Removal biliary drg cath at Banner Baywood Medical Center
6644 East Baywood Avenue, Mesa, AZ · Banner Health · · NPI 1194758284
$719.57
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.
$2,104.00
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.
$586.96 with Arizona Physicians IPA vs $5,506.00 with Aetna — 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 |
|---|---|---|---|
| Arizona Physicians IPA | Medicaid | $586.96 | ↓ -18% |
| Health Net | Medicaid | $586.96 | ↓ -18% |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $586.96 | ↓ -18% |
| Mercy Care | Mercy Medicaid | $586.96 | ↓ -18% |
| Health Choice Arizona, Inc. | Medicaid | $586.96 | ↓ -18% |
| Hospice of the Valley | Medicare | $736.40 | ↑ +2% |
| Plotkin Health | Plotkin Health | $946.80 | ↑ +32% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $946.80 | ↑ +32% |
| TriWest Healthcare Alliance Corp - VA CCN | VA Community Care Network | $999.27 | ↑ +39% |
| Kaiser Foundation Health Plan | Medicare Advantage | $999.27 | ↑ +39% |
| Care 1st | Medicare Advantage | $999.27 | ↑ +39% |
| Blue Cross Blue Shield of Arizona | Medicare Advantage | $999.27 | ↑ +39% |
| Banner Health | Medicare Advantage | $999.27 | ↑ +39% |
| Gila River Health Care Corporation | Managed Care Program | $999.27 | ↑ +39% |
| Banner University Health Plan | University Care Advantage | $999.27 | ↑ +39% |
| Mercy Care | Mercy Care Advantage | $999.27 | ↑ +39% |
| Health Choice Arizona, Inc. | Medicare Advantage | $999.27 | ↑ +39% |
| Aetna | Medicare Advantage | $999.27 | ↑ +39% |
| Humana | Medicare Advantage | $999.27 | ↑ +39% |
| Arizona Physicians IPA | Medicare Advantage | $999.27 | ↑ +39% |
| Wellpoint | Medicare Advantage HMO | $999.27 | ↑ +39% |
| Health Net | Medicare | $999.27 | ↑ +39% |
| United Healthcare | UHC Medicare Advantage | $999.27 | ↑ +39% |
| UPMC Health Plan | Medicare Advantage | $999.27 | ↑ +39% |
| Devoted Health Services | Medicare Advantage | $1,049.23 | ↑ +46% |
| Carelon | Medicare Advantage | $1,049.23 | ↑ +46% |
| Arizona Priority Care | Medicare Advantage | $1,099.20 | ↑ +53% |
| Gold Kidney Health Plan | Medicare Advantage | $1,099.20 | ↑ +53% |
| Aetna | Medical Rental | $1,108.81 | ↑ +54% |
| Quiktrip Corporation | Commercial | $1,136.16 | ↑ +58% |
| Aetna | Banner Employee Plans | $1,170.00 | ↑ +63% |
| Aetna | Qualified Health Plan | $1,359.01 | ↑ +89% |
| United Healthcare | Individual Exchange | $1,398.98 | ↑ +94% |
| Arizona Medical Network | Commercial | $1,472.80 | ↑ +105% |
| Health Net | Commerical Exchange Product | $1,478.92 | ↑ +106% |
| Health Choice Arizona, Inc. | ACA Health Plan | $1,498.90 | ↑ +108% |
| Provider Network of America | Commercial | $1,578.00 | ↑ +119% |
| Oscar Health Plan | Commercial | $1,648.80 | ↑ +129% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $2,440.42 | ↑ +239% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $2,603.12 | ↑ +262% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $2,733.25 | ↑ +280% |
| Blue Cross Blue Shield of Arizona | Commercial | $3,253.90 | ↑ +352% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $3,253.90 | ↑ +352% |
| Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Preferred | $3,253.90 | ↑ +352% |
| Cigna Healthcare of Arizona, Inc. | LocalFlex | $4,018.00 | ↑ +458% |
| Aetna | Joint Venture | $4,405.00 | ↑ +512% |
| Cigna Healthcare of Arizona, Inc. | Commercial | $4,464.00 | ↑ +520% |
| United Healthcare | UHC Doctor's Plan | $4,640.00 | ↑ +545% |
| Aetna | Designated Group | $4,680.00 | ↑ +550% |
| United Healthcare | UHC Core | $4,850.00 | ↑ +574% |
| United Healthcare | Commercial | $5,105.00 | ↑ +609% |
| Aetna | Broad Network | $5,506.00 | ↑ +665% |
| TriWest Healthcare Alliance Corp - VA CCN | Tricare | not published by hospital | — |
Visitor-reported prices
Comments
Removal biliary drg cath at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Desert Medical Center | Mesa | $744.82 | $586.96 – $1,648.80 |
| Banner Heart Hospital | Mesa | $595.43 | $586.96 – $1,648.80 |
| Arizona General Hospital Mesa | Mesa | not published | $98.70 – $1,029.25 |
| Mercy Gilbert Medical Center | Gilbert | $781.30 | $98.70 – $2,445.52 |
| Banner University Medical Center Phoenix | Phoenix | $753.23 | $586.96 – $1,648.80 |
| Banner University Medical Center Tucson | Tucson | $884.99 | $586.96 – $1,950.40 |
| Banner University Medical Center South | Tucson | $1,284.83 | $586.96 – $1,950.40 |
| Banner Boswell Medical Center | Sun City | $608.06 | $586.96 – $1,683.20 |