Amantadine (symmetrel)-sendout at Banner Estrella Medical Center

9201 West Thomas Road, Phoenix, AZ · Banner Health · · NPI 1275566200

Source: hospital's published price file ↗ · Published Mar 2, 2026 · Ingested Aug 12, 2026

$92.11

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.

$583.00

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.

$29.40 with Aetna vs $110.25 with Provider Network of America — 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
Aetna Medicare Advantage $29.40 ↓ -68%
Health Choice Arizona, Inc. Medicaid $31.61 ↓ -66%
Health Net Medicaid $31.61 ↓ -66%
Banner University Health Plan AZ Medicaid - AHCCCS $31.61 ↓ -66%
Mercy Care Mercy Medicaid $31.61 ↓ -66%
Arizona Physicians IPA Medicaid $31.61 ↓ -66%
Aetna Qualified Health Plan $37.34 ↓ -59%
Health Choice Arizona, Inc. Medicare Advantage $44.10 ↓ -52%
Aetna Banner Employee Plans $49.39 ↓ -46%
Hospice of the Valley Medicare $51.45 ↓ -44%
Blue Cross Blue Shield of Arizona BCBSAZ MaricopaFocus $54.48 ↓ -41%
Blue Cross Blue Shield of Arizona BXBSAZ Neighborhood $54.48 ↓ -41%
Blue Cross Blue Shield of Arizona BCBSAZ Alliance/Blue HPN $58.12 ↓ -37%
Arizona Priority Care Medicare Advantage $58.80 ↓ -36%
Blue Cross Blue Shield of Arizona BXBSAZ Alliance CHS $61.02 ↓ -34%
Plotkin Health Plotkin Health $66.15 ↓ -28%
National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) NHSI VUMI $66.15 ↓ -28%
Aetna Joint Venture $67.91 ↓ -26%
Aetna Designated Group $72.18 ↓ -22%
Blue Cross Blue Shield of Arizona Commercial $72.65 ↓ -21%
Blue Cross Blue Shield of Arizona BCBSAZ Workers Comp $72.65 ↓ -21%
Blue Cross Blue Shield of Arizona Medicare Supplemental Senior Preferred $72.65 ↓ -21%
Oscar Health Plan Commercial $73.50 ↓ -20%
Health Choice Arizona, Inc. ACA Health Plan $73.50 ↓ -20%
Health Net Medicare $73.50 ↓ -20%
Aetna Medical Rental $77.47 ↓ -16%
Quiktrip Corporation Commercial $79.38 ↓ -14%
Health Net Commerical Exchange Product $79.38 ↓ -14%
Aetna Broad Network $84.82 ↓ -8%
Cigna Healthcare of Arizona, Inc. LocalFlex $96.58 ↑ +5%
Cigna Healthcare of Arizona, Inc. Commercial $100.99 ↑ +10%
Arizona Medical Network Commercial $102.90 ↑ +12%
Provider Network of America Commercial $110.25 ↑ +20%

Visitor-reported prices

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Amantadine (symmetrel)-sendout at other Arizona hospitals

Hospital City Cash price Negotiated range
Banner University Medical Center Phoenix Phoenix $93.28 $21.20 – $99.00
Banner University Medical Center Tucson Tucson $59.29 $28.20 – $112.80
Banner University Medical Center South Tucson $35.57 $28.20 – $112.80
Banner Baywood Medical Center Mesa $38.10 $29.40 – $110.25
Banner Boswell Medical Center Sun City $28.24 $29.40 – $117.60
Banner Casa Grande Medical Center Casa Grande $21.13 $29.40 – $110.25
Banner Del Webb Medical Center Sun City West $60.06 $21.20 – $117.60
Banner Desert Medical Center Mesa $28.35 $29.40 – $110.25

All Arizona hospitals for this procedure →