How much does a breast ultrasound cost in Phoenix?
27 hospitals in Phoenix list a self-pay price of $57–$1,072 for a complete breast ultrasound (CPT 76641). The typical commercial rate in the same files is $221.
what 27 hospitals list for a self-pay breast ultrasound
Typical insured rate
$221
median of every commercial plan rate in the files
Lowest insured rate
$58.26
BCBS (ALL PRODUCTS), Valleywise Health Medical Center
At 9 of 27 hospitals, the published cash price is the full list price — the file shows no discount for paying without insurance. A hospital may still offer an uninsured discount or financial assistance that is not in its price file: ask before you schedule.
Breast ultrasound prices by hospital in Phoenix
Published cash priceTypical insured rate
Sorted by published cash price. “Typical insured rate” is the median of all commercial plan rates each hospital lists for CPT 76641; Medicaid and Medicare Advantage are shown separately below.
If you have a high deductible, you usually pay the rate your insurer negotiated until you meet it. Ranges cover every plan of that insurer in the file; open a hospital to see plan by plan.
Negotiated rates by insurer
Hospital
Blue Cross Blue Shield
Aetna
Cigna
UnitedHealthcare
Humana
Oscar
Ambetter
Medicaid / CHIP
Medicare Advantage
Banner Heart Hospital
Blue Cross Blue Shield$234–$312
Aetna$192–$240
Cigna$253–$281
UnitedHealthcare—
Humana—
Oscar$205
Ambetter—
Medicaid / CHIP$79.00
Medicare Advantage$76–$318
Banner Boswell Medical Center
Blue Cross Blue Shield$213–$284
Aetna$192–$240
Cigna$253–$281
UnitedHealthcare—
Humana—
Oscar$205
Ambetter—
Medicaid / CHIP$79.00
Medicare Advantage$76–$290
Banner Goldfield Medical Center
Blue Cross Blue Shield$176–$235
Aetna$192–$240
Cigna$253–$281
UnitedHealthcare—
Humana—
Oscar$205
Ambetter—
Medicaid / CHIP$79.00
Medicare Advantage$76–$239
Banner Casa Grande Medical Center
Blue Cross Blue Shield$167–$222
Aetna$143–$210
Cigna$209
UnitedHealthcare—
Humana—
Oscar$205
Ambetter—
Medicaid / CHIP$79.00
Medicare Advantage$75–$226
Valleywise Health Medical Center
Blue Cross Blue Shield$58–$144
Aetna$86.72–$98.55
Cigna$58–$109
UnitedHealthcare$161–$1,340
Humana—
Oscar$120
Ambetter—
Medicaid / CHIP$81–$167
Medicare Advantage$112–$123
Banner Baywood Medical Center
Blue Cross Blue Shield$279–$372
Aetna$192–$240
Cigna$253–$281
UnitedHealthcare—
Humana—
Oscar$205
Ambetter—
Medicaid / CHIP$79.00
Medicare Advantage$76–$379
Banner Del Webb Medical Center
Blue Cross Blue Shield$213–$284
Aetna$192–$240
Cigna$253–$281
UnitedHealthcare—
Humana—
Oscar$205
Ambetter—
Medicaid / CHIP$79.00
Medicare Advantage$66–$290
Banner Gateway Medical Center
Blue Cross Blue Shield$279–$372
Aetna$192–$240
Cigna$253–$281
UnitedHealthcare—
Humana—
Oscar$205
Ambetter—
Medicaid / CHIP$79.00
Medicare Advantage$76–$372
Banner University Medical Center Phoenix
Blue Cross Blue Shield$279–$372
Aetna$192–$240
Cigna$253–$281
UnitedHealthcare$238–$449
Humana—
Oscar$205
Ambetter—
Medicaid / CHIP$79.00
Medicare Advantage$66–$379
Banner Ocotillo Medical Center
Blue Cross Blue Shield$279–$372
Aetna$192–$240
Cigna$253–$281
UnitedHealthcare—
Humana—
Oscar$205
Ambetter—
Medicaid / CHIP$79.00
Medicare Advantage$76–$379
Banner Estrella Medical Center
Blue Cross Blue Shield$279–$372
Aetna$192–$240
Cigna$253–$281
UnitedHealthcare—
Humana—
Oscar$205
Ambetter—
Medicaid / CHIP$79.00
Medicare Advantage$76–$379
Banner Thunderbird Medical Center
Blue Cross Blue Shield$279–$372
Aetna$192–$240
Cigna$253–$281
UnitedHealthcare$238–$449
Humana—
Oscar$205
Ambetter—
Medicaid / CHIP$79.00
Medicare Advantage$66–$379
Banner Ironwood Medical Center
Blue Cross Blue Shield$279–$372
Aetna$192–$240
Cigna$253–$281
UnitedHealthcare—
Humana—
Oscar$205
Ambetter—
Medicaid / CHIP$79.00
Medicare Advantage$76–$379
St. Joseph's Westgate Medical Center
Blue Cross Blue Shield$199–$265
Aetna$458
Cigna$233–$328
UnitedHealthcare$236
Humana—
Oscar—
Ambetter—
Medicaid / CHIP$108–$113
Medicare Advantage$111–$125
Banner Desert Medical Center
Blue Cross Blue Shield$279–$372
Aetna$192–$240
Cigna$253–$281
UnitedHealthcare$238–$449
Humana—
Oscar$205
Ambetter—
Medicaid / CHIP$79.00
Medicare Advantage$76–$379
Arizona General Hospital Laveen
Blue Cross Blue Shield$173–$230
Aetna$672
Cigna$383
UnitedHealthcare$236
Humana—
Oscar—
Ambetter—
Medicaid / CHIP$108
Medicare Advantage$113–$117
Arizona General Hospital Mesa
Blue Cross Blue Shield$173–$230
Aetna$672
Cigna$383
UnitedHealthcare$236
Humana—
Oscar—
Ambetter—
Medicaid / CHIP$108
Medicare Advantage$113–$117
St. Joseph's Hospital and Medical Center
Blue Cross Blue Shield$275–$367
Aetna$431
Cigna$233–$328
UnitedHealthcare$236
Humana—
Oscar—
Ambetter—
Medicaid / CHIP$108–$113
Medicare Advantage$111–$125
HonorHealth Deer Valley Medical Center
Blue Cross Blue Shield$226
Aetna$116–$165
Cigna$604–$806
UnitedHealthcare$164–$240
Humana$150
Oscar$147
Ambetter$158
Medicaid / CHIP$113
Medicare Advantage$112
HonorHealth Florence Medical Center
Blue Cross Blue Shield$221–$226
Aetna$116–$165
Cigna$604–$806
UnitedHealthcare$164–$240
Humana$150
Oscar$147
Ambetter$158
Medicaid / CHIP$113
Medicare Advantage$112
HonorHealth Four Peaks Medical Center
Blue Cross Blue Shield$221–$226
Aetna$116–$165
Cigna$604–$806
UnitedHealthcare$164–$240
Humana$150
Oscar$147
Ambetter$158
Medicaid / CHIP$113
Medicare Advantage$112
HonorHealth John C. Lincoln Medical Center
Blue Cross Blue Shield$226
Aetna$116–$165
Cigna$604–$806
UnitedHealthcare$164–$240
Humana$150
Oscar$147
Ambetter$158
Medicaid / CHIP$113
Medicare Advantage$112
HonorHealth Sonoran Crossing Medical Center
Blue Cross Blue Shield$226
Aetna$116–$165
Cigna$604–$806
UnitedHealthcare$164–$240
Humana—
Oscar$147
Ambetter$158
Medicaid / CHIP$113
Medicare Advantage$112
HonorHealth Scottsdale Osborn Medical Center
Blue Cross Blue Shield$226
Aetna$116–$165
Cigna$604–$806
UnitedHealthcare$164–$240
Humana$150
Oscar$147
Ambetter$158
Medicaid / CHIP$113
Medicare Advantage$112
HonorHealth Scottsdale Shea Medical Center
Blue Cross Blue Shield$226
Aetna$116–$165
Cigna$604–$806
UnitedHealthcare$164–$240
Humana$150
Oscar$147
Ambetter$158
Medicaid / CHIP$113
Medicare Advantage$112
HonorHealth Scottsdale Thompson Peak Medical Center
Blue Cross Blue Shield$226
Aetna$116–$165
Cigna$604–$806
UnitedHealthcare$164–$240
Humana—
Oscar$147
Ambetter$158
Medicaid / CHIP$113
Medicare Advantage$112
HonorHealth Tempe Medical Center
Blue Cross Blue Shield$226
Aetna$116–$165
Cigna$604–$806
UnitedHealthcare$164–$240
Humana—
Oscar$147
Ambetter$158
Medicaid / CHIP$113
Medicare Advantage$112
Phoenix Children's Hospital
Blue Cross Blue Shield$346–$466
Aetna$630–$1,008
Cigna$573–$649
UnitedHealthcare$774–$884
Humana—
Oscar—
Ambetter—
Medicaid / CHIP$75–$158
Medicare Advantage—
Banner Heart Hospital: all 29 plan rates
Payer
Plan (as written in the file)
Type
Rate
Method
Aetna
Medicare Advantage
Medicare Advantage
$76.07
percent of total billed charges
Arizona Physicians IPA
Medicaid
Medicaid / CHIP
$79.00
fee schedule
Banner University Health Plan
AZ Medicaid - AHCCCS
Medicaid / CHIP
$79.00
fee schedule
Health Choice Arizona, Inc.
