742.98 | — |
| United Healthcare | UHC Medicare Advantage | $7,742.98 | — |
| UPMC Health Plan | Medicare Advantage | $7,742.98 | — |
| Wellpoint (fka Amerigroup) | Medicare Advantage HMO | $7,742.98 | — |
| Carekin | Medicare Advantage | $8,130.13 | — |
| Devoted Health Services | Medicare Advantage | $8,130.13 | — |
| Arizona Priority Care | Medicare Advantage | $8,517.28 | — |
| Gold Kidney Health Plan | Medicare Advantage | $8,517.28 | — |
| NaphCare, Inc. | Federal | $10,453.02 | — |
| United Healthcare | Individual Exchange | $11,227.32 | — |
| Health Choice Arizona, Inc. | ACA Health Plan | $11,614.47 | — |
| Health Net | Commerical Exchange Product | $11,691.90 | — |
| Oscar Health Plan | Commercial | $12,775.92 | — |
Visitor-reported prices
Comments
Repr elbw med ligmnt w/tissu at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Arizona General Hospital Laveen | Phoenix | not published | $757.43 – $7,842.35 |
| St. Joseph’s Hospital and Medical Center | Phoenix | not published | $757.43 – $7,842.35 |
| Mercy Gilbert Medical Center | Gilbert | not published | $757.43 – $7,613.93 |
| Banner University Medical Center Tucson | Tucson | not published | $2,788.18 – $4,542.09 |
| Yavapai Regional Medical Center (East) | Prescott | not published | $757.43 – $8,070.77 |
| Arizona General Hospital Mesa | Mesa | not published | $757.43 – $7,842.35 |
| Chandler Regional Medical Center | Chandler | not published | $690.09 – $707.35 |
| Banner Desert Medical Center | Mesa | not published | $3,268.08 – $4,542.09 |