healthcosts.net
Abdominal Ultrasound (limited) at Banner Heart Hospital
6750 E Baywood Avenue, Mesa, AZ · Banner Health · · NPI 1215961248
$92.12
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.
$658.00
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.
$79.00 with Mercy Care vs $493.50 with Provider Network of America — 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 Medicaid | $79.00 | ↓ -14% |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $79.00 | ↓ -14% |
| Health Net | Medicaid | $79.00 | ↓ -14% |
| Health Choice Arizona, Inc. | Medicaid | $79.00 | ↓ -14% |
| Arizona Physicians IPA | Medicaid | $79.00 | ↓ -14% |
| UPMC Health Plan | Medicare Advantage | $113.34 | ↑ +23% |
| Gila River Health Care Corporation | Managed Care Program | $113.34 | ↑ +23% |
| Cigna Healthcare of Arizona, Inc. | HMO Medicare Advantage Plans | $113.34 | ↑ +23% |
| Banner University Health Plan | University Care Advantage | $113.34 | ↑ +23% |
| TriWest Healthcare Alliance Corp - VA CCN | VA Community Care Network | $113.34 | ↑ +23% |
| Cigna Healthcare of Arizona, Inc. | PPO Medicare Advantage Plan | $113.34 | ↑ +23% |
| Health Choice Arizona, Inc. | Medicare Advantage | $113.34 | ↑ +23% |
| United Healthcare | UHC Medicare Advantage | $113.34 | ↑ +23% |
| Aetna | Medicare Advantage | $113.34 | ↑ +23% |
| Humana | Medicare Advantage | $113.34 | ↑ +23% |
| Health Net | Medicare | $113.34 | ↑ +23% |
| Wellpoint | Medicare Advantage HMO | $113.34 | ↑ +23% |
| Blue Cross Blue Shield of Arizona | Medicare Advantage | $113.34 | ↑ +23% |
| Mercy Care | Mercy Care Advantage | $113.34 | ↑ +23% |
| Arizona Physicians IPA | Medicare Advantage | $113.34 | ↑ +23% |
| Banner Health | Medicare Advantage | $113.34 | ↑ +23% |
| Care 1st | Medicare Advantage | $113.34 | ↑ +23% |
| Kaiser Foundation Health Plan | Medicare Advantage | $113.34 | ↑ +23% |
| Carelon | Medicare Advantage | $119.01 | ↑ +29% |
| Devoted Health Services | Medicare Advantage | $119.01 | ↑ +29% |
| Gold Kidney Health Plan | Medicare Advantage | $124.67 | ↑ +35% |
| Arizona Priority Care | Medicare Advantage | $124.67 | ↑ +35% |
| Aetna | Qualified Health Plan | $154.14 | ↑ +67% |
| United Healthcare | Individual Exchange | $158.68 | ↑ +72% |
| Health Net | Commerical Exchange Product | $167.74 | ↑ +82% |
| Health Choice Arizona, Inc. | ACA Health Plan | $170.01 | ↑ +85% |
| Oscar Health Plan | Commercial | $187.01 | ↑ +103% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $200.84 | ↑ +118% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $214.23 | ↑ +133% |
| Aetna | Banner Employee Plans | $221.09 | ↑ +140% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $224.94 | ↑ +144% |
| Hospice of the Valley | Medicare | $230.30 | ↑ +150% |
| Blue Cross Blue Shield of Arizona | Commercial | $267.78 | ↑ +191% |
| Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Preferred | $267.78 | ↑ +191% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $267.78 | ↑ +191% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $296.10 | ↑ +221% |
| Plotkin Health | Plotkin Health | $296.10 | ↑ +221% |
| Aetna | Joint Venture | $304.00 | ↑ +230% |
| Aetna | Designated Group | $323.08 | ↑ +251% |
| Aetna | Medical Rental | $346.77 | ↑ +276% |
| Quiktrip Corporation | Commercial | $355.32 | ↑ +286% |
| Aetna | Broad Network | $379.67 | ↑ +312% |
| Cigna Healthcare of Arizona, Inc. | LocalFlex | $432.31 | ↑ +369% |
| Cigna Healthcare of Arizona, Inc. | Commercial | $452.05 | ↑ +391% |
| Arizona Medical Network | Commercial | $460.60 | ↑ +400% |
| Provider Network of America | Commercial | $493.50 | ↑ +436% |
| TriWest Healthcare Alliance Corp - VA CCN | Tricare | not published by hospital | — |
Visitor-reported prices
Comments
Abdominal Ultrasound (limited) at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Baywood Medical Center | Mesa | $210.56 | $79.00 – $493.50 |
| Banner Desert Medical Center | Mesa | $285.57 | $79.00 – $493.50 |
| Banner University Medical Center Phoenix | Phoenix | $214.99 | $79.00 – $493.50 |
| Banner University Medical Center South | Tucson | $236.60 | $79.00 – $673.60 |
| Banner University Medical Center Tucson | Tucson | $280.39 | $79.00 – $673.60 |
| Banner Casa Grande Medical Center | Casa Grande | $179.63 | $79.00 – $493.50 |
| Banner Boswell Medical Center | Sun City | $97.38 | $79.00 – $526.40 |
| Banner Del Webb Medical Center | Sun City West | $227.01 | $79.00 – $526.40 |