Bilateral n block inj trigeminal 64400 at Banner Goldfield Medical Center

2050 West Southern Avenue, Apache Junction, AZ · Banner Health · · NPI 1932543428

Source: hospital's published price file ↗ · Published Mar 2, 2026 · Ingested Aug 12, 2026

$385.43

Cash price

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Discounted cash price

What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge.

Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.

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What you pay up front if you don't use insurance.

$1,871.00

Gross charge

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Gross charge (chargemaster price)

The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this.

Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$189.35 with Arizona Physicians IPA vs $2,314.00 with Cigna Healthcare of Arizona, Inc. — same scan, same building. Share

Negotiated rates by payer
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Negotiated rate

The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.

Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.

Full explanation →

Payer
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Payer

The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on.

Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509.

Full explanation →
Plan
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Plan

The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates.

Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible.

Full explanation →
Negotiated rate vs. cash
Arizona Physicians IPA Medicaid $189.35 ↓ -51%
Mercy Care Mercy Medicaid $189.35 ↓ -51%
Health Net Medicaid $189.35 ↓ -51%
Health Choice Arizona, Inc. Medicaid $189.35 ↓ -51%
Banner University Health Plan AZ Medicaid - AHCCCS $189.35 ↓ -51%
Aetna Medicare Advantage $249.40 ↓ -35%
Wellpoint Medicare Advantage HMO $314.62 ↓ -18%
Arizona Physicians IPA Medicare Advantage $314.62 ↓ -18%
Banner Health Medicare Advantage $314.62 ↓ -18%
Banner University Health Plan University Care Advantage $314.62 ↓ -18%
Blue Cross Blue Shield of Arizona Medicare Advantage $314.62 ↓ -18%
Care 1st Medicare Advantage $314.62 ↓ -18%
Cigna Healthcare of Arizona, Inc. HMO Medicare Advantage Plans $314.62 ↓ -18%
Cigna Healthcare of Arizona, Inc. PPO Medicare Advantage Plan $314.62 ↓ -18%
Gila River Health Care Corporation Managed Care Program $314.62 ↓ -18%
Health Choice Arizona, Inc. Medicare Advantage $314.62 ↓ -18%
Health Net Medicare $314.62 ↓ -18%
Humana Medicare Advantage $314.62 ↓ -18%
Kaiser Foundation Health Plan Medicare Advantage $314.62 ↓ -18%
Mercy Care Mercy Care Advantage $314.62 ↓ -18%
TriWest Healthcare Alliance Corp - VA CCN VA Community Care Network $314.62 ↓ -18%
United Healthcare UHC Medicare Advantage $314.62 ↓ -18%
UPMC Health Plan Medicare Advantage $314.62 ↓ -18%
Aetna Qualified Health Plan $316.74 ↓ -18%
Carelon Medicare Advantage $330.35 ↓ -14%
Devoted Health Services Medicare Advantage $330.35 ↓ -14%
Arizona Priority Care Medicare Advantage $346.08 ↓ -10%
Gold Kidney Health Plan Medicare Advantage $346.08 ↓ -10%
Hospice of the Valley Medicare $436.45 ↑ +13%
United Healthcare Individual Exchange $440.47 ↑ +14%
Health Net Commerical Exchange Product $465.64 ↑ +21%
Health Choice Arizona, Inc. ACA Health Plan $471.93 ↑ +22%
Oscar Health Plan Commercial $471.93 ↑ +22%
Blue Cross Blue Shield of Arizona BXBSAZ Neighborhood $490.57 ↑ +27%
Blue Cross Blue Shield of Arizona BCBSAZ Alliance/Blue HPN $523.26 ↑ +36%
Blue Cross Blue Shield of Arizona BXBSAZ Alliance CHS $549.42 ↑ +43%
Plotkin Health Plotkin Health $561.15 ↑ +46%
National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) NHSI VUMI $561.15 ↑ +46%
Blue Cross Blue Shield of Arizona Medicare Supplemental Senior Preferred $654.08 ↑ +70%
Blue Cross Blue Shield of Arizona Commercial $654.08 ↑ +70%
Blue Cross Blue Shield of Arizona BCBSAZ Workers Comp $654.08 ↑ +70%
Aetna Medical Rental $657.17 ↑ +71%
Quiktrip Corporation Commercial $673.38 ↑ +75%
Arizona Medical Network Commercial $872.90 ↑ +126%
Aetna Banner Employee Plans $932.00 ↑ +142%
Provider Network of America Commercial $935.25 ↑ +143%
Aetna Joint Venture $1,626.00 ↑ +322%
United Healthcare UHC Doctor's Plan $1,715.00 ↑ +345%
Aetna Designated Group $1,728.00 ↑ +348%
United Healthcare UHC Core $1,793.00 ↑ +365%
United Healthcare Commercial $1,887.00 ↑ +390%
Humana Commercial $1,910.00 ↑ +396%
Aetna Broad Network $2,033.00 ↑ +427%
Cigna Healthcare of Arizona, Inc. LocalFlex $2,083.00 ↑ +440%
Cigna Healthcare of Arizona, Inc. Commercial $2,314.00 ↑ +500%
TriWest Healthcare Alliance Corp - VA CCN Tricare not published by hospital

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Bilateral n block inj trigeminal 64400 at other Arizona hospitals

Hospital City Cash price Negotiated range
Banner University Medical Center Phoenix Phoenix $462.14 $189.35 – $935.25
Banner University Medical Center Tucson Tucson $269.82 $145.00 – $580.00
Banner University Medical Center South Tucson $382.08 $145.00 – $580.00
Banner Baywood Medical Center Mesa $445.30 $189.35 – $2,083.00
Banner Boswell Medical Center Sun City $409.75 $189.35 – $997.60
Banner Casa Grande Medical Center Casa Grande $406.01 $189.35 – $935.25
Banner Del Webb Medical Center Sun City West $454.65 $189.35 – $997.60
Banner Desert Medical Center Mesa $523.88 $189.35 – $935.25

All Arizona hospitals for this procedure →