Medicaid
Medicaid / CHIP
$79.00
fee schedule
Health Net
Medicaid
Medicaid / CHIP
$79.00
fee schedule
Mercy Care
Mercy Medicaid
Medicaid / CHIP
$79.00
fee schedule
Health Choice Arizona, Inc.
Medicare Advantage
Medicare Advantage
$123
percent of total billed charges
Arizona Priority Care
Medicare Advantage
Medicare Advantage
$164
percent of total billed charges
National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI)
NHSI VUMI
Commercial
$184
percent of total billed charges
Plotkin Health
Plotkin Health
Commercial
$184
percent of total billed charges
Aetna
Joint Venture
Commercial
$192
percent of total billed charges
Aetna
Designated Group
Commercial
$204
percent of total billed charges
Health Choice Arizona, Inc.
ACA Health Plan
Commercial
$205
percent of total billed charges
Health Net
Medicare
Medicare Advantage
$205
percent of total billed charges
Oscar Health Plan
Commercial
Commercial
$205
percent of total billed charges
Aetna
Medical Rental
Commercial
$210
percent of total billed charges
Quiktrip Corporation
Commercial
Commercial
$219
percent of total billed charges
Health Net
Commerical Exchange Product
Commercial
$221
percent of total billed charges
Blue Cross Blue Shield of Arizona
BXBSAZ Neighborhood
Commercial
$234
fee schedule
Aetna
Broad Network
Commercial
$240
percent of total billed charges
Blue Cross Blue Shield of Arizona
BCBSAZ Alliance/Blue HPN
Commercial
$250
fee schedule
Cigna Healthcare of Arizona, Inc.
LocalFlex
Commercial
$253
percent of total billed charges
Blue Cross Blue Shield of Arizona
BXBSAZ Alliance CHS
Commercial
$262
fee schedule
Arizona Medical Network
Commercial
Commercial
$263
percent of total billed charges
Cigna Healthcare of Arizona, Inc.
Commercial
Commercial
$281
percent of total billed charges
Provider Network of America
Commercial
Commercial
$307
percent of total billed charges
Blue Cross Blue Shield of Arizona
BCBSAZ Workers Comp
Workers' comp
$312
fee schedule
Blue Cross Blue Shield of Arizona
Commercial
Commercial
$312
fee schedule
Blue Cross Blue Shield of Arizona
Medicare Supplemental Senior Preferred
Medicare Advantage
$318
fee schedule
Banner Boswell Medical Center: all 29 plan rates
Payer
Plan (as written in the file)
Type
Rate
Method
Aetna
Medicare Advantage
Medicare Advantage
$76.07
percent of total billed charges
Arizona Physicians IPA
Medicaid
Medicaid / CHIP
$79.00
fee schedule
Banner University Health Plan
AZ Medicaid - AHCCCS
Medicaid / CHIP
$79.00
fee schedule
Health Choice Arizona, Inc.
Medicaid
Medicaid / CHIP
$79.00
fee schedule
Health Net
Medicaid
Medicaid / CHIP
$79.00
fee schedule
Mercy Care
Mercy Medicaid
Medicaid / CHIP
$79.00
fee schedule
Health Choice Arizona, Inc.
Medicare Advantage
Medicare Advantage
$123
percent of total billed charges
Arizona Priority Care
Medicare Advantage
Medicare Advantage
$164
percent of total billed charges
National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI)
NHSI VUMI
Commercial
$184
percent of total billed charges
Plotkin Health
Plotkin Health
Commercial
$184
percent of total billed charges
Aetna
Joint Venture
Commercial
$192
percent of total billed charges
Aetna
Designated Group
Commercial
$204
percent of total billed charges
Health Choice Arizona, Inc.
ACA Health Plan
Commercial
$205
percent of total billed charges
Health Net
Medicare
Medicare Advantage
$205
percent of total billed charges
Oscar Health Plan
Commercial
Commercial
$205
percent of total billed charges
Aetna
Medical Rental
Commercial
$210
percent of total billed charges
Blue Cross Blue Shield of Arizona
BXBSAZ Neighborhood
Commercial
$213
fee schedule
Quiktrip Corporation
Commercial
Commercial
$219
percent of total billed charges
Health Net
Commerical Exchange Product
Commercial
$221
percent of total billed charges
Blue Cross Blue Shield of Arizona
BCBSAZ Alliance/Blue HPN
Commercial
$227
fee schedule
Blue Cross Blue Shield of Arizona
BXBSAZ Alliance CHS
Commercial
$239
fee schedule
Aetna
Broad Network
Commercial
$240
percent of total billed charges
Cigna Healthcare of Arizona, Inc.
LocalFlex
Commercial
$253
percent of total billed charges
Cigna Healthcare of Arizona, Inc.
Commercial
Commercial
$281
percent of total billed charges
Blue Cross Blue Shield of Arizona
BCBSAZ Workers Comp
Workers' comp
$284
fee schedule
Blue Cross Blue Shield of Arizona
Commercial
Commercial
$284
fee schedule
Arizona Medical Network
Commercial
Commercial
$288
percent of total billed charges
Blue Cross Blue Shield of Arizona
Medicare Supplemental Senior Preferred
Medicare Advantage
$290
fee schedule
Provider Network of America
Commercial
Commercial
$307
percent of total billed charges
Banner Goldfield Medical Center: all 29 plan rates
Payer
Plan (as written in the file)
Type
Rate
Method
Aetna
Medicare Advantage
Medicare Advantage
$76.07
percent of total billed charges
Arizona Physicians IPA
Medicaid
Medicaid / CHIP
$79.00
fee schedule
Banner University Health Plan
AZ Medicaid - AHCCCS
Medicaid / CHIP
$79.00
fee schedule
Health Choice Arizona, Inc.
Medicaid
Medicaid / CHIP
$79.00
fee schedule
Health Net
Medicaid
Medicaid / CHIP
$79.00
fee schedule
Mercy Care
Mercy Medicaid
Medicaid / CHIP
$79.00
fee schedule
Health Choice Arizona, Inc.
Medicare Advantage
Medicare Advantage
$123
percent of total billed charges
Arizona Priority Care
Medicare Advantage
Medicare Advantage
$164
percent of total billed charges
Blue Cross Blue Shield of Arizona
BXBSAZ Neighborhood
Commercial
$176
fee schedule
National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI)
NHSI VUMI
Commercial
$184
percent of total billed charges
Plotkin Health
Plotkin Health
Commercial
$184
percent of total billed charges
Blue Cross Blue Shield of Arizona
BCBSAZ Alliance/Blue HPN
Commercial
$188
fee schedule
Aetna
Joint Venture
Commercial
$192
percent of total billed charges
Blue Cross Blue Shield of Arizona
BXBSAZ Alliance CHS
Commercial
$197
fee schedule
Aetna
Designated Group
Commercial
$204
percent of total billed charges
Health Choice Arizona, Inc.
ACA Health Plan
Commercial
$205
percent of total billed charges
Health Net
Medicare
Medicare Advantage
$205
percent of total billed charges
Oscar Health Plan
Commercial
Commercial
$205
percent of total billed charges
Aetna
Medical Rental
Commercial
$210
percent of total billed charges
Quiktrip Corporation
Commercial
Commercial
$219
percent of total billed charges
Health Net
Commerical Exchange Product
Commercial
$221
percent of total billed charges
Blue Cross Blue Shield of Arizona
BCBSAZ Workers Comp
Workers' comp
$235
fee schedule
Blue Cross Blue Shield of Arizona
Commercial
Commercial
$235
fee schedule
Blue Cross Blue Shield of Arizona
Medicare Supplemental Senior Preferred
Medicare Advantage
$239
fee schedule
Aetna
Broad Network
Commercial
$240
percent of total billed charges
Cigna Healthcare of Arizona, Inc.
LocalFlex
Commercial
$253
percent of total billed charges
Arizona Medical Network
Commercial
Commercial
$263
percent of total billed charges
Cigna Healthcare of Arizona, Inc.
Commercial
Commercial
$281
percent of total billed charges
Provider Network of America
Commercial
Commercial
$307
percent of total billed charges
Banner Casa Grande Medical Center: all 31 plan rates
Payer
Plan (as written in the file)
Type
Rate
Method
Aetna
Medicare Advantage
Medicare Advantage
$74.85
percent of total billed charges
Arizona Physicians IPA
Medicaid
Medicaid / CHIP
$79.00
fee schedule
Banner University Health Plan
AZ Medicaid - AHCCCS
Medicaid / CHIP
$79.00
fee schedule
Health Choice Arizona, Inc.
Medicaid
Medicaid / CHIP
$79.00
fee schedule
Health Net
Medicaid
Medicaid / CHIP
$79.00
fee schedule
Mercy Care
Mercy Medicaid
Medicaid / CHIP
$79.00
fee schedule
Health Choice Arizona, Inc.
Medicare Advantage
Medicare Advantage
$123
percent of total billed charges
Aetna
Joint Venture
Commercial
$143
percent of total billed charges
United Healthcare
UHC Medicare Advantage
Medicare Advantage
$143
percent of total billed charges
UPMC Health Plan
Medicare Advantage
Medicare Advantage
$143
percent of total billed charges
Wellpoint (fka Amerigroup)
Medicare Advantage HMO
Medicare Advantage
$143
percent of total billed charges
Aetna
Designated Group
Commercial
$162
percent of total billed charges
Arizona Priority Care
Medicare Advantage
Medicare Advantage
$164
percent of total billed charges
Blue Cross Blue Shield of Arizona
BXBSAZ Neighborhood
Commercial
$167
fee schedule
Blue Cross Blue Shield of Arizona
BCBSAZ Alliance/Blue HPN
Commercial
$178
fee schedule
National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI)
NHSI VUMI
Commercial
$184
percent of total billed charges
Plotkin Health
Plotkin Health
Commercial
$184
percent of total billed charges
Blue Cross Blue Shield of Arizona
BXBSAZ Alliance CHS
Commercial
$187
fee schedule
Aetna
Broad Network
Commercial
$191
percent of total billed charges
Health Choice Arizona, Inc.
