Nipple exploration at Banner Page Hospital
501 North Navajo Drive, Page, AZ · Banner Health · · NPI 1578515789
$638.20
Cash price 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.
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What you pay up front if you don't use insurance.
$1,355.00
Gross charge 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.
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The hospital's undiscounted list price — almost no one pays this.
$306.64 with Humana vs $2,289.36 with Arizona Physicians IPA — 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 →
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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 ?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 ?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 | $306.64 | ↓ -52% |
| Plotkin Health | Plotkin Health | $406.80 | ↓ -36% |
| Aetna | Banner Employee Plans | $451.10 | ↓ -29% |
| Care 1st | Medicare Advantage | $479.12 | ↓ -25% |
| Gila River Health Care Corporation | Managed Care Program | $479.12 | ↓ -25% |
| UPMC Health Plan | Medicare Advantage | $479.12 | ↓ -25% |
| Blue Cross Blue Shield of Arizona | Medicare Advantage | $479.12 | ↓ -25% |
| Banner University Health Plan | Medicare Advantage | $479.12 | ↓ -25% |
| Mercy Care | Mercy Care Advantage | $479.12 | ↓ -25% |
| Cigna Healthcare of Arizona, Inc. | HMO Medicare Advantage Plan/PPO Medicare Advantage Plan | $479.12 | ↓ -25% |
| Aetna | Medicare Advantage | $479.12 | ↓ -25% |
| Banner Health | Medicare Advantage | $479.12 | ↓ -25% |
| Health Choice Arizona, Inc. | Medicare Advantage | $479.12 | ↓ -25% |
| Kaiser Foundation Health Plan | Medicare Advantage | $479.12 | ↓ -25% |
| TriWest Healthcare Alliance Corp - VA CCN | VA Community Care Network | $479.12 | ↓ -25% |
| TriWest Healthcare Alliance Corp - VA CCN | Tricare | $479.12 | ↓ -25% |
| Health Net | Medicare | $479.12 | ↓ -25% |
| Wellpoint | Medicare Advantage HMO | $479.12 | ↓ -25% |
| Arizona Physicians IPA | Medicare Advantage | $479.12 | ↓ -25% |
| Carelon | Medicare Advantage | $503.08 | ↓ -21% |
| Gold Kidney Health Plan | Medicare Advantage | $527.03 | ↓ -17% |
| Arizona Priority Care | Medicare Advantage | $527.03 | ↓ -17% |
| Devoted Health Services | Medicare Advantage | $527.03 | ↓ -17% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $534.99 | ↓ -16% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance/BXBSAZ Blue HPN | $570.60 | ↓ -11% |
| Health Choice Arizona, Inc. | ACA Health Plan | $583.08 | ↓ -9% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $599.08 | ↓ -6% |
| Quiktrip Corporation | Commercial | $632.80 | ↓ -1% |
| Aetna | Aetna Qualified Health Plan | $651.78 | ↑ +2% |
| Aetna | Joint Venture | $656.30 | ↑ +3% |
| Coconino County Sheriff's Department | Commercial | $659.92 | ↑ +3% |
| Health Net | Commerical Exchange Product | $709.10 | ↑ +11% |
| Blue Cross Blue Shield of Arizona | Commercial | $713.26 | ↑ +12% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Medicare | $713.26 | ↑ +12% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $713.26 | ↑ +12% |
| Oscar Health Plan | Commercial | $790.55 | ↑ +24% |
| Aetna | Medical Rental | $805.46 | ↑ +26% |
| Provider Network of America | Commercial | $813.60 | ↑ +27% |
| Aetna | Broad Network | $820.83 | ↑ +29% |
| Cigna Healthcare of Arizona, Inc. | Commerical/HMO Benefit Plan/Local Flex Plan/Network Benefit Plan/Open Access Plan | $832.58 | ↑ +30% |
| Arizona Medical Network | Commercial | $858.80 | ↑ +35% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $858.80 | ↑ +35% |
| Health Net | Medicaid | $2,289.36 | ↑ +259% |
| Mercy Care | Mercy Medicaid | $2,289.36 | ↑ +259% |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $2,289.36 | ↑ +259% |
| Health Choice Arizona, Inc. | Medicaid | $2,289.36 | ↑ +259% |
| Arizona Physicians IPA | Medicaid | $2,289.36 | ↑ +259% |
Visitor-reported prices
Comments
Nipple exploration at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Yavapai Regional Medical Center (East) | Prescott | $546.12 | $372.28 – $780.16 |
| Mercy Gilbert Medical Center | Gilbert | not published | $372.28 – $4,081.32 |
| Banner University Medical Center Phoenix | Phoenix | not published | $1,271.44 – $2,289.36 |
| Banner University Medical Center Tucson | Tucson | not published | $2,289.36 – $2,788.18 |
| Banner Casa Grande Medical Center | Casa Grande | not published | $1,913.86 – $2,289.36 |
| Banner Estrella Medical Center | Phoenix | not published | $2,289.36 – $3,268.08 |
| Arizona General Hospital Laveen | Phoenix | not published | $372.28 – $4,203.76 |
| St. Joseph’s Hospital and Medical Center | Phoenix | not published | $372.28 – $4,203.76 |