Mapping functional cort/subcort ea add'l hr at Banner Estrella Medical Center
9201 West Thomas Road, Phoenix, AZ · Banner Health · · NPI 1275566200
$220.17
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.
$754.00
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.
$150.80 with Aetna vs $876.00 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 |
|---|---|---|---|
| Aetna | Medicare Advantage | $150.80 | ↓ -32% |
| Arizona Physicians IPA | Medicaid | $177.45 | ↓ -19% |
| Health Net | Medicaid | $177.45 | ↓ -19% |
| Health Choice Arizona, Inc. | Medicaid | $177.45 | ↓ -19% |
| Mercy Care | Mercy Medicaid | $177.45 | ↓ -19% |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $177.45 | ↓ -19% |
| Aetna | Qualified Health Plan | $191.52 | ↓ -13% |
| Health Choice Arizona, Inc. | Medicare Advantage | $226.20 | ↑ +3% |
| Aetna | Banner Employee Plans | $253.34 | ↑ +15% |
| Hospice of the Valley | Medicare | $263.90 | ↑ +20% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $276.53 | ↑ +26% |
| Blue Cross Blue Shield of Arizona | BCBSAZ MaricopaFocus | $276.53 | ↑ +26% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $294.97 | ↑ +34% |
| Arizona Priority Care | Medicare Advantage | $301.60 | ↑ +37% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $309.72 | ↑ +41% |
| Plotkin Health | Plotkin Health | $339.30 | ↑ +54% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $339.30 | ↑ +54% |
| Aetna | Joint Venture | $348.35 | ↑ +58% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $368.71 | ↑ +67% |
| Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Preferred | $368.71 | ↑ +67% |
| Blue Cross Blue Shield of Arizona | Commercial | $368.71 | ↑ +67% |
| Aetna | Designated Group | $370.21 | ↑ +68% |
| Oscar Health Plan | Commercial | $377.00 | ↑ +71% |
| Health Net | Medicare | $377.00 | ↑ +71% |
| Health Choice Arizona, Inc. | ACA Health Plan | $377.00 | ↑ +71% |
| Aetna | Medical Rental | $397.36 | ↑ +80% |
| Health Net | Commerical Exchange Product | $407.16 | ↑ +85% |
| Quiktrip Corporation | Commercial | $407.16 | ↑ +85% |
| Aetna | Broad Network | $435.06 | ↑ +98% |
| Cigna Healthcare of Arizona, Inc. | LocalFlex | $495.38 | ↑ +125% |
| Cigna Healthcare of Arizona, Inc. | Commercial | $518.00 | ↑ +135% |
| Arizona Medical Network | Commercial | $527.80 | ↑ +140% |
| Provider Network of America | Commercial | $565.50 | ↑ +157% |
| United Healthcare | UHC Doctor's Plan | $796.00 | ↑ +262% |
| United Healthcare | UHC Core | $832.00 | ↑ +278% |
| United Healthcare | Commercial | $876.00 | ↑ +298% |
Visitor-reported prices
Comments
Mapping functional cort/subcort ea add'l hr at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner University Medical Center Phoenix | Phoenix | $318.94 | $107.58 – $796.00 |
| St. Joseph’s Hospital and Medical Center | Phoenix | $399.96 | $198.93 – $827.13 |
| Banner University Medical Center Tucson | Tucson | $445.16 | $177.45 – $816.80 |
| Banner University Medical Center South | Tucson | $221.56 | $166.17 – $816.80 |
| Banner Boswell Medical Center | Sun City | $165.13 | $150.80 – $796.00 |
| Banner Gateway Medical Center | Gilbert | $352.87 | $150.80 – $796.00 |
| Banner Ocotillo Medical Center | Chandler | $228.08 | $150.80 – $796.00 |