Inj proc myelogram lumbar at Banner Estrella Medical Center
9201 West Thomas Road, Phoenix, AZ · Banner Health · · NPI 1275566200
$392.80
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.
$1,015.00
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.
$203.00 with Aetna vs $5,506.00 with Aetna — 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 |
|---|---|---|---|
| Aetna | Medicare Advantage | $203.00 | ↓ -48% |
| Arizona Physicians IPA | Medicaid | $218.22 | ↓ -44% |
| Health Net | Medicaid | $218.22 | ↓ -44% |
| Mercy Care | Mercy Medicaid | $218.22 | ↓ -44% |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $218.22 | ↓ -44% |
| Health Choice Arizona, Inc. | Medicaid | $218.22 | ↓ -44% |
| Aetna | Qualified Health Plan | $257.81 | ↓ -34% |
| Health Choice Arizona, Inc. | Medicare Advantage | $304.50 | ↓ -22% |
| Hospice of the Valley | Medicare | $355.25 | ↓ -10% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $397.18 | ↑ +1% |
| Blue Cross Blue Shield of Arizona | BCBSAZ MaricopaFocus | $397.18 | ↑ +1% |
| Arizona Priority Care | Medicare Advantage | $406.00 | ↑ +3% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $423.66 | ↑ +8% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $444.84 | ↑ +13% |
| Plotkin Health | Plotkin Health | $456.75 | ↑ +16% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $456.75 | ↑ +16% |
| Health Net | Medicare | $507.50 | ↑ +29% |
| Oscar Health Plan | Commercial | $507.50 | ↑ +29% |
| Health Choice Arizona, Inc. | ACA Health Plan | $507.50 | ↑ +29% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $529.58 | ↑ +35% |
| Blue Cross Blue Shield of Arizona | Commercial | $529.58 | ↑ +35% |
| Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Preferred | $529.58 | ↑ +35% |
| Aetna | Medical Rental | $534.90 | ↑ +36% |
| Quiktrip Corporation | Commercial | $548.10 | ↑ +40% |
| Health Net | Commerical Exchange Product | $548.10 | ↑ +40% |
| Arizona Medical Network | Commercial | $710.50 | ↑ +81% |
| Provider Network of America | Commercial | $761.25 | ↑ +94% |
| Aetna | Banner Employee Plans | $1,170.00 | ↑ +198% |
| United Healthcare | UHC Doctor's Plan | $2,114.00 | ↑ +438% |
| United Healthcare | UHC Core | $2,210.00 | ↑ +463% |
| United Healthcare | Commercial | $2,326.00 | ↑ +492% |
| Cigna Healthcare of Arizona, Inc. | LocalFlex | $4,018.00 | ↑ +923% |
| Aetna | Joint Venture | $4,405.00 | ↑ +1021% |
| Cigna Healthcare of Arizona, Inc. | Commercial | $4,464.00 | ↑ +1036% |
| Aetna | Designated Group | $4,680.00 | ↑ +1091% |
| Aetna | Broad Network | $5,506.00 | ↑ +1302% |
Visitor-reported prices
Comments
Inj proc myelogram lumbar at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner University Medical Center Phoenix | Phoenix | $363.37 | $154.52 – $4,018.00 |
| St. Joseph’s Hospital and Medical Center | Phoenix | $472.16 | $86.54 – $976.44 |
| Arizona General Hospital Laveen | Phoenix | not published | $86.54 – $249.08 |
| Banner University Medical Center Tucson | Tucson | $353.92 | $195.00 – $2,041.00 |
| Banner University Medical Center South | Tucson | $513.82 | $195.00 – $2,041.00 |
| Banner Baywood Medical Center | Mesa | $347.13 | $203.00 – $4,018.00 |
| Banner Boswell Medical Center | Sun City | $293.34 | $203.00 – $4,018.00 |
| Banner Casa Grande Medical Center | Casa Grande | $281.16 | $203.00 – $1,851.00 |