healthcosts.net
Ankle X-ray at Banner Estrella Medical Center
9201 West Thomas Road, Phoenix, AZ · Banner Health · · NPI 1275566200
$97.35
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.
$373.00
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.
$58.65 with Mercy Care vs $409.57 with United Healthcare — 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 |
|---|---|---|---|
| Mercy Care | Mercy Medicaid | $58.65 | ↓ -40% |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $58.65 | ↓ -40% |
| Health Net | Medicaid | $58.65 | ↓ -40% |
| Health Choice Arizona, Inc. | Medicaid | $58.65 | ↓ -40% |
| Arizona Physicians IPA | Medicaid | $58.65 | ↓ -40% |
| Aetna | Medicare Advantage | $74.60 | ↓ -23% |
| Aetna | Qualified Health Plan | $94.74 | ↓ -3% |
| Health Choice Arizona, Inc. | Medicare Advantage | $111.90 | ↑ +15% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $113.60 | ↑ +17% |
| Blue Cross Blue Shield of Arizona | BCBSAZ MaricopaFocus | $113.60 | ↑ +17% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $121.18 | ↑ +24% |
| Aetna | Banner Employee Plans | $125.33 | ↑ +29% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $127.23 | ↑ +31% |
| Hospice of the Valley | Medicare | $130.55 | ↑ +34% |
| Arizona Priority Care | Medicare Advantage | $149.20 | ↑ +53% |
| Blue Cross Blue Shield of Arizona | Commercial | $151.47 | ↑ +56% |
| Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Preferred | $151.47 | ↑ +56% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $151.47 | ↑ +56% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $167.85 | ↑ +72% |
| Plotkin Health | Plotkin Health | $167.85 | ↑ +72% |
| Aetna | Joint Venture | $172.33 | ↑ +77% |
| Aetna | Designated Group | $183.14 | ↑ +88% |
| Oscar Health Plan | Commercial | $186.50 | ↑ +92% |
| Health Net | Medicare | $186.50 | ↑ +92% |
| Health Choice Arizona, Inc. | ACA Health Plan | $186.50 | ↑ +92% |
| Aetna | Medical Rental | $196.57 | ↑ +102% |
| Health Net | Commerical Exchange Product | $201.42 | ↑ +107% |
| Quiktrip Corporation | Commercial | $201.42 | ↑ +107% |
| Aetna | Broad Network | $215.22 | ↑ +121% |
| Cigna Healthcare of Arizona, Inc. | LocalFlex | $245.06 | ↑ +152% |
| Cigna Healthcare of Arizona, Inc. | Commercial | $256.25 | ↑ +163% |
| Arizona Medical Network | Commercial | $261.10 | ↑ +168% |
| Provider Network of America | Commercial | $279.75 | ↑ +187% |
| United Healthcare | UHC Doctor's Plan | $347.17 | ↑ +257% |
| United Healthcare | UHC Core | $378.33 | ↑ +289% |
| United Healthcare | Commercial | $409.57 | ↑ +321% |
| TriWest Healthcare Alliance Corp - VA CCN | Tricare | not published by hospital | — |
Visitor-reported prices
Comments
Ankle X-ray at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner University Medical Center Phoenix | Phoenix | $105.19 | $44.20 – $347.17 |
| Banner University Medical Center South | Tucson | $132.75 | $58.65 – $409.57 |
| Banner University Medical Center Tucson | Tucson | $129.30 | $58.65 – $409.57 |
| Banner Behavioral Health Hospital | Scottsdale | $218.53 | $35.22 – $261.10 |
| Banner Baywood Medical Center | Mesa | $107.42 | $58.65 – $347.17 |
| Banner Casa Grande Medical Center | Casa Grande | $80.19 | $58.65 – $333.39 |
| Banner Boswell Medical Center | Sun City | $91.01 | $58.65 – $347.17 |
| Banner Del Webb Medical Center | Sun City West | $86.91 | $44.20 – $347.17 |