Bx of breast open 19101 at Yavapai Regional Medical Center (East)
1003 Willow Creek Rd, Prescott, AZ · CommonSpirit Health · · NPI 1902897820
$345.78
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.
$466.00
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.
$234.60 with Banner Health vs $493.96 with Devoted Health — 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 Health | Medicaid|All Plans | $234.60 | ↓ -32% |
| Arizona Complete Health | Medicaid|All Plans | $234.60 | ↓ -32% |
| Humana | Medicaid|All Plans | $234.60 | ↓ -32% |
| ACCHS | Medicaid|All Plans | $234.60 | ↓ -32% |
| Health Net | Medicaid|All Plans | $234.60 | ↓ -32% |
| Care 1st | Medicaid|All Plans | $234.60 | ↓ -32% |
| United | Medicaid|All Plans | $234.60 | ↓ -32% |
| Health Choice | Medicaid|All Plans | $246.33 | ↓ -29% |
| Mercy Care | Medicaid|All Plans | $246.33 | ↓ -29% |
| Cigna | Commercial|IFP | $396.10 | ↑ +15% |
| BCBS - AZ | Commercial|All Plans | $396.57 | ↑ +15% |
| United | Commercial|Choice | $405.42 | ↑ +17% |
| United | Commercial|All Other Plans | $405.42 | ↑ +17% |
| Cigna | Commercial|All Other Plans | $406.82 | ↑ +18% |
| Aetna | Commercial|All Other Plans | $419.40 | ↑ +21% |
| Aetna | Commercial|PPO | $419.40 | ↑ +21% |
| First Health | Commercial|All Plans | $442.70 | ↑ +28% |
| Health Net | Commercial|All Plans | $452.02 | ↑ +31% |
| Wellcare by Allwell | Medicare|All Plans | $466.00 | ↑ +35% |
| Banner Health | Medicare|All Plans | $466.00 | ↑ +35% |
| First Health | Medicare|All Plans | $466.00 | ↑ +35% |
| United Mine Workers of America | Medicare|All Plans | $466.00 | ↑ +35% |
| Aetna | Medicare|All Plans | $466.00 | ↑ +35% |
| Health Net | Medicare|Allwell | $466.00 | ↑ +35% |
| Bridgeway Health Solutions | Medicare|All Plans | $466.00 | ↑ +35% |
| Cigna Health Spring | Medicare|All Plans | $466.00 | ↑ +35% |
| Health Choice Pathway | Medicare|All Plans | $466.00 | ↑ +35% |
| Health Management Network | Medicare|All Plans | $466.00 | ↑ +35% |
| Rural Arizona Network | Medicare|All Plans | $466.00 | ↑ +35% |
| Arizona Medical Network | Medicare|All Plans | $466.00 | ↑ +35% |
| Humana | Medicare|All Plans | $466.00 | ↑ +35% |
| United | Medicare|All Plans | $477.65 | ↑ +38% |
| BCBS - AZ | Medicare|All Plans | $479.98 | ↑ +39% |
| WellCare | Medicare|All Plans | $489.30 | ↑ +42% |
| Imperial Insurance | Medicare|All Plans | $489.30 | ↑ +42% |
| Devoted Health | Medicare|All Plans | $493.96 | ↑ +43% |
Visitor-reported prices
Comments
Bx of breast open 19101 at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Page Hospital | Page | $411.18 | $197.41 – $552.90 |
| Mercy Gilbert Medical Center | Gilbert | not published | $234.60 – $4,081.32 |
| Banner University Medical Center Tucson | Tucson | not published | $2,289.36 – $2,788.18 |
| Banner Boswell Medical Center | Sun City | not published | $2,289.36 – $2,495.41 |
| Banner Desert Medical Center | Mesa | not published | $2,289.36 – $3,268.08 |
| Banner Estrella Medical Center | Phoenix | not published | $2,289.36 – $3,268.08 |
| Banner Gateway Medical Center | Gilbert | not published | $2,289.36 – $3,268.08 |
| Banner Thunderbird Medical Center | Glendale | not published | $72.99 – $2,289.36 |