How much does a pelvic ultrasound cost in Phoenix?
29 hospitals in Phoenix list a self-pay price of $71–$1,639 for a complete pelvic ultrasound (CPT 76856). The typical commercial rate in the same files is $250.
what 29 hospitals list for a self-pay pelvic ultrasound
Typical insured rate
$250
median of every commercial plan rate in the files
Lowest insured rate
$62.55
BCBS (ALL PRODUCTS), Valleywise Health Medical Center
At 9 of 29 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.
Pelvic 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 76856; 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$258–$343
Aetna$259–$459
Cigna$312–$346
UnitedHealthcare$162
Humana—
Oscar$184
Ambetter—
Medicaid / CHIP$79.00
Medicare Advantage$112–$350
Banner Boswell Medical Center
Blue Cross Blue Shield$235–$313
Aetna$259–$459
Cigna$312–$346
UnitedHealthcare$162
Humana—
Oscar$184
Ambetter—
Medicaid / CHIP$79.00
Medicare Advantage$112–$319
Banner Goldfield Medical Center
Blue Cross Blue Shield$194–$258
Aetna$259–$459
Cigna$312–$346
UnitedHealthcare$162
Humana—
Oscar$167
Ambetter—
Medicaid / CHIP$79.00
Medicare Advantage$112–$263
Valleywise Health Medical Center
Blue Cross Blue Shield$63–$154
Aetna$93–$106
Cigna$63–$109
UnitedHealthcare$161–$1,340
Humana—
Oscar$120
Ambetter—
Medicaid / CHIP$81–$167
Medicare Advantage$112–$123
Banner Casa Grande Medical Center
Blue Cross Blue Shield$183–$244
Aetna$176–$259
Cigna$258
UnitedHealthcare$162
Humana—
Oscar$167
Ambetter—
Medicaid / CHIP$79.00
Medicare Advantage$112–$249
Banner Baywood Medical Center
Blue Cross Blue Shield$307–$410
Aetna$259–$459
Cigna$312–$346
UnitedHealthcare$162
Humana—
Oscar$184
Ambetter—
Medicaid / CHIP$79.00
Medicare Advantage$112–$417
Banner Del Webb Medical Center
Blue Cross Blue Shield$235–$313
Aetna$259–$459
Cigna$312–$346
UnitedHealthcare$162
Humana—
Oscar$184
Ambetter—
Medicaid / CHIP$79.00
Medicare Advantage$71–$319
Banner Gateway Medical Center
Blue Cross Blue Shield$307–$410
Aetna$259–$505
Cigna$312–$346
UnitedHealthcare$162
Humana—
Oscar$184
Ambetter—
Medicaid / CHIP$79.00
Medicare Advantage$112–$410
Banner University Medical Center Phoenix
Blue Cross Blue Shield$307–$410
Aetna$259–$459
Cigna$312–$346
UnitedHealthcare$162–$449
Humana—
Oscar$184
Ambetter—
Medicaid / CHIP$79.00
Medicare Advantage$71–$417
Banner Ocotillo Medical Center
Blue Cross Blue Shield$307–$410
Aetna$259–$459
Cigna$312–$346
UnitedHealthcare$162
Humana—
Oscar$184
Ambetter—
Medicaid / CHIP$79.00
Medicare Advantage$112–$417
Banner Estrella Medical Center
Blue Cross Blue Shield$307–$410
Aetna$259–$459
Cigna$312–$346
UnitedHealthcare$162
Humana—
Oscar$184
Ambetter—
Medicaid / CHIP$79.00
Medicare Advantage$112–$417
Banner Thunderbird Medical Center
Blue Cross Blue Shield$307–$410
Aetna$259–$459
Cigna$312–$346
UnitedHealthcare$162–$449
Humana—
Oscar$184
Ambetter—
Medicaid / CHIP$79.00
Medicare Advantage$71–$417
Banner Ironwood Medical Center
Blue Cross Blue Shield$307–$410
Aetna$259–$459
Cigna$312–$346
UnitedHealthcare$162
Humana—
Oscar$167
Ambetter—
Medicaid / CHIP$79.00
Medicare Advantage$112–$417
Banner Desert Medical Center
Blue Cross Blue Shield$307–$410
Aetna$259–$459
Cigna$312–$346
UnitedHealthcare$162–$449
Humana—
Oscar$184
Ambetter—
Medicaid / CHIP$79.00
Medicare Advantage$112–$417
Mercy Gilbert Medical Center
Blue Cross Blue Shield—
Aetna$738
Cigna$233–$328
UnitedHealthcare$236
Humana—
Oscar—
Ambetter—
Medicaid / CHIP$111–$113
Medicare Advantage$113–$116
Chandler Regional Medical Center
Blue Cross Blue Shield—
Aetna$738
Cigna$233–$328
UnitedHealthcare$236
Humana—
Oscar—
Ambetter—
Medicaid / CHIP$99–$111
Medicare Advantage$99–$102
Arizona General Hospital Laveen
Blue Cross Blue Shield$186–$247
Aetna$718
Cigna$383
UnitedHealthcare$236
Humana—
Oscar—
Ambetter—
Medicaid / CHIP$111
Medicare Advantage$113–$117
Arizona General Hospital Mesa
Blue Cross Blue Shield$186–$247
Aetna$718
Cigna$383
UnitedHealthcare$236
Humana—
Oscar—
Ambetter—
Medicaid / CHIP$111
Medicare Advantage$113–$117
St. Joseph's Hospital and Medical Center
Blue Cross Blue Shield—
Aetna$460
Cigna$233–$751
UnitedHealthcare$236
Humana—
Oscar—
Ambetter—
Medicaid / CHIP$111–$113
Medicare Advantage$111–$125
St. Joseph's Westgate Medical Center
Blue Cross Blue Shield—
Aetna$747
Cigna$233–$328
UnitedHealthcare$236
Humana—
Oscar—
Ambetter—
Medicaid / CHIP$111–$113
Medicare Advantage$111–$125
HonorHealth Deer Valley Medical Center
Blue Cross Blue Shield$242
Aetna$124–$178
Cigna$604–$806
UnitedHealthcare$164–$240
Humana$161
Oscar$147
Ambetter$158
Medicaid / CHIP$113
Medicare Advantage$112
HonorHealth Florence Medical Center
Blue Cross Blue Shield$238–$242
Aetna$124–$178
Cigna$604–$806
UnitedHealthcare$164–$240
Humana$161
Oscar$147
Ambetter$158
Medicaid / CHIP$113
Medicare Advantage$112
HonorHealth Four Peaks Medical Center
Blue Cross Blue Shield$238–$242
Aetna$124–$178
Cigna$604–$806
UnitedHealthcare$164–$240
Humana$161
Oscar$147
Ambetter$158
Medicaid / CHIP$113
Medicare Advantage$112
HonorHealth John C. Lincoln Medical Center
Blue Cross Blue Shield$242
Aetna$124–$178
Cigna$604–$806
UnitedHealthcare$164–$240
Humana$161
Oscar$147
Ambetter$158
Medicaid / CHIP$113
Medicare Advantage$112
HonorHealth Sonoran Crossing Medical Center
Blue Cross Blue Shield$242
Aetna$124–$178
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$242
Aetna$124–$178
Cigna$604–$806
UnitedHealthcare$164–$240
Humana$161
Oscar$147
Ambetter$158
Medicaid / CHIP$113
Medicare Advantage$112
HonorHealth Scottsdale Shea Medical Center
Blue Cross Blue Shield$242
Aetna$124–$178
Cigna$604–$806
UnitedHealthcare$164–$240
Humana$161
Oscar$147
Ambetter$158
Medicaid / CHIP$113
Medicare Advantage$112
HonorHealth Scottsdale Thompson Peak Medical Center
Blue Cross Blue Shield$242
Aetna$124–$178
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$242
Aetna$124–$178
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$371–$500
Aetna$389–$623
Cigna$305–$355
UnitedHealthcare$774–$884
Humana—
Oscar—
Ambetter—
Medicaid / CHIP$75–$158
Medicare Advantage—
Banner Heart Hospital: all 48 plan rates
Payer
Plan (as written in the file)
Type
Rate
Method
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
Aetna
Medicare Advantage
Medicare Advantage
$112
fee schedule
Arizona Physicians IPA
Medicare Advantage
Medicare Advantage
$112
fee schedule
Banner Health
Medicare Advantage
Medicare Advantage
$112
fee schedule
Banner University Health Plan
University Care Advantage
Medicare Advantage
$112
fee schedule
Blue Cross Blue Shield of Arizona
Medicare Advantage
Medicare Advantage
$112
fee schedule
Cigna Healthcare of Arizona, Inc.
HMO Medicare Advantage Plans
Medicare Advantage
$112
fee schedule
Cigna Healthcare of Arizona, Inc.
PPO Medicare Advantage Plan
Medicare Advantage
$112
fee schedule
Gila River Health Care Corporation
Managed Care Program
Public program
$112
fee schedule
Health Choice Arizona, Inc.
