Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution 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

$6.69

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.

$29.20

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.

$2.52 with Health Choice Arizona, Inc. vs $27.74 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 $2.52 ↓ -62%
Banner University Health Plan AZ Medicaid - AHCCCS $2.52 ↓ -62%
Health Net Medicaid $2.52 ↓ -62%
Arizona Physicians IPA Medicaid $2.52 ↓ -62%
Mercy Care Mercy Medicaid $2.52 ↓ -62%
Humana Medicare Advantage $3.64 ↓ -46%
Plotkin Health Plotkin Health $13.14 ↑ +96%
Aetna Banner Employee Plans $14.57 ↑ +118%
Arizona Physicians IPA Medicare Advantage $15.48 ↑ +131%
Gila River Health Care Corporation Managed Care Program $15.48 ↑ +131%
United Healthcare UHC Medicare Advantage $15.48 ↑ +131%
UPMC Health Plan Medicare Advantage $15.48 ↑ +131%
Blue Cross Blue Shield of Arizona Medicare Advantage $15.48 ↑ +131%
Banner University Health Plan Medicare Advantage $15.48 ↑ +131%
Mercy Care Mercy Care Advantage $15.48 ↑ +131%
Cigna Healthcare of Arizona, Inc. HMO Medicare Advantage Plan/PPO Medicare Advantage Plan $15.48 ↑ +131%
Aetna Medicare Advantage $15.48 ↑ +131%
Banner Health Medicare Advantage $15.48 ↑ +131%
Health Choice Arizona, Inc. Medicare Advantage $15.48 ↑ +131%
Kaiser Foundation Health Plan Medicare Advantage $15.48 ↑ +131%
TriWest Healthcare Alliance Corp - VA CCN VA Community Care Network $15.48 ↑ +131%
TriWest Healthcare Alliance Corp - VA CCN Tricare $15.48 ↑ +131%
Health Net Medicare $15.48 ↑ +131%
Wellpoint Medicare Advantage HMO $15.48 ↑ +131%
Care 1st Medicare Advantage $15.48 ↑ +131%
United Healthcare UHC Individual Exchange $16.06 ↑ +140%
Carelon Medicare Advantage $16.25 ↑ +143%
Devoted Health Services Medicare Advantage $17.02 ↑ +154%
Gold Kidney Health Plan Medicare Advantage $17.02 ↑ +154%
Arizona Priority Care Medicare Advantage $17.02 ↑ +154%
Blue Cross Blue Shield of Arizona BXBSAZ Neighborhood $17.28 ↑ +158%
Blue Cross Blue Shield of Arizona BXBSAZ Alliance/BXBSAZ Blue HPN $18.43 ↑ +175%
Health Choice Arizona, Inc. ACA Health Plan $18.83 ↑ +181%
Blue Cross Blue Shield of Arizona BXBSAZ Alliance CHS $19.35 ↑ +189%
Quiktrip Corporation Commercial $20.44 ↑ +206%
Aetna Aetna Qualified Health Plan $21.05 ↑ +215%
Aetna Joint Venture $21.20 ↑ +217%
Coconino County Sheriff's Department Commercial $21.32 ↑ +219%
Health Net Commerical Exchange Product $22.90 ↑ +242%
Blue Cross Blue Shield of Arizona BCBSAZ Workers Comp $23.04 ↑ +244%
Blue Cross Blue Shield of Arizona BCBSAZ Medicare $23.04 ↑ +244%
Blue Cross Blue Shield of Arizona Commercial $23.04 ↑ +244%
Oscar Health Plan Commercial $25.54 ↑ +282%
Aetna Medical Rental $26.02 ↑ +289%
Provider Network of America Commercial $26.28 ↑ +293%
Aetna Broad Network $26.51 ↑ +296%
Cigna Healthcare of Arizona, Inc. Commerical/HMO Benefit Plan/Local Flex Plan/Network Benefit Plan/Open Access Plan $26.89 ↑ +302%
National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) NHSI VUMI $27.74 ↑ +315%
Arizona Medical Network Commercial $27.74 ↑ +315%

Visitor-reported prices

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Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution at other Arizona hospitals

Hospital City Cash price Negotiated range
Mercy Gilbert Medical Center Gilbert $46.50 $2.66 – $16.83
Arizona General Hospital Laveen Phoenix $43.29 $3.02 – $154.42
St. Joseph’s Hospital and Medical Center Phoenix $34.00 $3.02 – $70.31
Yavapai Regional Medical Center (East) Prescott $20.04 $3.02 – $25.65
Arizona General Hospital Mesa Mesa $46.69 $3.02 – $154.42
Chandler Regional Medical Center Chandler $50.66 $2.66 – $16.83

All Arizona hospitals for this procedure →