Plmt biliary drainage cath at Banner Baywood Medical Center
6644 East Baywood Avenue, Mesa, AZ · Banner Health · · NPI 1194758284
$1,947.35
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.
$5,694.00
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.
$1,992.90 with Hospice of the Valley vs $16,820.00 with Cigna Healthcare of Arizona, Inc. — 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 |
|---|---|---|---|
| Hospice of the Valley | Medicare | $1,992.90 | ↑ +2% |
| Health Choice Arizona, Inc. | Medicaid | $2,307.97 | ↑ +19% |
| Mercy Care | Mercy Medicaid | $2,307.97 | ↑ +19% |
| Arizona Physicians IPA | Medicaid | $2,307.97 | ↑ +19% |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $2,307.97 | ↑ +19% |
| Health Net | Medicaid | $2,307.97 | ↑ +19% |
| Plotkin Health | Plotkin Health | $2,562.30 | ↑ +32% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $2,562.30 | ↑ +32% |
| Aetna | Banner Employee Plans | $2,633.00 | ↑ +35% |
| Aetna | Medical Rental | $3,000.74 | ↑ +54% |
| Quiktrip Corporation | Commercial | $3,074.76 | ↑ +58% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $3,268.08 | ↑ +68% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $3,485.96 | ↑ +79% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $3,660.23 | ↑ +88% |
| Arizona Physicians IPA | Medicare Advantage | $3,761.34 | ↑ +93% |
| Gila River Health Care Corporation | Managed Care Program | $3,761.34 | ↑ +93% |
| Humana | Medicare Advantage | $3,761.34 | ↑ +93% |
| United Healthcare | UHC Medicare Advantage | $3,761.34 | ↑ +93% |
| UPMC Health Plan | Medicare Advantage | $3,761.34 | ↑ +93% |
| Blue Cross Blue Shield of Arizona | Medicare Advantage | $3,761.34 | ↑ +93% |
| Banner University Health Plan | University Care Advantage | $3,761.34 | ↑ +93% |
| Mercy Care | Mercy Care Advantage | $3,761.34 | ↑ +93% |
| Aetna | Medicare Advantage | $3,761.34 | ↑ +93% |
| Banner Health | Medicare Advantage | $3,761.34 | ↑ +93% |
| Health Choice Arizona, Inc. | Medicare Advantage | $3,761.34 | ↑ +93% |
| Kaiser Foundation Health Plan | Medicare Advantage | $3,761.34 | ↑ +93% |
| TriWest Healthcare Alliance Corp - VA CCN | VA Community Care Network | $3,761.34 | ↑ +93% |
| Health Net | Medicare | $3,761.34 | ↑ +93% |
| Wellpoint | Medicare Advantage HMO | $3,761.34 | ↑ +93% |
| Care 1st | Medicare Advantage | $3,761.34 | ↑ +93% |
| Carelon | Medicare Advantage | $3,949.41 | ↑ +103% |
| Devoted Health Services | Medicare Advantage | $3,949.41 | ↑ +103% |
| Arizona Medical Network | Commercial | $3,985.80 | ↑ +105% |
| Arizona Priority Care | Medicare Advantage | $4,137.47 | ↑ +112% |
| Gold Kidney Health Plan | Medicare Advantage | $4,137.47 | ↑ +112% |
| Provider Network of America | Commercial | $4,270.50 | ↑ +119% |
| Blue Cross Blue Shield of Arizona | Commercial | $4,357.45 | ↑ +124% |
| Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Preferred | $4,357.45 | ↑ +124% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $4,357.45 | ↑ +124% |
| Aetna | Qualified Health Plan | $5,115.42 | ↑ +163% |
| Aetna | Joint Venture | $5,186.00 | ↑ +166% |
| United Healthcare | Individual Exchange | $5,265.88 | ↑ +170% |
| Aetna | Designated Group | $5,511.00 | ↑ +183% |
| Health Net | Commerical Exchange Product | $5,566.78 | ↑ +186% |
| Health Choice Arizona, Inc. | ACA Health Plan | $5,642.01 | ↑ +190% |
| Oscar Health Plan | Commercial | $6,206.21 | ↑ +219% |
| Aetna | Broad Network | $6,483.00 | ↑ +233% |
| United Healthcare | UHC Doctor's Plan | $6,560.00 | ↑ +237% |
| United Healthcare | UHC Core | $6,856.00 | ↑ +252% |
| United Healthcare | Commercial | $7,217.00 | ↑ +271% |
| Cigna Healthcare of Arizona, Inc. | LocalFlex | $15,138.00 | ↑ +677% |
| Cigna Healthcare of Arizona, Inc. | Commercial | $16,820.00 | ↑ +764% |
| TriWest Healthcare Alliance Corp - VA CCN | Tricare | not published by hospital | — |
Visitor-reported prices
Comments
Plmt biliary drainage cath at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Desert Medical Center | Mesa | $2,015.68 | $1,992.90 – $6,206.21 |
| Banner Heart Hospital | Mesa | $1,611.40 | $1,992.90 – $6,206.21 |
| Arizona General Hospital Mesa | Mesa | not published | $376.21 – $3,874.19 |
| Banner University Medical Center Phoenix | Phoenix | $2,038.45 | $1,271.44 – $6,206.21 |
| Banner University Medical Center Tucson | Tucson | $2,207.77 | $2,128.70 – $6,206.21 |
| Banner University Medical Center South | Tucson | $3,205.21 | $1,963.82 – $6,206.21 |
| Banner Boswell Medical Center | Sun City | $1,645.57 | $1,992.90 – $6,206.21 |
| Banner Casa Grande Medical Center | Casa Grande | $1,577.24 | $1,913.86 – $5,642.01 |