Medicare Advantage
Medicare Advantage
$112
fee schedule
Health Net
Medicare
Medicare Advantage
$112
fee schedule
Kaiser Foundation Health Plan
Medicare Advantage
Medicare Advantage
$112
fee schedule
Mercy Care
Mercy Care Advantage
Medicare Advantage
$112
fee schedule
TriWest Healthcare Alliance Corp - VA CCN
VA Community Care Network
Military / VA
$112
fee schedule
United Healthcare
UHC Medicare Advantage
Medicare Advantage
$112
fee schedule
UPMC Health Plan
Medicare Advantage
Medicare Advantage
$112
fee schedule
Care 1st
Medicare Advantage
Medicare Advantage
$112
fee schedule
Wellpoint (fka Amerigroup)
Medicare Advantage HMO
Medicare Advantage
$112
fee schedule
Humana
Medicare Advantage
Medicare Advantage
$115
fee schedule
Carekin
Medicare Advantage
Medicare Advantage
$117
fee schedule
Devoted Health Services
Medicare Advantage
Medicare Advantage
$117
fee schedule
Arizona Priority Care
Medicare Advantage
Medicare Advantage
$123
fee schedule
Gold Kidney Health Plan
Medicare Advantage
Medicare Advantage
$123
fee schedule
United Healthcare
Individual Exchange
Commercial
$162
fee schedule
Health Choice Arizona, Inc.
ACA Health Plan
Commercial
$167
fee schedule
Health Net
Commerical Exchange Product
Commercial
$168
fee schedule
Oscar Health Plan
Commercial
Commercial
$184
fee schedule
National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI)
NHSI VUMI
Commercial
$227
percent of total billed charges
Plotkin Health
Plotkin Health
Commercial
$227
percent of total billed charges
Blue Cross Blue Shield of Arizona
BXBSAZ Neighborhood
Commercial
$258
fee schedule
Aetna
Medical Rental
Commercial
$259
percent of total billed charges
Quiktrip Corporation
Commercial
Commercial
$270
percent of total billed charges
Blue Cross Blue Shield of Arizona
BCBSAZ Alliance/Blue HPN
Commercial
$275
fee schedule
Blue Cross Blue Shield of Arizona
BXBSAZ Alliance CHS
Commercial
$289
fee schedule
Cigna Healthcare of Arizona, Inc.
LocalFlex
Commercial
$312
percent of total billed charges
Arizona Medical Network
Commercial
Commercial
$324
percent of total billed charges
Blue Cross Blue Shield of Arizona
BCBSAZ Workers Comp
Workers' comp
$343
fee schedule
Blue Cross Blue Shield of Arizona
Commercial
Commercial
$343
fee schedule
Cigna Healthcare of Arizona, Inc.
Commercial
Commercial
$346
percent of total billed charges
Blue Cross Blue Shield of Arizona
Medicare Supplemental Senior Preferred
Medicare Advantage
$350
fee schedule
Aetna
Joint Venture
Commercial
$367
fee schedule
Provider Network of America
Commercial
Commercial
$378
percent of total billed charges
Aetna
Designated Group
Commercial
$390
fee schedule
Aetna
Broad Network
Commercial
$459
fee schedule
Banner Boswell Medical Center: all 48 plan rates
Payer
Plan (as written in the file)
Type
Rate
Method
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
Aetna
Medicare Advantage
Medicare Advantage
$112
fee schedule
Arizona Physicians IPA
Medicare Advantage
Medicare Advantage
$112
fee schedule
Banner Health
Medicare Advantage
Medicare Advantage
$112
fee schedule
Banner University Health Plan
University Care Advantage
Medicare Advantage
$112
fee schedule
Blue Cross Blue Shield of Arizona
Medicare Advantage
Medicare Advantage
$112
fee schedule
Cigna Healthcare of Arizona, Inc.
HMO Medicare Advantage Plans
Medicare Advantage
$112
fee schedule
Cigna Healthcare of Arizona, Inc.
PPO Medicare Advantage Plan
Medicare Advantage
$112
fee schedule
Gila River Health Care Corporation
Managed Care Program
Public program
$112
fee schedule
Health Choice Arizona, Inc.
Medicare Advantage
Medicare Advantage
$112
fee schedule
Health Net
Medicare
Medicare Advantage
$112
fee schedule
Kaiser Foundation Health Plan
Medicare Advantage
Medicare Advantage
$112
fee schedule
Mercy Care
Mercy Care Advantage
Medicare Advantage
$112
fee schedule
TriWest Healthcare Alliance Corp - VA CCN
VA Community Care Network
Military / VA
$112
fee schedule
United Healthcare
UHC Medicare Advantage
Medicare Advantage
$112
fee schedule
UPMC Health Plan
Medicare Advantage
Medicare Advantage
$112
fee schedule
Care 1st
Medicare Advantage
Medicare Advantage
$112
fee schedule
Wellpoint (fka Amerigroup)
Medicare Advantage HMO
Medicare Advantage
$112
fee schedule
Humana
Medicare Advantage
Medicare Advantage
$115
fee schedule
Carekin
Medicare Advantage
Medicare Advantage
$117
fee schedule
Devoted Health Services
Medicare Advantage
Medicare Advantage
$117
fee schedule
Arizona Priority Care
Medicare Advantage
Medicare Advantage
$123
fee schedule
Gold Kidney Health Plan
Medicare Advantage
Medicare Advantage
$123
fee schedule
United Healthcare
Individual Exchange
Commercial
$162
fee schedule
Health Choice Arizona, Inc.
ACA Health Plan
Commercial
$167
fee schedule
Health Net
Commerical Exchange Product
Commercial
$168
fee schedule
Oscar Health Plan
Commercial
Commercial
$184
fee schedule
National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI)
NHSI VUMI
Commercial
$227
percent of total billed charges
Plotkin Health
Plotkin Health
Commercial
$227
percent of total billed charges
Blue Cross Blue Shield of Arizona
BXBSAZ Neighborhood
Commercial
$235
fee schedule
Blue Cross Blue Shield of Arizona
BCBSAZ Alliance/Blue HPN
Commercial
$250
fee schedule
Aetna
Medical Rental
Commercial
$259
percent of total billed charges
Blue Cross Blue Shield of Arizona
BXBSAZ Alliance CHS
Commercial
$263
fee schedule
Quiktrip Corporation
Commercial
Commercial
$270
percent of total billed charges
Cigna Healthcare of Arizona, Inc.
LocalFlex
Commercial
$312
percent of total billed charges
Blue Cross Blue Shield of Arizona
BCBSAZ Workers Comp
Workers' comp
$313
fee schedule
Blue Cross Blue Shield of Arizona
Commercial
Commercial
$313
fee schedule
Blue Cross Blue Shield of Arizona
Medicare Supplemental Senior Preferred
Medicare Advantage
$319
fee schedule
Cigna Healthcare of Arizona, Inc.
Commercial
Commercial
$346
percent of total billed charges
Arizona Medical Network
Commercial
Commercial
$355
percent of total billed charges
Aetna
Joint Venture
Commercial
$367
fee schedule
Provider Network of America
Commercial
Commercial
$378
percent of total billed charges
Aetna
Designated Group
Commercial
$390
fee schedule
Aetna
Broad Network
Commercial
$459
fee schedule
Banner Goldfield Medical Center: all 48 plan rates
Payer
Plan (as written in the file)
Type
Rate
Method
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
Aetna
Medicare Advantage
Medicare Advantage
$112
fee schedule
Arizona Physicians IPA
Medicare Advantage
Medicare Advantage
$112
fee schedule
Banner Health
Medicare Advantage
Medicare Advantage
$112
fee schedule
Banner University Health Plan
University Care Advantage
Medicare Advantage
$112
fee schedule
Blue Cross Blue Shield of Arizona
Medicare Advantage
Medicare Advantage
$112
fee schedule
Cigna Healthcare of Arizona, Inc.
HMO Medicare Advantage Plans
Medicare Advantage
$112
fee schedule
Cigna Healthcare of Arizona, Inc.
PPO Medicare Advantage Plan
Medicare Advantage
$112
fee schedule
Gila River Health Care Corporation
Managed Care Program
Public program
$112
fee schedule
Health Choice Arizona, Inc.
Medicare Advantage
Medicare Advantage
$112
fee schedule
Health Net
Medicare
Medicare Advantage
$112
fee schedule
Kaiser Foundation Health Plan
Medicare Advantage
Medicare Advantage
$112
fee schedule
Mercy Care
Mercy Care Advantage
Medicare Advantage
$112
fee schedule
TriWest Healthcare Alliance Corp - VA CCN
VA Community Care Network
Military / VA
$112
fee schedule
United Healthcare
UHC Medicare Advantage
Medicare Advantage
$112
fee schedule
UPMC Health Plan
Medicare Advantage
Medicare Advantage
$112
fee schedule
Care 1st
Medicare Advantage
Medicare Advantage
$112
fee schedule
Wellpoint (fka Amerigroup)
Medicare Advantage HMO
Medicare Advantage
$112
fee schedule
Humana
Medicare Advantage
Medicare Advantage
$115
fee schedule
Carekin
Medicare Advantage
Medicare Advantage
$117
fee schedule
Devoted Health Services
Medicare Advantage
Medicare Advantage
$117
fee schedule
Arizona Priority Care
Medicare Advantage
Medicare Advantage
$123
fee schedule
Gold Kidney Health Plan
Medicare Advantage
Medicare Advantage
$123
fee schedule
United Healthcare
Individual Exchange
Commercial
$162
fee schedule
Health Choice Arizona, Inc.
