Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604 at Banner Heart Hospital
6750 E Baywood Avenue, Mesa, AZ · Banner Health · · NPI 1215961248
$330.26
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.
$1,167.00
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.
$155.60 with Aetna vs $5,506.00 with Aetna — 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 | Medicare Advantage | $155.60 | ↓ -53% |
| Mercy Care | Mercy Medicaid | $189.35 | ↓ -43% |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $189.35 | ↓ -43% |
| Health Choice Arizona, Inc. | Medicaid | $189.35 | ↓ -43% |
| Arizona Physicians IPA | Medicaid | $189.35 | ↓ -43% |
| Health Net | Medicaid | $189.35 | ↓ -43% |
| Aetna | Qualified Health Plan | $197.61 | ↓ -40% |
| Health Choice Arizona, Inc. | Medicare Advantage | $233.40 | ↓ -29% |
| Hospice of the Valley | Medicare | $272.30 | ↓ -18% |
| Arizona Priority Care | Medicare Advantage | $311.20 | ↓ -6% |
| Plotkin Health | Plotkin Health | $350.10 | ↑ +6% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $350.10 | ↑ +6% |
| Cigna Healthcare of Arizona, Inc. | LocalFlex | $360.00 | ↑ +9% |
| Oscar Health Plan | Commercial | $389.00 | ↑ +18% |
| Health Net | Medicare | $389.00 | ↑ +18% |
| Health Choice Arizona, Inc. | ACA Health Plan | $389.00 | ↑ +18% |
| Cigna Healthcare of Arizona, Inc. | Commercial | $400.00 | ↑ +21% |
| Aetna | Medical Rental | $410.01 | ↑ +24% |
| Quiktrip Corporation | Commercial | $420.12 | ↑ +27% |
| Health Net | Commerical Exchange Product | $420.12 | ↑ +27% |
| Arizona Medical Network | Commercial | $544.60 | ↑ +65% |
| Provider Network of America | Commercial | $583.50 | ↑ +77% |
| Aetna | Banner Employee Plans | $1,170.00 | ↑ +254% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $2,046.46 | ↑ +520% |
| United Healthcare | UHC Doctor's Plan | $2,114.00 | ↑ +540% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $2,182.89 | ↑ +561% |
| United Healthcare | UHC Core | $2,210.00 | ↑ +569% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $2,292.02 | ↑ +594% |
| United Healthcare | Commercial | $2,326.00 | ↑ +604% |
| Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Preferred | $2,728.61 | ↑ +726% |
| Blue Cross Blue Shield of Arizona | Commercial | $2,728.61 | ↑ +726% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $2,728.61 | ↑ +726% |
| Aetna | Joint Venture | $4,405.00 | ↑ +1234% |
| Aetna | Designated Group | $4,680.00 | ↑ +1317% |
| Aetna | Broad Network | $5,506.00 | ↑ +1567% |
| TriWest Healthcare Alliance Corp - VA CCN | Tricare | not published by hospital | — |
Visitor-reported prices
Comments
Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604 at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Baywood Medical Center | Mesa | $399.11 | $155.60 – $2,440.42 |
| Banner Desert Medical Center | Mesa | $413.12 | $155.60 – $2,440.42 |
| Arizona General Hospital Mesa | Mesa | not published | $47.92 – $324.06 |
| Mercy Gilbert Medical Center | Gilbert | $456.09 | $47.92 – $1,427.58 |
| Banner University Medical Center Phoenix | Phoenix | $417.79 | $155.60 – $2,114.00 |
| Banner University Medical Center Tucson | Tucson | $364.82 | $134.00 – $536.00 |
| Banner University Medical Center South | Tucson | $529.64 | $134.00 – $2,041.00 |
| Banner Del Webb Medical Center | Sun City West | $372.27 | $155.60 – $2,114.00 |