Emg 3 ext w-w/o paraspinal area 95863 at Banner Baywood Medical Center
6644 East Baywood Avenue, Mesa, AZ · Banner Health · · NPI 1194758284
$227.36
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.
$902.00
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.
$101.17 with Health Net vs $676.50 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 |
|---|---|---|---|
| Health Net | Medicaid | $101.17 | ↓ -56% |
| Arizona Physicians IPA | Medicaid | $101.17 | ↓ -56% |
| Health Choice Arizona, Inc. | Medicaid | $101.17 | ↓ -56% |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $101.17 | ↓ -56% |
| Mercy Care | Mercy Medicaid | $101.17 | ↓ -56% |
| United Healthcare | UHC Medicare Advantage | $166.76 | ↓ -27% |
| UPMC Health Plan | Medicare Advantage | $166.76 | ↓ -27% |
| TriWest Healthcare Alliance Corp - VA CCN | VA Community Care Network | $166.76 | ↓ -27% |
| Kaiser Foundation Health Plan | Medicare Advantage | $166.76 | ↓ -27% |
| Health Choice Arizona, Inc. | Medicare Advantage | $166.76 | ↓ -27% |
| Blue Cross Blue Shield of Arizona | Medicare Advantage | $166.76 | ↓ -27% |
| Banner Health | Medicare Advantage | $166.76 | ↓ -27% |
| Gila River Health Care Corporation | Managed Care Program | $166.76 | ↓ -27% |
| Care 1st | Medicare Advantage | $166.76 | ↓ -27% |
| Humana | Medicare Advantage | $166.76 | ↓ -27% |
| Arizona Physicians IPA | Medicare Advantage | $166.76 | ↓ -27% |
| Wellpoint | Medicare Advantage HMO | $166.76 | ↓ -27% |
| Health Net | Medicare | $166.76 | ↓ -27% |
| Mercy Care | Mercy Care Advantage | $166.76 | ↓ -27% |
| Aetna | Medicare Advantage | $166.76 | ↓ -27% |
| Banner University Health Plan | University Care Advantage | $166.76 | ↓ -27% |
| Carelon | Medicare Advantage | $175.10 | ↓ -23% |
| Devoted Health Services | Medicare Advantage | $175.10 | ↓ -23% |
| Arizona Priority Care | Medicare Advantage | $183.44 | ↓ -19% |
| Gold Kidney Health Plan | Medicare Advantage | $183.44 | ↓ -19% |
| Aetna | Qualified Health Plan | $226.79 | ↓ -0% |
| United Healthcare | Individual Exchange | $233.46 | ↑ +3% |
| Health Net | Commerical Exchange Product | $246.80 | ↑ +9% |
| Health Choice Arizona, Inc. | ACA Health Plan | $250.14 | ↑ +10% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $266.18 | ↑ +17% |
| Oscar Health Plan | Commercial | $275.15 | ↑ +21% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $283.92 | ↑ +25% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $298.12 | ↑ +31% |
| Aetna | Banner Employee Plans | $303.07 | ↑ +33% |
| Hospice of the Valley | Medicare | $315.70 | ↑ +39% |
| Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Preferred | $354.90 | ↑ +56% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $354.90 | ↑ +56% |
| Blue Cross Blue Shield of Arizona | Commercial | $354.90 | ↑ +56% |
| Plotkin Health | Plotkin Health | $405.90 | ↑ +79% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $405.90 | ↑ +79% |
| Aetna | Joint Venture | $416.72 | ↑ +83% |
| United Healthcare | UHC Doctor's Plan | $437.47 | ↑ +92% |
| Aetna | Designated Group | $442.88 | ↑ +95% |
| United Healthcare | UHC Core | $457.31 | ↑ +101% |
| Aetna | Medical Rental | $475.35 | ↑ +109% |
| United Healthcare | Commercial | $481.67 | ↑ +112% |
| Quiktrip Corporation | Commercial | $487.08 | ↑ +114% |
| Aetna | Broad Network | $520.45 | ↑ +129% |
| Cigna Healthcare of Arizona, Inc. | LocalFlex | $592.61 | ↑ +161% |
| Cigna Healthcare of Arizona, Inc. | Commercial | $619.67 | ↑ +173% |
| Arizona Medical Network | Commercial | $631.40 | ↑ +178% |
| Provider Network of America | Commercial | $676.50 | ↑ +198% |
| TriWest Healthcare Alliance Corp - VA CCN | Tricare | not published by hospital | — |
Visitor-reported prices
Comments
Emg 3 ext w-w/o paraspinal area 95863 at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Desert Medical Center | Mesa | $290.14 | $101.17 – $676.50 |
| Banner Heart Hospital | Mesa | $238.88 | $101.17 – $676.50 |
| Banner University Medical Center Phoenix | Phoenix | $296.79 | $101.17 – $676.50 |
| Banner University Medical Center Tucson | Tucson | $84.83 | $101.17 – $348.00 |
| Banner Boswell Medical Center | Sun City | $217.53 | $101.17 – $721.60 |
| Banner Casa Grande Medical Center | Casa Grande | $221.74 | $101.17 – $676.50 |
| Banner Estrella Medical Center | Phoenix | $269.92 | $101.17 – $676.50 |
| Banner Gateway Medical Center | Gilbert | $310.88 | $101.17 – $676.50 |