ACA Health Plan
Commercial
$167
fee schedule
Oscar Health Plan
Commercial
Commercial
$167
fee schedule
Health Net
Commerical Exchange Product
Commercial
$168
fee schedule
Blue Cross Blue Shield of Arizona
BXBSAZ Neighborhood
Commercial
$194
fee schedule
Blue Cross Blue Shield of Arizona
BCBSAZ Alliance/Blue HPN
Commercial
$207
fee schedule
Blue Cross Blue Shield of Arizona
BXBSAZ Alliance CHS
Commercial
$217
fee schedule
National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI)
NHSI VUMI
Commercial
$227
percent of total billed charges
Plotkin Health
Plotkin Health
Commercial
$227
percent of total billed charges
Blue Cross Blue Shield of Arizona
BCBSAZ Workers Comp
Workers' comp
$258
fee schedule
Blue Cross Blue Shield of Arizona
Commercial
Commercial
$258
fee schedule
Aetna
Medical Rental
Commercial
$259
percent of total billed charges
Blue Cross Blue Shield of Arizona
Medicare Supplemental Senior Preferred
Medicare Advantage
$263
fee schedule
Quiktrip Corporation
Commercial
Commercial
$270
percent of total billed charges
Cigna Healthcare of Arizona, Inc.
LocalFlex
Commercial
$312
percent of total billed charges
Arizona Medical Network
Commercial
Commercial
$324
percent of total billed charges
Cigna Healthcare of Arizona, Inc.
Commercial
Commercial
$346
percent of total billed charges
Aetna
Joint Venture
Commercial
$367
fee schedule
Provider Network of America
Commercial
Commercial
$378
percent of total billed charges
Aetna
Designated Group
Commercial
$390
fee schedule
Aetna
Broad Network
Commercial
$459
fee schedule
Valleywise Health Medical Center: all 47 plan rates
Payer
Plan (as written in the file)
Type
Rate
Method
BCBS
ALL PRODUCTS
Commercial
$62.55
Fee Schedule
CIGNA
ALL PRODUCTS
Commercial
$62.55
Fee Schedule
BANNER UNIVERSITY
AHCCCS MANAGED MEDICAID - ADULT
Medicaid / CHIP
$80.98
Fee Schedule
BANNER UNIVERSITY
AHCCCS MANAGED MEDICAID - PEDIATRIC
Medicaid / CHIP
$80.98
Fee Schedule
HEALTH NET OF ARIZONA
AHCCCS MANAGED MEDICAID - PEDIATRIC
Medicaid / CHIP
$80.98
Fee Schedule
HEALTH NET OF ARIZONA
AHCCCS MANAGED MEDICAID - ADULT
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
MOLINA
AHCCCS MANAGED MEDICAID - PEDIATRIC
Medicaid / CHIP
$89.07
Fee Schedule
MOLINA
AHCCCS MANAGED MEDICAID - ADULT
Medicaid / CHIP
$89.07
Fee Schedule
AETNA
QHP
Commercial
$93.11
Percent of Total Billed Charges
AETNA
ALL PRODUCTS
Commercial
$93.88
Percent of Total Billed Charges
AETNA
MEDICAL RENTAL
Commercial
$106
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
$154
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
$250
Fee Schedule
COVENTRY
WORKERS COMP
Workers' comp
$1,170
Percent of Total Billed Charges
UNITED HEALTHCARE
NAVIGATE
Commercial
$1,206
Other
UNITED HEALTHCARE
ALL PRODUCTS
Commercial
$1,340
Other
PROVIDER NETWORK OF AMERICA
ALL PRODUCTS
Commercial
$1,350
Percent of Total Billed Charges
Banner Casa Grande Medical Center: all 48 plan rates
Payer
Plan (as written in the file)
Type
Rate
Method
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
Aetna
Medicare Advantage
Medicare Advantage
$112
fee schedule
Arizona Physicians IPA
Medicare Advantage
Medicare Advantage
$112
fee schedule
Banner Health
Medicare Advantage
Medicare Advantage
$112
fee schedule
Banner University Health Plan
University Care Advantage
Medicare Advantage
$112
fee schedule
Blue Cross Blue Shield of Arizona
Medicare Advantage
Medicare Advantage
$112
fee schedule
Cigna Healthcare of Arizona, Inc.
HMO Medicare Advantage Plans
Medicare Advantage
$112
fee schedule
Cigna Healthcare of Arizona, Inc.
PPO Medicare Advantage Plan
Medicare Advantage
$112
fee schedule
Gila River Health Care Corporation
Managed Care Program
Public program
$112
fee schedule
Health Choice Arizona, Inc.
Medicare Advantage
Medicare Advantage
$112
fee schedule
Health Net
Medicare
Medicare Advantage
$112
fee schedule
Kaiser Foundation Health Plan
Medicare Advantage
Medicare Advantage
$112
fee schedule
Mercy Care
Mercy Care Advantage
Medicare Advantage
$112
fee schedule
TriWest Healthcare Alliance Corp - VA CCN
VA Community Care Network
Military / VA
$112
fee schedule
Care 1st
Medicare Advantage
Medicare Advantage
$112
fee schedule
Carekin
Medicare Advantage
Medicare Advantage
$117
fee schedule
Humana
Medicare Advantage
Medicare Advantage
$118
fee schedule
Arizona Priority Care
Medicare Advantage
Medicare Advantage
$123
fee schedule
Devoted Health Services
Medicare Advantage
Medicare Advantage
$123
fee schedule
Gold Kidney Health Plan
Medicare Advantage
Medicare Advantage
$123
fee schedule
NaphCare, Inc.
Federal Prison System
Public program
$151
fee schedule
United Healthcare
Individual Exchange
Commercial
$162
fee schedule
Health Choice Arizona, Inc.
ACA Health Plan
Commercial
$167
fee schedule
Oscar Health Plan
Commercial
Commercial
$167
fee schedule
Health Net
Commerical Exchange Product
Commercial
$168
fee schedule
Aetna
Joint Venture
Commercial
$176
percent of total billed charges
United Healthcare
UHC Medicare Advantage
Medicare Advantage
$176
percent of total billed charges
UPMC Health Plan
Medicare Advantage
Medicare Advantage
$176
percent of total billed charges
Wellpoint (fka Amerigroup)
Medicare Advantage HMO
Medicare Advantage
$176
percent of total billed charges
Blue Cross Blue Shield of Arizona
BXBSAZ Neighborhood
Commercial
$183
fee schedule
Blue Cross Blue Shield of Arizona
BCBSAZ Alliance/Blue HPN
Commercial
$195
fee schedule
Aetna
Designated Group
Commercial
$200
percent of total billed charges
Blue Cross Blue Shield of Arizona
BXBSAZ Alliance CHS
Commercial
$205
fee schedule
National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI)
NHSI VUMI
Commercial
$227
percent of total billed charges
Plotkin Health
Plotkin Health
Commercial
$227
percent of total billed charges
Aetna
Broad Network
Commercial
$235
percent of total billed charges
Blue Cross Blue Shield of Arizona
BCBSAZ Workers Comp
Workers' comp
$244
fee schedule
Blue Cross Blue Shield of Arizona
Commercial
Commercial
$244
fee schedule
Blue Cross Blue Shield of Arizona
Medicare Supplemental Senior Preferred
Medicare Advantage
$249
fee schedule
Cigna Healthcare of Arizona, Inc.
Commerical/HMO Benefit Plan/Local Flex Plan/Network Benefit Plan/Open Access Plan
Commercial
$258
percent of total billed charges
Aetna
Medical Rental
Commercial
$259
percent of total billed charges
Quiktrip Corporation
Commercial
Commercial
$270
percent of total billed charges
Arizona Medical Network
Commercial
Commercial
$338
percent of total billed charges
Provider Network of America
Commercial
Commercial
$378
percent of total billed charges
Banner Baywood Medical Center: all 46 plan rates
Payer
Plan (as written in the file)
Type
Rate
Method
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
Aetna
Medicare Advantage
Medicare Advantage
$112
fee schedule
Arizona Physicians IPA
Medicare Advantage
Medicare Advantage
$112
fee schedule
Banner Health
Medicare Advantage
Medicare Advantage
$112
fee schedule
Banner University Health Plan
University Care Advantage
Medicare Advantage
$112
fee schedule
Blue Cross Blue Shield of Arizona
Medicare Advantage
Medicare Advantage
$112
fee schedule
Gila River Health Care Corporation
Managed Care Program
Public program
$112
fee schedule
Health Choice Arizona, Inc.
Medicare Advantage
Medicare Advantage
$112
fee schedule
Health Net
Medicare
Medicare Advantage
$112
fee schedule
Kaiser Foundation Health Plan
Medicare Advantage
Medicare Advantage
$112
fee schedule
Mercy Care
Mercy Care Advantage
Medicare Advantage
$112
fee schedule
TriWest Healthcare Alliance Corp - VA CCN
VA Community Care Network
Military / VA
$112
fee schedule
United Healthcare
UHC Medicare Advantage
Medicare Advantage
$112
fee schedule
UPMC Health Plan
Medicare Advantage
Medicare Advantage
$112
fee schedule
Care 1st
Medicare Advantage
Medicare Advantage
$112
fee schedule
Wellpoint (fka Amerigroup)
Medicare Advantage HMO
Medicare Advantage
$112
fee schedule
Humana
Medicare Advantage
Medicare Advantage
$115
fee schedule
Carekin
Medicare Advantage
Medicare Advantage
$117
fee schedule
Devoted Health Services
Medicare Advantage
Medicare Advantage
$117
fee schedule
Arizona Priority Care
Medicare Advantage
Medicare Advantage
$123
fee schedule
Gold Kidney Health Plan
Medicare Advantage
Medicare Advantage
$123
fee schedule
United Healthcare
Individual Exchange
Commercial
$162
fee schedule
Health Choice Arizona, Inc.