ACA Health Plan
Commercial
$205
percent of total billed charges
Health Net
Medicare
Medicare Advantage
$205
percent of total billed charges
Oscar Health Plan
Commercial
Commercial
$205
percent of total billed charges
Cigna Healthcare of Arizona, Inc.
Commerical/HMO Benefit Plan/Local Flex Plan/Network Benefit Plan/Open Access Plan
Commercial
$209
percent of total billed charges
Aetna
Medical Rental
Commercial
$210
percent of total billed charges
Quiktrip Corporation
Commercial
Commercial
$219
percent of total billed charges
Health Net
Commerical Exchange Product
Commercial
$221
percent of total billed charges
Blue Cross Blue Shield of Arizona
BCBSAZ Workers Comp
Workers' comp
$222
fee schedule
Blue Cross Blue Shield of Arizona
Commercial
Commercial
$222
fee schedule
Blue Cross Blue Shield of Arizona
Medicare Supplemental Senior Preferred
Medicare Advantage
$226
fee schedule
Arizona Medical Network
Commercial
Commercial
$274
percent of total billed charges
Provider Network of America
Commercial
Commercial
$307
percent of total billed charges
Valleywise Health Medical Center: all 47 plan rates
Payer
Plan (as written in the file)
Type
Rate
Method
BCBS
ALL PRODUCTS
Commercial
$58.26
Fee Schedule
CIGNA
ALL PRODUCTS
Commercial
$58.26
Fee Schedule
BANNER UNIVERSITY
AHCCCS MANAGED MEDICAID - PEDIATRIC
Medicaid / CHIP
$80.98
Fee Schedule
BANNER UNIVERSITY
AHCCCS MANAGED MEDICAID - ADULT
Medicaid / CHIP
$80.98
Fee Schedule
HEALTH NET OF ARIZONA
AHCCCS MANAGED MEDICAID - ADULT
Medicaid / CHIP
$80.98
Fee Schedule
HEALTH NET OF ARIZONA
AHCCCS MANAGED MEDICAID - PEDIATRIC
Medicaid / CHIP
$80.98
Fee Schedule
MERCY CARE
AHCCCS MANAGED MEDICAID - PEDIATRIC
Medicaid / CHIP
$80.98
Fee Schedule
MERCY CARE
AHCCCS MANAGED MEDICAID - ADULT
Medicaid / CHIP
$80.98
Fee Schedule
UNITED HEALTHCARE
AHCCCS MANAGED MEDICAID - ADULT
Medicaid / CHIP
$80.98
Fee Schedule
UNITED HEALTHCARE
AHCCCS MANAGED MEDICAID - PEDIATRIC
Medicaid / CHIP
$80.98
Fee Schedule
AETNA
QHP
Commercial
$86.72
Percent of Total Billed Charges
AETNA
ALL PRODUCTS
Commercial
$87.44
Percent of Total Billed Charges
MOLINA
AHCCCS MANAGED MEDICAID - ADULT
Medicaid / CHIP
$89.07
Fee Schedule
MOLINA
AHCCCS MANAGED MEDICAID - PEDIATRIC
Medicaid / CHIP
$89.07
Fee Schedule
AETNA
MEDICAL RENTAL
Commercial
$98.55
Percent of Total Billed Charges
CIGNA
IFP
Commercial
$109
Fee Schedule
AETNA
MEDICARE ADVANTAGE
Medicare Advantage
$112
Fee Schedule
ALIGNMENT HEALTH
MEDICARE ADVANTAGE
Medicare Advantage
$112
Fee Schedule
BANNER UNIVERSITY
MEDICARE ADVANTAGE
Medicare Advantage
$112
Fee Schedule
BCBS
MEDICARE ADVANTAGE
Medicare Advantage
$112
Fee Schedule
DEVOTED
MEDICARE ADVANTAGE
Medicare Advantage
$112
Fee Schedule
HEALTH CHOICE
MEDICARE ADVANTAGE
Medicare Advantage
$112
Fee Schedule
HEALTH NET OF ARIZONA
MEDICARE ADVANTAGE
Medicare Advantage
$112
Fee Schedule
HUMANA
MEDICARE ADVANTAGE
Medicare Advantage
$112
Fee Schedule
IMPERIAL HEALTH
MEDICARE ADVANTAGE
Medicare Advantage
$112
Fee Schedule
MERCY CARE
MEDICARE ADVANTAGE
Medicare Advantage
$112
Fee Schedule
TRIWEST VA
ALL PRODUCTS
Military / VA
$112
Fee Schedule
VERDA
MEDICARE ADVANTAGE
Medicare Advantage
$112
Fee Schedule
GOLD KIDNEY
MEDICARE ADVANTAGE
Medicare Advantage
$117
Fee Schedule
OSCAR
ALL PRODUCTS
Commercial
$120
Fee Schedule
MOLINA
MEDICARE ADVANTAGE
Medicare Advantage
$123
Fee Schedule
HEALTH CHOICE
INDIVIDUAL EXCHANGE
Commercial
$134
Fee Schedule
BCBS
INDIVIDUAL EXCHANGE
Commercial
$144
Fee Schedule
IMPERIAL HEALTH
INDIVIDUAL EXCHANGE
Commercial
$156
Fee Schedule
UNITED HEALTHCARE
INDIVIDUAL EXCHANGE
Commercial
$161
Fee Schedule
HEALTH CHOICE
AHCCCS MANAGED MEDICAID - ADULT
Medicaid / CHIP
$167
Fee Schedule
HEALTH CHOICE
AHCCCS MANAGED MEDICAID - PEDIATRIC
Medicaid / CHIP
$167
Fee Schedule
ANTIDOTE
INDIVIDUAL EXCHANGE
Commercial
$167
Fee Schedule
CREIGHTON
ALL PRODUCTS
Commercial
$195
Fee Schedule
EMPLOYERS HEALTH NETWORK
ALL PRODUCTS
Commercial
$213
Fee Schedule
CENTIVO
ALL PRODUCTS
Commercial
$216
Fee Schedule
NAPHCARE INC
ALL PRODUCTS
Public program
$223
Fee Schedule
BCBS
WORKERS COMP
Workers' comp
$233
Fee Schedule
COVENTRY
WORKERS COMP
Workers' comp
$618
Percent of Total Billed Charges
PROVIDER NETWORK OF AMERICA
ALL PRODUCTS
Commercial
$713
Percent of Total Billed Charges
UNITED HEALTHCARE
NAVIGATE
Commercial
$1,206
Other
UNITED HEALTHCARE
ALL PRODUCTS
Commercial
$1,340
Other
Banner Baywood Medical Center: all 29 plan rates
Payer
Plan (as written in the file)
Type
Rate
Method
Aetna
Medicare Advantage
Medicare Advantage
$76.07
percent of total billed charges
Arizona Physicians IPA
Medicaid
Medicaid / CHIP
$79.00
fee schedule
Banner University Health Plan
AZ Medicaid - AHCCCS
Medicaid / CHIP
$79.00
fee schedule
Health Choice Arizona, Inc.
Medicaid
Medicaid / CHIP
$79.00
fee schedule
Health Net
Medicaid
Medicaid / CHIP
$79.00
fee schedule
Mercy Care
Mercy Medicaid
Medicaid / CHIP
$79.00
fee schedule
Health Choice Arizona, Inc.
Medicare Advantage
Medicare Advantage
$123
percent of total billed charges
Arizona Priority Care
Medicare Advantage
Medicare Advantage
$164
percent of total billed charges
National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI)
NHSI VUMI
Commercial
$184
percent of total billed charges
Plotkin Health
Plotkin Health
Commercial
$184
percent of total billed charges
Aetna
Joint Venture
Commercial
$192
percent of total billed charges
Aetna
Designated Group
Commercial
$204
percent of total billed charges
Health Choice Arizona, Inc.
ACA Health Plan
Commercial
$205
percent of total billed charges
Health Net
Medicare
Medicare Advantage
$205
percent of total billed charges
Oscar Health Plan
Commercial
Commercial
$205
percent of total billed charges
Aetna
Medical Rental
Commercial
$210
percent of total billed charges
Quiktrip Corporation
Commercial
Commercial
$219
percent of total billed charges
Health Net
Commerical Exchange Product
Commercial
$221
percent of total billed charges
Aetna
Broad Network
Commercial
$240
percent of total billed charges
Cigna Healthcare of Arizona, Inc.
LocalFlex
Commercial
$253
percent of total billed charges
Arizona Medical Network
Commercial
Commercial
$263
percent of total billed charges
Blue Cross Blue Shield of Arizona
BXBSAZ Neighborhood
Commercial
$279
fee schedule
Cigna Healthcare of Arizona, Inc.
