Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes at Arizona General Hospital Mesa
9130 E Elliot Rd, Mesa, AZ · CommonSpirit Health · · NPI 1689121188
$67.44
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.
$273.00
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.
$55.07 with Health Choice vs $223.05 with Multiplan — 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 | Medicaid|All Plans | $55.07 | ↓ -18% |
| United | Medicaid|All Plans | $55.07 | ↓ -18% |
| Mercy Care | Medicaid|All Plans | $55.07 | ↓ -18% |
| Coventry | Commercial|All Plans | $144.69 | ↑ +115% |
| BCBS - AZ | Commercial|MaricopaFocus | $146.84 | ↑ +118% |
| BCBS - AZ | Commercial|Neighborhood | $146.84 | ↑ +118% |
| BCBS - AZ | Commercial|All Other Plans | $195.76 | ↑ +190% |
| Aetna | Commercial|All Other Plans | $203.70 | ↑ +202% |
| Aetna | Commercial|PPO | $203.70 | ↑ +202% |
| Multiplan | Commercial|All Plans | $223.05 | ↑ +231% |
Visitor-reported prices
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Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Baywood Medical Center | Mesa | $18.05 | $28.20 – $241.00 |
| Banner Desert Medical Center | Mesa | $21.15 | $28.20 – $241.00 |
| Banner Heart Hospital | Mesa | $27.78 | $25.10 – $241.00 |
| Banner University Medical Center Phoenix | Phoenix | $19.46 | $28.20 – $241.00 |
| Banner University Medical Center Tucson | Tucson | $52.72 | $39.20 – $268.00 |
| Banner University Medical Center South | Tucson | $37.04 | $39.20 – $268.00 |
| Banner Boswell Medical Center | Sun City | $22.56 | $28.20 – $241.00 |
| Banner Casa Grande Medical Center | Casa Grande | $25.38 | $28.20 – $235.00 |