Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) at Banner Heart Hospital

6750 E Baywood Avenue, Mesa, AZ · Banner Health · · NPI 1215961248

Source: hospital's published price file ↗ · Published Mar 2, 2026 · Ingested Aug 12, 2026

$541.38

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$1,913.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$255.00 with Aetna vs $5,506.00 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 →

Payer
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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
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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 $255.00 ↓ -53%
Aetna Qualified Health Plan $323.85 ↓ -40%
Health Choice Arizona, Inc. Medicare Advantage $382.50 ↓ -29%
Hospice of the Valley Medicare $446.25 ↓ -18%
Arizona Priority Care Medicare Advantage $510.00 ↓ -6%
Health Choice Arizona, Inc. Medicaid $545.55 ↑ +1%
Arizona Physicians IPA Medicaid $545.55 ↑ +1%
Health Net Medicaid $545.55 ↑ +1%
Banner University Health Plan AZ Medicaid - AHCCCS $545.55 ↑ +1%
Mercy Care Mercy Medicaid $545.55 ↑ +1%
National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) NHSI VUMI $573.75 ↑ +6%
Plotkin Health Plotkin Health $573.75 ↑ +6%
Health Net Medicare $637.50 ↑ +18%
Health Choice Arizona, Inc. ACA Health Plan $637.50 ↑ +18%
Oscar Health Plan Commercial $637.50 ↑ +18%
Aetna Medical Rental $671.92 ↑ +24%
Quiktrip Corporation Commercial $688.50 ↑ +27%
Health Net Commerical Exchange Product $688.50 ↑ +27%
Blue Cross Blue Shield of Arizona BXBSAZ Neighborhood $869.74 ↑ +61%
Arizona Medical Network Commercial $892.50 ↑ +65%
Blue Cross Blue Shield of Arizona BCBSAZ Alliance/Blue HPN $927.73 ↑ +71%
Provider Network of America Commercial $956.25 ↑ +77%
Blue Cross Blue Shield of Arizona BXBSAZ Alliance CHS $974.11 ↑ +80%
Blue Cross Blue Shield of Arizona Commercial $1,159.66 ↑ +114%
Blue Cross Blue Shield of Arizona BCBSAZ Workers Comp $1,159.66 ↑ +114%
Blue Cross Blue Shield of Arizona Medicare Supplemental Senior Preferred $1,159.66 ↑ +114%
Aetna Banner Employee Plans $1,170.00 ↑ +116%
United Healthcare UHC Doctor's Plan $2,114.00 ↑ +290%
United Healthcare UHC Core $2,210.00 ↑ +308%
United Healthcare Commercial $2,326.00 ↑ +330%
Cigna Healthcare of Arizona, Inc. LocalFlex $4,018.00 ↑ +642%
Aetna Joint Venture $4,405.00 ↑ +714%
Cigna Healthcare of Arizona, Inc. Commercial $4,464.00 ↑ +725%
Aetna Designated Group $4,680.00 ↑ +764%
Aetna Broad Network $5,506.00 ↑ +917%

Visitor-reported prices

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Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) at other Arizona hospitals

Hospital City Cash price Negotiated range
Banner Baywood Medical Center Mesa $654.25 $255.00 – $4,018.00
Banner Desert Medical Center Mesa $677.20 $255.00 – $1,037.18
Arizona General Hospital Mesa Mesa not published $61.15 – $650.44
Banner University Medical Center Tucson Tucson $818.56 $300.60 – $2,041.00
Banner University Medical Center South Tucson $1,188.38 $300.60 – $2,041.00
Banner Estrella Medical Center Phoenix $740.33 $255.00 – $4,018.00
Banner Thunderbird Medical Center Glendale $589.20 $72.99 – $4,018.00
Mercy Gilbert Medical Center Gilbert not published $61.15 – $770.62

All Arizona hospitals for this procedure →