Carotid intima atheroma eval at Banner Heart Hospital
6750 E Baywood Avenue, Mesa, AZ · Banner Health · · NPI 1215961248
$34.43
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.
$130.00
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.
$26.00 with Aetna vs $667.00 with United Healthcare — 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 | $26.00 | ↓ -24% |
| Aetna | Qualified Health Plan | $33.02 | ↓ -4% |
| Health Choice Arizona, Inc. | Medicare Advantage | $39.00 | ↑ +13% |
| Aetna | Banner Employee Plans | $43.68 | ↑ +27% |
| Hospice of the Valley | Medicare | $45.50 | ↑ +32% |
| Arizona Physicians IPA | Medicaid | $49.44 | ↑ +44% |
| Health Net | Medicaid | $49.44 | ↑ +44% |
| Health Choice Arizona, Inc. | Medicaid | $49.44 | ↑ +44% |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $49.44 | ↑ +44% |
| Mercy Care | Mercy Medicaid | $49.44 | ↑ +44% |
| Arizona Priority Care | Medicare Advantage | $52.00 | ↑ +51% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $58.50 | ↑ +70% |
| Plotkin Health | Plotkin Health | $58.50 | ↑ +70% |
| Aetna | Joint Venture | $60.06 | ↑ +74% |
| Aetna | Designated Group | $63.83 | ↑ +85% |
| Health Net | Medicare | $65.00 | ↑ +89% |
| Oscar Health Plan | Commercial | $65.00 | ↑ +89% |
| Health Choice Arizona, Inc. | ACA Health Plan | $65.00 | ↑ +89% |
| Aetna | Medical Rental | $68.51 | ↑ +99% |
| Quiktrip Corporation | Commercial | $70.20 | ↑ +104% |
| Health Net | Commerical Exchange Product | $70.20 | ↑ +104% |
| Aetna | Broad Network | $75.01 | ↑ +118% |
| Cigna Healthcare of Arizona, Inc. | LocalFlex | $85.41 | ↑ +148% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $87.77 | ↑ +155% |
| Cigna Healthcare of Arizona, Inc. | Commercial | $89.31 | ↑ +159% |
| Arizona Medical Network | Commercial | $91.00 | ↑ +164% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $93.62 | ↑ +172% |
| Provider Network of America | Commercial | $97.50 | ↑ +183% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $98.30 | ↑ +186% |
| Blue Cross Blue Shield of Arizona | Commercial | $117.02 | ↑ +240% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $117.02 | ↑ +240% |
| Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Preferred | $117.02 | ↑ +240% |
| United Healthcare | UHC Doctor's Plan | $606.00 | ↑ +1660% |
| United Healthcare | UHC Core | $634.00 | ↑ +1741% |
| United Healthcare | Commercial | $667.00 | ↑ +1837% |
Visitor-reported prices
Comments
Carotid intima atheroma eval at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Baywood Medical Center | Mesa | $32.77 | $26.00 – $606.00 |
| Banner University Medical Center Phoenix | Phoenix | $116.09 | $26.00 – $606.00 |