Reptilase test at Banner Baywood Medical Center
6644 East Baywood Avenue, Mesa, AZ · Banner Health · · NPI 1194758284
$13.50
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.
$30.00
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.
$9.85 with Mercy Care vs $45.15 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 |
|---|---|---|---|
| Mercy Care | Mercy Care Advantage | $9.85 | ↓ -27% |
| Aetna | Medicare Advantage | $9.85 | ↓ -27% |
| Humana | Medicare Advantage | $9.85 | ↓ -27% |
| Arizona Physicians IPA | Medicare Advantage | $9.85 | ↓ -27% |
| Arizona Physicians IPA | Medicaid | $9.85 | ↓ -27% |
| Wellpoint | Medicare Advantage HMO | $9.85 | ↓ -27% |
| Health Net | Medicaid | $9.85 | ↓ -27% |
| Health Net | Medicare | $9.85 | ↓ -27% |
| United Healthcare | UHC Medicare Advantage | $9.85 | ↓ -27% |
| UPMC Health Plan | Medicare Advantage | $9.85 | ↓ -27% |
| TriWest Healthcare Alliance Corp - VA CCN | VA Community Care Network | $9.85 | ↓ -27% |
| Care 1st | Medicare Advantage | $9.85 | ↓ -27% |
| Kaiser Foundation Health Plan | Medicare Advantage | $9.85 | ↓ -27% |
| Health Choice Arizona, Inc. | Medicare Advantage | $9.85 | ↓ -27% |
| Blue Cross Blue Shield of Arizona | Medicare Advantage | $9.85 | ↓ -27% |
| Health Choice Arizona, Inc. | Medicaid | $9.85 | ↓ -27% |
| Banner Health | Medicare Advantage | $9.85 | ↓ -27% |
| Gila River Health Care Corporation | Managed Care Program | $9.85 | ↓ -27% |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $9.85 | ↓ -27% |
| Banner University Health Plan | University Care Advantage | $9.85 | ↓ -27% |
| Mercy Care | Mercy Medicaid | $9.85 | ↓ -27% |
| Aetna | Banner Employee Plans | $10.08 | ↓ -25% |
| Devoted Health Services | Medicare Advantage | $10.34 | ↓ -23% |
| Carelon | Medicare Advantage | $10.34 | ↓ -23% |
| Hospice of the Valley | Medicare | $10.50 | ↓ -22% |
| Arizona Priority Care | Medicare Advantage | $10.84 | ↓ -20% |
| Gold Kidney Health Plan | Medicare Advantage | $10.84 | ↓ -20% |
| Aetna | Qualified Health Plan | $13.40 | ↓ -1% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $13.50 | ↑ +0% |
| Plotkin Health | Plotkin Health | $13.50 | ↑ +0% |
| United Healthcare | Individual Exchange | $13.79 | ↑ +2% |
| Health Net | Commerical Exchange Product | $14.58 | ↑ +8% |
| Health Choice Arizona, Inc. | ACA Health Plan | $14.78 | ↑ +9% |
| Aetna | Medical Rental | $15.81 | ↑ +17% |
| Quiktrip Corporation | Commercial | $16.20 | ↑ +20% |
| Oscar Health Plan | Commercial | $16.25 | ↑ +20% |
| Cigna Healthcare of Arizona, Inc. | LocalFlex | $17.28 | ↑ +28% |
| United Healthcare | UHC Doctor's Plan | $18.22 | ↑ +35% |
| Cigna Healthcare of Arizona, Inc. | Commercial | $19.20 | ↑ +42% |
| United Healthcare | UHC Core | $20.15 | ↑ +49% |
| Arizona Medical Network | Commercial | $21.00 | ↑ +56% |
| United Healthcare | Commercial | $22.17 | ↑ +64% |
| Provider Network of America | Commercial | $22.50 | ↑ +67% |
| Aetna | Joint Venture | $33.08 | ↑ +145% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $33.86 | ↑ +151% |
| Aetna | Designated Group | $35.14 | ↑ +160% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $36.12 | ↑ +168% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $37.93 | ↑ +181% |
| Aetna | Broad Network | $41.35 | ↑ +206% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $45.15 | ↑ +234% |
| Blue Cross Blue Shield of Arizona | Commercial | $45.15 | ↑ +234% |
| Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Preferred | $45.15 | ↑ +234% |
Visitor-reported prices
Comments
Reptilase test at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Desert Medical Center | Mesa | $5.67 | $9.85 – $22.50 |
| Banner University Medical Center Phoenix | Phoenix | $5.49 | $9.85 – $22.50 |
| Banner University Medical Center Tucson | Tucson | $4.11 | $9.85 – $24.00 |
| Banner University Medical Center South | Tucson | $3.90 | $9.85 – $24.00 |
| Banner Boswell Medical Center | Sun City | $5.55 | $9.85 – $24.00 |
| Banner Casa Grande Medical Center | Casa Grande | $6.36 | $9.85 – $22.50 |
| Banner Del Webb Medical Center | Sun City West | $5.73 | $9.85 – $24.00 |
| Banner Ironwood Medical Center | San Tan Valley | $6.78 | $9.85 – $22.50 |