X-ray exam of jaw joint at Banner Estrella Medical Center
9201 West Thomas Road, Phoenix, AZ · Banner Health · · NPI 1275566200
$157.73
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.
$1,103.00
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.
$166.84 with Health Choice Arizona, Inc. vs $1,165.03 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 |
|---|---|---|---|
| Health Choice Arizona, Inc. | Medicaid | $166.84 | ↑ +6% |
| Mercy Care | Mercy Medicaid | $166.84 | ↑ +6% |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $166.84 | ↑ +6% |
| Health Net | Medicaid | $166.84 | ↑ +6% |
| Arizona Physicians IPA | Medicaid | $166.84 | ↑ +6% |
| Aetna | Medicare Advantage | $220.60 | ↑ +40% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $230.14 | ↑ +46% |
| Blue Cross Blue Shield of Arizona | BCBSAZ MaricopaFocus | $230.14 | ↑ +46% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $245.48 | ↑ +56% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $257.75 | ↑ +63% |
| Aetna | Qualified Health Plan | $280.16 | ↑ +78% |
| Blue Cross Blue Shield of Arizona | Commercial | $306.85 | ↑ +95% |
| Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Preferred | $306.85 | ↑ +95% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $306.85 | ↑ +95% |
| Health Choice Arizona, Inc. | Medicare Advantage | $330.90 | ↑ +110% |
| Aetna | Banner Employee Plans | $370.61 | ↑ +135% |
| Hospice of the Valley | Medicare | $386.05 | ↑ +145% |
| Arizona Priority Care | Medicare Advantage | $441.20 | ↑ +180% |
| Plotkin Health | Plotkin Health | $496.35 | ↑ +215% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $496.35 | ↑ +215% |
| Aetna | Joint Venture | $509.59 | ↑ +223% |
| Aetna | Designated Group | $541.57 | ↑ +243% |
| Health Choice Arizona, Inc. | ACA Health Plan | $551.50 | ↑ +250% |
| Health Net | Medicare | $551.50 | ↑ +250% |
| Oscar Health Plan | Commercial | $551.50 | ↑ +250% |
| Aetna | Medical Rental | $581.28 | ↑ +269% |
| Quiktrip Corporation | Commercial | $595.62 | ↑ +278% |
| Health Net | Commerical Exchange Product | $595.62 | ↑ +278% |
| Aetna | Broad Network | $636.43 | ↑ +303% |
| Cigna Healthcare of Arizona, Inc. | LocalFlex | $724.67 | ↑ +359% |
| Cigna Healthcare of Arizona, Inc. | Commercial | $757.76 | ↑ +380% |
| Arizona Medical Network | Commercial | $772.10 | ↑ +390% |
| Provider Network of America | Commercial | $827.25 | ↑ +424% |
| United Healthcare | UHC Doctor's Plan | $987.59 | ↑ +526% |
| United Healthcare | UHC Core | $1,076.21 | ↑ +582% |
| United Healthcare | Commercial | $1,165.03 | ↑ +639% |
| TriWest Healthcare Alliance Corp - VA CCN | Tricare | not published by hospital | — |
Visitor-reported prices
Comments
X-ray exam of jaw joint at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Baywood Medical Center | Mesa | $115.82 | $166.84 – $987.59 |
| Banner Desert Medical Center | Mesa | $354.79 | $166.84 – $987.59 |
| Banner Ironwood Medical Center | San Tan Valley | $405.90 | $166.84 – $987.59 |
| Banner Gateway Medical Center | Gilbert | $384.95 | $166.84 – $987.59 |
| Banner Goldfield Medical Center | Apache Junction | $235.14 | $145.29 – $987.59 |
| Banner Heart Hospital | Mesa | $292.11 | $166.84 – $987.59 |
| Banner Payson Medical Center | Payson | $429.18 | $166.84 – $559.80 |
| Banner Thunderbird Medical Center | Glendale | $346.61 | $72.99 – $987.59 |