Stent/tib/peroneal/unilat/initial 37230 at Banner University Medical Center Phoenix
1111 East Mcdowell Road, Phoenix, AZ · Banner Health · · NPI 1841224870
$11,425.21
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.
$31,914.00
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.
$2,837.28 with Blue Cross Blue Shield of Arizona vs $15,957.00 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 | $2,837.28 | ↓ -75% |
| Cigna Healthcare of Arizona, Inc. | LocalFlex | $4,018.00 | ↓ -65% |
| Aetna | Medicare Advantage | $4,255.20 | ↓ -63% |
| Cigna Healthcare of Arizona, Inc. | Commercial | $4,464.00 | ↓ -61% |
| Aetna | Qualified Health Plan | $4,787.10 | ↓ -58% |
| Aetna | Banner Employee Plans | $4,972.00 | ↓ -56% |
| Health Choice Arizona, Inc. | Medicare Advantage | $6,382.80 | ↓ -44% |
| Aetna | Joint Venture | $6,758.00 | ↓ -41% |
| Aetna | Designated Group | $7,180.00 | ↓ -37% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $7,292.89 | ↓ -36% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $7,779.08 | ↓ -32% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $8,167.97 | ↓ -29% |
| Aetna | Broad Network | $8,447.00 | ↓ -26% |
| Arizona Priority Care | Alignment Health Plans Medicare Advantage/Eternal Health Plan Medicare/SCAN Health Plan Medicare | $8,510.40 | ↓ -26% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $9,574.20 | ↓ -16% |
| Plotkin Health | Plotkin Health | $9,574.20 | ↓ -16% |
| United Healthcare | UHC Doctor's Plan | $9,613.00 | ↓ -16% |
| Blue Cross Blue Shield of Arizona | Commercial | $9,723.85 | ↓ -15% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $9,723.85 | ↓ -15% |
| United Healthcare | UHC Core | $10,046.00 | ↓ -12% |
| United Healthcare | Commercial | $10,575.00 | ↓ -7% |
| Health Net | Medicare | $10,638.00 | ↓ -7% |
| Health Choice Arizona, Inc. | ACA Health Plan | $10,638.00 | ↓ -7% |
| Oscar Health Plan | Commercial | $10,638.00 | ↓ -7% |
| Aetna | Medical Rental | $11,212.45 | ↓ -2% |
| Quiktrip Corporation | Commercial | $11,489.04 | ↑ +1% |
| Health Net | Commerical Exchange Product | $11,489.04 | ↑ +1% |
| Arizona Physicians IPA | Medicaid | $11,646.40 | ↑ +2% |
| Banner University Health Plan | University Family Plan | $11,646.40 | ↑ +2% |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $11,646.40 | ↑ +2% |
| Mercy Care | Medicaid | $11,646.40 | ↑ +2% |
| Health Choice Arizona, Inc. | Medicaid | $11,646.40 | ↑ +2% |
| Health Net | Medicaid | $11,646.40 | ↑ +2% |
| Arizona Medical Network | Commercial | $14,893.20 | ↑ +30% |
| Provider Network of America | Commercial | $15,957.00 | ↑ +40% |
| TriWest Healthcare Alliance Corp - VA CCN | Tricare | not published by hospital | — |
Visitor-reported prices
Comments
Stent/tib/peroneal/unilat/initial 37230 at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Estrella Medical Center | Phoenix | $12,350.72 | $4,018.00 – $15,957.00 |
| Arizona General Hospital Laveen | Phoenix | not published | $702.36 – $19,712.79 |
| St. Joseph’s Hospital and Medical Center | Phoenix | not published | $702.36 – $19,712.79 |
| Mercy Gilbert Medical Center | Gilbert | $6,851.35 | $702.36 – $21,445.27 |
| Banner University Medical Center Tucson | Tucson | $9,220.56 | $3,243.00 – $13,547.20 |
| Banner University Medical Center South | Tucson | $13,386.33 | $3,243.00 – $13,547.20 |
| Banner Baywood Medical Center | Mesa | $10,914.59 | $4,018.00 – $15,957.00 |
| Banner Boswell Medical Center | Sun City | $9,223.15 | $4,018.00 – $17,020.80 |