ACA Health Plan
Commercial
$167
fee schedule
Health Net
Commerical Exchange Product
Commercial
$168
fee schedule
Oscar Health Plan
Commercial
Commercial
$184
fee schedule
National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI)
NHSI VUMI
Commercial
$227
percent of total billed charges
Plotkin Health
Plotkin Health
Commercial
$227
percent of total billed charges
Aetna
Medical Rental
Commercial
$259
percent of total billed charges
Quiktrip Corporation
Commercial
Commercial
$270
percent of total billed charges
Blue Cross Blue Shield of Arizona
BXBSAZ Neighborhood
Commercial
$307
fee schedule
Cigna Healthcare of Arizona, Inc.
LocalFlex
Commercial
$312
percent of total billed charges
Arizona Medical Network
Commercial
Commercial
$324
percent of total billed charges
Blue Cross Blue Shield of Arizona
BCBSAZ Alliance/Blue HPN
Commercial
$328
fee schedule
Blue Cross Blue Shield of Arizona
BXBSAZ Alliance CHS
Commercial
$344
fee schedule
Cigna Healthcare of Arizona, Inc.
Commercial
Commercial
$346
percent of total billed charges
Aetna
Joint Venture
Commercial
$367
fee schedule
Provider Network of America
Commercial
Commercial
$378
percent of total billed charges
Aetna
Designated Group
Commercial
$390
fee schedule
Blue Cross Blue Shield of Arizona
BCBSAZ Workers Comp
Workers' comp
$410
fee schedule
Blue Cross Blue Shield of Arizona
Commercial
Commercial
$410
fee schedule
Blue Cross Blue Shield of Arizona
Medicare Supplemental Senior Preferred
Medicare Advantage
$417
fee schedule
Aetna
Broad Network
Commercial
$459
fee schedule
Banner Del Webb Medical Center: all 48 plan rates
Payer
Plan (as written in the file)
Type
Rate
Method
Humana
Medicare Advantage
Medicare Advantage
$71.36
fee schedule
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
Aetna
Medicare Advantage
Medicare Advantage
$112
fee schedule
Arizona Physicians IPA
Medicare Advantage
Medicare Advantage
$112
fee schedule
Banner Health
Medicare Advantage
Medicare Advantage
$112
fee schedule
Banner University Health Plan
University Care Advantage
Medicare Advantage
$112
fee schedule
Blue Cross Blue Shield of Arizona
Medicare Advantage
Medicare Advantage
$112
fee schedule
Cigna Healthcare of Arizona, Inc.
HMO Medicare Advantage Plans
Medicare Advantage
$112
fee schedule
Cigna Healthcare of Arizona, Inc.
PPO Medicare Advantage Plan
Medicare Advantage
$112
fee schedule
Gila River Health Care Corporation
Managed Care Program
Public program
$112
fee schedule
Health Choice Arizona, Inc.
Medicare Advantage
Medicare Advantage
$112
fee schedule
Health Net
Medicare
Medicare Advantage
$112
fee schedule
Kaiser Foundation Health Plan
Medicare Advantage
Medicare Advantage
$112
fee schedule
Mercy Care
Mercy Care Advantage
Medicare Advantage
$112
fee schedule
TriWest Healthcare Alliance Corp - VA CCN
VA Community Care Network
Military / VA
$112
fee schedule
United Healthcare
UHC Medicare Advantage
Medicare Advantage
$112
fee schedule
UPMC Health Plan
Medicare Advantage
Medicare Advantage
$112
fee schedule
Care 1st
Medicare Advantage
Medicare Advantage
$112
fee schedule
Wellpoint (fka Amerigroup)
Medicare Advantage HMO
Medicare Advantage
$112
fee schedule
Carekin
Medicare Advantage
Medicare Advantage
$117
fee schedule
Devoted Health Services
Medicare Advantage
Medicare Advantage
$117
fee schedule
Arizona Priority Care
Medicare Advantage
Medicare Advantage
$123
fee schedule
Gold Kidney Health Plan
Medicare Advantage
Medicare Advantage
$123
fee schedule
United Healthcare
Individual Exchange
Commercial
$162
fee schedule
Health Choice Arizona, Inc.
ACA Health Plan
Commercial
$167
fee schedule
Health Net
Commerical Exchange Product
Commercial
$168
fee schedule
Oscar Health Plan
Commercial
Commercial
$184
fee schedule
National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI)
NHSI VUMI
Commercial
$227
percent of total billed charges
Plotkin Health
Plotkin Health
Commercial
$227
percent of total billed charges
Blue Cross Blue Shield of Arizona
BXBSAZ Neighborhood
Commercial
$235
fee schedule
Blue Cross Blue Shield of Arizona
BCBSAZ Alliance/Blue HPN
Commercial
$250
fee schedule
Aetna
Medical Rental
Commercial
$259
percent of total billed charges
Blue Cross Blue Shield of Arizona
BXBSAZ Alliance CHS
Commercial
$263
fee schedule
Quiktrip Corporation
Commercial
Commercial
$270
percent of total billed charges
Cigna Healthcare of Arizona, Inc.
LocalFlex
Commercial
$312
percent of total billed charges
Blue Cross Blue Shield of Arizona
BCBSAZ Workers Comp
Workers' comp
$313
fee schedule
Blue Cross Blue Shield of Arizona
Commercial
Commercial
$313
fee schedule
Blue Cross Blue Shield of Arizona
Medicare Supplemental Senior Preferred
Medicare Advantage
$319
fee schedule
Cigna Healthcare of Arizona, Inc.
Commercial
Commercial
$346
percent of total billed charges
Arizona Medical Network
Commercial
Commercial
$355
percent of total billed charges
Aetna
Joint Venture
Commercial
$367
fee schedule
Provider Network of America
Commercial
Commercial
$378
percent of total billed charges
Aetna
Designated Group
Commercial
$390
fee schedule
Aetna
Broad Network
Commercial
$459
fee schedule
Banner Gateway Medical Center: all 48 plan rates
Payer
Plan (as written in the file)
Type
Rate
Method
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
Aetna
Medicare Advantage
Medicare Advantage
$112
fee schedule
Arizona Physicians IPA
Medicare Advantage
Medicare Advantage
$112
fee schedule
Banner Health
Medicare Advantage
Medicare Advantage
$112
fee schedule
Banner University Health Plan
University Care Advantage
Medicare Advantage
$112
fee schedule
Blue Cross Blue Shield of Arizona
Medicare Advantage
Medicare Advantage
$112
fee schedule
Cigna Healthcare of Arizona, Inc.
HMO Medicare Advantage Plans
Medicare Advantage
$112
fee schedule
Cigna Healthcare of Arizona, Inc.
PPO Medicare Advantage Plan
Medicare Advantage
$112
fee schedule
Gila River Health Care Corporation
Managed Care Program
Public program
$112
fee schedule
Health Choice Arizona, Inc.
Medicare Advantage
Medicare Advantage
$112
fee schedule
Health Net
Medicare
Medicare Advantage
$112
fee schedule
Kaiser Foundation Health Plan
Medicare Advantage
Medicare Advantage
$112
fee schedule
Mercy Care
Mercy Care Advantage
Medicare Advantage
$112
fee schedule
TriWest Healthcare Alliance Corp - VA CCN
VA Community Care Network
Military / VA
$112
fee schedule
United Healthcare
UHC Medicare Advantage
Medicare Advantage
$112
fee schedule
UPMC Health Plan
Medicare Advantage
Medicare Advantage
$112
fee schedule
Care 1st
Medicare Advantage
Medicare Advantage
$112
fee schedule
Wellpoint (fka Amerigroup)
Medicare Advantage HMO
Medicare Advantage
$112
fee schedule
Humana
Medicare Advantage
Medicare Advantage
$115
fee schedule
Carekin
Medicare Advantage
Medicare Advantage
$117
fee schedule
Devoted Health Services
Medicare Advantage
Medicare Advantage
$117
fee schedule
Arizona Priority Care
Medicare Advantage
Medicare Advantage
$123
fee schedule
Gold Kidney Health Plan
Medicare Advantage
Medicare Advantage
$123
fee schedule
United Healthcare
Individual Exchange
Commercial
$162
fee schedule
Health Choice Arizona, Inc.
ACA Health Plan
Commercial
$167
fee schedule
Health Net
Commerical Exchange Product
Commercial
$168
fee schedule
Oscar Health Plan
Commercial
Commercial
$184
fee schedule
National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI)
NHSI VUMI
Commercial
$227
percent of total billed charges
Plotkin Health
Plotkin Health
Commercial
$227
percent of total billed charges
Aetna
Medical Rental
Commercial
$259
percent of total billed charges
Quiktrip Corporation
Commercial
Commercial
$270
percent of total billed charges
Blue Cross Blue Shield of Arizona
BXBSAZ Neighborhood
Commercial
$307
fee schedule
Cigna Healthcare of Arizona, Inc.
LocalFlex
Commercial
$312
percent of total billed charges
Arizona Medical Network
Commercial
Commercial
$324
percent of total billed charges
Blue Cross Blue Shield of Arizona
BCBSAZ Alliance/Blue HPN
Commercial
$328
fee schedule
Blue Cross Blue Shield of Arizona
BXBSAZ Alliance CHS
Commercial
$344
fee schedule
Cigna Healthcare of Arizona, Inc.
