Ins/rpl pm gen exist dual lead at St. Joseph’s Hospital and Medical Center
350 W Thomas Rd, Phoenix, AZ · CommonSpirit Health · · NPI 1982733655
not published by hospital
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.
not published by hospital
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.
$348.32 with United vs $12,269.58 with Optum — 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 |
|---|---|---|---|
| United | Medicaid|All Plans | $348.32 | — |
| Health Choice | Medicaid|All Plans | $348.32 | — |
| Cigna | Commercial|Exchange | $2,678.00 | — |
| BCBS - AZ | Commercial|Neighborhood | $2,714.71 | — |
| BCBS - AZ | Commercial|MaricopaFocus | $2,714.71 | — |
| Cigna | Commercial|LocalPlus SureFit | $2,867.00 | — |
| BCBS - AZ | Commercial|All Other Plans | $3,619.62 | — |
| Cigna | Commercial|All Other Plans | $3,772.00 | — |
| BCBS - AZ | Commercial|Workers Comp | $5,364.56 | — |
| United | Medicare|Dual Complete | $10,884.78 | — |
| Care 1st | Medicare|All Plans | $11,154.16 | — |
| Humana | Medicare|All Plans | $11,154.16 | — |
| Optum | Medicare|OptumCare | $11,154.16 | — |
| Aetna | Medicare|All Plans | $11,154.16 | — |
| First Health | Medicare|All Plans | $11,154.16 | — |
| United | Medicare|All Other Plans | $11,154.16 | — |
| Cigna | Medicare|All Plans | $11,154.16 | — |
| BCBS - AZ | Medicare|All Plans | $11,154.16 | — |
| Health Choice | Medicare|All Plans | $11,154.16 | — |
| Mercy Care Plan | Medicaid|All Plans | $11,154.16 | — |
| Mercy Care Plan | Medicare|All Plans | $11,154.16 | — |
| Devoted Health | Medicare|All Plans | $11,488.78 | — |
| Optum | Medicare|OptumHealth | $12,269.58 | — |
| Optum | Commercial|OptumHealth | not published by hospital | — |
| Other | Commercial|NTN | not published by hospital | — |
| Health Net | Commercial|Interlink | not published by hospital | — |
| United | Commercial|DignityHealthEmployee | not published by hospital | — |
| Cigna | Commercial|LifeSource | not published by hospital | — |
| MultiPlan | Commercial|All Plans | not published by hospital | — |
| First Health | Commercial|All Plans | not published by hospital | — |
| LifeTrac | Commercial|All Plans | not published by hospital | — |
Visitor-reported prices
Comments
Ins/rpl pm gen exist dual lead at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner University Medical Center Phoenix | Phoenix | $4,036.45 | $1,455.44 – $18,404.36 |
| Banner Estrella Medical Center | Phoenix | $4,363.42 | $3,741.03 – $18,404.36 |
| Arizona General Hospital Laveen | Phoenix | not published | $348.32 – $11,488.79 |
| Mercy Gilbert Medical Center | Gilbert | $5,090.24 | $348.32 – $15,932.84 |
| Banner University Medical Center Tucson | Tucson | $9,150.87 | $3,191.68 – $20,167.20 |
| Banner University Medical Center South | Tucson | $13,285.14 | $2,248.02 – $20,167.20 |
| Banner Baywood Medical Center | Mesa | $3,856.05 | $3,741.03 – $18,404.36 |
| Banner Boswell Medical Center | Sun City | $3,258.48 | $2,856.54 – $18,404.36 |