Patient Form Files
If you prefer to download and print forms, the following files are available to expedite your first visit:
Hospital and Surgery Center Affiliations
- Banner Estrella Medical Center
- Banner Del E. Webb Medical Center
- Banner Estrella Sugery Center
- HonorHealth Deer Valley Medical Center
- Surgical Elite of Avondale
- West Valley Hospital
Estrella Ear, Nose and Throat is contracted with a wide variety of insurance plans. Please call if you have a question regarding your personal plan.
- Tricare Standard/Tricare for Life
- Aetna: HMO, PPO Medicare, HMO, Cofinity, WC
- AFMC: PPO
- Multiplan, AMN, PHCS
- BCBS: HMO, Indemnity, MCR, PPO
- Cigna: HMO, OA, PPO
- Coventry: PPO
- HN: HMO, PPO, Medicare, WC
- Humana: Medicare FFS, Choice Care Med PPO, Choice Care Commercial PPO
- UHC: HMO, PPO, Medicare UHC Choice and Select Commercial, Navigate, Evercare Medicare and Medicaid, AARP Medicare Complete (Lifeprint & Phoenix Direct Networks), Secure Horizons-Medicare Complete HMO 1&2. No Compass
- Care 1st/One Care
- Mercy Care Plan/Mercy Maricopa
- UofA Health Plans: Univ Family Care, Univ Healthcare Group
- UHC Community/State/Children’s Rehab Services
- BHN: Banner Aetna, Aetna Whole Health, Aetna MA Value HMO, BCBS Adv/Alliance, Cigna CAC, Humana MA, United Commercial ACO, UHC AARP
Self Pay Rates
- New Patient Consultation $250
- Established Patient Consultation $165
- Hearing Test $100
- Scope $100
- Follow Up $65
- Cauterization $50
- Frenulectomy $140
- Foreign Body Removal $150
Payment Plans are available for most self pay patients.
Available Payment Options
Estrella ENT accepts cash, Discover, Visa and Mastercard for co-pays. The office is unable to accept personal checks at this time.
Athena payment portal
Save time by completing our new patient registration form online before your first office visit.
EENT’s Referral Coordinator’s Direct Number and Contact Info
Our Referral Coordinator direct line is: 623-748-8675 Fax: 623-535-8771.