C1 esterase inhibitor func - sendout at Banner Baywood Medical Center
6644 East Baywood Avenue, Mesa, AZ · Banner Health · · NPI 1194758284
$50.40
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.
$300.00
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.
$12.00 with Gila River Health Care Corporation vs $54.99 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 |
|---|---|---|---|
| Gila River Health Care Corporation | Managed Care Program | $12.00 | ↓ -76% |
| Wellpoint | Medicare Advantage HMO | $12.00 | ↓ -76% |
| UPMC Health Plan | Medicare Advantage | $12.00 | ↓ -76% |
| United Healthcare | UHC Medicare Advantage | $12.00 | ↓ -76% |
| TriWest Healthcare Alliance Corp - VA CCN | VA Community Care Network | $12.00 | ↓ -76% |
| Aetna | Medicare Advantage | $12.00 | ↓ -76% |
| Mercy Care | Mercy Medicaid | $12.00 | ↓ -76% |
| Mercy Care | Mercy Care Advantage | $12.00 | ↓ -76% |
| Arizona Physicians IPA | Medicaid | $12.00 | ↓ -76% |
| Arizona Physicians IPA | Medicare Advantage | $12.00 | ↓ -76% |
| Health Choice Arizona, Inc. | Medicare Advantage | $12.00 | ↓ -76% |
| Blue Cross Blue Shield of Arizona | Medicare Advantage | $12.00 | ↓ -76% |
| Health Choice Arizona, Inc. | Medicaid | $12.00 | ↓ -76% |
| Care 1st | Medicare Advantage | $12.00 | ↓ -76% |
| Banner Health | Medicare Advantage | $12.00 | ↓ -76% |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $12.00 | ↓ -76% |
| Banner University Health Plan | University Care Advantage | $12.00 | ↓ -76% |
| Kaiser Foundation Health Plan | Medicare Advantage | $12.00 | ↓ -76% |
| Humana | Medicare Advantage | $12.00 | ↓ -76% |
| Health Net | Medicare | $12.00 | ↓ -76% |
| Health Net | Medicaid | $12.00 | ↓ -76% |
| Devoted Health Services | Medicare Advantage | $12.60 | ↓ -75% |
| Carelon | Medicare Advantage | $12.60 | ↓ -75% |
| Arizona Priority Care | Medicare Advantage | $13.20 | ↓ -74% |
| Gold Kidney Health Plan | Medicare Advantage | $13.20 | ↓ -74% |
| Aetna | Qualified Health Plan | $16.32 | ↓ -68% |
| United Healthcare | Individual Exchange | $16.80 | ↓ -67% |
| Health Net | Commerical Exchange Product | $17.76 | ↓ -65% |
| Health Choice Arizona, Inc. | ACA Health Plan | $18.00 | ↓ -64% |
| Oscar Health Plan | Commercial | $19.80 | ↓ -61% |
| Cigna Healthcare of Arizona, Inc. | LocalFlex | $21.06 | ↓ -58% |
| Aetna | Banner Employee Plans | $22.18 | ↓ -56% |
| United Healthcare | UHC Doctor's Plan | $22.20 | ↓ -56% |
| Hospice of the Valley | Medicare | $23.10 | ↓ -54% |
| Cigna Healthcare of Arizona, Inc. | Commercial | $23.40 | ↓ -54% |
| United Healthcare | UHC Core | $24.54 | ↓ -51% |
| United Healthcare | Commercial | $27.00 | ↓ -46% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $29.70 | ↓ -41% |
| Plotkin Health | Plotkin Health | $29.70 | ↓ -41% |
| Aetna | Medical Rental | $34.78 | ↓ -31% |
| Quiktrip Corporation | Commercial | $35.64 | ↓ -29% |
| Aetna | Joint Venture | $40.30 | ↓ -20% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $41.24 | ↓ -18% |
| Aetna | Designated Group | $42.82 | ↓ -15% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $43.99 | ↓ -13% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $46.19 | ↓ -8% |
| Arizona Medical Network | Commercial | $46.20 | ↓ -8% |
| Provider Network of America | Commercial | $49.50 | ↓ -2% |
| Aetna | Broad Network | $50.38 | ↓ -0% |
| Blue Cross Blue Shield of Arizona | Commercial | $54.99 | ↑ +9% |
| Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Preferred | $54.99 | ↑ +9% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $54.99 | ↑ +9% |
Visitor-reported prices
Comments
C1 esterase inhibitor func - sendout at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Desert Medical Center | Mesa | $78.30 | $12.00 – $49.50 |
| Banner Heart Hospital | Mesa | $55.50 | $12.00 – $49.50 |
| Arizona General Hospital Mesa | Mesa | $11.86 | $7.20 – $58.40 |
| Mercy Gilbert Medical Center | Gilbert | $295.20 | $6.72 – $36.96 |
| Banner University Medical Center Phoenix | Phoenix | $57.00 | $12.00 – $49.50 |
| Banner University Medical Center Tucson | Tucson | $64.50 | $12.00 – $52.80 |
| Banner University Medical Center South | Tucson | $40.80 | $12.00 – $52.80 |
| Banner Boswell Medical Center | Sun City | $54.90 | $12.00 – $52.80 |