Sm-153 lexidron ther at Banner Baywood Medical Center
6644 East Baywood Avenue, Mesa, AZ · Banner Health · · NPI 1194758284
$16,611.85
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.
$18,665.00
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.
$4,314.91 with Blue Cross Blue Shield of Arizona vs $117,270.66 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 |
|---|---|---|---|
| Blue Cross Blue Shield of Arizona | Medicare Advantage | $4,314.91 | ↓ -74% |
| Wellpoint | Medicare Advantage HMO | $4,314.91 | ↓ -74% |
| UPMC Health Plan | Medicare Advantage | $4,314.91 | ↓ -74% |
| United Healthcare | UHC Medicare Advantage | $4,314.91 | ↓ -74% |
| TriWest Healthcare Alliance Corp - VA CCN | VA Community Care Network | $4,314.91 | ↓ -74% |
| Aetna | Medicare Advantage | $4,314.91 | ↓ -74% |
| Mercy Care | Mercy Care Advantage | $4,314.91 | ↓ -74% |
| Kaiser Foundation Health Plan | Medicare Advantage | $4,314.91 | ↓ -74% |
| Humana | Medicare Advantage | $4,314.91 | ↓ -74% |
| Arizona Physicians IPA | Medicare Advantage | $4,314.91 | ↓ -74% |
| Health Net | Medicare | $4,314.91 | ↓ -74% |
| Banner Health | Medicare Advantage | $4,314.91 | ↓ -74% |
| Health Choice Arizona, Inc. | Medicare Advantage | $4,314.91 | ↓ -74% |
| Banner University Health Plan | University Care Advantage | $4,314.91 | ↓ -74% |
| Gila River Health Care Corporation | Managed Care Program | $4,314.91 | ↓ -74% |
| Care 1st | Medicare Advantage | $4,314.91 | ↓ -74% |
| Devoted Health Services | Medicare Advantage | $4,530.66 | ↓ -73% |
| Carelon | Medicare Advantage | $4,530.66 | ↓ -73% |
| Arizona Priority Care | Medicare Advantage | $4,746.40 | ↓ -71% |
| Gold Kidney Health Plan | Medicare Advantage | $4,746.40 | ↓ -71% |
| Aetna | Qualified Health Plan | $5,868.28 | ↓ -65% |
| United Healthcare | Individual Exchange | $6,040.87 | ↓ -64% |
| Aetna | Banner Employee Plans | $6,271.44 | ↓ -62% |
| Health Net | Commerical Exchange Product | $6,386.07 | ↓ -62% |
| Health Choice Arizona, Inc. | ACA Health Plan | $6,472.36 | ↓ -61% |
| Hospice of the Valley | Medicare | $6,532.75 | ↓ -61% |
| Oscar Health Plan | Commercial | $7,119.60 | ↓ -57% |
| Plotkin Health | Plotkin Health | $8,399.25 | ↓ -49% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $8,399.25 | ↓ -49% |
| Aetna | Joint Venture | $8,623.23 | ↓ -48% |
| Aetna | Designated Group | $9,164.51 | ↓ -45% |
| Aetna | Medical Rental | $9,836.45 | ↓ -41% |
| Quiktrip Corporation | Commercial | $10,079.10 | ↓ -39% |
| Aetna | Broad Network | $10,769.70 | ↓ -35% |
| Arizona Medical Network | Commercial | $13,065.50 | ↓ -21% |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $13,807.88 | ↓ -17% |
| Health Choice Arizona, Inc. | Medicaid | $13,807.88 | ↓ -17% |
| Health Net | Medicaid | $13,807.88 | ↓ -17% |
| Arizona Physicians IPA | Medicaid | $13,807.88 | ↓ -17% |
| Mercy Care | Mercy Medicaid | $13,807.88 | ↓ -17% |
| Provider Network of America | Commercial | $13,998.75 | ↓ -16% |
| Cigna Healthcare of Arizona, Inc. | LocalFlex | $24,663.68 | ↑ +48% |
| Cigna Healthcare of Arizona, Inc. | Commercial | $27,404.09 | ↑ +65% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $87,953.00 | ↑ +429% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $93,816.53 | ↑ +465% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $98,506.61 | ↑ +493% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $117,270.66 | ↑ +606% |
| Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Preferred | $117,270.66 | ↑ +606% |
| Blue Cross Blue Shield of Arizona | Commercial | $117,270.66 | ↑ +606% |
| TriWest Healthcare Alliance Corp - VA CCN | Tricare | not published by hospital | — |
Visitor-reported prices
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Sm-153 lexidron ther at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Desert Medical Center | Mesa | $5,589.81 | $4,314.91 – $13,033.50 |
| Banner Heart Hospital | Mesa | $4,943.05 | $4,314.91 – $13,998.75 |
| Banner University Medical Center Phoenix | Phoenix | $8,207.97 | $4,314.91 – $15,125.25 |
| Banner Boswell Medical Center | Sun City | $3,929.46 | $4,314.91 – $13,035.20 |
| Banner Del Webb Medical Center | Sun City West | $4,343.36 | $4,314.91 – $13,054.40 |
| Banner Estrella Medical Center | Phoenix | $5,745.00 | $4,314.91 – $14,398.50 |