Surgical pathology level 1 gross examination only at Banner Estrella Medical Center
9201 West Thomas Road, Phoenix, AZ · Banner Health · · NPI 1275566200
$13.83
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.
$56.00
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.
$17.89 with Health Net vs $62.47 with Aetna — 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 Net | Medicaid | $17.89 | ↑ +29% |
| Arizona Physicians IPA | Medicaid | $17.89 | ↑ +29% |
| Mercy Care | Mercy Medicaid | $17.89 | ↑ +29% |
| Health Choice Arizona, Inc. | Medicaid | $17.89 | ↑ +29% |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $17.89 | ↑ +29% |
| Aetna | Banner Employee Plans | $18.82 | ↑ +36% |
| Hospice of the Valley | Medicare | $19.60 | ↑ +42% |
| Cigna Healthcare of Arizona, Inc. | LocalFlex | $21.01 | ↑ +52% |
| Cigna Healthcare of Arizona, Inc. | Commercial | $23.34 | ↑ +69% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $25.20 | ↑ +82% |
| Plotkin Health | Plotkin Health | $25.20 | ↑ +82% |
| Arizona Physicians IPA | Medicare Advantage | $26.10 | ↑ +89% |
| Gila River Health Care Corporation | Managed Care Program | $26.10 | ↑ +89% |
| Humana | Medicare Advantage | $26.10 | ↑ +89% |
| United Healthcare | UHC Medicare Advantage | $26.10 | ↑ +89% |
| UPMC Health Plan | Medicare Advantage | $26.10 | ↑ +89% |
| Blue Cross Blue Shield of Arizona | Medicare Advantage | $26.10 | ↑ +89% |
| Banner University Health Plan | University Care Advantage | $26.10 | ↑ +89% |
| Mercy Care | Mercy Care Advantage | $26.10 | ↑ +89% |
| Cigna Healthcare of Arizona, Inc. | PPO Medicare Advantage Plan | $26.10 | ↑ +89% |
| Cigna Healthcare of Arizona, Inc. | HMO Medicare Advantage Plans | $26.10 | ↑ +89% |
| Aetna | Medicare Advantage | $26.10 | ↑ +89% |
| Banner Health | Medicare Advantage | $26.10 | ↑ +89% |
| Health Choice Arizona, Inc. | Medicare Advantage | $26.10 | ↑ +89% |
| Kaiser Foundation Health Plan | Medicare Advantage | $26.10 | ↑ +89% |
| TriWest Healthcare Alliance Corp - VA CCN | VA Community Care Network | $26.10 | ↑ +89% |
| Health Net | Medicare | $26.10 | ↑ +89% |
| Wellpoint | Medicare Advantage HMO | $26.10 | ↑ +89% |
| Care 1st | Medicare Advantage | $26.10 | ↑ +89% |
| Carelon | Medicare Advantage | $27.41 | ↑ +98% |
| Devoted Health Services | Medicare Advantage | $27.41 | ↑ +98% |
| Gold Kidney Health Plan | Medicare Advantage | $28.71 | ↑ +108% |
| Arizona Priority Care | Medicare Advantage | $28.71 | ↑ +108% |
| Aetna | Medical Rental | $29.51 | ↑ +113% |
| Quiktrip Corporation | Commercial | $30.24 | ↑ +119% |
| NaphCare | Federal Prison System | $35.23 | ↑ +155% |
| Aetna | Qualified Health Plan | $35.50 | ↑ +157% |
| United Healthcare | Individual Exchange | $36.54 | ↑ +164% |
| Health Net | Commerical Exchange Product | $38.63 | ↑ +179% |
| Health Choice Arizona, Inc. | ACA Health Plan | $39.15 | ↑ +183% |
| Arizona Medical Network | Commercial | $39.20 | ↑ +183% |
| Provider Network of America | Commercial | $42.00 | ↑ +204% |
| Oscar Health Plan | Commercial | $43.06 | ↑ +211% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $44.46 | ↑ +221% |
| Blue Cross Blue Shield of Arizona | BCBSAZ MaricopaFocus | $44.46 | ↑ +221% |
| United Healthcare | UHC Doctor's Plan | $45.63 | ↑ +230% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $47.42 | ↑ +243% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $49.79 | ↑ +260% |
| Aetna | Joint Venture | $49.97 | ↑ +261% |
| United Healthcare | UHC Core | $51.59 | ↑ +273% |
| Aetna | Designated Group | $53.09 | ↑ +284% |
| United Healthcare | Commercial | $55.52 | ↑ +301% |
| Blue Cross Blue Shield of Arizona | Commercial | $59.28 | ↑ +329% |
| Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Preferred | $59.28 | ↑ +329% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $59.28 | ↑ +329% |
| Aetna | Broad Network | $62.47 | ↑ +352% |
| TriWest Healthcare Alliance Corp - VA CCN | Tricare | not published by hospital | — |
Visitor-reported prices
Comments
Surgical pathology level 1 gross examination only at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner University Medical Center Phoenix | Phoenix | $15.57 | $17.30 – $43.06 |
| Arizona General Hospital Laveen | Phoenix | $106.26 | $17.02 – $379.09 |
| St. Joseph’s Hospital and Medical Center | Phoenix | $69.15 | $11.92 – $142.99 |
| Mercy Gilbert Medical Center | Gilbert | $25.59 | $14.56 – $80.08 |
| Banner University Medical Center Tucson | Tucson | $14.04 | $17.89 – $43.06 |
| Banner University Medical Center South | Tucson | $14.89 | $17.89 – $43.06 |
| Banner Baywood Medical Center | Mesa | $12.32 | $17.89 – $43.06 |
| Banner Boswell Medical Center | Sun City | $12.26 | $17.89 – $44.80 |