healthcosts.net
Proton trmt simple w/comp at Banner Desert Medical Center
1400 South Dobson Road, Mesa, AZ · Banner Health · · NPI 1720011810
$975.12
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.
$2,040.00
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.
$685.44 with Aetna vs $2,420.00 with United Healthcare — 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 |
|---|---|---|---|
| Aetna | Banner Employee Plans | $685.44 | ↓ -30% |
| Hospice of the Valley | Medicare | $714.00 | ↓ -27% |
| Plotkin Health | Plotkin Health | $918.00 | ↓ -6% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $918.00 | ↓ -6% |
| Blue Cross Blue Shield of Arizona | BCBSAZ MaricopaFocus | $927.64 | ↓ -5% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $927.64 | ↓ -5% |
| Mercy Care | Mercy Medicaid | $940.99 | ↓ -4% |
| Arizona Physicians IPA | Medicaid | $940.99 | ↓ -4% |
| Health Net | Medicaid | $940.99 | ↓ -4% |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $940.99 | ↓ -4% |
| Health Choice Arizona, Inc. | Medicaid | $940.99 | ↓ -4% |
| Aetna | Joint Venture | $942.48 | ↓ -3% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $989.49 | ↑ +1% |
| Aetna | Designated Group | $1,001.64 | ↑ +3% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $1,038.95 | ↑ +7% |
| Aetna | Medical Rental | $1,075.08 | ↑ +10% |
| Quiktrip Corporation | Commercial | $1,101.60 | ↑ +13% |
| Aetna | Broad Network | $1,177.08 | ↑ +21% |
| Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Preferred | $1,236.86 | ↑ +27% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $1,236.86 | ↑ +27% |
| Blue Cross Blue Shield of Arizona | Commercial | $1,236.86 | ↑ +27% |
| Cigna Healthcare of Arizona, Inc. | LocalFlex | $1,340.28 | ↑ +37% |
| Care 1st | Medicare Advantage | $1,359.46 | ↑ +39% |
| Wellpoint | Medicare Advantage HMO | $1,359.46 | ↑ +39% |
| Cigna Healthcare of Arizona, Inc. | HMO Medicare Advantage Plans | $1,359.46 | ↑ +39% |
| Cigna Healthcare of Arizona, Inc. | PPO Medicare Advantage Plan | $1,359.46 | ↑ +39% |
| Gila River Health Care Corporation | Managed Care Program | $1,359.46 | ↑ +39% |
| Banner University Health Plan | University Care Advantage | $1,359.46 | ↑ +39% |
| Health Choice Arizona, Inc. | Medicare Advantage | $1,359.46 | ↑ +39% |
| Banner Health | Medicare Advantage | $1,359.46 | ↑ +39% |
| Health Net | Medicare | $1,359.46 | ↑ +39% |
| Humana | Medicare Advantage | $1,359.46 | ↑ +39% |
| Kaiser Foundation Health Plan | Medicare Advantage | $1,359.46 | ↑ +39% |
| Mercy Care | Mercy Care Advantage | $1,359.46 | ↑ +39% |
| Arizona Physicians IPA | Medicare Advantage | $1,359.46 | ↑ +39% |
| Aetna | Medicare Advantage | $1,359.46 | ↑ +39% |
| TriWest Healthcare Alliance Corp - VA CCN | VA Community Care Network | $1,359.46 | ↑ +39% |
| United Healthcare | UHC Medicare Advantage | $1,359.46 | ↑ +39% |
| UPMC Health Plan | Medicare Advantage | $1,359.46 | ↑ +39% |
| Blue Cross Blue Shield of Arizona | Medicare Advantage | $1,359.46 | ↑ +39% |
| Cigna Healthcare of Arizona, Inc. | Commercial | $1,401.48 | ↑ +44% |
| Carelon | Medicare Advantage | $1,427.43 | ↑ +46% |
| Devoted Health Services | Medicare Advantage | $1,427.43 | ↑ +46% |
| Arizona Medical Network | Commercial | $1,428.00 | ↑ +46% |
| Arizona Priority Care | Medicare Advantage | $1,495.41 | ↑ +53% |
| Gold Kidney Health Plan | Medicare Advantage | $1,495.41 | ↑ +53% |
| Provider Network of America | Commercial | $1,530.00 | ↑ +57% |
| NaphCare | Federal Prison System | $1,835.27 | ↑ +88% |
| Aetna | Qualified Health Plan | $1,848.87 | ↑ +90% |
| United Healthcare | Individual Exchange | $1,903.24 | ↑ +95% |
| Health Net | Commerical Exchange Product | $2,012.00 | ↑ +106% |
| Health Choice Arizona, Inc. | ACA Health Plan | $2,039.19 | ↑ +109% |
| United Healthcare | UHC Doctor's Plan | $2,200.00 | ↑ +126% |
| Oscar Health Plan | Commercial | $2,243.11 | ↑ +130% |
| United Healthcare | UHC Core | $2,299.00 | ↑ +136% |
| United Healthcare | Commercial | $2,420.00 | ↑ +148% |
| TriWest Healthcare Alliance Corp - VA CCN | Tricare | not published by hospital | — |