Consultation/report referred slides prepared elsewhere at Banner Heart Hospital
6750 E Baywood Avenue, Mesa, AZ · Banner Health · · NPI 1215961248
$52.32
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.
$489.00
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.
$24.53 with Arizona Physicians IPA vs $441.34 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 |
|---|---|---|---|
| Arizona Physicians IPA | Medicaid | $24.53 | ↓ -53% |
| Health Choice Arizona, Inc. | Medicaid | $24.53 | ↓ -53% |
| Mercy Care | Mercy Medicaid | $24.53 | ↓ -53% |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $24.53 | ↓ -53% |
| Health Net | Medicaid | $24.53 | ↓ -53% |
| Wellpoint | Medicare Advantage HMO | $41.83 | ↓ -20% |
| United Healthcare | UHC Medicare Advantage | $41.83 | ↓ -20% |
| UPMC Health Plan | Medicare Advantage | $41.83 | ↓ -20% |
| Health Net | Medicare | $41.83 | ↓ -20% |
| TriWest Healthcare Alliance Corp - VA CCN | VA Community Care Network | $41.83 | ↓ -20% |
| Blue Cross Blue Shield of Arizona | Medicare Advantage | $41.83 | ↓ -20% |
| Kaiser Foundation Health Plan | Medicare Advantage | $41.83 | ↓ -20% |
| Cigna Healthcare of Arizona, Inc. | HMO Medicare Advantage Plans | $41.83 | ↓ -20% |
| Gila River Health Care Corporation | Managed Care Program | $41.83 | ↓ -20% |
| Humana | Medicare Advantage | $41.83 | ↓ -20% |
| Arizona Physicians IPA | Medicare Advantage | $41.83 | ↓ -20% |
| Care 1st | Medicare Advantage | $41.83 | ↓ -20% |
| Banner University Health Plan | University Care Advantage | $41.83 | ↓ -20% |
| Mercy Care | Mercy Care Advantage | $41.83 | ↓ -20% |
| Health Choice Arizona, Inc. | Medicare Advantage | $41.83 | ↓ -20% |
| Banner Health | Medicare Advantage | $41.83 | ↓ -20% |
| Aetna | Medicare Advantage | $41.83 | ↓ -20% |
| Cigna Healthcare of Arizona, Inc. | PPO Medicare Advantage Plan | $41.83 | ↓ -20% |
| Devoted Health Services | Medicare Advantage | $43.92 | ↓ -16% |
| Carelon | Medicare Advantage | $43.92 | ↓ -16% |
| Arizona Priority Care | Medicare Advantage | $46.01 | ↓ -12% |
| Gold Kidney Health Plan | Medicare Advantage | $46.01 | ↓ -12% |
| Aetna | Qualified Health Plan | $56.89 | ↑ +9% |
| United Healthcare | Individual Exchange | $58.56 | ↑ +12% |
| Health Net | Commerical Exchange Product | $61.91 | ↑ +18% |
| United Healthcare | UHC Doctor's Plan | $62.59 | ↑ +20% |
| Health Choice Arizona, Inc. | ACA Health Plan | $62.74 | ↑ +20% |
| Oscar Health Plan | Commercial | $69.02 | ↑ +32% |
| United Healthcare | UHC Core | $70.70 | ↑ +35% |
| United Healthcare | Commercial | $76.14 | ↑ +46% |
| Cigna Healthcare of Arizona, Inc. | LocalFlex | $139.08 | ↑ +166% |
| Cigna Healthcare of Arizona, Inc. | Commercial | $154.53 | ↑ +195% |
| Aetna | Banner Employee Plans | $164.30 | ↑ +214% |
| Hospice of the Valley | Medicare | $171.15 | ↑ +227% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $220.05 | ↑ +321% |
| Plotkin Health | Plotkin Health | $220.05 | ↑ +321% |
| Aetna | Medical Rental | $257.70 | ↑ +393% |
| Quiktrip Corporation | Commercial | $264.06 | ↑ +405% |
| Aetna | Joint Venture | $276.83 | ↑ +429% |
| Aetna | Designated Group | $294.15 | ↑ +462% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $331.00 | ↑ +533% |
| Arizona Medical Network | Commercial | $342.30 | ↑ +554% |
| Aetna | Broad Network | $346.08 | ↑ +561% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $353.07 | ↑ +575% |
| Provider Network of America | Commercial | $366.75 | ↑ +601% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $370.72 | ↑ +609% |
| Blue Cross Blue Shield of Arizona | Commercial | $441.34 | ↑ +744% |
| Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Preferred | $441.34 | ↑ +744% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $441.34 | ↑ +744% |
| TriWest Healthcare Alliance Corp - VA CCN | Tricare | not published by hospital | — |
Visitor-reported prices
Comments
Consultation/report referred slides prepared elsewhere at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Baywood Medical Center | Mesa | $107.58 | $24.53 – $366.75 |
| Banner Desert Medical Center | Mesa | $128.12 | $24.53 – $366.75 |
| Arizona General Hospital Mesa | Mesa | $103.50 | $22.92 – $401.22 |
| Banner University Medical Center Phoenix | Phoenix | $135.94 | $24.53 – $366.75 |
| Banner University Medical Center Tucson | Tucson | $22.26 | $24.53 – $69.02 |
| Banner University Medical Center South | Tucson | $23.60 | $24.53 – $69.02 |
| Banner Boswell Medical Center | Sun City | $107.09 | $24.53 – $391.20 |
| Banner Casa Grande Medical Center | Casa Grande | $111.98 | $24.53 – $366.75 |