Commercial
Commercial
$281
percent of total billed charges
Blue Cross Blue Shield of Arizona
BCBSAZ Alliance/Blue HPN
Commercial
$298
fee schedule
Provider Network of America
Commercial
Commercial
$307
percent of total billed charges
Blue Cross Blue Shield of Arizona
BXBSAZ Alliance CHS
Commercial
$313
fee schedule
Blue Cross Blue Shield of Arizona
BCBSAZ Workers Comp
Workers' comp
$372
fee schedule
Blue Cross Blue Shield of Arizona
Commercial
Commercial
$372
fee schedule
Blue Cross Blue Shield of Arizona
Medicare Supplemental Senior Preferred
Medicare Advantage
$379
fee schedule
Banner Del Webb Medical Center: all 30 plan rates
Payer
Plan (as written in the file)
Type
Rate
Method
Humana
Medicare Advantage
Medicare Advantage
$66.49
fee schedule
Aetna
Medicare Advantage
Medicare Advantage
$76.07
percent of total billed charges
Arizona Physicians IPA
Medicaid
Medicaid / CHIP
$79.00
fee schedule
Banner University Health Plan
University Family Plan
Medicaid / CHIP
$79.00
fee schedule
Health Choice Arizona, Inc.
Medicaid
Medicaid / CHIP
$79.00
fee schedule
Health Net
Medicaid
Medicaid / CHIP
$79.00
fee schedule
Mercy Care
Medicaid
Medicaid / CHIP
$79.00
fee schedule
Health Choice Arizona, Inc.
Medicare Advantage
Medicare Advantage
$123
percent of total billed charges
Arizona Priority Care
Medicare Advantage
Medicare Advantage
$164
percent of total billed charges
National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI)
NHSI VUMI
Commercial
$184
percent of total billed charges
Plotkin Health
Plotkin Health
Commercial
$184
percent of total billed charges
Aetna
Joint Venture
Commercial
$192
percent of total billed charges
Aetna
Designated Group
Commercial
$204
percent of total billed charges
Health Choice Arizona, Inc.
ACA Health Plan
Commercial
$205
percent of total billed charges
Health Net
Medicare
Medicare Advantage
$205
percent of total billed charges
Oscar Health Plan
Commercial
Commercial
$205
percent of total billed charges
Aetna
Medical Rental
Commercial
$210
percent of total billed charges
Blue Cross Blue Shield of Arizona
BXBSAZ Neighborhood
Commercial
$213
fee schedule
Quiktrip Corporation
Commercial
Commercial
$219
percent of total billed charges
Health Net
Commerical Exchange Product
Commercial
$221
percent of total billed charges
Blue Cross Blue Shield of Arizona
BCBSAZ Alliance/Blue HPN
Commercial
$227
fee schedule
Blue Cross Blue Shield of Arizona
BXBSAZ Alliance CHS
Commercial
$239
fee schedule
Aetna
Broad Network
Commercial
$240
percent of total billed charges
Cigna Healthcare of Arizona, Inc.
LocalFlex
Commercial
$253
percent of total billed charges
Cigna Healthcare of Arizona, Inc.
Commercial
Commercial
$281
percent of total billed charges
Blue Cross Blue Shield of Arizona
BCBSAZ Workers Comp
Workers' comp
$284
fee schedule
Blue Cross Blue Shield of Arizona
Commercial
Commercial
$284
fee schedule
Arizona Medical Network
Commercial
Commercial
$288
percent of total billed charges
Blue Cross Blue Shield of Arizona
Medicare Supplemental Senior Preferred
Medicare Advantage
$290
fee schedule
Provider Network of America
Commercial
Commercial
$307
percent of total billed charges
Banner Gateway Medical Center: all 29 plan rates
Payer
Plan (as written in the file)
Type
Rate
Method
Aetna
Medicare Advantage
Medicare Advantage
$76.07
percent of total billed charges
Arizona Physicians IPA
Medicaid
Medicaid / CHIP
$79.00
fee schedule
Banner University Health Plan
AZ Medicaid - AHCCCS
Medicaid / CHIP
$79.00
fee schedule
Health Choice Arizona, Inc.
Medicaid
Medicaid / CHIP
$79.00
fee schedule
Health Net
Medicaid
Medicaid / CHIP
$79.00
fee schedule
Mercy Care
Mercy Medicaid
Medicaid / CHIP
$79.00
fee schedule
Health Choice Arizona, Inc.
Medicare Advantage
Medicare Advantage
$123
percent of total billed charges
Arizona Priority Care
Medicare Advantage
Medicare Advantage
$164
percent of total billed charges
National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI)
NHSI VUMI
Commercial
$184
percent of total billed charges
Plotkin Health
Plotkin Health
Commercial
$184
percent of total billed charges
Aetna
Joint Venture
Commercial
$192
percent of total billed charges
Aetna
Designated Group
Commercial
$204
percent of total billed charges
Health Choice Arizona, Inc.
ACA Health Plan
Commercial
$205
percent of total billed charges
Health Net
Medicare
Medicare Advantage
$205
percent of total billed charges
Oscar Health Plan
Commercial
Commercial
$205
percent of total billed charges
Aetna
Medical Rental
Commercial
$210
percent of total billed charges
Quiktrip Corporation
Commercial
Commercial
$219
percent of total billed charges
Health Net
Commerical Exchange Product
Commercial
$221
percent of total billed charges
Aetna
Broad Network
Commercial
$240
percent of total billed charges
Cigna Healthcare of Arizona, Inc.
LocalFlex
Commercial
$253
percent of total billed charges
Arizona Medical Network
Commercial
Commercial
$263
percent of total billed charges
Blue Cross Blue Shield of Arizona
BXBSAZ Neighborhood
Commercial
$279
fee schedule
Cigna Healthcare of Arizona, Inc.
Commercial
Commercial
$281
percent of total billed charges
Blue Cross Blue Shield of Arizona
BCBSAZ Alliance/Blue HPN
Commercial
$298
fee schedule
Provider Network of America
Commercial
Commercial
$307
percent of total billed charges
Blue Cross Blue Shield of Arizona
BXBSAZ Alliance CHS
Commercial
$313
fee schedule
Blue Cross Blue Shield of Arizona
BCBSAZ Workers Comp
Workers' comp
$372
fee schedule
Blue Cross Blue Shield of Arizona
Commercial
Commercial
$372
fee schedule
Blue Cross Blue Shield of Arizona
Medicare Supplemental Senior Preferred
Medicare Advantage
$372
fee schedule
Banner University Medical Center Phoenix: all 33 plan rates
Payer
Plan (as written in the file)
Type
Rate
Method
Humana
Medicare Advantage
Medicare Advantage
$66.49
fee schedule
Aetna
Medicare Advantage
Medicare Advantage
$76.07
percent of total billed charges
Arizona Physicians IPA
Medicaid
Medicaid / CHIP
$79.00
fee schedule
Banner University Health Plan
University Family Plan
Medicaid / CHIP
$79.00
fee schedule
Health Choice Arizona, Inc.
Medicaid
Medicaid / CHIP
$79.00
fee schedule
Health Net
Medicaid
Medicaid / CHIP
$79.00
fee schedule
Mercy Care
Medicaid
Medicaid / CHIP
$79.00
fee schedule
Health Choice Arizona, Inc.
Medicare Advantage
Medicare Advantage
$123
percent of total billed charges
Arizona Priority Care
Medicare Advantage
Medicare Advantage
$164
percent of total billed charges
National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI)
NHSI VUMI
Commercial
$184
percent of total billed charges
Plotkin Health
Plotkin Health
Commercial
$184
percent of total billed charges
Aetna
Joint Venture
Commercial
$192
percent of total billed charges
Aetna
Designated Group
Commercial
$204
percent of total billed charges
Health Choice Arizona, Inc.
ACA Health Plan
Commercial
$205
percent of total billed charges
Health Net
Medicare
Medicare Advantage
$205
percent of total billed charges
Oscar Health Plan
Commercial
Commercial
$205
percent of total billed charges
Aetna
Medical Rental
Commercial
$210
percent of total billed charges
Quiktrip Corporation
Commercial
Commercial
$219
percent of total billed charges
Health Net
Commerical Exchange Product
Commercial
$221
percent of total billed charges
United Healthcare
UHC Core
Commercial
$238
fee schedule
United Healthcare
Commercial
Commercial
$239
fee schedule
Aetna
Broad Network
Commercial
$240
percent of total billed charges
Cigna Healthcare of Arizona, Inc.
LocalFlex
Commercial
$253
percent of total billed charges
Arizona Medical Network
Commercial
Commercial
$263
percent of total billed charges
Blue Cross Blue Shield of Arizona
BXBSAZ Neighborhood
Commercial
$279
fee schedule
Cigna Healthcare of Arizona, Inc.
Commercial
Commercial
$281
percent of total billed charges
Blue Cross Blue Shield of Arizona
BCBSAZ Alliance/Blue HPN
Commercial
$298
fee schedule
Provider Network of America
Commercial
Commercial
$307
percent of total billed charges
Blue Cross Blue Shield of Arizona
BXBSAZ Alliance CHS
Commercial
$313
fee schedule
Blue Cross Blue Shield of Arizona
BCBSAZ Workers Comp
Workers' comp
$372
fee schedule
Blue Cross Blue Shield of Arizona
Commercial
Commercial
$372
fee schedule
Blue Cross Blue Shield of Arizona
Medicare Supplemental Senior Preferred
Medicare Advantage
$379
fee schedule
United Healthcare
UHC Doctor's Plan
Commercial
$449
fee schedule
Banner Ocotillo Medical Center: all 27 plan rates
Payer
Plan (as written in the file)
Type
Rate
Method
Aetna
Medicare Advantage
Medicare Advantage
$76.07
percent of total billed charges
Arizona Physicians IPA
Medicaid
Medicaid / CHIP
$79.00
fee schedule
Banner University Health Plan
AZ Medicaid - AHCCCS
Medicaid / CHIP
$79.00
fee schedule
Health Choice Arizona, Inc.
