Tc-99m tilmanocept diag at Banner University Medical Center Phoenix
1111 East Mcdowell Road, Phoenix, AZ · Banner Health · · NPI 1841224870
$859.02
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.
$2,399.50
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.
$479.90 with Aetna vs $5,093.67 with Blue Cross Blue Shield of Arizona — 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 |
|---|---|---|---|
| Aetna | Medicare Advantage | $479.90 | ↓ -44% |
| Aetna | Qualified Health Plan | $539.89 | ↓ -37% |
| Health Net | Medicaid | $661.57 | ↓ -23% |
| Health Choice Arizona, Inc. | Medicaid | $661.57 | ↓ -23% |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $661.57 | ↓ -23% |
| Arizona Physicians IPA | Medicaid | $661.57 | ↓ -23% |
| Mercy Care | Medicaid | $661.57 | ↓ -23% |
| Banner University Health Plan | University Family Plan | $661.57 | ↓ -23% |
| Health Choice Arizona, Inc. | Medicare Advantage | $719.85 | ↓ -16% |
| Arizona Priority Care | Alignment Health Plans Medicare Advantage/Eternal Health Plan Medicare/SCAN Health Plan Medicare | $959.80 | ↑ +12% |
| Cigna Healthcare of Arizona, Inc. | LocalFlex | $1,002.09 | ↑ +17% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $1,079.78 | ↑ +26% |
| Plotkin Health | Plotkin Health | $1,079.78 | ↑ +26% |
| Cigna Healthcare of Arizona, Inc. | Commercial | $1,113.44 | ↑ +30% |
| Health Net | Medicare | $1,199.75 | ↑ +40% |
| Health Choice Arizona, Inc. | ACA Health Plan | $1,199.75 | ↑ +40% |
| Oscar Health Plan | Commercial | $1,199.75 | ↑ +40% |
| Aetna | Medical Rental | $1,264.54 | ↑ +47% |
| Quiktrip Corporation | Commercial | $1,295.73 | ↑ +51% |
| Health Net | Commerical Exchange Product | $1,295.73 | ↑ +51% |
| Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Preferred | $1,486.26 | ↑ +73% |
| Arizona Medical Network | Commercial | $1,679.65 | ↑ +96% |
| Provider Network of America | Commercial | $1,799.62 | ↑ +109% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $3,820.25 | ↑ +345% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $4,074.94 | ↑ +374% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $4,278.65 | ↑ +398% |
| Blue Cross Blue Shield of Arizona | Commercial | $5,093.67 | ↑ +493% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $5,093.67 | ↑ +493% |
Visitor-reported prices
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Tc-99m tilmanocept diag at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Estrella Medical Center | Phoenix | $479.90 | $479.90 – $3,820.25 |
| St. Joseph’s Hospital and Medical Center | Phoenix | $375.51 | $100.00 – $983.00 |
| Mercy Gilbert Medical Center | Gilbert | $305.78 | $100.00 – $1,243.00 |
| Banner University Medical Center Tucson | Tucson | $599.88 | $479.90 – $3,259.27 |
| Banner Baywood Medical Center | Mesa | $657.46 | $479.90 – $3,820.25 |
| Banner Boswell Medical Center | Sun City | $455.91 | $479.90 – $2,917.03 |
| Banner Casa Grande Medical Center | Casa Grande | $434.31 | $479.90 – $2,237.23 |
| Banner Del Webb Medical Center | Sun City West | $427.11 | $479.90 – $1,919.60 |