Pt evaluation moderate complexity patient/family at St. Joseph’s Hospital and Medical Center
350 W Thomas Rd, Phoenix, AZ · CommonSpirit Health · · NPI 1982733655
$203.23
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.
$532.00
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.
$101.08 with United vs $421.19 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 |
|---|---|---|---|
| United | Commercial|DignityHealthEmployee | $101.08 | ↓ -50% |
| Health Choice | Medicaid|All Plans | $106.21 | ↓ -48% |
| United | Medicaid|All Plans | $106.21 | ↓ -48% |
| Cigna | Commercial|Exchange | $129.00 | ↓ -37% |
| Cigna | Commercial|LocalPlus SureFit | $138.00 | ↓ -32% |
| United | Commercial|Navigate | $162.00 | ↓ -20% |
| Cigna | Commercial|All Other Plans | $182.00 | ↓ -10% |
| Optum | Commercial|OptumHealth | $250.04 | ↑ +23% |
| Cigna | Commercial|LifeSource | $292.60 | ↑ +44% |
| Other | Commercial|NTN | $319.20 | ↑ +57% |
| Connected Care | Commercial|Intel | $329.84 | ↑ +62% |
| Aetna | Commercial|All Other Plans | $332.22 | ↑ +63% |
| Aetna | Commercial|HMO | $332.22 | ↑ +63% |
| Aetna | Commercial|PPO | $332.22 | ↑ +63% |
| LifeTrac | Commercial|All Plans | $345.80 | ↑ +70% |
| First Health | Commercial|All Plans | $351.12 | ↑ +73% |
| United | Commercial|All Other Plans | $354.00 | ↑ +74% |
| Health Net | Commercial|Interlink | $372.40 | ↑ +83% |
| United | Commercial|Options PPO | $395.00 | ↑ +94% |
| MultiPlan | Commercial|All Plans | $420.28 | ↑ +107% |
| Aetna | Commercial|All Plans | $421.19 | ↑ +107% |
Visitor-reported prices
Comments
Pt evaluation moderate complexity patient/family at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner University Medical Center Phoenix | Phoenix | $72.56 | $81.00 – $312.75 |
| Banner Estrella Medical Center | Phoenix | $79.23 | $81.00 – $397.42 |
| Arizona General Hospital Laveen | Phoenix | $121.60 | $106.21 – $433.83 |
| Banner University Medical Center Tucson | Tucson | $55.08 | $49.40 – $339.06 |
| Banner University Medical Center South | Tucson | $41.99 | $49.40 – $268.00 |
| Banner Baywood Medical Center | Mesa | $92.99 | $81.00 – $397.42 |
| Banner Boswell Medical Center | Sun City | $87.99 | $81.00 – $333.60 |
| Banner Casa Grande Medical Center | Casa Grande | $97.16 | $81.00 – $312.75 |