healthcosts.net
Total Knee Replacement at Banner Baywood Medical Center
6644 East Baywood Avenue, Mesa, AZ · Banner Health · · NPI 1194758284
not published by hospital
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.
not published by hospital
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.
$8,928.20 with Arizona Physicians IPA vs $26,169.90 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 |
|---|---|---|---|
| Arizona Physicians IPA | Medicaid | $8,928.20 | — |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $8,928.20 | — |
| Health Choice Arizona, Inc. | Medicaid | $8,928.20 | — |
| Health Net | Medicaid | $8,928.20 | — |
| Mercy Care | Mercy Medicaid | $8,928.20 | — |
| Aetna | Joint Venture | $14,853.00 | — |
| Aetna | Designated Group | $15,781.00 | — |
| Aetna | Broad Network | $18,566.00 | — |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $19,627.42 | — |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $20,935.92 | — |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $21,982.55 | — |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $26,169.90 | — |
| Blue Cross Blue Shield of Arizona | Commercial | $26,169.90 | — |
| Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Preferred | $26,169.90 | — |
| TriWest Healthcare Alliance Corp - VA CCN | Tricare | not published by hospital | — |
Visitor-reported prices
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Total Knee Replacement at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Desert Medical Center | Mesa | not published | $8,928.20 – $19,627.42 |
| Banner University Medical Center Phoenix | Phoenix | not published | $7,636.00 – $14,853.00 |
| Banner University Medical Center Tucson | Tucson | not published | $8,928.20 – $16,745.25 |
| Banner Boswell Medical Center | Sun City | not published | $8,928.20 – $14,986.90 |
| Banner Casa Grande Medical Center | Casa Grande | not published | $8,928.20 – $12,080.00 |
| Banner Del Webb Medical Center | Sun City West | not published | $7,636.00 – $14,853.00 |
| Banner Estrella Medical Center | Phoenix | not published | $8,928.20 – $19,627.42 |
| Banner Ironwood Medical Center | San Tan Valley | not published | $8,928.20 – $19,627.42 |