Biopsy of salivary gland 42400 at Banner Estrella Medical Center
9201 West Thomas Road, Phoenix, AZ · Banner Health · · NPI 1275566200
$638.94
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.
?
What you pay up front if you don't use insurance.
$1,651.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$450.93 with Banner University Health Plan vs $5,506.00 with Aetna — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Banner University Health Plan | AZ Medicaid - AHCCCS | $450.93 | ↓ -29% |
| Health Net | Medicaid | $450.93 | ↓ -29% |
| Arizona Physicians IPA | Medicaid | $450.93 | ↓ -29% |
| Mercy Care | Mercy Medicaid | $450.93 | ↓ -29% |
| Health Choice Arizona, Inc. | Medicaid | $450.93 | ↓ -29% |
| Hospice of the Valley | Medicare | $577.85 | ↓ -10% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $742.95 | ↑ +16% |
| Plotkin Health | Plotkin Health | $742.95 | ↑ +16% |
| Banner University Health Plan | University Care Advantage | $749.90 | ↑ +17% |
| Mercy Care | Mercy Care Advantage | $749.90 | ↑ +17% |
| Kaiser Foundation Health Plan | Medicare Advantage | $749.90 | ↑ +17% |
| Humana | Medicare Advantage | $749.90 | ↑ +17% |
| Health Net | Medicare | $749.90 | ↑ +17% |
| Blue Cross Blue Shield of Arizona | Medicare Advantage | $749.90 | ↑ +17% |
| Health Choice Arizona, Inc. | Medicare Advantage | $749.90 | ↑ +17% |
| Care 1st | Medicare Advantage | $749.90 | ↑ +17% |
| Wellpoint | Medicare Advantage HMO | $749.90 | ↑ +17% |
| Gila River Health Care Corporation | Managed Care Program | $749.90 | ↑ +17% |
| Cigna Healthcare of Arizona, Inc. | HMO Medicare Advantage Plans | $749.90 | ↑ +17% |
| Cigna Healthcare of Arizona, Inc. | PPO Medicare Advantage Plan | $749.90 | ↑ +17% |
| UPMC Health Plan | Medicare Advantage | $749.90 | ↑ +17% |
| United Healthcare | UHC Medicare Advantage | $749.90 | ↑ +17% |
| TriWest Healthcare Alliance Corp - VA CCN | VA Community Care Network | $749.90 | ↑ +17% |
| Aetna | Medicare Advantage | $749.90 | ↑ +17% |
| Arizona Physicians IPA | Medicare Advantage | $749.90 | ↑ +17% |
| Banner Health | Medicare Advantage | $749.90 | ↑ +17% |
| Devoted Health Services | Medicare Advantage | $787.39 | ↑ +23% |
| Carelon | Medicare Advantage | $787.39 | ↑ +23% |
| Arizona Priority Care | Medicare Advantage | $824.89 | ↑ +29% |
| Gold Kidney Health Plan | Medicare Advantage | $824.89 | ↑ +29% |
| Aetna | Medical Rental | $870.08 | ↑ +36% |
| Quiktrip Corporation | Commercial | $891.54 | ↑ +40% |
| NaphCare | Federal Prison System | $1,012.37 | ↑ +58% |
| Aetna | Qualified Health Plan | $1,019.86 | ↑ +60% |
| United Healthcare | Individual Exchange | $1,049.86 | ↑ +64% |
| Health Net | Commerical Exchange Product | $1,109.85 | ↑ +74% |
| Health Choice Arizona, Inc. | ACA Health Plan | $1,124.85 | ↑ +76% |
| Arizona Medical Network | Commercial | $1,155.70 | ↑ +81% |
| Aetna | Banner Employee Plans | $1,170.00 | ↑ +83% |
| Oscar Health Plan | Commercial | $1,237.34 | ↑ +94% |
| Provider Network of America | Commercial | $1,238.25 | ↑ +94% |
| Blue Cross Blue Shield of Arizona | BCBSAZ MaricopaFocus | $2,440.42 | ↑ +282% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $2,440.42 | ↑ +282% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $2,603.12 | ↑ +307% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $2,733.25 | ↑ +328% |
| United Healthcare | UHC Doctor's Plan | $3,152.00 | ↑ +393% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $3,253.90 | ↑ +409% |
| Blue Cross Blue Shield of Arizona | Commercial | $3,253.90 | ↑ +409% |
| Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Preferred | $3,253.90 | ↑ +409% |
| United Healthcare | UHC Core | $3,294.00 | ↑ +416% |
| United Healthcare | Commercial | $3,467.00 | ↑ +443% |
| Cigna Healthcare of Arizona, Inc. | LocalFlex | $4,018.00 | ↑ +529% |
| Aetna | Joint Venture | $4,405.00 | ↑ +589% |
| Cigna Healthcare of Arizona, Inc. | Commercial | $4,464.00 | ↑ +599% |
| Aetna | Designated Group | $4,680.00 | ↑ +632% |
| Aetna | Broad Network | $5,506.00 | ↑ +762% |
| TriWest Healthcare Alliance Corp - VA CCN | Tricare | not published by hospital | — |
Visitor-reported prices
Comments
Biopsy of salivary gland 42400 at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner University Medical Center Phoenix | Phoenix | $591.06 | $450.93 – $1,238.25 |
| St. Joseph’s Hospital and Medical Center | Phoenix | $818.63 | $55.43 – $1,692.97 |
| Arizona General Hospital Laveen | Phoenix | not published | $55.43 – $772.40 |
| Banner University Medical Center Tucson | Tucson | $421.08 | $406.00 – $1,237.34 |
| Banner Baywood Medical Center | Mesa | $564.64 | $450.93 – $4,018.00 |
| Banner Boswell Medical Center | Sun City | $477.14 | $450.93 – $1,320.80 |
| Banner Casa Grande Medical Center | Casa Grande | $457.33 | $450.93 – $1,238.25 |
| Banner Del Webb Medical Center | Sun City West | $526.67 | $450.93 – $1,320.80 |