Bilirubin direct at Banner Heart Hospital
6750 E Baywood Avenue, Mesa, AZ · Banner Health · · NPI 1215961248
$13.36
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.
$159.00
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.
$5.02 with Cigna Healthcare of Arizona, Inc. vs $116.25 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 |
|---|---|---|---|
| Cigna Healthcare of Arizona, Inc. | PPO Medicare Advantage Plan | $5.02 | ↓ -62% |
| Wellpoint | Medicare Advantage HMO | $5.02 | ↓ -62% |
| UPMC Health Plan | Medicare Advantage | $5.02 | ↓ -62% |
| United Healthcare | UHC Medicare Advantage | $5.02 | ↓ -62% |
| TriWest Healthcare Alliance Corp - VA CCN | VA Community Care Network | $5.02 | ↓ -62% |
| Aetna | Medicare Advantage | $5.02 | ↓ -62% |
| Mercy Care | Mercy Medicaid | $5.02 | ↓ -62% |
| Mercy Care | Mercy Care Advantage | $5.02 | ↓ -62% |
| Arizona Physicians IPA | Medicaid | $5.02 | ↓ -62% |
| Arizona Physicians IPA | Medicare Advantage | $5.02 | ↓ -62% |
| Health Choice Arizona, Inc. | Medicaid | $5.02 | ↓ -62% |
| Care 1st | Medicare Advantage | $5.02 | ↓ -62% |
| Cigna Healthcare of Arizona, Inc. | HMO Medicare Advantage Plans | $5.02 | ↓ -62% |
| Gila River Health Care Corporation | Managed Care Program | $5.02 | ↓ -62% |
| Banner Health | Medicare Advantage | $5.02 | ↓ -62% |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $5.02 | ↓ -62% |
| Banner University Health Plan | University Care Advantage | $5.02 | ↓ -62% |
| Kaiser Foundation Health Plan | Medicare Advantage | $5.02 | ↓ -62% |
| Humana | Medicare Advantage | $5.02 | ↓ -62% |
| Health Net | Medicare | $5.02 | ↓ -62% |
| Health Net | Medicaid | $5.02 | ↓ -62% |
| Health Choice Arizona, Inc. | Medicare Advantage | $5.02 | ↓ -62% |
| Blue Cross Blue Shield of Arizona | Medicare Advantage | $5.02 | ↓ -62% |
| Devoted Health Services | Medicare Advantage | $5.27 | ↓ -61% |
| Carelon | Medicare Advantage | $5.27 | ↓ -61% |
| Arizona Priority Care | Medicare Advantage | $5.52 | ↓ -59% |
| Gold Kidney Health Plan | Medicare Advantage | $5.52 | ↓ -59% |
| Aetna | Qualified Health Plan | $6.83 | ↓ -49% |
| United Healthcare | Individual Exchange | $7.03 | ↓ -47% |
| Health Net | Commerical Exchange Product | $7.43 | ↓ -44% |
| Health Choice Arizona, Inc. | ACA Health Plan | $7.53 | ↓ -44% |
| Oscar Health Plan | Commercial | $8.28 | ↓ -38% |
| Cigna Healthcare of Arizona, Inc. | LocalFlex | $8.80 | ↓ -34% |
| United Healthcare | UHC Doctor's Plan | $9.29 | ↓ -30% |
| Cigna Healthcare of Arizona, Inc. | Commercial | $9.78 | ↓ -27% |
| United Healthcare | UHC Core | $10.27 | ↓ -23% |
| United Healthcare | Commercial | $11.29 | ↓ -15% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $14.48 | ↑ +8% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $15.44 | ↑ +16% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $16.21 | ↑ +21% |
| Aetna | Joint Venture | $16.86 | ↑ +26% |
| Aetna | Designated Group | $17.91 | ↑ +34% |
| Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Preferred | $19.30 | ↑ +44% |
| Blue Cross Blue Shield of Arizona | Commercial | $19.30 | ↑ +44% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $19.30 | ↑ +44% |
| Aetna | Broad Network | $21.07 | ↑ +58% |
| Aetna | Banner Employee Plans | $52.08 | ↑ +290% |
| Hospice of the Valley | Medicare | $54.25 | ↑ +306% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $69.75 | ↑ +422% |
| Plotkin Health | Plotkin Health | $69.75 | ↑ +422% |
| Aetna | Medical Rental | $81.69 | ↑ +511% |
| Quiktrip Corporation | Commercial | $83.70 | ↑ +526% |
| Arizona Medical Network | Commercial | $108.50 | ↑ +712% |
| Provider Network of America | Commercial | $116.25 | ↑ +770% |
Visitor-reported prices
Comments
Bilirubin direct at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Baywood Medical Center | Mesa | $20.19 | $5.02 – $116.25 |
| Banner Desert Medical Center | Mesa | $23.85 | $5.02 – $116.25 |
| Arizona General Hospital Mesa | Mesa | $48.42 | $3.01 – $160.14 |
| Mercy Gilbert Medical Center | Gilbert | $62.98 | $5.02 – $189.42 |
| Banner University Medical Center Phoenix | Phoenix | $25.44 | $5.02 – $116.25 |
| Banner University Medical Center Tucson | Tucson | $20.09 | $5.02 – $29.60 |
| Banner University Medical Center South | Tucson | $19.34 | $5.02 – $29.60 |
| Banner Behavioral Health Hospital | Scottsdale | $90.81 | $5.02 – $108.50 |