Clot factor xiii fibrin scrn at Banner Desert Medical Center

1400 South Dobson Road, Mesa, AZ · Banner Health · · NPI 1720011810

Source: hospital's published price file ↗ · Published Mar 2, 2026 · Ingested Aug 12, 2026

$5.29

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$28.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$9.11 with Wellpoint vs $41.75 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 →

Payer
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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
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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
Wellpoint Medicare Advantage HMO $9.11 ↑ +72%
Cigna Healthcare of Arizona, Inc. HMO Medicare Advantage Plans $9.11 ↑ +72%
UPMC Health Plan Medicare Advantage $9.11 ↑ +72%
United Healthcare UHC Medicare Advantage $9.11 ↑ +72%
TriWest Healthcare Alliance Corp - VA CCN VA Community Care Network $9.11 ↑ +72%
Aetna Medicare Advantage $9.11 ↑ +72%
Mercy Care Mercy Medicaid $9.11 ↑ +72%
Mercy Care Mercy Care Advantage $9.11 ↑ +72%
Arizona Physicians IPA Medicaid $9.11 ↑ +72%
Arizona Physicians IPA Medicare Advantage $9.11 ↑ +72%
Kaiser Foundation Health Plan Medicare Advantage $9.11 ↑ +72%
Banner Health Medicare Advantage $9.11 ↑ +72%
Banner University Health Plan AZ Medicaid - AHCCCS $9.11 ↑ +72%
Banner University Health Plan University Care Advantage $9.11 ↑ +72%
Humana Medicare Advantage $9.11 ↑ +72%
Health Net Medicare $9.11 ↑ +72%
Health Net Medicaid $9.11 ↑ +72%
Health Choice Arizona, Inc. Medicare Advantage $9.11 ↑ +72%
Health Choice Arizona, Inc. Medicaid $9.11 ↑ +72%
Gila River Health Care Corporation Managed Care Program $9.11 ↑ +72%
Blue Cross Blue Shield of Arizona Medicare Advantage $9.11 ↑ +72%
Cigna Healthcare of Arizona, Inc. PPO Medicare Advantage Plan $9.11 ↑ +72%
Care 1st Medicare Advantage $9.11 ↑ +72%
Aetna Banner Employee Plans $9.41 ↑ +78%
Devoted Health Services Medicare Advantage $9.57 ↑ +81%
Carelon Medicare Advantage $9.57 ↑ +81%
Hospice of the Valley Medicare $9.80 ↑ +85%
Gold Kidney Health Plan Medicare Advantage $10.02 ↑ +89%
Arizona Priority Care Medicare Advantage $10.02 ↑ +89%
NaphCare Federal Prison System $12.30 ↑ +133%
Aetna Qualified Health Plan $12.39 ↑ +134%
National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) NHSI VUMI $12.60 ↑ +138%
Plotkin Health Plotkin Health $12.60 ↑ +138%
United Healthcare Individual Exchange $12.75 ↑ +141%
Health Net Commerical Exchange Product $13.48 ↑ +155%
Health Choice Arizona, Inc. ACA Health Plan $13.66 ↑ +158%
Aetna Medical Rental $14.76 ↑ +179%
Oscar Health Plan Commercial $15.03 ↑ +184%
Quiktrip Corporation Commercial $15.12 ↑ +186%
Cigna Healthcare of Arizona, Inc. LocalFlex $15.98 ↑ +202%
United Healthcare UHC Doctor's Plan $16.85 ↑ +219%
Cigna Healthcare of Arizona, Inc. Commercial $17.76 ↑ +236%
United Healthcare UHC Core $18.63 ↑ +252%
Arizona Medical Network Commercial $19.60 ↑ +271%
United Healthcare Commercial $20.50 ↑ +288%
Provider Network of America Commercial $21.00 ↑ +297%
Aetna Joint Venture $30.59 ↑ +478%
Blue Cross Blue Shield of Arizona BCBSAZ MaricopaFocus $31.31 ↑ +492%
Blue Cross Blue Shield of Arizona BXBSAZ Neighborhood $31.31 ↑ +492%
Aetna Designated Group $32.50 ↑ +514%
Blue Cross Blue Shield of Arizona BCBSAZ Alliance/Blue HPN $33.40 ↑ +531%
Blue Cross Blue Shield of Arizona BXBSAZ Alliance CHS $35.07 ↑ +563%
Aetna Broad Network $38.24 ↑ +623%
Blue Cross Blue Shield of Arizona Medicare Supplemental Senior Preferred $41.75 ↑ +689%
Blue Cross Blue Shield of Arizona Commercial $41.75 ↑ +689%
Blue Cross Blue Shield of Arizona BCBSAZ Workers Comp $41.75 ↑ +689%

Visitor-reported prices

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Clot factor xiii fibrin scrn at other Arizona hospitals

Hospital City Cash price Negotiated range
Banner Baywood Medical Center Mesa $12.60 $9.11 – $21.00
Arizona General Hospital Mesa Mesa $9.14 $5.46 – $44.30
Mercy Gilbert Medical Center Gilbert $8.97 $5.11 – $28.06
Banner University Medical Center Phoenix Phoenix $5.12 $9.11 – $21.00
Banner University Medical Center Tucson Tucson $3.84 $9.11 – $22.40
Banner University Medical Center South Tucson $3.64 $9.11 – $22.40
Banner Boswell Medical Center Sun City $5.18 $9.11 – $22.40
Banner Casa Grande Medical Center Casa Grande $5.94 $9.11 – $21.00

All Arizona hospitals for this procedure →