Mopath procedure level 3 at Banner Estrella Medical Center
9201 West Thomas Road, Phoenix, AZ · Banner Health · · NPI 1275566200
$135.57
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.
$725.00
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.
$150.33 with Aetna vs $780.30 with Blue Cross Blue Shield of Arizona — 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 |
|---|---|---|---|
| Aetna | Medicare Advantage | $150.33 | ↑ +11% |
| Gila River Health Care Corporation | Managed Care Program | $150.33 | ↑ +11% |
| Humana | Medicare Advantage | $150.33 | ↑ +11% |
| Arizona Physicians IPA | Medicare Advantage | $150.33 | ↑ +11% |
| Arizona Physicians IPA | Medicaid | $150.33 | ↑ +11% |
| Blue Cross Blue Shield of Arizona | Medicare Advantage | $150.33 | ↑ +11% |
| Kaiser Foundation Health Plan | Medicare Advantage | $150.33 | ↑ +11% |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $150.33 | ↑ +11% |
| Banner University Health Plan | University Care Advantage | $150.33 | ↑ +11% |
| Mercy Care | Mercy Medicaid | $150.33 | ↑ +11% |
| Mercy Care | Mercy Care Advantage | $150.33 | ↑ +11% |
| Health Choice Arizona, Inc. | Medicare Advantage | $150.33 | ↑ +11% |
| Care 1st | Medicare Advantage | $150.33 | ↑ +11% |
| Health Choice Arizona, Inc. | Medicaid | $150.33 | ↑ +11% |
| Cigna Healthcare of Arizona, Inc. | PPO Medicare Advantage Plan | $150.33 | ↑ +11% |
| Cigna Healthcare of Arizona, Inc. | HMO Medicare Advantage Plans | $150.33 | ↑ +11% |
| Banner Health | Medicare Advantage | $150.33 | ↑ +11% |
| Wellpoint | Medicare Advantage HMO | $150.33 | ↑ +11% |
| United Healthcare | UHC Medicare Advantage | $150.33 | ↑ +11% |
| UPMC Health Plan | Medicare Advantage | $150.33 | ↑ +11% |
| Health Net | Medicaid | $150.33 | ↑ +11% |
| Health Net | Medicare | $150.33 | ↑ +11% |
| TriWest Healthcare Alliance Corp - VA CCN | VA Community Care Network | $150.33 | ↑ +11% |
| Carelon | Medicare Advantage | $157.85 | ↑ +16% |
| Devoted Health Services | Medicare Advantage | $157.85 | ↑ +16% |
| Arizona Priority Care | Medicare Advantage | $165.36 | ↑ +22% |
| Gold Kidney Health Plan | Medicare Advantage | $165.36 | ↑ +22% |
| NaphCare | Federal Prison System | $202.95 | ↑ +50% |
| Aetna | Qualified Health Plan | $204.45 | ↑ +51% |
| United Healthcare | Individual Exchange | $210.46 | ↑ +55% |
| Health Net | Commerical Exchange Product | $222.49 | ↑ +64% |
| Health Choice Arizona, Inc. | ACA Health Plan | $225.50 | ↑ +66% |
| Aetna | Banner Employee Plans | $243.60 | ↑ +80% |
| Oscar Health Plan | Commercial | $248.04 | ↑ +83% |
| Hospice of the Valley | Medicare | $253.75 | ↑ +87% |
| Cigna Healthcare of Arizona, Inc. | LocalFlex | $263.82 | ↑ +95% |
| United Healthcare | UHC Doctor's Plan | $278.05 | ↑ +105% |
| Cigna Healthcare of Arizona, Inc. | Commercial | $293.13 | ↑ +116% |
| United Healthcare | UHC Core | $307.41 | ↑ +127% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $326.25 | ↑ +141% |
| Plotkin Health | Plotkin Health | $326.25 | ↑ +141% |
| United Healthcare | Commercial | $338.25 | ↑ +150% |
| Aetna | Medical Rental | $382.07 | ↑ +182% |
| Quiktrip Corporation | Commercial | $391.50 | ↑ +189% |
| Aetna | Joint Venture | $504.81 | ↑ +272% |
| Arizona Medical Network | Commercial | $507.50 | ↑ +274% |
| Aetna | Designated Group | $536.38 | ↑ +296% |
| Provider Network of America | Commercial | $543.75 | ↑ +301% |
| Blue Cross Blue Shield of Arizona | BCBSAZ MaricopaFocus | $585.23 | ↑ +332% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $585.23 | ↑ +332% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $624.24 | ↑ +360% |
| Aetna | Broad Network | $631.09 | ↑ +366% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $655.45 | ↑ +383% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $780.30 | ↑ +476% |
| Blue Cross Blue Shield of Arizona | Commercial | $780.30 | ↑ +476% |
| Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Preferred | $780.30 | ↑ +476% |
Visitor-reported prices
Comments
Mopath procedure level 3 at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner University Medical Center Phoenix | Phoenix | $202.28 | $150.33 – $543.75 |
| St. Joseph’s Hospital and Medical Center | Phoenix | $268.17 | $63.14 – $462.15 |
| Banner University Medical Center Tucson | Tucson | $109.59 | $150.33 – $360.80 |
| Banner University Medical Center South | Tucson | $77.12 | $150.33 – $360.80 |
| Banner Baywood Medical Center | Mesa | $158.05 | $150.33 – $543.75 |
| Banner Boswell Medical Center | Sun City | $164.58 | $150.33 – $580.00 |
| Banner Casa Grande Medical Center | Casa Grande | $114.55 | $150.33 – $543.75 |
| Banner Del Webb Medical Center | Sun City West | $129.05 | $150.33 – $580.00 |