Ghs simple repair 12.6 - 20.0 cm - 12016 at Banner Baywood Medical Center
6644 East Baywood Avenue, Mesa, AZ · Banner Health · · NPI 1194758284
$522.62
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.
$1,361.00
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.
$250.73 with Mercy Care vs $1,020.75 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 |
|---|---|---|---|
| Mercy Care | Mercy Medicaid | $250.73 | ↓ -52% |
| Health Choice Arizona, Inc. | Medicaid | $250.73 | ↓ -52% |
| Health Net | Medicaid | $250.73 | ↓ -52% |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $250.73 | ↓ -52% |
| Arizona Physicians IPA | Medicaid | $250.73 | ↓ -52% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $410.05 | ↓ -22% |
| United Healthcare | UHC Medicare Advantage | $425.83 | ↓ -19% |
| UPMC Health Plan | Medicare Advantage | $425.83 | ↓ -19% |
| Care 1st | Medicare Advantage | $425.83 | ↓ -19% |
| TriWest Healthcare Alliance Corp - VA CCN | VA Community Care Network | $425.83 | ↓ -19% |
| Blue Cross Blue Shield of Arizona | Medicare Advantage | $425.83 | ↓ -19% |
| Kaiser Foundation Health Plan | Medicare Advantage | $425.83 | ↓ -19% |
| Health Choice Arizona, Inc. | Medicare Advantage | $425.83 | ↓ -19% |
| Banner University Health Plan | University Care Advantage | $425.83 | ↓ -19% |
| Aetna | Medicare Advantage | $425.83 | ↓ -19% |
| Gila River Health Care Corporation | Managed Care Program | $425.83 | ↓ -19% |
| Humana | Medicare Advantage | $425.83 | ↓ -19% |
| Arizona Physicians IPA | Medicare Advantage | $425.83 | ↓ -19% |
| Wellpoint | Medicare Advantage HMO | $425.83 | ↓ -19% |
| Health Net | Medicare | $425.83 | ↓ -19% |
| Mercy Care | Mercy Care Advantage | $425.83 | ↓ -19% |
| Banner Health | Medicare Advantage | $425.83 | ↓ -19% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $437.38 | ↓ -16% |
| Carelon | Medicare Advantage | $447.12 | ↓ -14% |
| Devoted Health Services | Medicare Advantage | $447.12 | ↓ -14% |
| Aetna | Banner Employee Plans | $457.30 | ↓ -12% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $459.25 | ↓ -12% |
| Gold Kidney Health Plan | Medicare Advantage | $468.41 | ↓ -10% |
| Arizona Priority Care | Medicare Advantage | $468.41 | ↓ -10% |
| Hospice of the Valley | Medicare | $476.35 | ↓ -9% |
| Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Preferred | $546.73 | ↑ +5% |
| Blue Cross Blue Shield of Arizona | Commercial | $546.73 | ↑ +5% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $546.73 | ↑ +5% |
| Aetna | Qualified Health Plan | $579.13 | ↑ +11% |
| United Healthcare | Individual Exchange | $596.16 | ↑ +14% |
| Plotkin Health | Plotkin Health | $612.45 | ↑ +17% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $612.45 | ↑ +17% |
| Aetna | Joint Venture | $628.78 | ↑ +20% |
| Health Net | Commerical Exchange Product | $630.23 | ↑ +21% |
| Health Choice Arizona, Inc. | ACA Health Plan | $638.75 | ↑ +22% |
| United Healthcare | UHC Doctor's Plan | $660.09 | ↑ +26% |
| Aetna | Designated Group | $668.25 | ↑ +28% |
| United Healthcare | UHC Core | $690.03 | ↑ +32% |
| Oscar Health Plan | Commercial | $702.62 | ↑ +34% |
| Aetna | Medical Rental | $717.25 | ↑ +37% |
| United Healthcare | Commercial | $726.77 | ↑ +39% |
| Quiktrip Corporation | Commercial | $734.94 | ↑ +41% |
| Aetna | Broad Network | $785.30 | ↑ +50% |
| Cigna Healthcare of Arizona, Inc. | LocalFlex | $894.18 | ↑ +71% |
| Cigna Healthcare of Arizona, Inc. | Commercial | $935.01 | ↑ +79% |
| Arizona Medical Network | Commercial | $952.70 | ↑ +82% |
| Provider Network of America | Commercial | $1,020.75 | ↑ +95% |
| TriWest Healthcare Alliance Corp - VA CCN | Tricare | not published by hospital | — |
Visitor-reported prices
Comments
Ghs simple repair 12.6 - 20.0 cm - 12016 at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Arizona General Hospital Mesa | Mesa | not published | $133.03 – $438.61 |
| Banner University Medical Center Phoenix | Phoenix | $705.00 | $159.53 – $1,020.75 |
| Banner Casa Grande Medical Center | Casa Grande | $612.45 | $240.13 – $1,020.75 |
| Yavapai Regional Medical Center (East) | Prescott | $1,687.31 | $133.03 – $451.38 |
| Mercy Gilbert Medical Center | Gilbert | not published | $133.03 – $425.83 |
| Arizona General Hospital Laveen | Phoenix | not published | $133.03 – $438.61 |
| St. Joseph’s Hospital and Medical Center | Phoenix | not published | $133.03 – $438.60 |
| Chandler Regional Medical Center | Chandler | not published | $133.03 – $209.11 |