Removal of breast lesion at St. Joseph’s Hospital and Medical Center
350 W Thomas Rd, Phoenix, AZ · CommonSpirit Health · · NPI 1982733655
$5,771.64
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.
$15,109.00
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.
$440.23 with United vs $11,935.32 with MultiPlan — 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 | $440.23 | ↓ -92% |
| Health Choice | Medicaid|All Plans | $440.23 | ↓ -92% |
| Cigna | Commercial|Exchange | $2,678.00 | ↓ -54% |
| BCBS - AZ | Commercial|Neighborhood | $2,714.71 | ↓ -53% |
| BCBS - AZ | Commercial|MaricopaFocus | $2,714.71 | ↓ -53% |
| Cigna | Commercial|LocalPlus SureFit | $2,867.00 | ↓ -50% |
| United | Commercial|DignityHealthEmployee | $2,870.52 | ↓ -50% |
| BCBS - AZ | Commercial|All Other Plans | $3,619.62 | ↓ -37% |
| Cigna | Commercial|All Other Plans | $3,772.00 | ↓ -35% |
| United | Medicare|Dual Complete | $3,982.76 | ↓ -31% |
| Care 1st | Medicare|All Plans | $4,081.32 | ↓ -29% |
| Humana | Medicare|All Plans | $4,081.32 | ↓ -29% |
| Optum | Medicare|OptumCare | $4,081.32 | ↓ -29% |
| Aetna | Medicare|All Plans | $4,081.32 | ↓ -29% |
| First Health | Medicare|All Plans | $4,081.32 | ↓ -29% |
| United | Medicare|All Other Plans | $4,081.32 | ↓ -29% |
| Cigna | Medicare|All Plans | $4,081.32 | ↓ -29% |
| BCBS - AZ | Medicare|All Plans | $4,081.32 | ↓ -29% |
| Health Choice | Medicare|All Plans | $4,081.32 | ↓ -29% |
| Mercy Care Plan | Medicaid|All Plans | $4,081.32 | ↓ -29% |
| Mercy Care Plan | Medicare|All Plans | $4,081.32 | ↓ -29% |
| Devoted Health | Medicare|All Plans | $4,203.76 | ↓ -27% |
| Optum | Medicare|OptumHealth | $4,489.45 | ↓ -22% |
| BCBS - AZ | Commercial|Workers Comp | $5,364.56 | ↓ -7% |
| Optum | Commercial|OptumHealth | $7,100.76 | ↑ +23% |
| Cigna | Commercial|LifeSource | $8,309.40 | ↑ +44% |
| Other | Commercial|NTN | $9,064.80 | ↑ +57% |
| LifeTrac | Commercial|All Plans | $9,820.20 | ↑ +70% |
| Connected Care | Commercial|Intel | $9,971.28 | ↑ +73% |
| Health Net | Commercial|Interlink | $10,575.60 | ↑ +83% |
| First Health | Commercial|All Plans | $10,575.60 | ↑ +83% |
| MultiPlan | Commercial|All Plans | $11,935.32 | ↑ +107% |
Visitor-reported prices
Comments
Removal of breast lesion at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner University Medical Center Phoenix | Phoenix | $2,324.78 | $1,455.44 – $6,734.18 |
| Banner Estrella Medical Center | Phoenix | not published | $2,289.36 – $3,741.03 |
| Arizona General Hospital Laveen | Phoenix | not published | $440.23 – $4,203.76 |
| Banner Page Hospital | Page | $765.38 | $367.35 – $1,028.85 |
| Yavapai Regional Medical Center (East) | Prescott | $647.03 | $440.23 – $924.32 |
| Mercy Gilbert Medical Center | Gilbert | not published | $440.23 – $4,081.32 |
| Banner University Medical Center Tucson | Tucson | not published | $2,289.36 – $3,191.68 |
| Banner Baywood Medical Center | Mesa | not published | $2,289.36 – $3,741.03 |