Procalcitonin at Banner Baywood Medical Center
6644 East Baywood Avenue, Mesa, AZ · Banner Health · · NPI 1194758284
$26.16
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.
$206.00
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.
$27.22 with Care 1st vs $154.50 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 |
|---|---|---|---|
| Care 1st | Medicare Advantage | $27.22 | ↑ +4% |
| Mercy Care | Mercy Care Advantage | $27.22 | ↑ +4% |
| Aetna | Medicare Advantage | $27.22 | ↑ +4% |
| Humana | Medicare Advantage | $27.22 | ↑ +4% |
| Arizona Physicians IPA | Medicare Advantage | $27.22 | ↑ +4% |
| Arizona Physicians IPA | Medicaid | $27.22 | ↑ +4% |
| Wellpoint | Medicare Advantage HMO | $27.22 | ↑ +4% |
| Health Net | Medicaid | $27.22 | ↑ +4% |
| Health Net | Medicare | $27.22 | ↑ +4% |
| United Healthcare | UHC Medicare Advantage | $27.22 | ↑ +4% |
| UPMC Health Plan | Medicare Advantage | $27.22 | ↑ +4% |
| TriWest Healthcare Alliance Corp - VA CCN | VA Community Care Network | $27.22 | ↑ +4% |
| Kaiser Foundation Health Plan | Medicare Advantage | $27.22 | ↑ +4% |
| Health Choice Arizona, Inc. | Medicare Advantage | $27.22 | ↑ +4% |
| Blue Cross Blue Shield of Arizona | Medicare Advantage | $27.22 | ↑ +4% |
| Health Choice Arizona, Inc. | Medicaid | $27.22 | ↑ +4% |
| Banner Health | Medicare Advantage | $27.22 | ↑ +4% |
| Gila River Health Care Corporation | Managed Care Program | $27.22 | ↑ +4% |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $27.22 | ↑ +4% |
| Banner University Health Plan | University Care Advantage | $27.22 | ↑ +4% |
| Mercy Care | Mercy Medicaid | $27.22 | ↑ +4% |
| Devoted Health Services | Medicare Advantage | $28.58 | ↑ +9% |
| Carelon | Medicare Advantage | $28.58 | ↑ +9% |
| Arizona Priority Care | Medicare Advantage | $29.94 | ↑ +14% |
| Gold Kidney Health Plan | Medicare Advantage | $29.94 | ↑ +14% |
| Aetna | Qualified Health Plan | $37.02 | ↑ +42% |
| United Healthcare | Individual Exchange | $38.11 | ↑ +46% |
| Health Net | Commerical Exchange Product | $40.29 | ↑ +54% |
| Health Choice Arizona, Inc. | ACA Health Plan | $40.83 | ↑ +56% |
| Oscar Health Plan | Commercial | $44.91 | ↑ +72% |
| Cigna Healthcare of Arizona, Inc. | LocalFlex | $47.76 | ↑ +83% |
| United Healthcare | UHC Doctor's Plan | $50.35 | ↑ +92% |
| Cigna Healthcare of Arizona, Inc. | Commercial | $53.07 | ↑ +103% |
| United Healthcare | UHC Core | $55.66 | ↑ +113% |
| United Healthcare | Commercial | $61.24 | ↑ +134% |
| Aetna | Banner Employee Plans | $69.22 | ↑ +165% |
| Hospice of the Valley | Medicare | $72.10 | ↑ +176% |
| Aetna | Joint Venture | $91.40 | ↑ +249% |
| Plotkin Health | Plotkin Health | $92.70 | ↑ +254% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $92.70 | ↑ +254% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $93.55 | ↑ +258% |
| Aetna | Designated Group | $97.12 | ↑ +271% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $99.79 | ↑ +281% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $104.77 | ↑ +300% |
| Aetna | Medical Rental | $108.56 | ↑ +315% |
| Quiktrip Corporation | Commercial | $111.24 | ↑ +325% |
| Aetna | Broad Network | $114.27 | ↑ +337% |
| Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Preferred | $124.73 | ↑ +377% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $124.73 | ↑ +377% |
| Blue Cross Blue Shield of Arizona | Commercial | $124.73 | ↑ +377% |
| Arizona Medical Network | Commercial | $144.20 | ↑ +451% |
| Provider Network of America | Commercial | $154.50 | ↑ +491% |
Visitor-reported prices
Comments
Procalcitonin at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Desert Medical Center | Mesa | $30.90 | $27.22 – $154.50 |
| Banner Heart Hospital | Mesa | $17.30 | $27.22 – $154.50 |
| Arizona General Hospital Mesa | Mesa | $64.97 | $16.33 – $214.88 |
| Mercy Gilbert Medical Center | Gilbert | $75.53 | $27.22 – $236.39 |
| Banner University Medical Center Phoenix | Phoenix | $32.96 | $27.22 – $154.50 |
| Banner University Medical Center Tucson | Tucson | $17.82 | $27.22 – $88.00 |
| Banner University Medical Center South | Tucson | $17.16 | $27.22 – $88.00 |
| Banner Boswell Medical Center | Sun City | $31.11 | $27.22 – $164.80 |