Cdna analysis for variants at Banner Heart Hospital
6750 E Baywood Avenue, Mesa, AZ · Banner Health · · NPI 1215961248
$59.83
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.
$893.00
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.
$185.20 with Cigna Healthcare of Arizona, Inc. vs $806.16 with Blue Cross Blue Shield of Arizona — 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. | HMO Medicare Advantage Plans | $185.20 | ↑ +210% |
| Cigna Healthcare of Arizona, Inc. | PPO Medicare Advantage Plan | $185.20 | ↑ +210% |
| UPMC Health Plan | Medicare Advantage | $185.20 | ↑ +210% |
| United Healthcare | UHC Medicare Advantage | $185.20 | ↑ +210% |
| TriWest Healthcare Alliance Corp - VA CCN | VA Community Care Network | $185.20 | ↑ +210% |
| Aetna | Medicare Advantage | $185.20 | ↑ +210% |
| Mercy Care | Mercy Medicaid | $185.20 | ↑ +210% |
| Mercy Care | Mercy Care Advantage | $185.20 | ↑ +210% |
| Arizona Physicians IPA | Medicaid | $185.20 | ↑ +210% |
| Arizona Physicians IPA | Medicare Advantage | $185.20 | ↑ +210% |
| Kaiser Foundation Health Plan | Medicare Advantage | $185.20 | ↑ +210% |
| Banner Health | Medicare Advantage | $185.20 | ↑ +210% |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $185.20 | ↑ +210% |
| Banner University Health Plan | University Care Advantage | $185.20 | ↑ +210% |
| Humana | Medicare Advantage | $185.20 | ↑ +210% |
| Health Net | Medicare | $185.20 | ↑ +210% |
| Health Net | Medicaid | $185.20 | ↑ +210% |
| Health Choice Arizona, Inc. | Medicare Advantage | $185.20 | ↑ +210% |
| Health Choice Arizona, Inc. | Medicaid | $185.20 | ↑ +210% |
| Blue Cross Blue Shield of Arizona | Medicare Advantage | $185.20 | ↑ +210% |
| Gila River Health Care Corporation | Managed Care Program | $185.20 | ↑ +210% |
| Care 1st | Medicare Advantage | $185.20 | ↑ +210% |
| Wellpoint | Medicare Advantage HMO | $185.20 | ↑ +210% |
| Aetna | Banner Employee Plans | $186.82 | ↑ +212% |
| Devoted Health Services | Medicare Advantage | $194.46 | ↑ +225% |
| Carelon | Medicare Advantage | $194.46 | ↑ +225% |
| Hospice of the Valley | Medicare | $194.60 | ↑ +225% |
| Gold Kidney Health Plan | Medicare Advantage | $203.72 | ↑ +240% |
| Arizona Priority Care | Medicare Advantage | $203.72 | ↑ +240% |
| Plotkin Health | Plotkin Health | $250.20 | ↑ +318% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $250.20 | ↑ +318% |
| Aetna | Qualified Health Plan | $251.87 | ↑ +321% |
| United Healthcare | Individual Exchange | $259.28 | ↑ +333% |
| Health Net | Commerical Exchange Product | $274.10 | ↑ +358% |
| Health Choice Arizona, Inc. | ACA Health Plan | $277.80 | ↑ +364% |
| Aetna | Medical Rental | $293.01 | ↑ +390% |
| Quiktrip Corporation | Commercial | $300.24 | ↑ +402% |
| Oscar Health Plan | Commercial | $305.58 | ↑ +411% |
| Cigna Healthcare of Arizona, Inc. | LocalFlex | $325.03 | ↑ +443% |
| United Healthcare | UHC Doctor's Plan | $342.54 | ↑ +473% |
| Cigna Healthcare of Arizona, Inc. | Commercial | $361.14 | ↑ +504% |
| United Healthcare | UHC Core | $378.72 | ↑ +533% |
| Arizona Medical Network | Commercial | $389.20 | ↑ +551% |
| United Healthcare | Commercial | $416.70 | ↑ +596% |
| Provider Network of America | Commercial | $417.00 | ↑ +597% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $604.62 | ↑ +911% |
| Aetna | Joint Venture | $621.90 | ↑ +939% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $644.92 | ↑ +978% |
| Aetna | Designated Group | $660.79 | ↑ +1004% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $677.17 | ↑ +1032% |
| Aetna | Broad Network | $777.47 | ↑ +1199% |
| Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Preferred | $806.16 | ↑ +1247% |
| Blue Cross Blue Shield of Arizona | Commercial | $806.16 | ↑ +1247% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $806.16 | ↑ +1247% |
Visitor-reported prices
Comments
Cdna analysis for variants at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Baywood Medical Center | Mesa | $194.67 | $185.20 – $417.00 |
| Banner Desert Medical Center | Mesa | $392.92 | $185.20 – $417.00 |
| Arizona General Hospital Mesa | Mesa | $330.24 | $111.12 – $901.35 |
| Mercy Gilbert Medical Center | Gilbert | $209.60 | $103.72 – $570.42 |
| Banner University Medical Center Phoenix | Phoenix | $249.15 | $185.20 – $417.00 |
| Banner University Medical Center Tucson | Tucson | $184.68 | $185.20 – $444.80 |
| Banner University Medical Center South | Tucson | $129.96 | $185.20 – $444.80 |
| Banner Boswell Medical Center | Sun City | $202.71 | $185.20 – $444.80 |