Subtalar arthro w/fusion at Banner Estrella Medical Center
9201 West Thomas Road, Phoenix, AZ · Banner Health · · NPI 1275566200
not published by hospital
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.
?
What you pay up front if you don't use insurance.
not published by hospital
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.
?
The hospital's undiscounted list price — almost no one pays this.
$3,873.92 with Blue Cross Blue Shield of Arizona vs $22,604.88 with Oscar Health Plan — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Blue Cross Blue Shield of Arizona | BCBSAZ MaricopaFocus | $3,873.92 | — |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $3,873.92 | — |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $4,132.18 | — |
| Aetna | Banner Employee Plans | $4,299.00 | — |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $4,338.79 | — |
| Blue Cross Blue Shield of Arizona | Commercial | $5,165.23 | — |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $5,165.23 | — |
| Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Preferred | $5,261.73 | — |
| Aetna | Joint Venture | $6,163.00 | — |
| Aetna | Designated Group | $6,548.00 | — |
| Aetna | Broad Network | $7,704.00 | — |
| Health Choice Arizona, Inc. | Medicaid | $8,928.20 | — |
| Health Net | Medicaid | $8,928.20 | — |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $8,928.20 | — |
| Mercy Care | Mercy Medicaid | $8,928.20 | — |
| Arizona Physicians IPA | Medicaid | $8,928.20 | — |
| United Healthcare | UHC Doctor's Plan | $9,059.00 | — |
| United Healthcare | UHC Core | $9,562.00 | — |
| United Healthcare | Commercial | $10,065.00 | — |
| Wellpoint (fka Amerigroup) | Medicare Advantage HMO | $13,699.93 | — |
| Aetna | Medicare Advantage | $13,699.93 | — |
| Arizona Physicians IPA | Medicare Advantage | $13,699.93 | — |
| Banner Health | Medicare Advantage | $13,699.93 | — |
| Banner University Health Plan | University Care Advantage | $13,699.93 | — |
| Blue Cross Blue Shield of Arizona | Medicare Advantage | $13,699.93 | — |
| Care 1st | Medicare Advantage | $13,699.93 | — |
| Cigna Healthcare of Arizona, Inc. | HMO Medicare Advantage Plans | $13,699.93 | — |
| Cigna Healthcare of Arizona, Inc. | PPO Medicare Advantage Plan | $13,699.93 | — |
| Gila River Health Care Corporation | Managed Care Program | $13,699.93 | — |
| Health Choice Arizona, Inc. | Medicare Advantage | $13,699.93 | — |
| Health Net | Medicare | $13,699.93 | — |
| Kaiser Foundation Health Plan | Medicare Advantage | $13,699.93 | — |
| Mercy Care | Mercy Care Advantage | $13,699.93 | — |
| TriWest Healthcare Alliance Corp - VA CCN | VA Community Care Network | $13,699.93 | — |
| United Healthcare | UHC Medicare Advantage | $13,699.93 | — |
| UPMC Health Plan | Medicare Advantage | $13,699.93 | — |
| Humana | Medicare Advantage | $14,110.93 | — |
| Carekin | Medicare Advantage | $14,384.93 | — |
| Devoted Health Services | Medicare Advantage | $14,384.93 | — |
| Gold Kidney Health Plan | Medicare Advantage | $15,069.92 | — |
| Arizona Priority Care | Medicare Advantage | $15,069.92 | — |
| Cigna Healthcare of Arizona, Inc. | LocalFlex | $16,375.00 | — |
| Cigna Healthcare of Arizona, Inc. | Commercial | $18,194.00 | — |
| NaphCare, Inc. | Federal Prison System | $18,494.91 | — |
| United Healthcare | Individual Exchange | $19,864.90 | — |
| Health Choice Arizona, Inc. | ACA Health Plan | $20,549.90 | — |
| Health Net | Commerical Exchange Product | $20,686.89 | — |
| Oscar Health Plan | Commercial | $22,604.88 | — |
Visitor-reported prices
Comments
Subtalar arthro w/fusion at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner University Medical Center Phoenix | Phoenix | not published | $863.66 – $22,604.88 |
| Arizona General Hospital Laveen | Phoenix | not published | $928.02 – $14,125.13 |
| St. Joseph’s Hospital and Medical Center | Phoenix | not published | $928.02 – $14,125.12 |
| Mercy Gilbert Medical Center | Gilbert | not published | $928.02 – $13,713.71 |
| Banner Boswell Medical Center | Sun City | not published | $2,957.94 – $22,604.88 |
| Yavapai Regional Medical Center (East) | Prescott | not published | $928.02 – $14,536.54 |
| Arizona General Hospital Mesa | Mesa | not published | $928.02 – $14,125.13 |
| Chandler Regional Medical Center | Chandler | not published | $846.34 – $867.50 |