Epstein barr viral capsid antigen antibody igm 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

$32.86

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.

$62.00

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.

$18.14 with Health Choice Arizona, Inc. vs $52.25 with Arizona Medical Network — 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
Health Choice Arizona, Inc. Medicaid $18.14 ↓ -45%
Humana Medicare Advantage $18.14 ↓ -45%
Arizona Physicians IPA Medicaid $18.14 ↓ -45%
Mercy Care Mercy Medicaid $18.14 ↓ -45%
Banner University Health Plan AZ Medicaid - AHCCCS $18.14 ↓ -45%
Health Net Medicaid $18.14 ↓ -45%
Plotkin Health Plotkin Health $24.75 ↓ -25%
Aetna Banner Employee Plans $27.45 ↓ -16%
Arizona Physicians IPA Medicare Advantage $29.15 ↓ -11%
Gila River Health Care Corporation Managed Care Program $29.15 ↓ -11%
United Healthcare UHC Medicare Advantage $29.15 ↓ -11%
UPMC Health Plan Medicare Advantage $29.15 ↓ -11%
Blue Cross Blue Shield of Arizona Medicare Advantage $29.15 ↓ -11%
Banner University Health Plan Medicare Advantage $29.15 ↓ -11%
Mercy Care Mercy Care Advantage $29.15 ↓ -11%
Cigna Healthcare of Arizona, Inc. HMO Medicare Advantage Plan/PPO Medicare Advantage Plan $29.15 ↓ -11%
Aetna Medicare Advantage $29.15 ↓ -11%
Banner Health Medicare Advantage $29.15 ↓ -11%
Health Choice Arizona, Inc. Medicare Advantage $29.15 ↓ -11%
Kaiser Foundation Health Plan Medicare Advantage $29.15 ↓ -11%
TriWest Healthcare Alliance Corp - VA CCN VA Community Care Network $29.15 ↓ -11%
TriWest Healthcare Alliance Corp - VA CCN Tricare $29.15 ↓ -11%
Health Net Medicare $29.15 ↓ -11%
Wellpoint Medicare Advantage HMO $29.15 ↓ -11%
Care 1st Medicare Advantage $29.15 ↓ -11%
United Healthcare UHC Individual Exchange $30.25 ↓ -8%
Carelon Medicare Advantage $30.61 ↓ -7%
Devoted Health Services Medicare Advantage $32.06 ↓ -2%
Gold Kidney Health Plan Medicare Advantage $32.06 ↓ -2%
Arizona Priority Care Medicare Advantage $32.06 ↓ -2%
Blue Cross Blue Shield of Arizona BXBSAZ Neighborhood $32.55 ↓ -1%
Blue Cross Blue Shield of Arizona BXBSAZ Alliance/BXBSAZ Blue HPN $34.72 ↑ +6%
Health Choice Arizona, Inc. ACA Health Plan $35.48 ↑ +8%
Blue Cross Blue Shield of Arizona BXBSAZ Alliance CHS $36.45 ↑ +11%
Quiktrip Corporation Commercial $38.50 ↑ +17%
Aetna Aetna Qualified Health Plan $39.66 ↑ +21%
Aetna Joint Venture $39.93 ↑ +22%
Coconino County Sheriff's Department Commercial $40.15 ↑ +22%
Health Net Commerical Exchange Product $43.14 ↑ +31%
Blue Cross Blue Shield of Arizona BCBSAZ Workers Comp $43.40 ↑ +32%
Blue Cross Blue Shield of Arizona BCBSAZ Medicare $43.40 ↑ +32%
Blue Cross Blue Shield of Arizona Commercial $43.40 ↑ +32%
Oscar Health Plan Commercial $48.10 ↑ +46%
Aetna Medical Rental $49.01 ↑ +49%
Provider Network of America Commercial $49.50 ↑ +51%
Aetna Broad Network $49.94 ↑ +52%
Cigna Healthcare of Arizona, Inc. Commerical/HMO Benefit Plan/Local Flex Plan/Network Benefit Plan/Open Access Plan $50.66 ↑ +54%
National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) NHSI VUMI $52.25 ↑ +59%
Arizona Medical Network Commercial $52.25 ↑ +59%

Visitor-reported prices

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Epstein barr viral capsid antigen antibody igm at other Arizona hospitals

Hospital City Cash price Negotiated range
Mercy Gilbert Medical Center Gilbert $27.06 $10.16 – $55.88
Banner University Medical Center Phoenix Phoenix $11.78 $18.14 – $41.25
Banner University Medical Center Tucson Tucson $13.33 $18.14 – $44.00
Banner University Medical Center South Tucson $8.43 $18.14 – $44.00
Banner Baywood Medical Center Mesa $10.42 $18.14 – $41.25
Banner Behavioral Health Hospital Scottsdale $32.22 $18.14 – $38.50
Banner Boswell Medical Center Sun City $11.35 $18.14 – $44.00
Banner Casa Grande Medical Center Casa Grande $10.54 $18.14 – $41.25

All Arizona hospitals for this procedure →