Medicaid
Medicaid / CHIP
$79.00
fee schedule
Health Net
Medicaid
Medicaid / CHIP
$79.00
fee schedule
Mercy Care
Mercy Medicaid
Medicaid / CHIP
$79.00
fee schedule
Health Choice Arizona, Inc.
Medicare Advantage
Medicare Advantage
$123
percent of total billed charges
Plotkin Health
Plotkin Health
Commercial
$184
percent of total billed charges
Aetna
Joint Venture
Commercial
$192
percent of total billed charges
Aetna
Designated Group
Commercial
$204
percent of total billed charges
Health Choice Arizona, Inc.
ACA Health Plan
Commercial
$205
percent of total billed charges
Health Net
Medicare
Medicare Advantage
$205
percent of total billed charges
Oscar Health Plan
Commercial
Commercial
$205
percent of total billed charges
Aetna
Medical Rental
Commercial
$210
percent of total billed charges
Quiktrip Corporation
Commercial
Commercial
$219
percent of total billed charges
Health Net
Commerical Exchange Product
Commercial
$221
percent of total billed charges
Aetna
Broad Network
Commercial
$240
percent of total billed charges
Cigna Healthcare of Arizona, Inc.
LocalFlex
Commercial
$253
percent of total billed charges
Arizona Medical Network
Commercial
Commercial
$263
percent of total billed charges
Blue Cross Blue Shield of Arizona
BXBSAZ Neighborhood
Commercial
$279
fee schedule
Cigna Healthcare of Arizona, Inc.
Commercial
Commercial
$281
percent of total billed charges
Blue Cross Blue Shield of Arizona
BCBSAZ Alliance/Blue HPN
Commercial
$298
fee schedule
Provider Network of America
Commercial
Commercial
$307
percent of total billed charges
Blue Cross Blue Shield of Arizona
BXBSAZ Alliance CHS
Commercial
$313
fee schedule
Blue Cross Blue Shield of Arizona
BCBSAZ Workers Comp
Workers' comp
$372
fee schedule
Blue Cross Blue Shield of Arizona
Commercial
Commercial
$372
fee schedule
Blue Cross Blue Shield of Arizona
Medicare Supplemental Senior Preferred
Medicare Advantage
$379
fee schedule
Banner Estrella Medical Center: all 30 plan rates
Payer
Plan (as written in the file)
Type
Rate
Method
Aetna
Medicare Advantage
Medicare Advantage
$76.07
percent of total billed charges
Arizona Physicians IPA
Medicaid
Medicaid / CHIP
$79.00
fee schedule
Banner University Health Plan
AZ Medicaid - AHCCCS
Medicaid / CHIP
$79.00
fee schedule
Health Choice Arizona, Inc.
Medicaid
Medicaid / CHIP
$79.00
fee schedule
Health Net
Medicaid
Medicaid / CHIP
$79.00
fee schedule
Mercy Care
Mercy Medicaid
Medicaid / CHIP
$79.00
fee schedule
Health Choice Arizona, Inc.
Medicare Advantage
Medicare Advantage
$123
percent of total billed charges
Arizona Priority Care
Medicare Advantage
Medicare Advantage
$164
percent of total billed charges
National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI)
NHSI VUMI
Commercial
$184
percent of total billed charges
Plotkin Health
Plotkin Health
Commercial
$184
percent of total billed charges
Aetna
Joint Venture
Commercial
$192
percent of total billed charges
Aetna
Designated Group
Commercial
$204
percent of total billed charges
Health Choice Arizona, Inc.
ACA Health Plan
Commercial
$205
percent of total billed charges
Health Net
Medicare
Medicare Advantage
$205
percent of total billed charges
Oscar Health Plan
Commercial
Commercial
$205
percent of total billed charges
Aetna
Medical Rental
Commercial
$210
percent of total billed charges
Quiktrip Corporation
Commercial
Commercial
$219
percent of total billed charges
Health Net
Commerical Exchange Product
Commercial
$221
percent of total billed charges
Aetna
Broad Network
Commercial
$240
percent of total billed charges
Cigna Healthcare of Arizona, Inc.
LocalFlex
Commercial
$253
percent of total billed charges
Arizona Medical Network
Commercial
Commercial
$263
percent of total billed charges
Blue Cross Blue Shield of Arizona
BXBSAZ Neighborhood
Commercial
$279
fee schedule
Blue Cross Blue Shield of Arizona
BCBSAZ MaricopaFocus
Commercial
$279
fee schedule
Cigna Healthcare of Arizona, Inc.
Commercial
Commercial
$281
percent of total billed charges
Blue Cross Blue Shield of Arizona
BCBSAZ Alliance/Blue HPN
Commercial
$298
fee schedule
Provider Network of America
Commercial
Commercial
$307
percent of total billed charges
Blue Cross Blue Shield of Arizona
BXBSAZ Alliance CHS
Commercial
$313
fee schedule
Blue Cross Blue Shield of Arizona
BCBSAZ Workers Comp
Workers' comp
$372
fee schedule
Blue Cross Blue Shield of Arizona
Commercial
Commercial
$372
fee schedule
Blue Cross Blue Shield of Arizona
Medicare Supplemental Senior Preferred
Medicare Advantage
$379
fee schedule
Banner Thunderbird Medical Center: all 34 plan rates
Payer
Plan (as written in the file)
Type
Rate
Method
Humana
Medicare Advantage
Medicare Advantage
$66.49
fee schedule
Aetna
Medicare Advantage
Medicare Advantage
$76.07
percent of total billed charges
Arizona Physicians IPA
Medicaid
Medicaid / CHIP
$79.00
fee schedule
Banner University Health Plan
University Family Plan
Medicaid / CHIP
$79.00
fee schedule
Health Choice Arizona, Inc.
Medicaid
Medicaid / CHIP
$79.00
fee schedule
Health Net
Medicaid
Medicaid / CHIP
$79.00
fee schedule
Mercy Care
Medicaid
Medicaid / CHIP
$79.00
fee schedule
Health Choice Arizona, Inc.
Medicare Advantage
Medicare Advantage
$123
percent of total billed charges
Arizona Priority Care
Medicare Advantage
Medicare Advantage
$164
percent of total billed charges
National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI)
NHSI VUMI
Commercial
$184
percent of total billed charges
Plotkin Health
Plotkin Health
Commercial
$184
percent of total billed charges
Aetna
Joint Venture
Commercial
$192
percent of total billed charges
Aetna
Designated Group
Commercial
$204
percent of total billed charges
Health Choice Arizona, Inc.
ACA Health Plan
Commercial
$205
percent of total billed charges
Health Net
Medicare
Medicare Advantage
$205
percent of total billed charges
Oscar Health Plan
Commercial
Commercial
$205
percent of total billed charges
Aetna
Medical Rental
Commercial
$210
percent of total billed charges
Quiktrip Corporation
Commercial
Commercial
$219
percent of total billed charges
Health Net
Commerical Exchange Product
Commercial
$221
percent of total billed charges
United Healthcare
UHC Core
Commercial
$238
fee schedule
United Healthcare
Commercial
Commercial
$239
fee schedule
Aetna
Broad Network
Commercial
$240
percent of total billed charges
Cigna Healthcare of Arizona, Inc.
LocalFlex
Commercial
$253
percent of total billed charges
Arizona Medical Network
Commercial
Commercial
$263
percent of total billed charges
Blue Cross Blue Shield of Arizona
BXBSAZ Neighborhood
Commercial
$279
fee schedule
Blue Cross Blue Shield of Arizona
BCBSAZ MaricopaFocus
Commercial
$279
fee schedule
Cigna Healthcare of Arizona, Inc.
Commercial
Commercial
$281
percent of total billed charges
Blue Cross Blue Shield of Arizona
BCBSAZ Alliance/Blue HPN
Commercial
$298
fee schedule
Provider Network of America
Commercial
Commercial
$307
percent of total billed charges
Blue Cross Blue Shield of Arizona
BXBSAZ Alliance CHS
Commercial
$313
fee schedule
Blue Cross Blue Shield of Arizona
BCBSAZ Workers Comp
Workers' comp
$372
fee schedule
Blue Cross Blue Shield of Arizona
Commercial
Commercial
$372
fee schedule
Blue Cross Blue Shield of Arizona
Medicare Supplemental Senior Preferred
Medicare Advantage
$379
fee schedule
United Healthcare
UHC Doctor's Plan
Commercial
$449
fee schedule
Banner Ironwood Medical Center: all 30 plan rates
Payer
Plan (as written in the file)
Type
Rate
Method
Aetna
Medicare Advantage
Medicare Advantage
$76.07
percent of total billed charges
Arizona Physicians IPA
Medicaid
Medicaid / CHIP
$79.00
fee schedule
Banner University Health Plan
AZ Medicaid - AHCCCS
Medicaid / CHIP
$79.00
fee schedule
Health Choice Arizona, Inc.
Medicaid
Medicaid / CHIP
$79.00
fee schedule
Health Net
Medicaid
Medicaid / CHIP
$79.00
fee schedule
Mercy Care
Mercy Medicaid
Medicaid / CHIP
$79.00
fee schedule
Health Choice Arizona, Inc.
