healthcosts.net
Shoulder X-ray at Banner Estrella Medical Center
9201 West Thomas Road, Phoenix, AZ · Banner Health · · NPI 1275566200
$101.27
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.
$388.00
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.
$58.65 with Mercy Care vs $409.57 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 |
|---|---|---|---|
| Mercy Care | Mercy Medicaid | $58.65 | ↓ -42% |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $58.65 | ↓ -42% |
| Health Net | Medicaid | $58.65 | ↓ -42% |
| Health Choice Arizona, Inc. | Medicaid | $58.65 | ↓ -42% |
| Arizona Physicians IPA | Medicaid | $58.65 | ↓ -42% |
| Aetna | Medicare Advantage | $77.60 | ↓ -23% |
| Aetna | Qualified Health Plan | $98.55 | ↓ -3% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $104.24 | ↑ +3% |
| Blue Cross Blue Shield of Arizona | BCBSAZ MaricopaFocus | $104.24 | ↑ +3% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $111.19 | ↑ +10% |
| Health Choice Arizona, Inc. | Medicare Advantage | $116.40 | ↑ +15% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $116.75 | ↑ +15% |
| Aetna | Banner Employee Plans | $130.37 | ↑ +29% |
| Hospice of the Valley | Medicare | $135.80 | ↑ +34% |
| Blue Cross Blue Shield of Arizona | Commercial | $138.98 | ↑ +37% |
| Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Preferred | $138.98 | ↑ +37% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $138.98 | ↑ +37% |
| Arizona Priority Care | Medicare Advantage | $155.20 | ↑ +53% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $174.60 | ↑ +72% |
| Plotkin Health | Plotkin Health | $174.60 | ↑ +72% |
| Aetna | Joint Venture | $179.26 | ↑ +77% |
| Aetna | Designated Group | $190.51 | ↑ +88% |
| Oscar Health Plan | Commercial | $194.00 | ↑ +92% |
| Health Net | Medicare | $194.00 | ↑ +92% |
| Health Choice Arizona, Inc. | ACA Health Plan | $194.00 | ↑ +92% |
| Aetna | Medical Rental | $204.48 | ↑ +102% |
| Health Net | Commerical Exchange Product | $209.52 | ↑ +107% |
| Quiktrip Corporation | Commercial | $209.52 | ↑ +107% |
| Aetna | Broad Network | $223.88 | ↑ +121% |
| Cigna Healthcare of Arizona, Inc. | LocalFlex | $254.92 | ↑ +152% |
| Cigna Healthcare of Arizona, Inc. | Commercial | $266.56 | ↑ +163% |
| Arizona Medical Network | Commercial | $271.60 | ↑ +168% |
| Provider Network of America | Commercial | $291.00 | ↑ +187% |
| United Healthcare | UHC Doctor's Plan | $347.17 | ↑ +243% |
| United Healthcare | UHC Core | $378.33 | ↑ +274% |
| United Healthcare | Commercial | $409.57 | ↑ +304% |
| TriWest Healthcare Alliance Corp - VA CCN | Tricare | not published by hospital | — |
Visitor-reported prices
Comments
Shoulder X-ray at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner University Medical Center Phoenix | Phoenix | $109.42 | $40.55 – $347.17 |
| Banner University Medical Center South | Tucson | $154.92 | $58.65 – $409.57 |
| Banner University Medical Center Tucson | Tucson | $150.90 | $58.65 – $409.57 |
| Banner Behavioral Health Hospital | Scottsdale | $227.32 | $32.32 – $271.60 |
| Banner Baywood Medical Center | Mesa | $111.74 | $58.65 – $347.17 |
| Banner Casa Grande Medical Center | Casa Grande | $83.42 | $58.65 – $333.39 |
| Banner Boswell Medical Center | Sun City | $94.67 | $58.65 – $347.17 |
| Banner Del Webb Medical Center | Sun City West | $90.40 | $40.55 – $347.17 |