Consultation pathology during surgery frozen section each additional block at Banner Heart Hospital
6750 E Baywood Avenue, Mesa, AZ · Banner Health · · NPI 1215961248
$11.56
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.
$108.00
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.
$12.26 with Arizona Physicians IPA vs $223.59 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 |
|---|---|---|---|
| Arizona Physicians IPA | Medicaid | $12.26 | ↑ +6% |
| Health Choice Arizona, Inc. | Medicaid | $12.26 | ↑ +6% |
| Mercy Care | Mercy Medicaid | $12.26 | ↑ +6% |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $12.26 | ↑ +6% |
| Health Net | Medicaid | $12.26 | ↑ +6% |
| Aetna | Medicare Advantage | $21.60 | ↑ +87% |
| Aetna | Qualified Health Plan | $27.43 | ↑ +137% |
| Health Choice Arizona, Inc. | Medicare Advantage | $32.40 | ↑ +180% |
| Aetna | Banner Employee Plans | $36.29 | ↑ +214% |
| Hospice of the Valley | Medicare | $37.80 | ↑ +227% |
| Cigna Healthcare of Arizona, Inc. | LocalFlex | $42.58 | ↑ +268% |
| Arizona Priority Care | Medicare Advantage | $43.20 | ↑ +274% |
| United Healthcare | UHC Doctor's Plan | $44.54 | ↑ +285% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $47.27 | ↑ +309% |
| Cigna Healthcare of Arizona, Inc. | Commercial | $47.31 | ↑ +309% |
| Plotkin Health | Plotkin Health | $48.60 | ↑ +320% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $48.60 | ↑ +320% |
| United Healthcare | UHC Core | $50.25 | ↑ +335% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $50.43 | ↑ +336% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $52.95 | ↑ +358% |
| Health Net | Medicare | $54.00 | ↑ +367% |
| Health Choice Arizona, Inc. | ACA Health Plan | $54.00 | ↑ +367% |
| Oscar Health Plan | Commercial | $54.00 | ↑ +367% |
| United Healthcare | Commercial | $54.18 | ↑ +369% |
| Aetna | Medical Rental | $56.92 | ↑ +392% |
| Health Net | Commerical Exchange Product | $58.32 | ↑ +404% |
| Quiktrip Corporation | Commercial | $58.32 | ↑ +404% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $63.03 | ↑ +445% |
| Blue Cross Blue Shield of Arizona | Commercial | $63.03 | ↑ +445% |
| Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Preferred | $63.03 | ↑ +445% |
| Arizona Medical Network | Commercial | $75.60 | ↑ +554% |
| Provider Network of America | Commercial | $81.00 | ↑ +601% |
| Aetna | Joint Venture | $178.85 | ↑ +1447% |
| Aetna | Designated Group | $190.03 | ↑ +1544% |
| Aetna | Broad Network | $223.59 | ↑ +1834% |
Visitor-reported prices
Comments
Consultation pathology during surgery frozen section each additional block at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Baywood Medical Center | Mesa | $23.76 | $12.26 – $81.00 |
| Banner Desert Medical Center | Mesa | $28.30 | $12.26 – $81.00 |
| Arizona General Hospital Mesa | Mesa | $57.06 | $14.73 – $188.73 |
| Mercy Gilbert Medical Center | Gilbert | $70.11 | $29.47 – $219.45 |
| Banner University Medical Center Phoenix | Phoenix | $30.02 | $12.26 – $81.00 |
| Banner University Medical Center Tucson | Tucson | $21.46 | $12.26 – $64.80 |
| Banner University Medical Center South | Tucson | $22.76 | $12.26 – $64.80 |
| Banner Boswell Medical Center | Sun City | $23.65 | $12.26 – $86.40 |