Ghs polysom <6 yrs 4/> parameters 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

$4,319.42

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.

$6,215.00

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.

$666.87 with Mercy Care vs $5,904.25 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
Mercy Care Mercy Medicaid $666.87 ↓ -85%
Banner University Health Plan AZ Medicaid - AHCCCS $666.87 ↓ -85%
Arizona Physicians IPA Medicaid $666.87 ↓ -85%
Health Net Medicaid $666.87 ↓ -85%
Health Choice Arizona, Inc. Medicaid $666.87 ↓ -85%
Aetna Banner Employee Plans $685.00 ↓ -84%
Humana Medicare Advantage $834.68 ↓ -81%
Plotkin Health Plotkin Health $2,796.75 ↓ -35%
TriWest Healthcare Alliance Corp - VA CCN VA Community Care Network $3,293.95 ↓ -24%
TriWest Healthcare Alliance Corp - VA CCN Tricare $3,293.95 ↓ -24%
Kaiser Foundation Health Plan Medicare Advantage $3,293.95 ↓ -24%
Wellpoint Medicare Advantage HMO $3,293.95 ↓ -24%
UPMC Health Plan Medicare Advantage $3,293.95 ↓ -24%
United Healthcare UHC Medicare Advantage $3,293.95 ↓ -24%
Aetna Medicare Advantage $3,293.95 ↓ -24%
Arizona Physicians IPA Medicare Advantage $3,293.95 ↓ -24%
Banner Health Medicare Advantage $3,293.95 ↓ -24%
Banner University Health Plan Medicare Advantage $3,293.95 ↓ -24%
Blue Cross Blue Shield of Arizona Medicare Advantage $3,293.95 ↓ -24%
Care 1st Medicare Advantage $3,293.95 ↓ -24%
Cigna Healthcare of Arizona, Inc. HMO Medicare Advantage Plan/PPO Medicare Advantage Plan $3,293.95 ↓ -24%
Gila River Health Care Corporation Managed Care Program $3,293.95 ↓ -24%
Health Choice Arizona, Inc. Medicare Advantage $3,293.95 ↓ -24%
Mercy Care Mercy Care Advantage $3,293.95 ↓ -24%
Health Net Medicare $3,293.95 ↓ -24%
United Healthcare UHC Individual Exchange $3,418.25 ↓ -21%
Carelon Medicare Advantage $3,458.65 ↓ -20%
Gold Kidney Health Plan Medicare Advantage $3,623.34 ↓ -16%
Arizona Priority Care Medicare Advantage $3,623.34 ↓ -16%
Devoted Health Services Medicare Advantage $3,623.34 ↓ -16%
Blue Cross Blue Shield of Arizona BXBSAZ Neighborhood $3,678.04 ↓ -15%
Blue Cross Blue Shield of Arizona BXBSAZ Alliance/BXBSAZ Blue HPN $3,922.91 ↓ -9%
Health Choice Arizona, Inc. ACA Health Plan $4,008.68 ↓ -7%
Blue Cross Blue Shield of Arizona BXBSAZ Alliance CHS $4,118.68 ↓ -5%
Quiktrip Corporation Commercial $4,350.50 ↑ +1%
Aetna Aetna Qualified Health Plan $4,481.02 ↑ +4%
Aetna Joint Venture $4,512.09 ↑ +4%
Coconino County Sheriff's Department Commercial $4,536.95 ↑ +5%
Health Net Commerical Exchange Product $4,875.05 ↑ +13%
Blue Cross Blue Shield of Arizona Commercial $4,903.64 ↑ +14%
Blue Cross Blue Shield of Arizona BCBSAZ Workers Comp $4,903.64 ↑ +14%
Blue Cross Blue Shield of Arizona BCBSAZ Medicare $4,903.64 ↑ +14%
Oscar Health Plan Commercial $5,435.02 ↑ +26%
Aetna Medical Rental $5,537.56 ↑ +28%
Provider Network of America Commercial $5,593.50 ↑ +29%
Aetna Broad Network $5,643.22 ↑ +31%
Cigna Healthcare of Arizona, Inc. Commerical/HMO Benefit Plan/Local Flex Plan/Network Benefit Plan/Open Access Plan $5,724.02 ↑ +33%
Arizona Medical Network Commercial $5,904.25 ↑ +37%
National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) NHSI VUMI $5,904.25 ↑ +37%

Visitor-reported prices

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Ghs polysom <6 yrs 4/> parameters at other Arizona hospitals

Hospital City Cash price Negotiated range
Banner University Medical Center Phoenix Phoenix $2,628.94 $666.87 – $4,661.25
Banner University Medical Center Tucson Tucson $2,709.74 $566.00 – $4,972.00
Banner Desert Medical Center Mesa $3,225.58 $666.87 – $4,661.25
Banner Payson Medical Center Payson $3,318.81 $663.00 – $5,593.50

All Arizona hospitals for this procedure →