Medicare Advantage
Medicare Advantage
$123
percent of total billed charges
Arizona Priority Care
Medicare Advantage
Medicare Advantage
$164
percent of total billed charges
National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI)
NHSI VUMI
Commercial
$184
percent of total billed charges
Plotkin Health
Plotkin Health
Commercial
$184
percent of total billed charges
Aetna
Joint Venture
Commercial
$192
percent of total billed charges
Aetna
Designated Group
Commercial
$204
percent of total billed charges
Health Choice Arizona, Inc.
ACA Health Plan
Commercial
$205
percent of total billed charges
Health Net
Medicare
Medicare Advantage
$205
percent of total billed charges
Oscar Health Plan
Commercial
Commercial
$205
percent of total billed charges
Aetna
Medical Rental
Commercial
$210
percent of total billed charges
Quiktrip Corporation
Commercial
Commercial
$219
percent of total billed charges
Health Net
Commerical Exchange Product
Commercial
$221
percent of total billed charges
Aetna
Broad Network
Commercial
$240
percent of total billed charges
Cigna Healthcare of Arizona, Inc.
LocalFlex
Commercial
$253
percent of total billed charges
Arizona Medical Network
Commercial
Commercial
$263
percent of total billed charges
Blue Cross Blue Shield of Arizona
BXBSAZ Neighborhood
Commercial
$279
fee schedule
Blue Cross Blue Shield of Arizona
BCBSAZ MaricopaFocus
Commercial
$279
fee schedule
Cigna Healthcare of Arizona, Inc.
Commercial
Commercial
$281
percent of total billed charges
Blue Cross Blue Shield of Arizona
BCBSAZ Alliance/Blue HPN
Commercial
$298
fee schedule
Provider Network of America
Commercial
Commercial
$307
percent of total billed charges
Blue Cross Blue Shield of Arizona
BXBSAZ Alliance CHS
Commercial
$313
fee schedule
Blue Cross Blue Shield of Arizona
BCBSAZ Workers Comp
Workers' comp
$372
fee schedule
Blue Cross Blue Shield of Arizona
Commercial
Commercial
$372
fee schedule
Blue Cross Blue Shield of Arizona
Medicare Supplemental Senior Preferred
Medicare Advantage
$379
fee schedule
St. Joseph's Westgate Medical Center: all 31 plan rates
Payer
Plan (as written in the file)
Type
Rate
Method
Health Choice
Medicaid|All Plans
Medicaid / CHIP
$108
fee schedule
United
Medicaid|All Plans
Medicaid / CHIP
$108
fee schedule
United
Medicare|Dual Complete
Medicare Advantage
$111
case rate
Mercy Care Plan
Medicaid|All Plans
Medicaid / CHIP
$113
fee schedule
Aetna
Medicare|All Plans
Medicare Advantage
$113
fee schedule
BCBS - AZ
Medicare|All Plans
Medicare Advantage
$113
fee schedule
Care 1st
Medicare|All Plans
Medicare Advantage
$113
fee schedule
Cigna
Medicare|All Plans
Medicare Advantage
$113
fee schedule
First Health
Medicare|All Plans
Medicare Advantage
$113
fee schedule
Health Choice
Medicare|All Plans
Medicare Advantage
$113
fee schedule
Humana
Medicare|All Plans
Medicare Advantage
$113
fee schedule
Mercy Care Plan
Medicare|All Plans
Medicare Advantage
$113
fee schedule
Optum
Medicare|OptumCare
Medicare Advantage
$113
fee schedule
United
Medicare|All Other Plans
Medicare Advantage
$113
fee schedule
Devoted Health
Medicare|All Plans
Medicare Advantage
$117
fee schedule
Optum
Medicare|OptumHealth
Medicare Advantage
$125
fee schedule
BCBS - AZ
Commercial|MaricopaFocus
Commercial
$199
fee schedule
BCBS - AZ
Commercial|Neighborhood
Commercial
$199
fee schedule
Cigna
Commercial|Exchange
Commercial
$233
fee schedule
United
Commercial|All Other Plans
Commercial
$236
fee schedule
United
Commercial|Navigate
Commercial
$236
fee schedule
United
Commercial|Options PPO
Commercial
$236
fee schedule
Cigna
Commercial|LocalPlus SureFit
Commercial
$250
fee schedule
BCBS - AZ
Commercial|All Other Plans
Commercial
$265
fee schedule
First Health
Commercial|All Plans
Commercial
$302
fee schedule
Cigna
Commercial|All Other Plans
Commercial
$328
fee schedule
MultiPlan
Commercial|All Plans
Commercial
$371
fee schedule
BCBS - AZ
Commercial|Workers Comp
Workers' comp
$393
fee schedule
Aetna
Commercial|All Other Plans
Commercial
$458
fee schedule
Aetna
Commercial|HMO
Commercial
$458
fee schedule
Aetna
Commercial|PPO
Commercial
$458
fee schedule
Banner Desert Medical Center: all 33 plan rates
Payer
Plan (as written in the file)
Type
Rate
Method
Aetna
Medicare Advantage
Medicare Advantage
$76.07
percent of total billed charges
Arizona Physicians IPA
Medicaid
Medicaid / CHIP
$79.00
fee schedule
Banner University Health Plan
AZ Medicaid - AHCCCS
Medicaid / CHIP
$79.00
fee schedule
Health Choice Arizona, Inc.
Medicaid
Medicaid / CHIP
$79.00
fee schedule
Health Net
Medicaid
Medicaid / CHIP
$79.00
fee schedule
Mercy Care
Mercy Medicaid
Medicaid / CHIP
$79.00
fee schedule
Health Choice Arizona, Inc.
Medicare Advantage
Medicare Advantage
$123
percent of total billed charges
Arizona Priority Care
Medicare Advantage
Medicare Advantage
$164
percent of total billed charges
National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI)
NHSI VUMI
Commercial
$184
percent of total billed charges
Plotkin Health
Plotkin Health
Commercial
$184
percent of total billed charges
Aetna
Joint Venture
Commercial
$192
percent of total billed charges
Aetna
Designated Group
Commercial
$204
percent of total billed charges
Health Choice Arizona, Inc.
ACA Health Plan
Commercial
$205
percent of total billed charges
Health Net
Medicare
Medicare Advantage
$205
percent of total billed charges
Oscar Health Plan
Commercial
Commercial
$205
percent of total billed charges
Aetna
Medical Rental
Commercial
$210
percent of total billed charges
Quiktrip Corporation
Commercial
Commercial
$219
percent of total billed charges
Health Net
Commerical Exchange Product
Commercial
$221
percent of total billed charges
United Healthcare
UHC Core
Commercial
$238
fee schedule
United Healthcare
Commercial
Commercial
$239
fee schedule
Aetna
Broad Network
Commercial
$240
percent of total billed charges
Cigna Healthcare of Arizona, Inc.
LocalFlex
Commercial
$253
percent of total billed charges
Arizona Medical Network
Commercial
Commercial
$263
percent of total billed charges
Blue Cross Blue Shield of Arizona
BXBSAZ Neighborhood
Commercial
$279
fee schedule
Blue Cross Blue Shield of Arizona
BCBSAZ MaricopaFocus
Commercial
$279
fee schedule
Cigna Healthcare of Arizona, Inc.