Commercial
Commercial
$346
percent of total billed charges
Provider Network of America
Commercial
Commercial
$378
percent of total billed charges
Aetna
Joint Venture
Commercial
$404
fee schedule
Blue Cross Blue Shield of Arizona
BCBSAZ Workers Comp
Workers' comp
$410
fee schedule
Blue Cross Blue Shield of Arizona
Commercial
Commercial
$410
fee schedule
Blue Cross Blue Shield of Arizona
Medicare Supplemental Senior Preferred
Medicare Advantage
$410
fee schedule
Aetna
Designated Group
Commercial
$429
fee schedule
Aetna
Broad Network
Commercial
$505
fee schedule
Banner University Medical Center Phoenix: all 52 plan rates
Payer
Plan (as written in the file)
Type
Rate
Method
Humana
Medicare Advantage
Medicare Advantage
$71.36
fee schedule
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
Aetna
Medicare Advantage
Medicare Advantage
$112
fee schedule
Arizona Physicians IPA
Medicare Advantage
Medicare Advantage
$112
fee schedule
Banner Health
Medicare Advantage
Medicare Advantage
$112
fee schedule
Banner University Health Plan
University Care Advantage
Medicare Advantage
$112
fee schedule
Blue Cross Blue Shield of Arizona
Medicare Advantage
Medicare Advantage
$112
fee schedule
Cigna Healthcare of Arizona, Inc.
HMO Medicare Advantage Plans
Medicare Advantage
$112
fee schedule
Cigna Healthcare of Arizona, Inc.
PPO Medicare Advantage Plan
Medicare Advantage
$112
fee schedule
Gila River Health Care Corporation
Managed Care Program
Public program
$112
fee schedule
Health Choice Arizona, Inc.
Medicare Advantage
Medicare Advantage
$112
fee schedule
Health Net
Medicare
Medicare Advantage
$112
fee schedule
Kaiser Foundation Health Plan
Medicare Advantage
Medicare Advantage
$112
fee schedule
Mercy Care
Mercy Care Advantage
Medicare Advantage
$112
fee schedule
TriWest Healthcare Alliance Corp - VA CCN
VA Community Care Network
Military / VA
$112
fee schedule
United Healthcare
UHC Medicare Advantage
Medicare Advantage
$112
fee schedule
UPMC Health Plan
Medicare Advantage
Medicare Advantage
$112
fee schedule
Care 1st
Medicare Advantage
Medicare Advantage
$112
fee schedule
Wellpoint (fka Amerigroup)
Medicare Advantage HMO
Medicare Advantage
$112
fee schedule
Carekin
Medicare Advantage
Medicare Advantage
$117
fee schedule
Devoted Health Services
Medicare Advantage
Medicare Advantage
$117
fee schedule
Arizona Priority Care
Medicare Advantage
Medicare Advantage
$123
fee schedule
Gold Kidney Health Plan
Medicare Advantage
Medicare Advantage
$123
fee schedule
NaphCare, Inc.
Federal
Public program
$151
fee schedule
United Healthcare
Individual Exchange
Commercial
$162
fee schedule
Health Choice Arizona, Inc.
ACA Health Plan
Commercial
$167
fee schedule
Health Net
Commerical Exchange Product
Commercial
$168
fee schedule
Oscar Health Plan
Commercial
Commercial
$184
fee schedule
National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI)
NHSI VUMI
Commercial
$227
percent of total billed charges
Plotkin Health
Plotkin Health
Commercial
$227
percent of total billed charges
United Healthcare
UHC Core
Commercial
$238
fee schedule
United Healthcare
Commercial
Commercial
$239
fee schedule
Aetna
Medical Rental
Commercial
$259
percent of total billed charges
Quiktrip Corporation
Commercial
Commercial
$270
percent of total billed charges
Blue Cross Blue Shield of Arizona
BXBSAZ Neighborhood
Commercial
$307
fee schedule
Cigna Healthcare of Arizona, Inc.
LocalFlex
Commercial
$312
percent of total billed charges
Arizona Medical Network
Commercial
Commercial
$324
percent of total billed charges
Blue Cross Blue Shield of Arizona
BCBSAZ Alliance/Blue HPN
Commercial
$328
fee schedule
Blue Cross Blue Shield of Arizona
BXBSAZ Alliance CHS
Commercial
$344
fee schedule
Cigna Healthcare of Arizona, Inc.
Commercial
Commercial
$346
percent of total billed charges
Aetna
Joint Venture
Commercial
$367
fee schedule
Provider Network of America
Commercial
Commercial
$378
percent of total billed charges
Aetna
Designated Group
Commercial
$390
fee schedule
Blue Cross Blue Shield of Arizona
BCBSAZ Workers Comp
Workers' comp
$410
fee schedule
Blue Cross Blue Shield of Arizona
Commercial
Commercial
$410
fee schedule
Blue Cross Blue Shield of Arizona
Medicare Supplemental Senior Preferred
Medicare Advantage
$417
fee schedule
United Healthcare
UHC Doctor's Plan
Commercial
$449
fee schedule
Aetna
Broad Network
Commercial
$459
fee schedule
Banner Ocotillo Medical Center: all 45 plan rates
Payer
Plan (as written in the file)
Type
Rate
Method
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
Aetna
Medicare Advantage
Medicare Advantage
$112
fee schedule
Arizona Physicians IPA
Medicare Advantage
Medicare Advantage
$112
fee schedule
Banner Health
Medicare Advantage
Medicare Advantage
$112
fee schedule
Banner University Health Plan
University Care Advantage
Medicare Advantage
$112
fee schedule
Blue Cross Blue Shield of Arizona
Medicare Advantage
Medicare Advantage
$112
fee schedule
Cigna Healthcare of Arizona, Inc.
HMO Medicare Advantage Plans
Medicare Advantage
$112
fee schedule
Cigna Healthcare of Arizona, Inc.
PPO Medicare Advantage Plan
Medicare Advantage
$112
fee schedule
Gila River Health Care Corporation
Managed Care Program
Public program
$112
fee schedule
Health Choice Arizona, Inc.
Medicare Advantage
Medicare Advantage
$112
fee schedule
Health Net
Medicare
Medicare Advantage
$112
fee schedule
Kaiser Foundation Health Plan
Medicare Advantage
Medicare Advantage
$112
fee schedule
Mercy Care
Mercy Care Advantage
Medicare Advantage
$112
fee schedule
TriWest Healthcare Alliance Corp - VA CCN
VA Community Care Network
Military / VA
$112
fee schedule
United Healthcare
UHC Medicare Advantage
Medicare Advantage
$112
fee schedule
UPMC Health Plan
Medicare Advantage
Medicare Advantage
$112
fee schedule
Wellpoint (fka Amerigroup)
Medicare Advantage HMO
Medicare Advantage
$112
fee schedule
Humana
Medicare Advantage
Medicare Advantage
$115
fee schedule
Carekin
Medicare Advantage
Medicare Advantage
$117
fee schedule
Devoted Health Services
Medicare Advantage
Medicare Advantage
$117
fee schedule
Gold Kidney Health Plan
Medicare Advantage
Medicare Advantage
$123
fee schedule
United Healthcare
Individual Exchange
Commercial
$162
fee schedule
Health Choice Arizona, Inc.
ACA Health Plan
Commercial
$167
fee schedule
Health Net
Commerical Exchange Product
Commercial
$168
fee schedule
Oscar Health Plan
Commercial
Commercial
$184
fee schedule
Plotkin Health
Plotkin Health
Commercial
$227
percent of total billed charges
Aetna
Medical Rental
Commercial
$259
percent of total billed charges
Quiktrip Corporation
Commercial
Commercial
$270
percent of total billed charges
Blue Cross Blue Shield of Arizona
BXBSAZ Neighborhood
Commercial
$307
fee schedule
Cigna Healthcare of Arizona, Inc.
LocalFlex
Commercial
$312
percent of total billed charges
Arizona Medical Network
Commercial
Commercial
$324
percent of total billed charges
Blue Cross Blue Shield of Arizona
BCBSAZ Alliance/Blue HPN
Commercial
$328
fee schedule
Blue Cross Blue Shield of Arizona
BXBSAZ Alliance CHS
Commercial
$344
fee schedule
Cigna Healthcare of Arizona, Inc.
Commercial
Commercial
$346
percent of total billed charges
Aetna
Joint Venture
Commercial
$367
fee schedule
Provider Network of America
Commercial
Commercial
$378
percent of total billed charges
Aetna
Designated Group
Commercial
$390
fee schedule
Blue Cross Blue Shield of Arizona
BCBSAZ Workers Comp
Workers' comp
$410
fee schedule
Blue Cross Blue Shield of Arizona
Commercial
Commercial
$410
fee schedule
Blue Cross Blue Shield of Arizona
Medicare Supplemental Senior Preferred
Medicare Advantage
$417
fee schedule
Aetna
Broad Network
Commercial
$459
fee schedule
Banner Estrella Medical Center: all 50 plan rates
Payer
Plan (as written in the file)
Type
Rate
Method
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
Aetna
Medicare Advantage
Medicare Advantage
$112
fee schedule
Arizona Physicians IPA
Medicare Advantage
Medicare Advantage
$112
fee schedule
Banner Health
Medicare Advantage
Medicare Advantage
$112
fee schedule
Banner University Health Plan
University Care Advantage
Medicare Advantage
$112
fee schedule
Blue Cross Blue Shield of Arizona
Medicare Advantage
Medicare Advantage
$112
fee schedule
Cigna Healthcare of Arizona, Inc.
HMO Medicare Advantage Plans
Medicare Advantage
$112
fee schedule
Cigna Healthcare of Arizona, Inc.
PPO Medicare Advantage Plan
Medicare Advantage
$112
fee schedule
Gila River Health Care Corporation
Managed Care Program
Public program
$112
fee schedule
Health Choice Arizona, Inc.
