Unlisted procedure spine at Banner University Medical Center Phoenix
1111 East Mcdowell Road, Phoenix, AZ · Banner Health · · NPI 1841224870
$1,370.78
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.
$3,829.00
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.
$149.49 with Banner University Health Plan vs $5,506.00 with Aetna — 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 | $149.49 | ↓ -89% |
| Banner University Health Plan | University Family Plan | $149.49 | ↓ -89% |
| Arizona Physicians IPA | Medicaid | $149.49 | ↓ -89% |
| Health Net | Medicaid | $149.49 | ↓ -89% |
| Health Choice Arizona, Inc. | Medicaid | $149.49 | ↓ -89% |
| Mercy Care | Medicaid | $149.49 | ↓ -89% |
| Care 1st | Medicare Advantage | $255.67 | ↓ -81% |
| Gila River Health Care Corporation | Managed Care Program | $255.67 | ↓ -81% |
| United Healthcare | Medicare Advantage | $255.67 | ↓ -81% |
| UPMC Health Plan | Medicare Advantage | $255.67 | ↓ -81% |
| Blue Cross Blue Shield of Arizona | Medicare Advantage | $255.67 | ↓ -81% |
| Banner University Health Plan | University Care Advantage | $255.67 | ↓ -81% |
| Banner University Health Plan | Medicare Advantage | $255.67 | ↓ -81% |
| Mercy Care | Mercy Care Advantage | $255.67 | ↓ -81% |
| Cigna Healthcare of Arizona, Inc. | PPO Medicare Advantage Plan | $255.67 | ↓ -81% |
| Cigna Healthcare of Arizona, Inc. | HMO Medicare Advantage Plan | $255.67 | ↓ -81% |
| Aetna | Medicare Advantage | $255.67 | ↓ -81% |
| Banner Health | Medicare Advantage | $255.67 | ↓ -81% |
| Health Choice Arizona, Inc. | Medicare Advantage | $255.67 | ↓ -81% |
| Kaiser Foundation Health Plan | Medicare Advantage | $255.67 | ↓ -81% |
| TriWest Healthcare Alliance Corp - VA CCN | VA Community Care Network | $255.67 | ↓ -81% |
| Health Net | Medicare | $255.67 | ↓ -81% |
| Wellpoint | Medicare Advantage HMO | $255.67 | ↓ -81% |
| Arizona Physicians IPA | Medicare Advantage | $255.67 | ↓ -81% |
| Humana | Medicare Advantage | $263.34 | ↓ -81% |
| Carelon | Medicare Advantage | $268.45 | ↓ -80% |
| Devoted Health Services | Medicare Advantage | $268.45 | ↓ -80% |
| Gold Kidney Health Plan | Medicare Advantage | $281.24 | ↓ -79% |
| Arizona Priority Care | Alignment Health Plans Medicare Advantage/Eternal Health Plan Medicare/SCAN Health Plan Medicare | $281.24 | ↓ -79% |
| NaphCare | Federal | $345.15 | ↓ -75% |
| Aetna | Qualified Health Plan | $347.71 | ↓ -75% |
| United Healthcare | Individual Exchange | $357.94 | ↓ -74% |
| Health Net | Commerical Exchange Product | $378.39 | ↓ -72% |
| Health Choice Arizona, Inc. | ACA Health Plan | $383.50 | ↓ -72% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $400.05 | ↓ -71% |
| Plotkin Health | Plotkin Health | $400.05 | ↓ -71% |
| Oscar Health Plan | Commercial | $421.86 | ↓ -69% |
| Aetna | Medical Rental | $468.50 | ↓ -66% |
| Quiktrip Corporation | Commercial | $480.06 | ↓ -65% |
| Arizona Medical Network | Commercial | $622.30 | ↓ -55% |
| Provider Network of America | Commercial | $666.75 | ↓ -51% |
| Aetna | Banner Employee Plans | $1,170.00 | ↓ -15% |
| Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Preferred | $1,271.44 | ↓ -7% |
| United Healthcare | UHC Doctor's Plan | $2,114.00 | ↑ +54% |
| United Healthcare | UHC Core | $2,210.00 | ↑ +61% |
| United Healthcare | Commercial | $2,326.00 | ↑ +70% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $3,268.08 | ↑ +138% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $3,485.96 | ↑ +154% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $3,660.23 | ↑ +167% |
| Cigna Healthcare of Arizona, Inc. | LocalFlex | $4,018.00 | ↑ +193% |
| Blue Cross Blue Shield of Arizona | Commercial | $4,357.45 | ↑ +218% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $4,357.45 | ↑ +218% |
| Aetna | Joint Venture | $4,405.00 | ↑ +221% |
| Cigna Healthcare of Arizona, Inc. | Commercial | $4,464.00 | ↑ +226% |
| Aetna | Designated Group | $4,680.00 | ↑ +241% |
| Aetna | Broad Network | $5,506.00 | ↑ +302% |
| TriWest Healthcare Alliance Corp - VA CCN | Tricare | not published by hospital | — |
Visitor-reported prices
Comments
Unlisted procedure spine at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Arizona General Hospital Laveen | Phoenix | not published | $153.23 – $263.35 |
| St. Joseph’s Hospital and Medical Center | Phoenix | not published | $153.23 – $263.34 |
| Yavapai Regional Medical Center (East) | Prescott | $2,368.47 | $153.23 – $2,713.20 |
| Mercy Gilbert Medical Center | Gilbert | not published | $153.23 – $255.67 |
| Banner University Medical Center Tucson | Tucson | not published | $149.49 – $2,788.18 |
| Banner Desert Medical Center | Mesa | not published | $149.49 – $3,268.08 |
| Arizona General Hospital Mesa | Mesa | not published | $153.23 – $263.35 |
| Chandler Regional Medical Center | Chandler | not published | $153.23 – $255.67 |