Tc-99m pentetate dtpa at Banner Estrella Medical Center

9201 West Thomas Road, Phoenix, AZ · Banner Health · · NPI 1275566200

Source: hospital's published price file ↗ · Published Mar 2, 2026 · Ingested Aug 12, 2026

$46.40

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$232.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$35.72 with Health Choice Arizona, Inc. vs $174.00 with Provider Network of America — 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 →

Payer
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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
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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
Health Choice Arizona, Inc. Medicaid $35.72 ↓ -23%
Banner University Health Plan AZ Medicaid - AHCCCS $35.72 ↓ -23%
Mercy Care Mercy Medicaid $35.72 ↓ -23%
Arizona Physicians IPA Medicaid $35.72 ↓ -23%
Health Net Medicaid $35.72 ↓ -23%
Aetna Medicare Advantage $46.40 ↑ +0%
Cigna Healthcare of Arizona, Inc. LocalFlex $47.46 ↑ +2%
Cigna Healthcare of Arizona, Inc. Commercial $52.73 ↑ +14%
Aetna Qualified Health Plan $58.93 ↑ +27%
Health Choice Arizona, Inc. Medicare Advantage $69.60 ↑ +50%
Hospice of the Valley Medicare $81.20 ↑ +75%
Arizona Priority Care Medicare Advantage $92.80 ↑ +100%
National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) NHSI VUMI $104.40 ↑ +125%
Plotkin Health Plotkin Health $104.40 ↑ +125%
Health Net Medicare $116.00 ↑ +150%
Health Choice Arizona, Inc. ACA Health Plan $116.00 ↑ +150%
Oscar Health Plan Commercial $116.00 ↑ +150%
Aetna Medical Rental $122.26 ↑ +163%
Health Net Commerical Exchange Product $125.28 ↑ +170%
Quiktrip Corporation Commercial $125.28 ↑ +170%
Arizona Medical Network Commercial $162.40 ↑ +250%
Provider Network of America Commercial $174.00 ↑ +275%

Visitor-reported prices

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Tc-99m pentetate dtpa at other Arizona hospitals

Hospital City Cash price Negotiated range
Banner University Medical Center Phoenix Phoenix $81.62 $35.72 – $171.00
St. Joseph’s Hospital and Medical Center Phoenix $56.92 $28.31 – $117.71
Mercy Gilbert Medical Center Gilbert $199.02 $36.61 – $622.93
Banner University Medical Center Tucson Tucson $30.75 $24.60 – $98.40
Banner Baywood Medical Center Mesa $40.83 $29.80 – $111.75
Banner Boswell Medical Center Sun City $32.68 $34.40 – $137.60
Banner Casa Grande Medical Center Casa Grande $41.99 $35.72 – $174.00
Banner Del Webb Medical Center Sun City West $25.63 $28.80 – $115.20

All Arizona hospitals for this procedure →