Breast punct aspir cyst, bil at Banner Heart Hospital
6750 E Baywood Avenue, Mesa, AZ · Banner Health · · NPI 1215961248
$270.55
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.
$956.00
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.
$191.20 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 | $191.20 | ↓ -29% |
| Aetna | Qualified Health Plan | $242.82 | ↓ -10% |
| Health Choice Arizona, Inc. | Medicare Advantage | $286.80 | ↑ +6% |
| Hospice of the Valley | Medicare | $334.60 | ↑ +24% |
| Arizona Priority Care | Medicare Advantage | $382.40 | ↑ +41% |
| Plotkin Health | Plotkin Health | $430.20 | ↑ +59% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $430.20 | ↑ +59% |
| Health Net | Medicaid | $450.93 | ↑ +67% |
| Health Choice Arizona, Inc. | Medicaid | $450.93 | ↑ +67% |
| Arizona Physicians IPA | Medicaid | $450.93 | ↑ +67% |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $450.93 | ↑ +67% |
| Mercy Care | Mercy Medicaid | $450.93 | ↑ +67% |
| Health Net | Medicare | $478.00 | ↑ +77% |
| Health Choice Arizona, Inc. | ACA Health Plan | $478.00 | ↑ +77% |
| Oscar Health Plan | Commercial | $478.00 | ↑ +77% |
| Aetna | Medical Rental | $503.81 | ↑ +86% |
| Health Net | Commerical Exchange Product | $516.24 | ↑ +91% |
| Quiktrip Corporation | Commercial | $516.24 | ↑ +91% |
| Arizona Medical Network | Commercial | $669.20 | ↑ +147% |
| Provider Network of America | Commercial | $717.00 | ↑ +165% |
| Wellpoint | Medicare Advantage HMO | $749.90 | ↑ +177% |
| Arizona Physicians IPA | Medicare Advantage | $749.90 | ↑ +177% |
| Banner Health | Medicare Advantage | $749.90 | ↑ +177% |
| Banner University Health Plan | University Care Advantage | $749.90 | ↑ +177% |
| Blue Cross Blue Shield of Arizona | Medicare Advantage | $749.90 | ↑ +177% |
| Care 1st | Medicare Advantage | $749.90 | ↑ +177% |
| Cigna Healthcare of Arizona, Inc. | HMO Medicare Advantage Plans | $749.90 | ↑ +177% |
| Cigna Healthcare of Arizona, Inc. | PPO Medicare Advantage Plan | $749.90 | ↑ +177% |
| Gila River Health Care Corporation | Managed Care Program | $749.90 | ↑ +177% |
| Humana | Medicare Advantage | $749.90 | ↑ +177% |
| Kaiser Foundation Health Plan | Medicare Advantage | $749.90 | ↑ +177% |
| Mercy Care | Mercy Care Advantage | $749.90 | ↑ +177% |
| TriWest Healthcare Alliance Corp - VA CCN | VA Community Care Network | $749.90 | ↑ +177% |
| United Healthcare | UHC Medicare Advantage | $749.90 | ↑ +177% |
| UPMC Health Plan | Medicare Advantage | $749.90 | ↑ +177% |
| Carelon | Medicare Advantage | $787.39 | ↑ +191% |
| Devoted Health Services | Medicare Advantage | $787.39 | ↑ +191% |
| Gold Kidney Health Plan | Medicare Advantage | $824.89 | ↑ +205% |
| United Healthcare | Individual Exchange | $1,049.86 | ↑ +288% |
| Aetna | Banner Employee Plans | $1,170.00 | ↑ +332% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $2,046.46 | ↑ +656% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $2,182.89 | ↑ +707% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $2,292.02 | ↑ +747% |
| Blue Cross Blue Shield of Arizona | Commercial | $2,728.61 | ↑ +909% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $2,728.61 | ↑ +909% |
| Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Preferred | $2,728.61 | ↑ +909% |
| United Healthcare | UHC Doctor's Plan | $3,152.00 | ↑ +1065% |
| United Healthcare | UHC Core | $3,294.00 | ↑ +1118% |
| United Healthcare | Commercial | $3,467.00 | ↑ +1181% |
| Cigna Healthcare of Arizona, Inc. | LocalFlex | $4,018.00 | ↑ +1385% |
| Aetna | Joint Venture | $4,405.00 | ↑ +1528% |
| Cigna Healthcare of Arizona, Inc. | Commercial | $4,464.00 | ↑ +1550% |
| Aetna | Designated Group | $4,680.00 | ↑ +1630% |
| Aetna | Broad Network | $5,506.00 | ↑ +1935% |
| TriWest Healthcare Alliance Corp - VA CCN | Tricare | not published by hospital | — |
Visitor-reported prices
Comments
Breast punct aspir cyst, bil at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Baywood Medical Center | Mesa | $326.95 | $191.20 – $4,018.00 |
| Banner Desert Medical Center | Mesa | $338.42 | $191.20 – $4,018.00 |
| Arizona General Hospital Mesa | Mesa | not published | $43.99 – $772.40 |
| Mercy Gilbert Medical Center | Gilbert | $507.26 | $43.99 – $1,587.74 |
| Banner University Medical Center Phoenix | Phoenix | $342.25 | $191.20 – $4,018.00 |
| Banner University Medical Center Tucson | Tucson | $315.08 | $173.60 – $3,036.00 |
| Banner Boswell Medical Center | Sun City | $276.28 | $191.20 – $4,018.00 |
| Banner Casa Grande Medical Center | Casa Grande | $264.81 | $191.20 – $2,746.00 |