Carotene at Banner Heart Hospital
6750 E Baywood Avenue, Mesa, AZ · Banner Health · · NPI 1215961248
$5.63
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.
$67.00
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.
$9.22 with Cigna Healthcare of Arizona, Inc. vs $50.25 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 | $9.22 | ↑ +64% |
| Wellpoint | Medicare Advantage HMO | $9.22 | ↑ +64% |
| UPMC Health Plan | Medicare Advantage | $9.22 | ↑ +64% |
| United Healthcare | UHC Medicare Advantage | $9.22 | ↑ +64% |
| TriWest Healthcare Alliance Corp - VA CCN | VA Community Care Network | $9.22 | ↑ +64% |
| Aetna | Medicare Advantage | $9.22 | ↑ +64% |
| Mercy Care | Mercy Medicaid | $9.22 | ↑ +64% |
| Mercy Care | Mercy Care Advantage | $9.22 | ↑ +64% |
| Arizona Physicians IPA | Medicaid | $9.22 | ↑ +64% |
| Arizona Physicians IPA | Medicare Advantage | $9.22 | ↑ +64% |
| Health Choice Arizona, Inc. | Medicaid | $9.22 | ↑ +64% |
| Care 1st | Medicare Advantage | $9.22 | ↑ +64% |
| Cigna Healthcare of Arizona, Inc. | HMO Medicare Advantage Plans | $9.22 | ↑ +64% |
| Gila River Health Care Corporation | Managed Care Program | $9.22 | ↑ +64% |
| Banner Health | Medicare Advantage | $9.22 | ↑ +64% |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $9.22 | ↑ +64% |
| Banner University Health Plan | University Care Advantage | $9.22 | ↑ +64% |
| Kaiser Foundation Health Plan | Medicare Advantage | $9.22 | ↑ +64% |
| Humana | Medicare Advantage | $9.22 | ↑ +64% |
| Health Net | Medicare | $9.22 | ↑ +64% |
| Health Net | Medicaid | $9.22 | ↑ +64% |
| Health Choice Arizona, Inc. | Medicare Advantage | $9.22 | ↑ +64% |
| Blue Cross Blue Shield of Arizona | Medicare Advantage | $9.22 | ↑ +64% |
| Devoted Health Services | Medicare Advantage | $9.68 | ↑ +72% |
| Carelon | Medicare Advantage | $9.68 | ↑ +72% |
| Arizona Priority Care | Medicare Advantage | $10.14 | ↑ +80% |
| Gold Kidney Health Plan | Medicare Advantage | $10.14 | ↑ +80% |
| Aetna | Qualified Health Plan | $12.54 | ↑ +123% |
| United Healthcare | Individual Exchange | $12.91 | ↑ +129% |
| Health Net | Commerical Exchange Product | $13.65 | ↑ +142% |
| Health Choice Arizona, Inc. | ACA Health Plan | $13.83 | ↑ +146% |
| Oscar Health Plan | Commercial | $15.21 | ↑ +170% |
| Cigna Healthcare of Arizona, Inc. | LocalFlex | $16.17 | ↑ +187% |
| United Healthcare | UHC Doctor's Plan | $17.05 | ↑ +203% |
| Cigna Healthcare of Arizona, Inc. | Commercial | $17.97 | ↑ +219% |
| United Healthcare | UHC Core | $18.85 | ↑ +235% |
| United Healthcare | Commercial | $20.75 | ↑ +269% |
| Aetna | Banner Employee Plans | $22.51 | ↑ +300% |
| Hospice of the Valley | Medicare | $23.45 | ↑ +317% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $26.57 | ↑ +372% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $28.34 | ↑ +403% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $29.76 | ↑ +429% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $30.15 | ↑ +436% |
| Plotkin Health | Plotkin Health | $30.15 | ↑ +436% |
| Aetna | Joint Venture | $30.96 | ↑ +450% |
| Aetna | Designated Group | $32.90 | ↑ +484% |
| Aetna | Medical Rental | $35.31 | ↑ +527% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $35.43 | ↑ +529% |
| Blue Cross Blue Shield of Arizona | Commercial | $35.43 | ↑ +529% |
| Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Preferred | $35.43 | ↑ +529% |
| Quiktrip Corporation | Commercial | $36.18 | ↑ +543% |
| Aetna | Broad Network | $38.71 | ↑ +588% |
| Arizona Medical Network | Commercial | $46.90 | ↑ +733% |
| Provider Network of America | Commercial | $50.25 | ↑ +793% |
Visitor-reported prices
Comments
Carotene at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Baywood Medical Center | Mesa | $8.51 | $9.22 – $50.25 |
| Banner Desert Medical Center | Mesa | $10.05 | $9.22 – $50.25 |
| Arizona General Hospital Mesa | Mesa | $99.30 | $5.53 – $328.44 |
| Mercy Gilbert Medical Center | Gilbert | $9.08 | $5.17 – $28.40 |
| Banner University Medical Center Phoenix | Phoenix | $10.72 | $9.22 – $50.25 |
| Banner University Medical Center Tucson | Tucson | $10.85 | $9.22 – $53.60 |
| Banner University Medical Center South | Tucson | $10.45 | $9.22 – $53.60 |
| Banner Boswell Medical Center | Sun City | $10.12 | $9.22 – $53.60 |