Ketamine and metabolite screen - quest 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

$81.35

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.

$145.00

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.

$23.37 with Humana vs $137.75 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 $23.37 ↓ -71%
Banner University Health Plan AZ Medicaid - AHCCCS $34.51 ↓ -58%
Arizona Physicians IPA Medicaid $34.51 ↓ -58%
Health Net Medicaid $34.51 ↓ -58%
Health Choice Arizona, Inc. Medicaid $34.51 ↓ -58%
Mercy Care Mercy Medicaid $34.51 ↓ -58%
Plotkin Health Plotkin Health $65.25 ↓ -20%
Aetna Banner Employee Plans $72.36 ↓ -11%
TriWest Healthcare Alliance Corp - VA CCN VA Community Care Network $76.85 ↓ -6%
TriWest Healthcare Alliance Corp - VA CCN Tricare $76.85 ↓ -6%
Kaiser Foundation Health Plan Medicare Advantage $76.85 ↓ -6%
Wellpoint Medicare Advantage HMO $76.85 ↓ -6%
UPMC Health Plan Medicare Advantage $76.85 ↓ -6%
United Healthcare UHC Medicare Advantage $76.85 ↓ -6%
Aetna Medicare Advantage $76.85 ↓ -6%
Arizona Physicians IPA Medicare Advantage $76.85 ↓ -6%
Banner Health Medicare Advantage $76.85 ↓ -6%
Banner University Health Plan Medicare Advantage $76.85 ↓ -6%
Blue Cross Blue Shield of Arizona Medicare Advantage $76.85 ↓ -6%
Care 1st Medicare Advantage $76.85 ↓ -6%
Cigna Healthcare of Arizona, Inc. HMO Medicare Advantage Plan/PPO Medicare Advantage Plan $76.85 ↓ -6%
Gila River Health Care Corporation Managed Care Program $76.85 ↓ -6%
Health Choice Arizona, Inc. Medicare Advantage $76.85 ↓ -6%
Mercy Care Mercy Care Advantage $76.85 ↓ -6%
Health Net Medicare $76.85 ↓ -6%
United Healthcare UHC Individual Exchange $79.75 ↓ -2%
Carelon Medicare Advantage $80.69 ↓ -1%
Gold Kidney Health Plan Medicare Advantage $84.53 ↑ +4%
Arizona Priority Care Medicare Advantage $84.53 ↑ +4%
Devoted Health Services Medicare Advantage $84.53 ↑ +4%
Blue Cross Blue Shield of Arizona BXBSAZ Neighborhood $85.81 ↑ +5%
Blue Cross Blue Shield of Arizona BXBSAZ Alliance/BXBSAZ Blue HPN $91.52 ↑ +13%
Health Choice Arizona, Inc. ACA Health Plan $93.53 ↑ +15%
Blue Cross Blue Shield of Arizona BXBSAZ Alliance CHS $96.09 ↑ +18%
Quiktrip Corporation Commercial $101.50 ↑ +25%
Aetna Aetna Qualified Health Plan $104.55 ↑ +29%
Aetna Joint Venture $105.27 ↑ +29%
Coconino County Sheriff's Department Commercial $105.85 ↑ +30%
Health Net Commerical Exchange Product $113.74 ↑ +40%
Blue Cross Blue Shield of Arizona Commercial $114.41 ↑ +41%
Blue Cross Blue Shield of Arizona BCBSAZ Workers Comp $114.41 ↑ +41%
Blue Cross Blue Shield of Arizona BCBSAZ Medicare $114.41 ↑ +41%
Oscar Health Plan Commercial $126.80 ↑ +56%
Aetna Medical Rental $129.19 ↑ +59%
Provider Network of America Commercial $130.50 ↑ +60%
Aetna Broad Network $131.66 ↑ +62%
Cigna Healthcare of Arizona, Inc. Commerical/HMO Benefit Plan/Local Flex Plan/Network Benefit Plan/Open Access Plan $133.54 ↑ +64%
Arizona Medical Network Commercial $137.75 ↑ +69%
National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) NHSI VUMI $137.75 ↑ +69%

Visitor-reported prices

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Ketamine and metabolite screen - quest at other Arizona hospitals

Hospital City Cash price Negotiated range
Banner University Medical Center Phoenix Phoenix $23.20 $21.20 – $108.75
Banner University Medical Center Tucson Tucson $23.49 $29.00 – $116.00
Banner University Medical Center South Tucson $22.62 $29.00 – $116.00
Banner Baywood Medical Center Mesa $18.41 $29.00 – $108.75
Banner Boswell Medical Center Sun City $21.90 $29.00 – $116.00
Banner Casa Grande Medical Center Casa Grande $16.39 $29.00 – $108.75
Banner Del Webb Medical Center Sun City West $22.33 $21.20 – $116.00
Banner Desert Medical Center Mesa $21.75 $29.00 – $108.75

All Arizona hospitals for this procedure →