Rx metab gen seq alys pnl 6 at Banner Estrella Medical Center
9201 West Thomas Road, Phoenix, AZ · Banner Health · · NPI 1275566200
$514.62
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.
$2,752.00
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.
$396.56 with Arizona Physicians IPA vs $2,879.45 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 | $396.56 | ↓ -23% |
| Wellpoint | Medicare Advantage HMO | $917.08 | ↑ +78% |
| UPMC Health Plan | Medicare Advantage | $917.08 | ↑ +78% |
| United Healthcare | UHC Medicare Advantage | $917.08 | ↑ +78% |
| TriWest Healthcare Alliance Corp - VA CCN | VA Community Care Network | $917.08 | ↑ +78% |
| Aetna | Medicare Advantage | $917.08 | ↑ +78% |
| Cigna Healthcare of Arizona, Inc. | PPO Medicare Advantage Plan | $917.08 | ↑ +78% |
| Humana | Medicare Advantage | $917.08 | ↑ +78% |
| Health Net | Medicare | $917.08 | ↑ +78% |
| Health Choice Arizona, Inc. | Medicare Advantage | $917.08 | ↑ +78% |
| Blue Cross Blue Shield of Arizona | Medicare Advantage | $917.08 | ↑ +78% |
| Care 1st | Medicare Advantage | $917.08 | ↑ +78% |
| Gila River Health Care Corporation | Managed Care Program | $917.08 | ↑ +78% |
| Cigna Healthcare of Arizona, Inc. | HMO Medicare Advantage Plans | $917.08 | ↑ +78% |
| Arizona Physicians IPA | Medicare Advantage | $917.08 | ↑ +78% |
| Banner Health | Medicare Advantage | $917.08 | ↑ +78% |
| Banner University Health Plan | University Care Advantage | $917.08 | ↑ +78% |
| Mercy Care | Mercy Care Advantage | $917.08 | ↑ +78% |
| Kaiser Foundation Health Plan | Medicare Advantage | $917.08 | ↑ +78% |
| Aetna | Banner Employee Plans | $924.67 | ↑ +80% |
| Carelon | Medicare Advantage | $962.93 | ↑ +87% |
| Devoted Health Services | Medicare Advantage | $962.93 | ↑ +87% |
| Hospice of the Valley | Medicare | $963.20 | ↑ +87% |
| Arizona Priority Care | Medicare Advantage | $1,008.79 | ↑ +96% |
| Gold Kidney Health Plan | Medicare Advantage | $1,008.79 | ↑ +96% |
| NaphCare | Federal Prison System | $1,238.06 | ↑ +141% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $1,238.40 | ↑ +141% |
| Plotkin Health | Plotkin Health | $1,238.40 | ↑ +141% |
| Aetna | Qualified Health Plan | $1,247.23 | ↑ +142% |
| Aetna | Joint Venture | $1,271.42 | ↑ +147% |
| United Healthcare | Individual Exchange | $1,283.91 | ↑ +149% |
| Aetna | Designated Group | $1,351.23 | ↑ +163% |
| Health Net | Commerical Exchange Product | $1,357.28 | ↑ +164% |
| Health Choice Arizona, Inc. | ACA Health Plan | $1,375.62 | ↑ +167% |
| Aetna | Medical Rental | $1,450.30 | ↑ +182% |
| Quiktrip Corporation | Commercial | $1,486.08 | ↑ +189% |
| Oscar Health Plan | Commercial | $1,513.18 | ↑ +194% |
| Aetna | Broad Network | $1,587.90 | ↑ +209% |
| Cigna Healthcare of Arizona, Inc. | LocalFlex | $1,609.47 | ↑ +213% |
| United Healthcare | UHC Doctor's Plan | $1,696.23 | ↑ +230% |
| Cigna Healthcare of Arizona, Inc. | Commercial | $1,788.30 | ↑ +247% |
| United Healthcare | UHC Core | $1,875.33 | ↑ +264% |
| Arizona Medical Network | Commercial | $1,926.40 | ↑ +274% |
| United Healthcare | Commercial | $2,063.43 | ↑ +301% |
| Provider Network of America | Commercial | $2,064.00 | ↑ +301% |
| Blue Cross Blue Shield of Arizona | BCBSAZ MaricopaFocus | $2,159.58 | ↑ +320% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $2,159.58 | ↑ +320% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $2,303.56 | ↑ +348% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $2,418.72 | ↑ +370% |
| Blue Cross Blue Shield of Arizona | Commercial | $2,879.45 | ↑ +460% |
| Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Preferred | $2,879.45 | ↑ +460% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $2,879.45 | ↑ +460% |
Visitor-reported prices
Comments
Rx metab gen seq alys pnl 6 at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner University Medical Center Phoenix | Phoenix | $767.81 | $396.56 – $2,064.00 |
| Banner University Medical Center Tucson | Tucson | $668.74 | $396.56 – $2,201.60 |
| Banner University Medical Center South | Tucson | $470.59 | $396.56 – $2,201.60 |
| Banner Baywood Medical Center | Mesa | $599.94 | $396.56 – $2,064.00 |
| Banner Boswell Medical Center | Sun City | $624.70 | $396.56 – $2,201.60 |
| Banner Casa Grande Medical Center | Casa Grande | $434.82 | $396.56 – $2,064.00 |
| Banner Del Webb Medical Center | Sun City West | $489.86 | $396.56 – $2,201.60 |
| Banner Desert Medical Center | Mesa | $1,210.88 | $396.56 – $2,064.00 |