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Ultrasound breast unilateral limited (both sides) at Banner University Medical Center Phoenix
1111 East Mcdowell Road, Phoenix, AZ · Banner Health · · NPI 1841224870
$169.26
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.
$485.00
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.
$58.65 with Mercy Care vs $409.57 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 |
|---|---|---|---|
| Mercy Care | Medicaid | $58.65 | ↓ -65% |
| Health Net | Medicaid | $58.65 | ↓ -65% |
| Health Choice Arizona, Inc. | Medicaid | $58.65 | ↓ -65% |
| Arizona Physicians IPA | Medicaid | $58.65 | ↓ -65% |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $58.65 | ↓ -65% |
| Banner University Health Plan | University Family Plan | $58.65 | ↓ -65% |
| Aetna | Medicare Advantage | $64.60 | ↓ -62% |
| Aetna | Qualified Health Plan | $72.67 | ↓ -57% |
| Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Preferred | $82.74 | ↓ -51% |
| Health Choice Arizona, Inc. | Medicare Advantage | $96.90 | ↓ -43% |
| Aetna | Banner Employee Plans | $108.53 | ↓ -36% |
| Arizona Priority Care | Alignment Health Plans Medicare Advantage/Eternal Health Plan Medicare/SCAN Health Plan Medicare | $129.20 | ↓ -24% |
| Plotkin Health | Plotkin Health | $145.35 | ↓ -14% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $145.35 | ↓ -14% |
| Aetna | Joint Venture | $149.23 | ↓ -12% |
| Aetna | Designated Group | $158.59 | ↓ -6% |
| Health Net | Medicare | $161.50 | ↓ -5% |
| Health Choice Arizona, Inc. | ACA Health Plan | $161.50 | ↓ -5% |
| Oscar Health Plan | Commercial | $161.50 | ↓ -5% |
| Aetna | Medical Rental | $170.22 | ↑ +1% |
| Quiktrip Corporation | Commercial | $174.42 | ↑ +3% |
| Health Net | Commerical Exchange Product | $174.42 | ↑ +3% |
| Aetna | Broad Network | $186.37 | ↑ +10% |
| Cigna Healthcare of Arizona, Inc. | LocalFlex | $212.21 | ↑ +25% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $212.69 | ↑ +26% |
| Cigna Healthcare of Arizona, Inc. | Commercial | $221.90 | ↑ +31% |
| Arizona Medical Network | Commercial | $226.10 | ↑ +34% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $226.86 | ↑ +34% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $238.21 | ↑ +41% |
| Provider Network of America | Commercial | $242.25 | ↑ +43% |
| Blue Cross Blue Shield of Arizona | Commercial | $283.58 | ↑ +68% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $283.58 | ↑ +68% |
| United Healthcare | UHC Doctor's Plan | $347.17 | ↑ +105% |
| United Healthcare | UHC Core | $378.33 | ↑ +124% |
| United Healthcare | Commercial | $409.57 | ↑ +142% |
| TriWest Healthcare Alliance Corp - VA CCN | Tricare | not published by hospital | — |
Visitor-reported prices
Comments
Ultrasound breast unilateral limited (both sides) at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Estrella Medical Center | Phoenix | $193.03 | $58.65 – $242.25 |
| Banner University Medical Center Tucson | Tucson | $155.84 | $58.65 – $409.57 |
| Banner University Medical Center South | Tucson | $131.51 | $58.65 – $409.57 |
| Banner Baywood Medical Center | Mesa | $155.20 | $58.65 – $242.25 |
| Banner Boswell Medical Center | Sun City | $71.78 | $58.65 – $258.40 |
| Banner Casa Grande Medical Center | Casa Grande | $132.40 | $58.65 – $242.25 |
| Banner Del Webb Medical Center | Sun City West | $167.32 | $58.65 – $258.40 |
| Banner Desert Medical Center | Mesa | $210.49 | $58.65 – $347.17 |