Commercial
Commercial
$281
percent of total billed charges
Blue Cross Blue Shield of Arizona
BCBSAZ Alliance/Blue HPN
Commercial
$298
fee schedule
Provider Network of America
Commercial
Commercial
$307
percent of total billed charges
Blue Cross Blue Shield of Arizona
BXBSAZ Alliance CHS
Commercial
$313
fee schedule
Blue Cross Blue Shield of Arizona
BCBSAZ Workers Comp
Workers' comp
$372
fee schedule
Blue Cross Blue Shield of Arizona
Commercial
Commercial
$372
fee schedule
Blue Cross Blue Shield of Arizona
Medicare Supplemental Senior Preferred
Medicare Advantage
$379
fee schedule
United Healthcare
UHC Doctor's Plan
Commercial
$449
fee schedule
Arizona General Hospital Laveen: all 24 plan rates
Payer
Plan (as written in the file)
Type
Rate
Method
Health Choice
Medicaid|All Plans
Medicaid / CHIP
$108
fee schedule
Mercy Care
Medicaid|All Plans
Medicaid / CHIP
$108
fee schedule
United
Medicaid|All Plans
Medicaid / CHIP
$108
fee schedule
Alignment Health
Medicare|All Plans
Medicare Advantage
$113
fee schedule
Health Choice
Medicare|All Plans
Medicare Advantage
$113
fee schedule
Humana
Medicare|All Plans
Medicare Advantage
$113
fee schedule
Mercy Care
Medicare|All Plans
Medicare Advantage
$113
fee schedule
WellCare
Medicare|All Plans
Medicare Advantage
$113
fee schedule
BCBS - AZ
Medicare|All Plans
Medicare Advantage
$114
fee schedule
Fresenius
Medicare|All Plans
Medicare Advantage
$116
fee schedule
United
Medicare|All Plans
Medicare Advantage
$116
fee schedule
Devoted HP
Medicare|All Plans
Medicare Advantage
$117
fee schedule
BCBS - AZ
Commercial|MaricopaFocus
Commercial
$173
fee schedule
BCBS - AZ
Commercial|Neighborhood
Commercial
$173
fee schedule
BCBS - AZ
Commercial|All Other Plans
Commercial
$230
fee schedule
United
Commercial|All Other Plans
Commercial
$236
fee schedule
United
Commercial|Navigate
Commercial
$236
fee schedule
United
Commercial|Options
Commercial
$236
fee schedule
Cigna
Commercial|All Other Plans
Commercial
$383
fee schedule
Cigna
Commercial|PPO
Commercial
$383
fee schedule
Coventry
Commercial|All Plans
Commercial
$418
fee schedule
Multiplan
Commercial|All Plans
Commercial
$645
fee schedule
Aetna
Commercial|All Other Plans
Commercial
$672
fee schedule
Aetna
Commercial|PPO
Commercial
$672
fee schedule
Arizona General Hospital Mesa: all 24 plan rates
Payer
Plan (as written in the file)
Type
Rate
Method
Health Choice
Medicaid|All Plans
Medicaid / CHIP
$108
fee schedule
Mercy Care
Medicaid|All Plans
Medicaid / CHIP
$108
fee schedule
United
Medicaid|All Plans
Medicaid / CHIP
$108
fee schedule
Alignment Health
Medicare|All Plans
Medicare Advantage
$113
fee schedule
Health Choice
Medicare|All Plans
Medicare Advantage
$113
fee schedule
Humana
Medicare|All Plans
Medicare Advantage
$113
fee schedule
Mercy Care
Medicare|All Plans
Medicare Advantage
$113
fee schedule
WellCare
Medicare|All Plans
Medicare Advantage
$113
fee schedule
BCBS - AZ
Medicare|All Plans
Medicare Advantage
$114
fee schedule
Fresenius
Medicare|All Plans
Medicare Advantage
$116
fee schedule
United
Medicare|All Plans
Medicare Advantage
$116
fee schedule
Devoted HP
Medicare|All Plans
Medicare Advantage
$117
fee schedule
BCBS - AZ
Commercial|MaricopaFocus
Commercial
$173
fee schedule
BCBS - AZ
Commercial|Neighborhood
Commercial
$173
fee schedule
BCBS - AZ
Commercial|All Other Plans
Commercial
$230
fee schedule
United
Commercial|All Other Plans
Commercial
$236
fee schedule
United
Commercial|Navigate
Commercial
$236
fee schedule
United
Commercial|Options
Commercial
$236
fee schedule
Cigna
Commercial|All Other Plans
Commercial
$383
fee schedule
Cigna
Commercial|PPO
Commercial
$383
fee schedule
Coventry
Commercial|All Plans
Commercial
$418
fee schedule
Multiplan
Commercial|All Plans
Commercial
$645
fee schedule
Aetna
Commercial|All Other Plans
Commercial
$672
fee schedule
Aetna
Commercial|PPO
Commercial
$672
fee schedule
St. Joseph's Hospital and Medical Center: all 33 plan rates
Payer
Plan (as written in the file)
Type
Rate
Method
United
Medicaid|All Plans
Medicaid / CHIP
$108
fee schedule
United
Medicare|Dual Complete
Medicare Advantage
$111
case rate
Health Choice
Medicaid|All Plans
Medicaid / CHIP
$113
fee schedule
Mercy Care Plan
Medicaid|All Plans
Medicaid / CHIP
$113
fee schedule
Aetna
Medicare|All Plans
Medicare Advantage
$113
fee schedule
BCBS - AZ
Medicare|All Plans
Medicare Advantage
$113
fee schedule
Care 1st
Medicare|All Plans
Medicare Advantage
$113
fee schedule
Cigna
Medicare|All Plans
Medicare Advantage
$113
fee schedule
First Health
Medicare|All Plans
Medicare Advantage
$113
fee schedule
Health Choice
Medicare|All Plans
Medicare Advantage
$113
fee schedule
Humana
Medicare|All Plans
Medicare Advantage
$113
fee schedule
Mercy Care Plan
Medicare|All Plans
Medicare Advantage
$113
fee schedule
Optum
Medicare|OptumCare
Medicare Advantage
$113
fee schedule
United
Medicare|All Other Plans
Medicare Advantage
$113
fee schedule
Optum
Medicare|OptumHealth
Medicare Advantage
$125
fee schedule
Cigna
Commercial|Exchange
Commercial
$233
fee schedule
United
Commercial|All Other Plans
Commercial
$236
fee schedule
United
Commercial|Navigate
Commercial
$236
fee schedule
United
Commercial|Options PPO
Commercial
$236
fee schedule
Optum
Commercial|OptumHealth
Commercial
$244
fee schedule
Cigna
Commercial|LocalPlus SureFit
Commercial
$250
fee schedule
BCBS - AZ
Commercial|MaricopaFocus
Commercial
$275
fee schedule
BCBS - AZ
Commercial|Neighborhood
Commercial
$275
fee schedule
Cigna
Commercial|LifeSource
Commercial
$285
fee schedule
Other
Commercial|NTN
Commercial
$311
fee schedule
Cigna
Commercial|All Other Plans
Commercial
$328
fee schedule
LifeTrac
Commercial|All Plans
Commercial
$337
fee schedule
First Health
Commercial|All Plans
Commercial
$363
fee schedule
Health Net
Commercial|Interlink
Commercial
$363
fee schedule
BCBS - AZ
Commercial|All Other Plans
Commercial
$367
fee schedule
MultiPlan
Commercial|All Plans
Commercial
$410
fee schedule
Aetna
Commercial|All Plans
Commercial
$431
fee schedule
BCBS - AZ
Commercial|Workers Comp
Workers' comp
$519
fee schedule
HonorHealth Deer Valley Medical Center: all 13 plan rates
Payer
Plan (as written in the file)
Type
Rate
Method
Aetna
Advantage Medicare Managed Care Plan
Medicare Advantage
$112
fee schedule
Unitedhealthcare
Community Plan Medicare/Medicaid Managed Care Plan
Medicaid / CHIP
$113
fee schedule
Aetna
Exchange
Commercial
$116
fee schedule
Oscar Health Plan
Exchange
Commercial
$147
fee schedule
Humana
All Commercial Plans
Commercial
$150
fee schedule
Ambetter
Az Complete Exchange
Commercial
$158
fee schedule
Unitedhealthcare
Exchange
Commercial
$164
fee schedule
Aetna
All Commercial Plans
Commercial
$165
fee schedule
Health Choice
Exchange
Commercial
$170
fee schedule
Bcbs
All Commercial Plans
Commercial
$226
fee schedule
Unitedhealthcare
All Commercial Plans
Commercial
$240
fee schedule
Cigna
Connect (Ifp) Exchange
Commercial
$604
fee schedule
Cigna
All Commercial Plans
Commercial
$806
fee schedule
HonorHealth Florence Medical Center: all 14 plan rates
Payer
Plan (as written in the file)
Type
Rate
Method
Aetna
Advantage Medicare Managed Care Plan
Medicare Advantage
$112
fee schedule
Unitedhealthcare
Community Plan Medicare/Medicaid Managed Care Plan
Medicaid / CHIP
$113
fee schedule
Aetna
Exchange
Commercial
$116
fee schedule
Oscar Health Plan
Exchange
Commercial
$147
fee schedule
Humana
All Commercial Plans
Commercial
$150
fee schedule
Ambetter
Az Complete Exchange
Commercial
$158
fee schedule
Unitedhealthcare
Exchange
Commercial
$164
fee schedule
Aetna
All Commercial Plans
Commercial
$165
fee schedule
Health Choice
Exchange
Commercial
$170
fee schedule
Bcbs-Florence
All Commercial Plans
Commercial
$221
fee schedule
Bcbs
All Commercial Plans
Commercial
$226
fee schedule
Unitedhealthcare
All Commercial Plans
Commercial
$240
fee schedule
Cigna
Connect (Ifp) Exchange
Commercial
$604
fee schedule
Cigna
All Commercial Plans
Commercial
$806
fee schedule
HonorHealth Four Peaks Medical Center: all 14 plan rates
Payer
Plan (as written in the file)
Type
Rate
Method
Aetna
Advantage Medicare Managed Care Plan
Medicare Advantage
$112
fee schedule
Unitedhealthcare
Community Plan Medicare/Medicaid Managed Care Plan
Medicaid / CHIP
$113
fee schedule
Aetna
Exchange
Commercial
$116
fee schedule
Oscar Health Plan
Exchange
Commercial
$147
fee schedule
Humana
All Commercial Plans
Commercial
$150