Medicare Advantage
Medicare Advantage
$112
fee schedule
Health Net
Medicare
Medicare Advantage
$112
fee schedule
Kaiser Foundation Health Plan
Medicare Advantage
Medicare Advantage
$112
fee schedule
Mercy Care
Mercy Care Advantage
Medicare Advantage
$112
fee schedule
TriWest Healthcare Alliance Corp - VA CCN
VA Community Care Network
Military / VA
$112
fee schedule
United Healthcare
UHC Medicare Advantage
Medicare Advantage
$112
fee schedule
UPMC Health Plan
Medicare Advantage
Medicare Advantage
$112
fee schedule
Care 1st
Medicare Advantage
Medicare Advantage
$112
fee schedule
Wellpoint (fka Amerigroup)
Medicare Advantage HMO
Medicare Advantage
$112
fee schedule
Humana
Medicare Advantage
Medicare Advantage
$115
fee schedule
Carekin
Medicare Advantage
Medicare Advantage
$117
fee schedule
Devoted Health Services
Medicare Advantage
Medicare Advantage
$117
fee schedule
Arizona Priority Care
Medicare Advantage
Medicare Advantage
$123
fee schedule
Gold Kidney Health Plan
Medicare Advantage
Medicare Advantage
$123
fee schedule
NaphCare, Inc.
Federal Prison System
Public program
$151
fee schedule
United Healthcare
Individual Exchange
Commercial
$162
fee schedule
Health Choice Arizona, Inc.
ACA Health Plan
Commercial
$167
fee schedule
Health Net
Commerical Exchange Product
Commercial
$168
fee schedule
Oscar Health Plan
Commercial
Commercial
$184
fee schedule
National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI)
NHSI VUMI
Commercial
$227
percent of total billed charges
Plotkin Health
Plotkin Health
Commercial
$227
percent of total billed charges
Aetna
Medical Rental
Commercial
$259
percent of total billed charges
Quiktrip Corporation
Commercial
Commercial
$270
percent of total billed charges
Blue Cross Blue Shield of Arizona
BXBSAZ Neighborhood
Commercial
$307
fee schedule
Blue Cross Blue Shield of Arizona
BCBSAZ MaricopaFocus
Commercial
$307
fee schedule
Cigna Healthcare of Arizona, Inc.
LocalFlex
Commercial
$312
percent of total billed charges
Arizona Medical Network
Commercial
Commercial
$324
percent of total billed charges
Blue Cross Blue Shield of Arizona
BCBSAZ Alliance/Blue HPN
Commercial
$328
fee schedule
Blue Cross Blue Shield of Arizona
BXBSAZ Alliance CHS
Commercial
$344
fee schedule
Cigna Healthcare of Arizona, Inc.
Commercial
Commercial
$346
percent of total billed charges
Aetna
Joint Venture
Commercial
$367
fee schedule
Provider Network of America
Commercial
Commercial
$378
percent of total billed charges
Aetna
Designated Group
Commercial
$390
fee schedule
Blue Cross Blue Shield of Arizona
BCBSAZ Workers Comp
Workers' comp
$410
fee schedule
Blue Cross Blue Shield of Arizona
Commercial
Commercial
$410
fee schedule
Blue Cross Blue Shield of Arizona
Medicare Supplemental Senior Preferred
Medicare Advantage
$417
fee schedule
Aetna
Broad Network
Commercial
$459
fee schedule
Banner Thunderbird Medical Center: all 52 plan rates
Payer
Plan (as written in the file)
Type
Rate
Method
Humana
Medicare Advantage
Medicare Advantage
$71.36
fee schedule
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
Aetna
Medicare Advantage
Medicare Advantage
$112
fee schedule
Arizona Physicians IPA
Medicare Advantage
Medicare Advantage
$112
fee schedule
Banner Health
Medicare Advantage
Medicare Advantage
$112
fee schedule
Banner University Health Plan
University Care Advantage
Medicare Advantage
$112
fee schedule
Blue Cross Blue Shield of Arizona
Medicare Advantage
Medicare Advantage
$112
fee schedule
Cigna Healthcare of Arizona, Inc.
HMO Medicare Advantage Plans
Medicare Advantage
$112
fee schedule
Cigna Healthcare of Arizona, Inc.
PPO Medicare Advantage Plan
Medicare Advantage
$112
fee schedule
Gila River Health Care Corporation
Managed Care Program
Public program
$112
fee schedule
Health Choice Arizona, Inc.
Medicare Advantage
Medicare Advantage
$112
fee schedule
Health Net
Medicare
Medicare Advantage
$112
fee schedule
Kaiser Foundation Health Plan
Medicare Advantage
Medicare Advantage
$112
fee schedule
Mercy Care
Mercy Care Advantage
Medicare Advantage
$112
fee schedule
TriWest Healthcare Alliance Corp - VA CCN
VA Community Care Network
Military / VA
$112
fee schedule
United Healthcare
UHC Medicare Advantage
Medicare Advantage
$112
fee schedule
UPMC Health Plan
Medicare Advantage
Medicare Advantage
$112
fee schedule
Care 1st
Medicare Advantage
Medicare Advantage
$112
fee schedule
Wellpoint (fka Amerigroup)
Medicare Advantage HMO
Medicare Advantage
$112
fee schedule
Carekin
Medicare Advantage
Medicare Advantage
$117
fee schedule
Devoted Health Services
Medicare Advantage
Medicare Advantage
$117
fee schedule
Arizona Priority Care
Medicare Advantage
Medicare Advantage
$123
fee schedule
Gold Kidney Health Plan
Medicare Advantage
Medicare Advantage
$123
fee schedule
United Healthcare
Individual Exchange
Commercial
$162
fee schedule
Health Choice Arizona, Inc.
ACA Health Plan
Commercial
$167
fee schedule
Health Net
Commerical Exchange Product
Commercial
$168
fee schedule
Oscar Health Plan
Commercial
Commercial
$184
fee schedule
National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI)
NHSI VUMI
Commercial
$227
percent of total billed charges
Plotkin Health
Plotkin Health
Commercial
$227
percent of total billed charges
United Healthcare
UHC Core
Commercial
$238
fee schedule
United Healthcare
Commercial
Commercial
$239
fee schedule
Aetna
Medical Rental
Commercial
$259
percent of total billed charges
Quiktrip Corporation
Commercial
Commercial
$270
percent of total billed charges
Blue Cross Blue Shield of Arizona
BXBSAZ Neighborhood
Commercial
$307
fee schedule
Blue Cross Blue Shield of Arizona
BCBSAZ MaricopaFocus
Commercial
$307
fee schedule
Cigna Healthcare of Arizona, Inc.
LocalFlex
Commercial
$312
percent of total billed charges
Arizona Medical Network
Commercial
Commercial
$324
percent of total billed charges
Blue Cross Blue Shield of Arizona
BCBSAZ Alliance/Blue HPN
Commercial
$328
fee schedule
Blue Cross Blue Shield of Arizona
BXBSAZ Alliance CHS
Commercial
$344
fee schedule
Cigna Healthcare of Arizona, Inc.
Commercial
Commercial
$346
percent of total billed charges
Aetna
Joint Venture
Commercial
$367
fee schedule
Provider Network of America
Commercial
Commercial
$378
percent of total billed charges
Aetna
Designated Group
Commercial
$390
fee schedule
Blue Cross Blue Shield of Arizona
BCBSAZ Workers Comp
Workers' comp
$410
fee schedule
Blue Cross Blue Shield of Arizona
Commercial
Commercial
$410
fee schedule
Blue Cross Blue Shield of Arizona
Medicare Supplemental Senior Preferred
Medicare Advantage
$417
fee schedule
United Healthcare
UHC Doctor's Plan
Commercial
$449
fee schedule
Aetna
Broad Network
Commercial
$459
fee schedule
Banner Ironwood Medical Center: all 49 plan rates
Payer
Plan (as written in the file)
Type
Rate
Method
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
Aetna
Medicare Advantage
Medicare Advantage
$112
fee schedule
Arizona Physicians IPA
Medicare Advantage
Medicare Advantage
$112
fee schedule
Banner Health
Medicare Advantage
Medicare Advantage
$112
fee schedule
Banner University Health Plan
University Care Advantage
Medicare Advantage
$112
fee schedule
Blue Cross Blue Shield of Arizona
Medicare Advantage
Medicare Advantage
$112
fee schedule
Cigna Healthcare of Arizona, Inc.
HMO Medicare Advantage Plans
Medicare Advantage
$112
fee schedule
Cigna Healthcare of Arizona, Inc.
PPO Medicare Advantage Plan
Medicare Advantage
$112
fee schedule
Gila River Health Care Corporation
Managed Care Program
Public program
$112
fee schedule
Health Choice Arizona, Inc.
Medicare Advantage
Medicare Advantage
$112
fee schedule
Health Net
Medicare
Medicare Advantage
$112
fee schedule
Kaiser Foundation Health Plan
Medicare Advantage
Medicare Advantage
$112
fee schedule
Mercy Care
Mercy Care Advantage
Medicare Advantage
$112
fee schedule
TriWest Healthcare Alliance Corp - VA CCN
VA Community Care Network
Military / VA
$112
fee schedule
United Healthcare
UHC Medicare Advantage
Medicare Advantage
$112
fee schedule
UPMC Health Plan
Medicare Advantage
Medicare Advantage
$112
fee schedule
Care 1st
Medicare Advantage
Medicare Advantage
$112
fee schedule
Wellpoint (fka Amerigroup)
Medicare Advantage HMO
Medicare Advantage
$112
fee schedule
Humana
Medicare Advantage
Medicare Advantage
$115
fee schedule
Carekin
Medicare Advantage
Medicare Advantage
$117
fee schedule
Devoted Health Services
Medicare Advantage
Medicare Advantage
$117
fee schedule
Arizona Priority Care
Medicare Advantage
Medicare Advantage
$123
fee schedule
Gold Kidney Health Plan
Medicare Advantage
Medicare Advantage
$123
fee schedule
United Healthcare
Individual Exchange
Commercial
$162
fee schedule
Health Choice Arizona, Inc.
