Icd cobalt xt dr MRI is1 df1 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

$88,718.72

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.

$131,404.00

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.

$10,424.40 with Health Choice Arizona, Inc. vs $41,610.00 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 $10,424.40 ↓ -88%
Banner University Health Plan AZ Medicaid - AHCCCS $10,424.40 ↓ -88%
Health Net Medicaid $10,424.40 ↓ -88%
Arizona Physicians IPA Medicaid $10,424.40 ↓ -88%
Mercy Care Mercy Medicaid $10,424.40 ↓ -88%
Humana Medicare Advantage $14,856.96 ↓ -83%
Plotkin Health Plotkin Health $19,710.00 ↓ -78%
Aetna Banner Employee Plans $21,856.20 ↓ -75%
Arizona Physicians IPA Medicare Advantage $23,214.00 ↓ -74%
Gila River Health Care Corporation Managed Care Program $23,214.00 ↓ -74%
United Healthcare UHC Medicare Advantage $23,214.00 ↓ -74%
UPMC Health Plan Medicare Advantage $23,214.00 ↓ -74%
Blue Cross Blue Shield of Arizona Medicare Advantage $23,214.00 ↓ -74%
Banner University Health Plan Medicare Advantage $23,214.00 ↓ -74%
Mercy Care Mercy Care Advantage $23,214.00 ↓ -74%
Cigna Healthcare of Arizona, Inc. HMO Medicare Advantage Plan/PPO Medicare Advantage Plan $23,214.00 ↓ -74%
Aetna Medicare Advantage $23,214.00 ↓ -74%
Banner Health Medicare Advantage $23,214.00 ↓ -74%
Health Choice Arizona, Inc. Medicare Advantage $23,214.00 ↓ -74%
Kaiser Foundation Health Plan Medicare Advantage $23,214.00 ↓ -74%
TriWest Healthcare Alliance Corp - VA CCN VA Community Care Network $23,214.00 ↓ -74%
TriWest Healthcare Alliance Corp - VA CCN Tricare $23,214.00 ↓ -74%
Health Net Medicare $23,214.00 ↓ -74%
Wellpoint Medicare Advantage HMO $23,214.00 ↓ -74%
Care 1st Medicare Advantage $23,214.00 ↓ -74%
United Healthcare UHC Individual Exchange $24,090.00 ↓ -73%
Carelon Medicare Advantage $24,374.70 ↓ -73%
Devoted Health Services Medicare Advantage $25,535.40 ↓ -71%
Gold Kidney Health Plan Medicare Advantage $25,535.40 ↓ -71%
Arizona Priority Care Medicare Advantage $25,535.40 ↓ -71%
Blue Cross Blue Shield of Arizona BXBSAZ Neighborhood $25,920.84 ↓ -71%
Blue Cross Blue Shield of Arizona BXBSAZ Alliance/BXBSAZ Blue HPN $27,646.56 ↓ -69%
Health Choice Arizona, Inc. ACA Health Plan $28,251.00 ↓ -68%
Blue Cross Blue Shield of Arizona BXBSAZ Alliance CHS $29,026.26 ↓ -67%
Quiktrip Corporation Commercial $30,660.00 ↓ -65%
Aetna Aetna Qualified Health Plan $31,579.80 ↓ -64%
Aetna Joint Venture $31,798.80 ↓ -64%
Coconino County Sheriff's Department Commercial $31,974.00 ↓ -64%
Health Net Commerical Exchange Product $34,356.72 ↓ -61%
Blue Cross Blue Shield of Arizona BCBSAZ Workers Comp $34,558.20 ↓ -61%
Blue Cross Blue Shield of Arizona BCBSAZ Medicare $34,558.20 ↓ -61%
Blue Cross Blue Shield of Arizona Commercial $34,558.20 ↓ -61%
Oscar Health Plan Commercial $38,303.10 ↓ -57%
Aetna Medical Rental $39,025.80 ↓ -56%
Provider Network of America Commercial $39,420.00 ↓ -56%
Aetna Broad Network $39,770.40 ↓ -55%
Cigna Healthcare of Arizona, Inc. Commerical/HMO Benefit Plan/Local Flex Plan/Network Benefit Plan/Open Access Plan $40,339.80 ↓ -55%
National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) NHSI VUMI $41,610.00 ↓ -53%
Arizona Medical Network Commercial $41,610.00 ↓ -53%

Visitor-reported prices

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Icd cobalt xt dr MRI is1 df1 at other Arizona hospitals

Hospital City Cash price Negotiated range
Mercy Gilbert Medical Center Gilbert $36,700.25 $5,221.16 – $33,383.00
Banner University Medical Center Phoenix Phoenix $39,815.41 $8,760.00 – $32,850.00
Banner University Medical Center Tucson Tucson $32,982.40 $8,760.00 – $38,332.50
Banner University Medical Center South Tucson $22,075.87 $8,760.00 – $35,040.00
Banner Baywood Medical Center Mesa $33,121.69 $8,760.00 – $44,930.25
Banner Boswell Medical Center Sun City $36,530.31 $8,760.00 – $35,040.00
Banner Casa Grande Medical Center Casa Grande $27,157.24 $8,760.00 – $32,850.00
Banner Del Webb Medical Center Sun City West $42,706.30 $8,760.00 – $35,040.00

All Arizona hospitals for this procedure →