Icd reliance df4 ib 64cm 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

$7,003.82

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.

Full explanation →

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

$32,854.00

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.

$539.00 with Aetna vs $36,450.91 with Blue Cross Blue Shield of Arizona — 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
Aetna Medicare Advantage $539.00 ↓ -92%
Mercy Care Mercy Medicaid $600.99 ↓ -91%
Arizona Physicians IPA Medicaid $600.99 ↓ -91%
Health Net Medicaid $600.99 ↓ -91%
Health Choice Arizona, Inc. Medicaid $600.99 ↓ -91%
Banner University Health Plan AZ Medicaid - AHCCCS $600.99 ↓ -91%
Aetna Qualified Health Plan $684.53 ↓ -90%
Health Choice Arizona, Inc. Medicare Advantage $808.50 ↓ -88%
Aetna Banner Employee Plans $905.52 ↓ -87%
Hospice of the Valley Medicare $943.25 ↓ -87%
Arizona Priority Care Medicare Advantage $1,078.00 ↓ -85%
Plotkin Health Plotkin Health $1,212.75 ↓ -83%
National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) NHSI VUMI $1,212.75 ↓ -83%
Aetna Joint Venture $1,228.92 ↓ -82%
Aetna Designated Group $1,304.38 ↓ -81%
United Healthcare UHC Doctor's Plan $1,307.08 ↓ -81%
Oscar Health Plan Commercial $1,347.50 ↓ -81%
Health Net Medicare $1,347.50 ↓ -81%
Health Choice Arizona, Inc. ACA Health Plan $1,347.50 ↓ -81%
United Healthcare UHC Core $1,366.37 ↓ -80%
Aetna Medical Rental $1,420.27 ↓ -80%
United Healthcare Commercial $1,439.13 ↓ -79%
Quiktrip Corporation Commercial $1,455.30 ↓ -79%
Health Net Commerical Exchange Product $1,455.30 ↓ -79%
Cigna Healthcare of Arizona, Inc. LocalFlex $1,476.86 ↓ -79%
Aetna Broad Network $1,536.15 ↓ -78%
Cigna Healthcare of Arizona, Inc. Commercial $1,544.23 ↓ -78%
Arizona Medical Network Commercial $1,886.50 ↓ -73%
Provider Network of America Commercial $2,021.25 ↓ -71%
Blue Cross Blue Shield of Arizona BXBSAZ Neighborhood $27,338.64 ↑ +290%
Blue Cross Blue Shield of Arizona BCBSAZ Alliance/Blue HPN $29,160.73 ↑ +316%
Blue Cross Blue Shield of Arizona BXBSAZ Alliance CHS $30,618.40 ↑ +337%
Blue Cross Blue Shield of Arizona Commercial $36,450.91 ↑ +420%
Blue Cross Blue Shield of Arizona Medicare Supplemental Senior Preferred $36,450.91 ↑ +420%
Blue Cross Blue Shield of Arizona BCBSAZ Workers Comp $36,450.91 ↑ +420%

Visitor-reported prices

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Icd reliance df4 ib 64cm at other Arizona hospitals

Hospital City Cash price Negotiated range
Mercy Gilbert Medical Center Gilbert $14,056.20 $799.26 – $5,709.00
Banner University Medical Center Phoenix Phoenix $9,396.24 $539.00 – $16,847.44
Banner University Medical Center Tucson Tucson $9,659.08 $539.00 – $36,945.35
Banner University Medical Center South Tucson $9,264.83 $539.00 – $26,021.98
Banner Baywood Medical Center Mesa $8,936.29 $539.00 – $43,304.34
Banner Boswell Medical Center Sun City $8,082.08 $539.00 – $33,065.86
Banner Casa Grande Medical Center Casa Grande $4,293.38 $539.00 – $25,359.98
Banner Del Webb Medical Center Sun City West $8,542.04 $539.00 – $16,847.44

All Arizona hospitals for this procedure →