ACA Health Plan
Commercial
$167
fee schedule
Oscar Health Plan
Commercial
Commercial
$167
fee schedule
Health Net
Commerical Exchange Product
Commercial
$168
fee schedule
National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI)
NHSI VUMI
Commercial
$227
percent of total billed charges
Plotkin Health
Plotkin Health
Commercial
$227
percent of total billed charges
Aetna
Medical Rental
Commercial
$259
percent of total billed charges
Quiktrip Corporation
Commercial
Commercial
$270
percent of total billed charges
Blue Cross Blue Shield of Arizona
BXBSAZ Neighborhood
Commercial
$307
fee schedule
Blue Cross Blue Shield of Arizona
BCBSAZ MaricopaFocus
Commercial
$307
fee schedule
Cigna Healthcare of Arizona, Inc.
LocalFlex
Commercial
$312
percent of total billed charges
Arizona Medical Network
Commercial
Commercial
$324
percent of total billed charges
Blue Cross Blue Shield of Arizona
BCBSAZ Alliance/Blue HPN
Commercial
$328
fee schedule
Blue Cross Blue Shield of Arizona
BXBSAZ Alliance CHS
Commercial
$344
fee schedule
Cigna Healthcare of Arizona, Inc.
Commercial
Commercial
$346
percent of total billed charges
Aetna
Joint Venture
Commercial
$367
fee schedule
Provider Network of America
Commercial
Commercial
$378
percent of total billed charges
Aetna
Designated Group
Commercial
$390
fee schedule
Blue Cross Blue Shield of Arizona
BCBSAZ Workers Comp
Workers' comp
$410
fee schedule
Blue Cross Blue Shield of Arizona
Commercial
Commercial
$410
fee schedule
Blue Cross Blue Shield of Arizona
Medicare Supplemental Senior Preferred
Medicare Advantage
$417
fee schedule
Aetna
Broad Network
Commercial
$459
fee schedule
Banner Desert Medical Center: all 53 plan rates
Payer
Plan (as written in the file)
Type
Rate
Method
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
Aetna
Medicare Advantage
Medicare Advantage
$112
fee schedule
Arizona Physicians IPA
Medicare Advantage
Medicare Advantage
$112
fee schedule
Banner Health
Medicare Advantage
Medicare Advantage
$112
fee schedule
Banner University Health Plan
University Care Advantage
Medicare Advantage
$112
fee schedule
Blue Cross Blue Shield of Arizona
Medicare Advantage
Medicare Advantage
$112
fee schedule
Cigna Healthcare of Arizona, Inc.
HMO Medicare Advantage Plans
Medicare Advantage
$112
fee schedule
Cigna Healthcare of Arizona, Inc.
PPO Medicare Advantage Plan
Medicare Advantage
$112
fee schedule
Gila River Health Care Corporation
Managed Care Program
Public program
$112
fee schedule
Health Choice Arizona, Inc.
Medicare Advantage
Medicare Advantage
$112
fee schedule
Health Net
Medicare
Medicare Advantage
$112
fee schedule
Kaiser Foundation Health Plan
Medicare Advantage
Medicare Advantage
$112
fee schedule
Mercy Care
Mercy Care Advantage
Medicare Advantage
$112
fee schedule
TriWest Healthcare Alliance Corp - VA CCN
VA Community Care Network
Military / VA
$112
fee schedule
United Healthcare
UHC Medicare Advantage
Medicare Advantage
$112
fee schedule
UPMC Health Plan
Medicare Advantage
Medicare Advantage
$112
fee schedule
Care 1st
Medicare Advantage
Medicare Advantage
$112
fee schedule
Wellpoint (fka Amerigroup)
Medicare Advantage HMO
Medicare Advantage
$112
fee schedule
Humana
Medicare Advantage
Medicare Advantage
$115
fee schedule
Carekin
Medicare Advantage
Medicare Advantage
$117
fee schedule
Devoted Health Services
Medicare Advantage
Medicare Advantage
$117
fee schedule
Arizona Priority Care
Medicare Advantage
Medicare Advantage
$123
fee schedule
Gold Kidney Health Plan
Medicare Advantage
Medicare Advantage
$123
fee schedule
NaphCare, Inc.
Federal Prison System
Public program
$151
fee schedule
United Healthcare
Individual Exchange
Commercial
$162
fee schedule
Health Choice Arizona, Inc.
ACA Health Plan
Commercial
$167
fee schedule
Health Net
Commerical Exchange Product
Commercial
$168
fee schedule
Oscar Health Plan
Commercial
Commercial
$184
fee schedule
National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI)
NHSI VUMI
Commercial
$227
percent of total billed charges
Plotkin Health
Plotkin Health
Commercial
$227
percent of total billed charges
United Healthcare
UHC Core
Commercial
$238
fee schedule
United Healthcare
Commercial
Commercial
$239
fee schedule
Aetna
Medical Rental
Commercial
$259
percent of total billed charges
Quiktrip Corporation
Commercial
Commercial
$270
percent of total billed charges
Blue Cross Blue Shield of Arizona
BXBSAZ Neighborhood
Commercial
$307
fee schedule
Blue Cross Blue Shield of Arizona
BCBSAZ MaricopaFocus
Commercial
$307
fee schedule
Cigna Healthcare of Arizona, Inc.
LocalFlex
Commercial
$312
percent of total billed charges
Arizona Medical Network
Commercial
Commercial
$324
percent of total billed charges
Blue Cross Blue Shield of Arizona
BCBSAZ Alliance/Blue HPN
Commercial
$328
fee schedule
Blue Cross Blue Shield of Arizona
BXBSAZ Alliance CHS
Commercial
$344
fee schedule
Cigna Healthcare of Arizona, Inc.
Commercial
Commercial
$346
percent of total billed charges
Aetna
Joint Venture
Commercial
$367
fee schedule
Provider Network of America
Commercial
Commercial
$378
percent of total billed charges
Aetna
Designated Group
Commercial
$390
fee schedule
Blue Cross Blue Shield of Arizona
BCBSAZ Workers Comp
Workers' comp
$410
fee schedule
Blue Cross Blue Shield of Arizona
Commercial
Commercial
$410
fee schedule
Blue Cross Blue Shield of Arizona
Medicare Supplemental Senior Preferred
Medicare Advantage
$417
fee schedule
United Healthcare
UHC Doctor's Plan
Commercial
$449
fee schedule
Aetna
Broad Network
Commercial
$459
fee schedule
Mercy Gilbert Medical Center: all 24 plan rates
Payer
Plan (as written in the file)
Type
Rate
Method
Health Choice
Medicaid|All Plans
Medicaid / CHIP
$111
fee schedule
United
Medicaid|All Plans
Medicaid / CHIP
$111
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
United
Medicare|All Plans
Medicare Advantage
$116
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
Cigna
Commercial|All Other Plans
Commercial
$328
fee schedule
Cigna
Commercial|PPO
Commercial
$328
fee schedule
Aetna
Commercial|All Other Plans
Commercial
$738
fee schedule
Aetna
Commercial|HMO
Commercial
$738
fee schedule
Aetna
Commercial|PPO
Commercial
$738
fee schedule
First Health
Commercial|All Plans
Commercial
$767
fee schedule
MultiPlan
Commercial|All Plans
Commercial
$1,094
fee schedule
Chandler Regional Medical Center: all 23 plan rates
Payer
Plan (as written in the file)
Type
Rate
Method
Mercy Care Plan
Medicaid|All Plans
Medicaid / CHIP
$99.39
fee schedule
Aetna
Medicare|All Plans
Medicare Advantage
$99.39
fee schedule
BCBS - AZ
Medicare|All Plans
Medicare Advantage
$99.39
fee schedule
Care 1st
Medicare|All Plans
Medicare Advantage
$99.39
fee schedule
Cigna
Medicare|All Plans
Medicare Advantage
$99.39
fee schedule
First Health
Medicare|All Plans
Medicare Advantage
$99.39
fee schedule
Health Choice
Medicare|All Plans
Medicare Advantage
$99.39
fee schedule
Humana
Medicare|All Plans
Medicare Advantage
$99.39
fee schedule
Mercy Care Plan
Medicare|All Plans
Medicare Advantage
$99.39
fee schedule
United
Medicare|All Plans
Medicare Advantage
$102
fee schedule
Health Choice
Medicaid|All Plans
Medicaid / CHIP
$111
fee schedule
United
Medicaid|All Plans
Medicaid / CHIP
$111
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
Cigna
Commercial|All Other Plans
Commercial
$328
fee schedule
Aetna
Commercial|All Other Plans
Commercial
$738
fee schedule
Aetna
Commercial|HMO
Commercial
$738
fee schedule
Aetna
Commercial|PPO
Commercial
$738
fee schedule
First Health
Commercial|All Plans
Commercial
$767
fee schedule
MultiPlan
Commercial|All Plans
Commercial
$1,194
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
$111
fee schedule
Mercy Care
Medicaid|All Plans
Medicaid / CHIP
$111
fee schedule
United
Medicaid|All Plans
Medicaid / CHIP
$111
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
$186
fee schedule
BCBS - AZ
Commercial|Neighborhood
Commercial
$186
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
BCBS - AZ
Commercial|All Other Plans
Commercial
$247
fee schedule
Cigna
Commercial|All Other Plans
Commercial
$383
fee schedule
