Contrast x-ray of elbow at Banner Heart Hospital
6750 E Baywood Avenue, Mesa, AZ · Banner Health · · NPI 1215961248
$291.58
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.
$1,101.00
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.
$220.20 with Aetna vs $1,863.61 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 | $220.20 | ↓ -24% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $251.33 | ↓ -14% |
| Health Net | Medicaid | $266.89 | ↓ -8% |
| Health Choice Arizona, Inc. | Medicaid | $266.89 | ↓ -8% |
| Mercy Care | Mercy Medicaid | $266.89 | ↓ -8% |
| Arizona Physicians IPA | Medicaid | $266.89 | ↓ -8% |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $266.89 | ↓ -8% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $268.08 | ↓ -8% |
| Aetna | Qualified Health Plan | $279.65 | ↓ -4% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $281.48 | ↓ -3% |
| Health Choice Arizona, Inc. | Medicare Advantage | $330.30 | ↑ +13% |
| Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Preferred | $335.10 | ↑ +15% |
| Blue Cross Blue Shield of Arizona | Commercial | $335.10 | ↑ +15% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $335.10 | ↑ +15% |
| Aetna | Banner Employee Plans | $369.94 | ↑ +27% |
| Hospice of the Valley | Medicare | $385.35 | ↑ +32% |
| Arizona Priority Care | Medicare Advantage | $440.40 | ↑ +51% |
| Plotkin Health | Plotkin Health | $495.45 | ↑ +70% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $495.45 | ↑ +70% |
| Aetna | Joint Venture | $508.66 | ↑ +74% |
| Aetna | Designated Group | $540.59 | ↑ +85% |
| Oscar Health Plan | Commercial | $550.50 | ↑ +89% |
| Health Net | Medicare | $550.50 | ↑ +89% |
| Health Choice Arizona, Inc. | ACA Health Plan | $550.50 | ↑ +89% |
| Aetna | Medical Rental | $580.23 | ↑ +99% |
| Quiktrip Corporation | Commercial | $594.54 | ↑ +104% |
| Health Net | Commerical Exchange Product | $594.54 | ↑ +104% |
| Aetna | Broad Network | $635.28 | ↑ +118% |
| Cigna Healthcare of Arizona, Inc. | LocalFlex | $723.36 | ↑ +148% |
| Cigna Healthcare of Arizona, Inc. | Commercial | $756.39 | ↑ +159% |
| Arizona Medical Network | Commercial | $770.70 | ↑ +164% |
| Provider Network of America | Commercial | $825.75 | ↑ +183% |
| United Healthcare | UHC Doctor's Plan | $1,580.51 | ↑ +442% |
| United Healthcare | UHC Core | $1,722.34 | ↑ +491% |
| United Healthcare | Commercial | $1,863.61 | ↑ +539% |
| TriWest Healthcare Alliance Corp - VA CCN | Tricare | not published by hospital | — |
Visitor-reported prices
Comments
Contrast x-ray of elbow at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Baywood Medical Center | Mesa | $115.60 | $220.20 – $1,580.51 |
| Banner Desert Medical Center | Mesa | $354.15 | $220.20 – $1,580.51 |
| Arizona General Hospital Mesa | Mesa | $409.28 | $104.78 – $1,353.77 |
| Banner University Medical Center Phoenix | Phoenix | $338.01 | $116.60 – $1,580.51 |
| Banner University Medical Center Tucson | Tucson | $148.76 | $101.20 – $1,863.61 |
| Banner University Medical Center South | Tucson | $149.56 | $101.20 – $1,863.61 |
| Banner Boswell Medical Center | Sun City | $265.52 | $220.20 – $1,580.51 |
| Banner Casa Grande Medical Center | Casa Grande | $270.66 | $175.52 – $1,516.98 |