Bilateral n block inj trigeminal 64400 at Banner Page Hospital

501 North Navajo Drive, Page, AZ · Banner Health · · NPI 1578515789

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

$593.52

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.

$1,034.00

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.

$50.08 with Humana vs $1,910.00 with Humana — 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
Humana Medicare Advantage $50.08 ↓ -92%
Mercy Care Mercy Medicaid $189.35 ↓ -68%
Arizona Physicians IPA Medicaid $189.35 ↓ -68%
Banner University Health Plan AZ Medicaid - AHCCCS $189.35 ↓ -68%
Health Net Medicaid $189.35 ↓ -68%
Health Choice Arizona, Inc. Medicaid $189.35 ↓ -68%
Plotkin Health Plotkin Health $310.05 ↓ -48%
Banner Health Medicare Advantage $365.17 ↓ -38%
Banner University Health Plan Medicare Advantage $365.17 ↓ -38%
TriWest Healthcare Alliance Corp - VA CCN Tricare $365.17 ↓ -38%
Mercy Care Mercy Care Advantage $365.17 ↓ -38%
Kaiser Foundation Health Plan Medicare Advantage $365.17 ↓ -38%
Blue Cross Blue Shield of Arizona Medicare Advantage $365.17 ↓ -38%
Care 1st Medicare Advantage $365.17 ↓ -38%
Health Choice Arizona, Inc. Medicare Advantage $365.17 ↓ -38%
UPMC Health Plan Medicare Advantage $365.17 ↓ -38%
United Healthcare UHC Medicare Advantage $365.17 ↓ -38%
Aetna Medicare Advantage $365.17 ↓ -38%
TriWest Healthcare Alliance Corp - VA CCN VA Community Care Network $365.17 ↓ -38%
Arizona Physicians IPA Medicare Advantage $365.17 ↓ -38%
Wellpoint Medicare Advantage HMO $365.17 ↓ -38%
Cigna Healthcare of Arizona, Inc. HMO Medicare Advantage Plan/PPO Medicare Advantage Plan $365.17 ↓ -38%
Gila River Health Care Corporation Managed Care Program $365.17 ↓ -38%
Health Net Medicare $365.17 ↓ -38%
United Healthcare UHC Individual Exchange $378.95 ↓ -36%
Carelon Medicare Advantage $383.43 ↓ -35%
Devoted Health Services Medicare Advantage $401.69 ↓ -32%
Arizona Priority Care Medicare Advantage $401.69 ↓ -32%
Gold Kidney Health Plan Medicare Advantage $401.69 ↓ -32%
Blue Cross Blue Shield of Arizona BXBSAZ Neighborhood $407.75 ↓ -31%
Blue Cross Blue Shield of Arizona BXBSAZ Alliance/BXBSAZ Blue HPN $434.90 ↓ -27%
Health Choice Arizona, Inc. ACA Health Plan $444.40 ↓ -25%
Blue Cross Blue Shield of Arizona BXBSAZ Alliance CHS $456.60 ↓ -23%
Quiktrip Corporation Commercial $482.30 ↓ -19%
Aetna Aetna Qualified Health Plan $496.77 ↓ -16%
Aetna Joint Venture $500.21 ↓ -16%
Coconino County Sheriff's Department Commercial $502.97 ↓ -15%
Health Net Commerical Exchange Product $540.45 ↓ -9%
Blue Cross Blue Shield of Arizona BCBSAZ Workers Comp $543.62 ↓ -8%
Blue Cross Blue Shield of Arizona BCBSAZ Medicare $543.62 ↓ -8%
Blue Cross Blue Shield of Arizona Commercial $543.62 ↓ -8%
Oscar Health Plan Commercial $602.53 ↑ +2%
Aetna Medical Rental $613.90 ↑ +3%
Provider Network of America Commercial $620.10 ↑ +4%
Aetna Broad Network $625.61 ↑ +5%
Cigna Healthcare of Arizona, Inc. Commerical/HMO Benefit Plan/Local Flex Plan/Network Benefit Plan/Open Access Plan $634.57 ↑ +7%
National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) NHSI VUMI $654.55 ↑ +10%
Arizona Medical Network Commercial $654.55 ↑ +10%
Aetna Banner Employee Plans $1,137.00 ↑ +92%
Humana Commercial $1,910.00 ↑ +222%

Visitor-reported prices

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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 →