Antibody bacterium, not elsewhere specified at Banner Baywood Medical Center
6644 East Baywood Avenue, Mesa, AZ · Banner Health · · NPI 1194758284
$25.70
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.
$153.00
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.
$12.88 with Gila River Health Care Corporation vs $114.75 with Provider Network of America — 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 |
|---|---|---|---|
| Gila River Health Care Corporation | Managed Care Program | $12.88 | ↓ -50% |
| Wellpoint | Medicare Advantage HMO | $12.88 | ↓ -50% |
| UPMC Health Plan | Medicare Advantage | $12.88 | ↓ -50% |
| United Healthcare | UHC Medicare Advantage | $12.88 | ↓ -50% |
| TriWest Healthcare Alliance Corp - VA CCN | VA Community Care Network | $12.88 | ↓ -50% |
| Aetna | Medicare Advantage | $12.88 | ↓ -50% |
| Mercy Care | Mercy Medicaid | $12.88 | ↓ -50% |
| Mercy Care | Mercy Care Advantage | $12.88 | ↓ -50% |
| Arizona Physicians IPA | Medicaid | $12.88 | ↓ -50% |
| Arizona Physicians IPA | Medicare Advantage | $12.88 | ↓ -50% |
| Health Choice Arizona, Inc. | Medicare Advantage | $12.88 | ↓ -50% |
| Blue Cross Blue Shield of Arizona | Medicare Advantage | $12.88 | ↓ -50% |
| Health Choice Arizona, Inc. | Medicaid | $12.88 | ↓ -50% |
| Care 1st | Medicare Advantage | $12.88 | ↓ -50% |
| Banner Health | Medicare Advantage | $12.88 | ↓ -50% |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $12.88 | ↓ -50% |
| Banner University Health Plan | University Care Advantage | $12.88 | ↓ -50% |
| Kaiser Foundation Health Plan | Medicare Advantage | $12.88 | ↓ -50% |
| Humana | Medicare Advantage | $12.88 | ↓ -50% |
| Health Net | Medicare | $12.88 | ↓ -50% |
| Health Net | Medicaid | $12.88 | ↓ -50% |
| Devoted Health Services | Medicare Advantage | $13.52 | ↓ -47% |
| Carelon | Medicare Advantage | $13.52 | ↓ -47% |
| Arizona Priority Care | Medicare Advantage | $14.17 | ↓ -45% |
| Gold Kidney Health Plan | Medicare Advantage | $14.17 | ↓ -45% |
| Aetna | Qualified Health Plan | $17.52 | ↓ -32% |
| United Healthcare | Individual Exchange | $18.03 | ↓ -30% |
| Health Net | Commerical Exchange Product | $19.06 | ↓ -26% |
| Health Choice Arizona, Inc. | ACA Health Plan | $19.32 | ↓ -25% |
| Oscar Health Plan | Commercial | $21.25 | ↓ -17% |
| Cigna Healthcare of Arizona, Inc. | LocalFlex | $22.60 | ↓ -12% |
| United Healthcare | UHC Doctor's Plan | $23.83 | ↓ -7% |
| Cigna Healthcare of Arizona, Inc. | Commercial | $25.11 | ↓ -2% |
| United Healthcare | UHC Core | $26.34 | ↑ +2% |
| United Healthcare | Commercial | $28.98 | ↑ +13% |
| Aetna | Joint Venture | $43.25 | ↑ +68% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $44.27 | ↑ +72% |
| Aetna | Designated Group | $45.96 | ↑ +79% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $47.22 | ↑ +84% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $49.58 | ↑ +93% |
| Aetna | Banner Employee Plans | $51.41 | ↑ +100% |
| Hospice of the Valley | Medicare | $53.55 | ↑ +108% |
| Aetna | Broad Network | $54.07 | ↑ +110% |
| Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Preferred | $59.02 | ↑ +130% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $59.02 | ↑ +130% |
| Blue Cross Blue Shield of Arizona | Commercial | $59.02 | ↑ +130% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $68.85 | ↑ +168% |
| Plotkin Health | Plotkin Health | $68.85 | ↑ +168% |
| Aetna | Medical Rental | $80.63 | ↑ +214% |
| Quiktrip Corporation | Commercial | $82.62 | ↑ +221% |
| Arizona Medical Network | Commercial | $107.10 | ↑ +317% |
| Provider Network of America | Commercial | $114.75 | ↑ +346% |
Visitor-reported prices
Comments
Antibody bacterium, not elsewhere specified at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Desert Medical Center | Mesa | $39.93 | $12.88 – $114.75 |
| Banner Heart Hospital | Mesa | $28.30 | $12.88 – $114.75 |
| Banner University Medical Center Phoenix | Phoenix | $29.07 | $12.88 – $114.75 |
| Banner University Medical Center Tucson | Tucson | $32.89 | $12.88 – $122.40 |
| Banner University Medical Center South | Tucson | $20.81 | $12.88 – $122.40 |
| Banner Boswell Medical Center | Sun City | $28.00 | $12.88 – $122.40 |
| Banner Casa Grande Medical Center | Casa Grande | $26.01 | $12.88 – $114.75 |
| Banner Del Webb Medical Center | Sun City West | $20.04 | $12.88 – $122.40 |