Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm 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

$232.10

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.

$422.00

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.

$31.85 with Humana vs $89.20 with National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) — 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 $31.85 ↓ -86%
Plotkin Health Plotkin Health $42.26 ↓ -82%
Aetna Banner Employee Plans $46.86 ↓ -80%
United Healthcare UHC Medicare Advantage $49.77 ↓ -79%
Aetna Medicare Advantage $49.77 ↓ -79%
Arizona Physicians IPA Medicare Advantage $49.77 ↓ -79%
Kaiser Foundation Health Plan Medicare Advantage $49.77 ↓ -79%
Wellpoint Medicare Advantage HMO $49.77 ↓ -79%
UPMC Health Plan Medicare Advantage $49.77 ↓ -79%
Banner Health Medicare Advantage $49.77 ↓ -79%
Banner University Health Plan Medicare Advantage $49.77 ↓ -79%
TriWest Healthcare Alliance Corp - VA CCN VA Community Care Network $49.77 ↓ -79%
TriWest Healthcare Alliance Corp - VA CCN Tricare $49.77 ↓ -79%
Blue Cross Blue Shield of Arizona Medicare Advantage $49.77 ↓ -79%
Care 1st Medicare Advantage $49.77 ↓ -79%
Cigna Healthcare of Arizona, Inc. HMO Medicare Advantage Plan/PPO Medicare Advantage Plan $49.77 ↓ -79%
Gila River Health Care Corporation Managed Care Program $49.77 ↓ -79%
Health Choice Arizona, Inc. Medicare Advantage $49.77 ↓ -79%
Mercy Care Mercy Care Advantage $49.77 ↓ -79%
Health Net Medicare $49.77 ↓ -79%
United Healthcare UHC Individual Exchange $51.65 ↓ -78%
Carelon Medicare Advantage $52.26 ↓ -77%
Health Choice Arizona, Inc. Medicaid $53.76 ↓ -77%
Mercy Care Mercy Medicaid $53.76 ↓ -77%
Banner University Health Plan AZ Medicaid - AHCCCS $53.76 ↓ -77%
Health Net Medicaid $53.76 ↓ -77%
Arizona Physicians IPA Medicaid $53.76 ↓ -77%
Devoted Health Services Medicare Advantage $54.74 ↓ -76%
Arizona Priority Care Medicare Advantage $54.74 ↓ -76%
Gold Kidney Health Plan Medicare Advantage $54.74 ↓ -76%
Blue Cross Blue Shield of Arizona BXBSAZ Neighborhood $55.57 ↓ -76%
Blue Cross Blue Shield of Arizona BXBSAZ Alliance/BXBSAZ Blue HPN $59.27 ↓ -74%
Health Choice Arizona, Inc. ACA Health Plan $60.57 ↓ -74%
Blue Cross Blue Shield of Arizona BXBSAZ Alliance CHS $62.23 ↓ -73%
Quiktrip Corporation Commercial $65.73 ↓ -72%
Aetna Aetna Qualified Health Plan $67.70 ↓ -71%
Aetna Joint Venture $68.17 ↓ -71%
Coconino County Sheriff's Department Commercial $68.55 ↓ -70%
Health Net Commerical Exchange Product $73.66 ↓ -68%
Blue Cross Blue Shield of Arizona Commercial $74.09 ↓ -68%
Blue Cross Blue Shield of Arizona BCBSAZ Workers Comp $74.09 ↓ -68%
Blue Cross Blue Shield of Arizona BCBSAZ Medicare $74.09 ↓ -68%
Oscar Health Plan Commercial $82.12 ↓ -65%
Aetna Medical Rental $83.66 ↓ -64%
Provider Network of America Commercial $84.51 ↓ -64%
Aetna Broad Network $85.26 ↓ -63%
Cigna Healthcare of Arizona, Inc. Commerical/HMO Benefit Plan/Local Flex Plan/Network Benefit Plan/Open Access Plan $86.48 ↓ -63%
Arizona Medical Network Commercial $89.20 ↓ -62%
National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) NHSI VUMI $89.20 ↓ -62%

Visitor-reported prices

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Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm at other Arizona hospitals

Hospital City Cash price Negotiated range
Mercy Gilbert Medical Center Gilbert $27,295.92 $53.71 – $16,012.15
Arizona General Hospital Laveen Phoenix $7,626.62 $53.71 – $14,011.55
St. Joseph’s Hospital and Medical Center Phoenix $12,232.79 $53.71 – $4,532.23
Arizona General Hospital Mesa Mesa $8,226.09 $53.71 – $14,011.55
Chandler Regional Medical Center Chandler $29,737.02 $53.71 – $17,467.80

All Arizona hospitals for this procedure →