Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body at Banner Estrella Medical Center
9201 West Thomas Road, Phoenix, AZ · Banner Health · · NPI 1275566200
$1,354.11
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.
$3,499.00
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.
$504.21 with Arizona Physicians IPA vs $6,545.63 with Blue Cross Blue Shield of Arizona — 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 |
|---|---|---|---|
| Arizona Physicians IPA | Medicaid | $504.21 | ↓ -63% |
| Aetna | Medicare Advantage | $699.80 | ↓ -48% |
| Aetna | Qualified Health Plan | $888.75 | ↓ -34% |
| Health Choice Arizona, Inc. | Medicare Advantage | $1,049.70 | ↓ -22% |
| Aetna | Banner Employee Plans | $1,170.00 | ↓ -14% |
| Hospice of the Valley | Medicare | $1,224.65 | ↓ -10% |
| Arizona Priority Care | Medicare Advantage | $1,399.60 | ↑ +3% |
| Plotkin Health | Plotkin Health | $1,574.55 | ↑ +16% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $1,574.55 | ↑ +16% |
| Oscar Health Plan | Commercial | $1,749.50 | ↑ +29% |
| Health Choice Arizona, Inc. | ACA Health Plan | $1,749.50 | ↑ +29% |
| Health Net | Medicare | $1,749.50 | ↑ +29% |
| Aetna | Medical Rental | $1,843.97 | ↑ +36% |
| Quiktrip Corporation | Commercial | $1,889.46 | ↑ +40% |
| Health Net | Commerical Exchange Product | $1,889.46 | ↑ +40% |
| United Healthcare | UHC Doctor's Plan | $2,114.00 | ↑ +56% |
| United Healthcare | UHC Core | $2,210.00 | ↑ +63% |
| United Healthcare | Commercial | $2,326.00 | ↑ +72% |
| Arizona Medical Network | Commercial | $2,449.30 | ↑ +81% |
| Provider Network of America | Commercial | $2,624.25 | ↑ +94% |
| Cigna Healthcare of Arizona, Inc. | LocalFlex | $4,018.00 | ↑ +197% |
| Aetna | Joint Venture | $4,405.00 | ↑ +225% |
| Cigna Healthcare of Arizona, Inc. | Commercial | $4,464.00 | ↑ +230% |
| Aetna | Designated Group | $4,680.00 | ↑ +246% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $4,909.22 | ↑ +263% |
| Blue Cross Blue Shield of Arizona | BCBSAZ MaricopaFocus | $4,909.22 | ↑ +263% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $5,236.50 | ↑ +287% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $5,498.29 | ↑ +306% |
| Aetna | Broad Network | $5,506.00 | ↑ +307% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $6,545.63 | ↑ +383% |
| Blue Cross Blue Shield of Arizona | Commercial | $6,545.63 | ↑ +383% |
| Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Preferred | $6,545.63 | ↑ +383% |
Visitor-reported prices
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Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner University Medical Center Phoenix | Phoenix | $1,252.64 | $504.21 – $4,018.00 |
| St. Joseph’s Hospital and Medical Center | Phoenix | $11,335.47 | $224.94 – $23,442.46 |
| Arizona General Hospital Laveen | Phoenix | not published | $224.94 – $3,078.70 |
| Mercy Gilbert Medical Center | Gilbert | $8,918.49 | $224.94 – $27,915.58 |
| Banner University Medical Center Tucson | Tucson | $1,646.93 | $653.78 – $4,188.33 |
| Banner University Medical Center South | Tucson | $2,391.00 | $653.78 – $3,629.60 |
| Banner Baywood Medical Center | Mesa | $1,196.66 | $504.21 – $4,909.22 |
| Banner Boswell Medical Center | Sun City | $1,011.21 | $504.21 – $4,018.00 |