Ndl round specialty proguide at Banner Baywood Medical Center
6644 East Baywood Avenue, Mesa, AZ · Banner Health · · NPI 1194758284
$137.00
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.
$588.00
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.
$33.20 with Aetna vs $706.78 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 |
|---|---|---|---|
| Aetna | Medicare Advantage | $33.20 | ↓ -76% |
| Mercy Care | Mercy Medicaid | $34.36 | ↓ -75% |
| Arizona Physicians IPA | Medicaid | $34.36 | ↓ -75% |
| Health Net | Medicaid | $34.36 | ↓ -75% |
| Health Choice Arizona, Inc. | Medicaid | $34.36 | ↓ -75% |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $34.36 | ↓ -75% |
| Aetna | Qualified Health Plan | $42.16 | ↓ -69% |
| Health Choice Arizona, Inc. | Medicare Advantage | $49.80 | ↓ -64% |
| Aetna | Banner Employee Plans | $55.78 | ↓ -59% |
| Hospice of the Valley | Medicare | $58.10 | ↓ -58% |
| Arizona Priority Care | Medicare Advantage | $66.40 | ↓ -52% |
| Plotkin Health | Plotkin Health | $74.70 | ↓ -45% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $74.70 | ↓ -45% |
| Aetna | Joint Venture | $76.69 | ↓ -44% |
| United Healthcare | UHC Doctor's Plan | $80.51 | ↓ -41% |
| Aetna | Designated Group | $81.51 | ↓ -41% |
| Oscar Health Plan | Commercial | $83.00 | ↓ -39% |
| Health Net | Medicare | $83.00 | ↓ -39% |
| Health Choice Arizona, Inc. | ACA Health Plan | $83.00 | ↓ -39% |
| United Healthcare | UHC Core | $84.16 | ↓ -39% |
| Aetna | Medical Rental | $87.48 | ↓ -36% |
| United Healthcare | Commercial | $88.64 | ↓ -35% |
| Quiktrip Corporation | Commercial | $89.64 | ↓ -35% |
| Health Net | Commerical Exchange Product | $89.64 | ↓ -35% |
| Aetna | Broad Network | $95.78 | ↓ -30% |
| Cigna Healthcare of Arizona, Inc. | LocalFlex | $109.06 | ↓ -20% |
| Cigna Healthcare of Arizona, Inc. | Commercial | $114.04 | ↓ -17% |
| Arizona Medical Network | Commercial | $116.20 | ↓ -15% |
| Provider Network of America | Commercial | $124.50 | ↓ -9% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $530.08 | ↑ +287% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $565.42 | ↑ +313% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $593.69 | ↑ +333% |
| Blue Cross Blue Shield of Arizona | Commercial | $706.78 | ↑ +416% |
| Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Preferred | $706.78 | ↑ +416% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $706.78 | ↑ +416% |
Visitor-reported prices
Comments
Ndl round specialty proguide at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Desert Medical Center | Mesa | $91.14 | $33.20 – $530.08 |
| Banner Heart Hospital | Mesa | $97.61 | $29.55 – $444.51 |
| Mercy Gilbert Medical Center | Gilbert | $216.48 | $14.56 – $104.00 |
| Banner University Medical Center Phoenix | Phoenix | $126.42 | $33.20 – $206.23 |
| Banner University Medical Center Tucson | Tucson | $119.36 | $33.20 – $452.24 |
| Banner University Medical Center South | Tucson | $124.07 | $33.20 – $318.53 |
| Banner Boswell Medical Center | Sun City | $91.73 | $33.20 – $404.75 |
| Banner Casa Grande Medical Center | Casa Grande | $33.03 | $33.20 – $310.43 |