Special physics consult at Banner University Medical Center Phoenix
1111 East Mcdowell Road, Phoenix, AZ · Banner Health · · NPI 1841224870
$542.60
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.
$1,177.00
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.
$91.98 with Banner University Health Plan vs $2,420.00 with United Healthcare — 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 |
|---|---|---|---|
| Banner University Health Plan | AZ Medicaid - AHCCCS | $91.98 | ↓ -83% |
| Banner University Health Plan | University Family Plan | $91.98 | ↓ -83% |
| Arizona Physicians IPA | Medicaid | $91.98 | ↓ -83% |
| Health Net | Medicaid | $91.98 | ↓ -83% |
| Health Choice Arizona, Inc. | Medicaid | $91.98 | ↓ -83% |
| Mercy Care | Medicaid | $91.98 | ↓ -83% |
| Care 1st | Medicare Advantage | $141.51 | ↓ -74% |
| Gila River Health Care Corporation | Managed Care Program | $141.51 | ↓ -74% |
| United Healthcare | Medicare Advantage | $141.51 | ↓ -74% |
| UPMC Health Plan | Medicare Advantage | $141.51 | ↓ -74% |
| Blue Cross Blue Shield of Arizona | Medicare Advantage | $141.51 | ↓ -74% |
| Banner University Health Plan | University Care Advantage | $141.51 | ↓ -74% |
| Banner University Health Plan | Medicare Advantage | $141.51 | ↓ -74% |
| Mercy Care | Mercy Care Advantage | $141.51 | ↓ -74% |
| Cigna Healthcare of Arizona, Inc. | PPO Medicare Advantage Plan | $141.51 | ↓ -74% |
| Cigna Healthcare of Arizona, Inc. | HMO Medicare Advantage Plan | $141.51 | ↓ -74% |
| Aetna | Medicare Advantage | $141.51 | ↓ -74% |
| Banner Health | Medicare Advantage | $141.51 | ↓ -74% |
| Health Choice Arizona, Inc. | Medicare Advantage | $141.51 | ↓ -74% |
| Kaiser Foundation Health Plan | Medicare Advantage | $141.51 | ↓ -74% |
| TriWest Healthcare Alliance Corp - VA CCN | VA Community Care Network | $141.51 | ↓ -74% |
| Health Net | Medicare | $141.51 | ↓ -74% |
| Wellpoint | Medicare Advantage HMO | $141.51 | ↓ -74% |
| Arizona Physicians IPA | Medicare Advantage | $141.51 | ↓ -74% |
| Humana | Medicare Advantage | $145.76 | ↓ -73% |
| Devoted Health Services | Medicare Advantage | $148.59 | ↓ -73% |
| Carelon | Medicare Advantage | $148.59 | ↓ -73% |
| Arizona Priority Care | Alignment Health Plans Medicare Advantage/Eternal Health Plan Medicare/SCAN Health Plan Medicare | $155.66 | ↓ -71% |
| Gold Kidney Health Plan | Medicare Advantage | $155.66 | ↓ -71% |
| NaphCare | Federal | $191.04 | ↓ -65% |
| Aetna | Qualified Health Plan | $192.45 | ↓ -65% |
| United Healthcare | Individual Exchange | $198.11 | ↓ -63% |
| Health Net | Commerical Exchange Product | $209.43 | ↓ -61% |
| Health Choice Arizona, Inc. | ACA Health Plan | $212.26 | ↓ -61% |
| Oscar Health Plan | Commercial | $233.49 | ↓ -57% |
| Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Preferred | $260.23 | ↓ -52% |
| Aetna | Banner Employee Plans | $395.47 | ↓ -27% |
| Aetna | Joint Venture | $426.37 | ↓ -21% |
| Aetna | Designated Group | $453.03 | ↓ -17% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $529.65 | ↓ -2% |
| Plotkin Health | Plotkin Health | $529.65 | ↓ -2% |
| Aetna | Broad Network | $533.02 | ↓ -2% |
| Aetna | Medical Rental | $620.28 | ↑ +14% |
| Quiktrip Corporation | Commercial | $635.58 | ↑ +17% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $668.89 | ↑ +23% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $713.49 | ↑ +31% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $749.15 | ↑ +38% |
| Cigna Healthcare of Arizona, Inc. | LocalFlex | $773.29 | ↑ +43% |
| Cigna Healthcare of Arizona, Inc. | Commercial | $808.60 | ↑ +49% |
| Arizona Medical Network | Commercial | $823.90 | ↑ +52% |
| Provider Network of America | Commercial | $882.75 | ↑ +63% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $891.86 | ↑ +64% |
| Blue Cross Blue Shield of Arizona | Commercial | $891.86 | ↑ +64% |
| United Healthcare | UHC Doctor's Plan | $2,200.00 | ↑ +305% |
| United Healthcare | UHC Core | $2,299.00 | ↑ +324% |
| United Healthcare | Commercial | $2,420.00 | ↑ +346% |
| TriWest Healthcare Alliance Corp - VA CCN | Tricare | not published by hospital | — |
Visitor-reported prices
Comments
Special physics consult at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Joseph’s Hospital and Medical Center | Phoenix | $731.15 | $141.51 – $1,512.06 |
| Banner University Medical Center Tucson | Tucson | $254.11 | $91.98 – $954.40 |
| Banner Boswell Medical Center | Sun City | $439.02 | $91.98 – $941.60 |
| Banner Desert Medical Center | Mesa | $562.61 | $91.98 – $882.75 |
| Banner Gateway Medical Center | Gilbert | $543.77 | $91.98 – $882.75 |
| Banner Thunderbird Medical Center | Glendale | $491.99 | $72.99 – $882.75 |