Cigna
Commercial|PPO
Commercial
$383
fee schedule
Aetna
Commercial|All Other Plans
Commercial
$718
fee schedule
Aetna
Commercial|PPO
Commercial
$718
fee schedule
Coventry
Commercial|All Plans
Commercial
$1,019
fee schedule
Multiplan
Commercial|All Plans
Commercial
$1,570
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
$111
fee schedule
Mercy Care
Medicaid|All Plans
Medicaid / CHIP
$111
fee schedule
United
Medicaid|All Plans
Medicaid / CHIP
$111
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
$186
fee schedule
BCBS - AZ
Commercial|Neighborhood
Commercial
$186
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
BCBS - AZ
Commercial|All Other Plans
Commercial
$247
fee schedule
Cigna
Commercial|All Other Plans
Commercial
$383
fee schedule
Cigna
Commercial|PPO
Commercial
$383
fee schedule
Aetna
Commercial|All Other Plans
Commercial
$718
fee schedule
Aetna
Commercial|PPO
Commercial
$718
fee schedule
Coventry
Commercial|All Plans
Commercial
$1,019
fee schedule
Multiplan
Commercial|All Plans
Commercial
$1,570
fee schedule
St. Joseph's Hospital and Medical Center: all 29 plan rates
Payer
Plan (as written in the file)
Type
Rate
Method
United
Medicaid|All Plans
Medicaid / CHIP
$111
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
Cigna
Commercial|LocalPlus SureFit
Commercial
$250
fee schedule
Cigna
Commercial|All Other Plans
Commercial
$328
fee schedule
Aetna
Commercial|All Plans
Commercial
$460
fee schedule
Optum
Commercial|OptumHealth
Commercial
$642
fee schedule
Cigna
Commercial|LifeSource
Commercial
$751
fee schedule
Other
Commercial|NTN
Commercial
$820
fee schedule
LifeTrac
Commercial|All Plans
Commercial
$888
fee schedule
First Health
Commercial|All Plans
Commercial
$956
fee schedule
Health Net
Commercial|Interlink
Commercial
$956
fee schedule
MultiPlan
Commercial|All Plans
Commercial
$1,079
fee schedule
St. Joseph's Westgate Medical Center: all 27 plan rates
Payer
Plan (as written in the file)
Type
Rate
Method
Health Choice
Medicaid|All Plans
Medicaid / CHIP
$111
fee schedule
United
Medicaid|All Plans
Medicaid / CHIP
$111
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
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
Cigna
Commercial|All Other Plans
Commercial
$328
fee schedule
Aetna
Commercial|All Other Plans
Commercial
$747
fee schedule
Aetna
Commercial|HMO
Commercial
$747
fee schedule
Aetna
Commercial|PPO
Commercial
$747
fee schedule
First Health
Commercial|All Plans
Commercial
$902
fee schedule
MultiPlan
Commercial|All Plans
Commercial
$1,106
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
$124
fee schedule
Oscar Health Plan
Exchange
Commercial
$147
fee schedule
Ambetter
Az Complete Exchange
Commercial
$158
fee schedule
Humana
All Commercial Plans
Commercial
$161
fee schedule
Unitedhealthcare
Exchange
Commercial
$164
fee schedule
Health Choice
Exchange
Commercial
$170
fee schedule
Aetna
All Commercial Plans
Commercial
$178
fee schedule
Unitedhealthcare
All Commercial Plans
Commercial
$240
fee schedule
Bcbs
All Commercial Plans
Commercial
$242
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
$124
fee schedule
Oscar Health Plan
Exchange
Commercial
$147
fee schedule
Ambetter
Az Complete Exchange
Commercial
$158
fee schedule
Humana
All Commercial Plans
Commercial
$161
fee schedule
Unitedhealthcare
Exchange
Commercial
$164
fee schedule
Health Choice
Exchange
Commercial
$170
fee schedule
Aetna
All Commercial Plans
Commercial
$178
fee schedule
Bcbs-Florence
All Commercial Plans
Commercial
$238
fee schedule
Unitedhealthcare
All Commercial Plans
Commercial
$240
fee schedule
Bcbs
All Commercial Plans
Commercial
$242
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
$124
fee schedule
Oscar Health Plan
Exchange
Commercial
$147
fee schedule
Ambetter
Az Complete Exchange
Commercial
$158
fee schedule
Humana
All Commercial Plans
Commercial
$161
fee schedule
Unitedhealthcare
Exchange
Commercial
$164
fee schedule
Health Choice
Exchange
Commercial
$170
fee schedule
Aetna
All Commercial Plans
Commercial
$178
fee schedule
Bcbs-Florence
All Commercial Plans
Commercial
$238
fee schedule
Unitedhealthcare
All Commercial Plans
Commercial
$240
fee schedule
Bcbs
All Commercial Plans
Commercial
$242
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
$124
fee schedule
Oscar Health Plan
Exchange
Commercial
$147
fee schedule
Ambetter
Az Complete Exchange
Commercial
$158
fee schedule
Humana
All Commercial Plans
Commercial
$161
fee schedule
Unitedhealthcare
Exchange
Commercial
$164
fee schedule
Health Choice
Exchange
Commercial
$170
fee schedule
Aetna
All Commercial Plans
Commercial
$178
fee schedule
Unitedhealthcare
All Commercial Plans
Commercial
$240
fee schedule
Bcbs
All Commercial Plans
Commercial
$242
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
$124
fee schedule
Oscar Health Plan
Exchange
Commercial
$147
fee schedule
Ambetter
Az Complete Exchange
Commercial
$158
fee schedule
Unitedhealthcare
Exchange
Commercial
$164
fee schedule
Health Choice
Exchange
Commercial
$170
fee schedule
Aetna
All Commercial Plans
Commercial
$178
fee schedule
Unitedhealthcare
All Commercial Plans
Commercial
$240
fee schedule
Bcbs
All Commercial Plans
Commercial
$242
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
$124
fee schedule
Oscar Health Plan
Exchange
Commercial
$147
fee schedule
Ambetter
Az Complete Exchange
Commercial
$158
fee schedule
Humana
All Commercial Plans
Commercial
$161
fee schedule
Unitedhealthcare
Exchange
Commercial
$164
fee schedule
Health Choice
Exchange
Commercial
$170
fee schedule
Aetna
All Commercial Plans
Commercial
$178
fee schedule
Unitedhealthcare
All Commercial Plans
Commercial
$240
fee schedule
Bcbs
All Commercial Plans
Commercial
$242
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
$124
fee schedule
Oscar Health Plan
Exchange
Commercial
$147
fee schedule
Ambetter
Az Complete Exchange
Commercial
$158
fee schedule
Humana
All Commercial Plans
Commercial
$161
fee schedule
Unitedhealthcare
Exchange
Commercial
$164
fee schedule
Health Choice
Exchange
Commercial
$170
fee schedule
Aetna
All Commercial Plans
Commercial
$178
fee schedule
Unitedhealthcare
All Commercial Plans
Commercial
$240
fee schedule
Bcbs
All Commercial Plans
Commercial
$242
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
$124
fee schedule
Oscar Health Plan
Exchange
Commercial
$147
fee schedule
Ambetter
Az Complete Exchange
Commercial
$158
fee schedule
Unitedhealthcare
Exchange
Commercial
$164
fee schedule
Health Choice
Exchange
Commercial
$170
fee schedule
Aetna
All Commercial Plans
Commercial
$178
fee schedule
Unitedhealthcare
All Commercial Plans
Commercial
$240
fee schedule
Bcbs
All Commercial Plans
Commercial
$242
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
$124
fee schedule
Oscar Health Plan
Exchange
Commercial
$147
fee schedule
Ambetter
Az Complete Exchange
Commercial
$158
fee schedule
Unitedhealthcare
Exchange
Commercial
$164
fee schedule
Health Choice
Exchange
Commercial
$170
fee schedule
Aetna
All Commercial Plans
Commercial
$178
fee schedule
Unitedhealthcare
All Commercial Plans
Commercial
$240
fee schedule
Bcbs
All Commercial Plans
Commercial
$242
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
CIGNA SELECT
ALL PRODUCTS
Commercial
$305
Fee Schedule
CIGNA
SUREFIT
Commercial
$316
Fee Schedule
HEALTHCOMP
ALL PRODUCTS
Commercial
$340
Percent of Total Billed Charges
INTEL
ALL PRODUCTS
Commercial
$340
Percent of Total Billed Charges
CIGNA
ALL PRODUCTS
Commercial
$355
Fee Schedule
BLUE CROSS
ALL PRODUCTS
Commercial
$371
Fee Schedule
AETNA
ALL PRODUCTS
Commercial
$389
Percent of Total Billed Charges
BLUE CROSS
EXCLUSIVE NETWORK
Commercial
$500
Fee Schedule
ANTIDOTE
ALL PRODUCTS
Commercial
$553
Percent of Total Billed Charges
AETNA
HEALTHEZ
Commercial
$623
Percent of Total Billed Charges
MULTIPLAN
ALL PRODUCTS
Commercial
$680
Percent of Total Billed Charges
UHC
NAVIGATE
Commercial
$774
Other
UHC
NON OPTIONS
Commercial
$884
Other
What this price covers
These are hospital charges for CPT code 76856 (Complete pelvic 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.