fee schedule
Ambetter
Az Complete Exchange
Commercial
$158
fee schedule
Unitedhealthcare
Exchange
Commercial
$164
fee schedule
Aetna
All Commercial Plans
Commercial
$165
fee schedule
Health Choice
Exchange
Commercial
$170
fee schedule
Bcbs-Florence
All Commercial Plans
Commercial
$221
fee schedule
Bcbs
All Commercial Plans
Commercial
$226
fee schedule
Unitedhealthcare
All Commercial Plans
Commercial
$240
fee schedule
Cigna
Connect (Ifp) Exchange
Commercial
$604
fee schedule
Cigna
All Commercial Plans
Commercial
$806
fee schedule
HonorHealth John C. Lincoln Medical Center: all 13 plan rates
Payer
Plan (as written in the file)
Type
Rate
Method
Aetna
Advantage Medicare Managed Care Plan
Medicare Advantage
$112
fee schedule
Unitedhealthcare
Community Plan Medicare/Medicaid Managed Care Plan
Medicaid / CHIP
$113
fee schedule
Aetna
Exchange
Commercial
$116
fee schedule
Oscar Health Plan
Exchange
Commercial
$147
fee schedule
Humana
All Commercial Plans
Commercial
$150
fee schedule
Ambetter
Az Complete Exchange
Commercial
$158
fee schedule
Unitedhealthcare
Exchange
Commercial
$164
fee schedule
Aetna
All Commercial Plans
Commercial
$165
fee schedule
Health Choice
Exchange
Commercial
$170
fee schedule
Bcbs
All Commercial Plans
Commercial
$226
fee schedule
Unitedhealthcare
All Commercial Plans
Commercial
$240
fee schedule
Cigna
Connect (Ifp) Exchange
Commercial
$604
fee schedule
Cigna
All Commercial Plans
Commercial
$806
fee schedule
HonorHealth Sonoran Crossing Medical Center: all 12 plan rates
Payer
Plan (as written in the file)
Type
Rate
Method
Aetna
Advantage Medicare Managed Care Plan
Medicare Advantage
$112
fee schedule
Unitedhealthcare
Community Plan Medicare/Medicaid Managed Care Plan
Medicaid / CHIP
$113
fee schedule
Aetna
Exchange
Commercial
$116
fee schedule
Oscar Health Plan
Exchange
Commercial
$147
fee schedule
Ambetter
Az Complete Exchange
Commercial
$158
fee schedule
Unitedhealthcare
Exchange
Commercial
$164
fee schedule
Aetna
All Commercial Plans
Commercial
$165
fee schedule
Health Choice
Exchange
Commercial
$170
fee schedule
Bcbs
All Commercial Plans
Commercial
$226
fee schedule
Unitedhealthcare
All Commercial Plans
Commercial
$240
fee schedule
Cigna
Connect (Ifp) Exchange
Commercial
$604
fee schedule
Cigna
All Commercial Plans
Commercial
$806
fee schedule
HonorHealth Scottsdale Osborn Medical Center: all 13 plan rates
Payer
Plan (as written in the file)
Type
Rate
Method
Aetna
Advantage Medicare Managed Care Plan
Medicare Advantage
$112
fee schedule
Unitedhealthcare
Community Plan Medicare/Medicaid Managed Care Plan
Medicaid / CHIP
$113
fee schedule
Aetna
Exchange
Commercial
$116
fee schedule
Oscar Health Plan
Exchange
Commercial
$147
fee schedule
Humana
All Commercial Plans
Commercial
$150
fee schedule
Ambetter
Az Complete Exchange
Commercial
$158
fee schedule
Unitedhealthcare
Exchange
Commercial
$164
fee schedule
Aetna
All Commercial Plans
Commercial
$165
fee schedule
Health Choice
Exchange
Commercial
$170
fee schedule
Bcbs
All Commercial Plans
Commercial
$226
fee schedule
Unitedhealthcare
All Commercial Plans
Commercial
$240
fee schedule
Cigna
Connect (Ifp) Exchange
Commercial
$604
fee schedule
Cigna
All Commercial Plans
Commercial
$806
fee schedule
HonorHealth Scottsdale Shea Medical Center: all 13 plan rates
Payer
Plan (as written in the file)
Type
Rate
Method
Aetna
Advantage Medicare Managed Care Plan
Medicare Advantage
$112
fee schedule
Unitedhealthcare
Community Plan Medicare/Medicaid Managed Care Plan
Medicaid / CHIP
$113
fee schedule
Aetna
Exchange
Commercial
$116
fee schedule
Oscar Health Plan
Exchange
Commercial
$147
fee schedule
Humana
All Commercial Plans
Commercial
$150
fee schedule
Ambetter
Az Complete Exchange
Commercial
$158
fee schedule
Unitedhealthcare
Exchange
Commercial
$164
fee schedule
Aetna
All Commercial Plans
Commercial
$165
fee schedule
Health Choice
Exchange
Commercial
$170
fee schedule
Bcbs
All Commercial Plans
Commercial
$226
fee schedule
Unitedhealthcare
All Commercial Plans
Commercial
$240
fee schedule
Cigna
Connect (Ifp) Exchange
Commercial
$604
fee schedule
Cigna
All Commercial Plans
Commercial
$806
fee schedule
HonorHealth Scottsdale Thompson Peak Medical Center: all 12 plan rates
Payer
Plan (as written in the file)
Type
Rate
Method
Aetna
Advantage Medicare Managed Care Plan
Medicare Advantage
$112
fee schedule
Unitedhealthcare
Community Plan Medicare/Medicaid Managed Care Plan
Medicaid / CHIP
$113
fee schedule
Aetna
Exchange
Commercial
$116
fee schedule
Oscar Health Plan
Exchange
Commercial
$147
fee schedule
Ambetter
Az Complete Exchange
Commercial
$158
fee schedule
Unitedhealthcare
Exchange
Commercial
$164
fee schedule
Aetna
All Commercial Plans
Commercial
$165
fee schedule
Health Choice
Exchange
Commercial
$170
fee schedule
Bcbs
All Commercial Plans
Commercial
$226
fee schedule
Unitedhealthcare
All Commercial Plans
Commercial
$240
fee schedule
Cigna
Connect (Ifp) Exchange
Commercial
$604
fee schedule
Cigna
All Commercial Plans
Commercial
$806
fee schedule
HonorHealth Tempe Medical Center: all 12 plan rates
Payer
Plan (as written in the file)
Type
Rate
Method
Aetna
Advantage Medicare Managed Care Plan
Medicare Advantage
$112
fee schedule
Unitedhealthcare
Community Plan Medicare/Medicaid Managed Care Plan
Medicaid / CHIP
$113
fee schedule
Aetna
Exchange
Commercial
$116
fee schedule
Oscar Health Plan
Exchange
Commercial
$147
fee schedule
Ambetter
Az Complete Exchange
Commercial
$158
fee schedule
Unitedhealthcare
Exchange
Commercial
$164
fee schedule
Aetna
All Commercial Plans
Commercial
$165
fee schedule
Health Choice
Exchange
Commercial
$170
fee schedule
Bcbs
All Commercial Plans
Commercial
$226
fee schedule
Unitedhealthcare
All Commercial Plans
Commercial
$240
fee schedule
Cigna
Connect (Ifp) Exchange
Commercial
$604
fee schedule
Cigna
All Commercial Plans
Commercial
$806
fee schedule
Phoenix Children's Hospital: all 27 plan rates
Payer
Plan (as written in the file)
Type
Rate
Method
AHC HEALTHCHOICE
ALL PRODUCTS
Medicaid / CHIP
$75.05
Fee Schedule
AHC LCD
ALL PRODUCTS
Medicaid / CHIP
$79.00
Fee Schedule
AHCCS
WITH UFC
Medicaid / CHIP
$82.95
Fee Schedule
AHCCS
W/O DAP
Medicaid / CHIP
$141
Fee Schedule
AHC APIPA
ALL PRODUCTS
Medicaid / CHIP
$143
Fee Schedule
AHC CARE FIRST
ALL PRODUCTS
Medicaid / CHIP
$143
Fee Schedule
AHC CMDP
ALL PRODUCTS
Medicaid / CHIP
$143
Fee Schedule
AHC CRS
PARTIAL
Medicaid / CHIP
$143
Fee Schedule
AHC CRS
ONLY
Medicaid / CHIP
$143
Fee Schedule
AHC CRS
FULLY
Medicaid / CHIP
$143
Fee Schedule
AHC IHS
ALL PRODUCTS
Medicaid / CHIP
$143
Fee Schedule
AHC MERCY CARE
ALL PRODUCTS
Medicaid / CHIP
$143
Fee Schedule
AHCCS
WITH DAP
Medicaid / CHIP
$143
Fee Schedule
AHC UNIVERSITY
FAMILY CARE BANNER
Medicaid / CHIP
$158
Fee Schedule
BLUE CROSS
ALL PRODUCTS
Commercial
$346
Fee Schedule
BLUE CROSS
EXCLUSIVE NETWORK
Commercial
$466
Fee Schedule
HEALTHCOMP
ALL PRODUCTS
Commercial
$550
Percent of Total Billed Charges
INTEL
ALL PRODUCTS
Commercial
$550
Percent of Total Billed Charges
CIGNA SELECT
ALL PRODUCTS
Commercial
$573
Fee Schedule
CIGNA
SUREFIT
Commercial
$578
Fee Schedule
AETNA
ALL PRODUCTS
Commercial
$630
Percent of Total Billed Charges
CIGNA
ALL PRODUCTS
Commercial
$649
Fee Schedule
UHC
NAVIGATE
Commercial
$774
Other
UHC
NON OPTIONS
Commercial
$884
Other
ANTIDOTE
ALL PRODUCTS
Commercial
$894
Percent of Total Billed Charges
AETNA
HEALTHEZ
Commercial
$1,008
Percent of Total Billed Charges
MULTIPLAN
ALL PRODUCTS
Commercial
$1,100
Percent of Total Billed Charges
What this price covers
These are hospital charges for CPT code 76641 (Complete breast ultrasound). A hospital price file covers the hospital's own charges. Doctors who are not hospital employees — for imaging, usually the radiologist who reads the scan — can bill you separately, and extra services on the same day (contrast, an injection, a consultation) have their own codes.
How to ask for a lower price without insurance
Ask the hospital for a Good Faith Estimate. If you are uninsured or not using insurance, federal law entitles you to a written estimate on request, and automatically when you schedule at least three business days ahead (CMS: No Surprises Act).
Ask whether the hospital has an uninsured discount or a financial assistance policy, and how to apply.
Compare with an independent imaging center or lab: they are not covered by the hospital price rule and often quote lower cash prices.