Consult comp w/report rfrd material at Banner Heart Hospital
6750 E Baywood Avenue, Mesa, AZ · Banner Health · · NPI 1215961248
$82.28
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.
$769.00
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.
$108.14 with Health Net vs $694.74 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 |
|---|---|---|---|
| Health Net | Medicaid | $108.14 | ↑ +31% |
| Mercy Care | Mercy Medicaid | $108.14 | ↑ +31% |
| Health Choice Arizona, Inc. | Medicaid | $108.14 | ↑ +31% |
| Arizona Physicians IPA | Medicaid | $108.14 | ↑ +31% |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $108.14 | ↑ +31% |
| Health Net | Medicare | $182.64 | ↑ +122% |
| United Healthcare | UHC Medicare Advantage | $182.64 | ↑ +122% |
| UPMC Health Plan | Medicare Advantage | $182.64 | ↑ +122% |
| TriWest Healthcare Alliance Corp - VA CCN | VA Community Care Network | $182.64 | ↑ +122% |
| Kaiser Foundation Health Plan | Medicare Advantage | $182.64 | ↑ +122% |
| Health Choice Arizona, Inc. | Medicare Advantage | $182.64 | ↑ +122% |
| Blue Cross Blue Shield of Arizona | Medicare Advantage | $182.64 | ↑ +122% |
| Banner Health | Medicare Advantage | $182.64 | ↑ +122% |
| Care 1st | Medicare Advantage | $182.64 | ↑ +122% |
| Gila River Health Care Corporation | Managed Care Program | $182.64 | ↑ +122% |
| Humana | Medicare Advantage | $182.64 | ↑ +122% |
| Arizona Physicians IPA | Medicare Advantage | $182.64 | ↑ +122% |
| Wellpoint | Medicare Advantage HMO | $182.64 | ↑ +122% |
| Mercy Care | Mercy Care Advantage | $182.64 | ↑ +122% |
| Aetna | Medicare Advantage | $182.64 | ↑ +122% |
| Cigna Healthcare of Arizona, Inc. | HMO Medicare Advantage Plans | $182.64 | ↑ +122% |
| Cigna Healthcare of Arizona, Inc. | PPO Medicare Advantage Plan | $182.64 | ↑ +122% |
| Banner University Health Plan | University Care Advantage | $182.64 | ↑ +122% |
| Devoted Health Services | Medicare Advantage | $191.77 | ↑ +133% |
| Carelon | Medicare Advantage | $191.77 | ↑ +133% |
| Gold Kidney Health Plan | Medicare Advantage | $200.90 | ↑ +144% |
| Arizona Priority Care | Medicare Advantage | $200.90 | ↑ +144% |
| Cigna Healthcare of Arizona, Inc. | LocalFlex | $225.94 | ↑ +175% |
| Aetna | Qualified Health Plan | $248.39 | ↑ +202% |
| Cigna Healthcare of Arizona, Inc. | Commercial | $251.04 | ↑ +205% |
| United Healthcare | Individual Exchange | $255.70 | ↑ +211% |
| Aetna | Banner Employee Plans | $258.38 | ↑ +214% |
| Hospice of the Valley | Medicare | $269.15 | ↑ +227% |
| Health Net | Commerical Exchange Product | $270.31 | ↑ +229% |
| Health Choice Arizona, Inc. | ACA Health Plan | $273.96 | ↑ +233% |
| United Healthcare | UHC Doctor's Plan | $275.89 | ↑ +235% |
| Oscar Health Plan | Commercial | $301.36 | ↑ +266% |
| United Healthcare | UHC Core | $311.48 | ↑ +279% |
| United Healthcare | Commercial | $335.61 | ↑ +308% |
| Plotkin Health | Plotkin Health | $346.05 | ↑ +321% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $346.05 | ↑ +321% |
| Aetna | Medical Rental | $405.26 | ↑ +393% |
| Quiktrip Corporation | Commercial | $415.26 | ↑ +405% |
| Aetna | Joint Venture | $448.13 | ↑ +445% |
| Aetna | Designated Group | $476.15 | ↑ +479% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $521.05 | ↑ +533% |
| Arizona Medical Network | Commercial | $538.30 | ↑ +554% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $555.79 | ↑ +575% |
| Aetna | Broad Network | $560.22 | ↑ +581% |
| Provider Network of America | Commercial | $576.75 | ↑ +601% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $583.58 | ↑ +609% |
| Blue Cross Blue Shield of Arizona | Commercial | $694.74 | ↑ +744% |
| Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Preferred | $694.74 | ↑ +744% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $694.74 | ↑ +744% |
| TriWest Healthcare Alliance Corp - VA CCN | Tricare | not published by hospital | — |
Visitor-reported prices
Comments
Consult comp w/report rfrd material at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Baywood Medical Center | Mesa | $169.18 | $108.14 – $576.75 |
| Banner Desert Medical Center | Mesa | $201.48 | $108.14 – $576.75 |
| Arizona General Hospital Mesa | Mesa | $226.01 | $97.64 – $747.56 |
| Banner University Medical Center Phoenix | Phoenix | $213.78 | $108.14 – $576.75 |
| Banner University Medical Center Tucson | Tucson | $173.58 | $108.14 – $524.00 |
| Banner University Medical Center South | Tucson | $184.06 | $108.14 – $524.00 |
| Banner Boswell Medical Center | Sun City | $168.41 | $108.14 – $615.20 |
| Banner Casa Grande Medical Center | Casa Grande | $176.10 | $108.14 – $576.75 |