Revision of mitral valve at Banner Estrella Medical Center
9201 West Thomas Road, Phoenix, AZ · Banner Health · · NPI 1275566200
$4,015.51
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.
$10,376.00
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.
$936.00 with Aetna vs $13,084.95 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 |
|---|---|---|---|
| Aetna | Banner Employee Plans | $936.00 | ↓ -77% |
| Aetna | Medicare Advantage | $2,075.20 | ↓ -48% |
| Health Net | Medicaid | $2,230.84 | ↓ -44% |
| Health Choice Arizona, Inc. | Medicaid | $2,230.84 | ↓ -44% |
| Mercy Care | Mercy Medicaid | $2,230.84 | ↓ -44% |
| Arizona Physicians IPA | Medicaid | $2,230.84 | ↓ -44% |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $2,230.84 | ↓ -44% |
| Aetna | Qualified Health Plan | $2,635.50 | ↓ -34% |
| Health Choice Arizona, Inc. | Medicare Advantage | $3,112.80 | ↓ -22% |
| Aetna | Joint Venture | $3,617.00 | ↓ -10% |
| Hospice of the Valley | Medicare | $3,631.60 | ↓ -10% |
| Aetna | Designated Group | $3,843.00 | ↓ -4% |
| Cigna Healthcare of Arizona, Inc. | LocalFlex | $4,018.00 | ↑ +0% |
| Arizona Priority Care | Medicare Advantage | $4,150.40 | ↑ +3% |
| Cigna Healthcare of Arizona, Inc. | Commercial | $4,464.00 | ↑ +11% |
| Aetna | Broad Network | $4,521.00 | ↑ +13% |
| United Healthcare | UHC Doctor's Plan | $4,640.00 | ↑ +16% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $4,669.20 | ↑ +16% |
| Plotkin Health | Plotkin Health | $4,669.20 | ↑ +16% |
| United Healthcare | UHC Core | $4,850.00 | ↑ +21% |
| United Healthcare | Commercial | $5,105.00 | ↑ +27% |
| Oscar Health Plan | Commercial | $5,188.00 | ↑ +29% |
| Health Choice Arizona, Inc. | ACA Health Plan | $5,188.00 | ↑ +29% |
| Health Net | Medicare | $5,188.00 | ↑ +29% |
| Aetna | Medical Rental | $5,468.15 | ↑ +36% |
| Quiktrip Corporation | Commercial | $5,603.04 | ↑ +40% |
| Health Net | Commerical Exchange Product | $5,603.04 | ↑ +40% |
| Arizona Medical Network | Commercial | $7,263.20 | ↑ +81% |
| Provider Network of America | Commercial | $7,782.00 | ↑ +94% |
| Blue Cross Blue Shield of Arizona | BCBSAZ MaricopaFocus | $9,813.71 | ↑ +144% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $9,813.71 | ↑ +144% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $10,467.96 | ↑ +161% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $10,991.27 | ↑ +174% |
| Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Preferred | $13,084.95 | ↑ +226% |
| Blue Cross Blue Shield of Arizona | Commercial | $13,084.95 | ↑ +226% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $13,084.95 | ↑ +226% |
Visitor-reported prices
Comments
Revision of mitral valve at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner University Medical Center Phoenix | Phoenix | $3,714.61 | $936.00 – $7,782.00 |
| Arizona General Hospital Laveen | Phoenix | not published | $1,483.75 – $6,154.45 |
| St. Joseph’s Hospital and Medical Center | Phoenix | not published | $1,483.75 – $7,121.40 |
| Banner Desert Medical Center | Mesa | $3,673.10 | $936.00 – $9,813.71 |
| Banner Thunderbird Medical Center | Glendale | $3,195.81 | $72.99 – $7,782.00 |
| Mercy Gilbert Medical Center | Gilbert | not published | $1,483.75 – $7,291.55 |
| Yavapai Regional Medical Center (East) | Prescott | not published | $1,483.75 – $1,557.94 |
| Arizona General Hospital Mesa | Mesa | not published | $1,483.75 – $6,154.45 |