Epidural/lumbar/sacral/ea add level64484 at Banner Heart Hospital
6750 E Baywood Avenue, Mesa, AZ · Banner Health · · NPI 1215961248
$367.33
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.
$1,298.00
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.
$173.00 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 →
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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 | $173.00 | ↓ -53% |
| Aetna | Qualified Health Plan | $219.71 | ↓ -40% |
| Health Choice Arizona, Inc. | Medicare Advantage | $259.50 | ↓ -29% |
| Mercy Care | Mercy Medicaid | $281.32 | ↓ -23% |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $281.32 | ↓ -23% |
| Health Choice Arizona, Inc. | Medicaid | $281.32 | ↓ -23% |
| Arizona Physicians IPA | Medicaid | $281.32 | ↓ -23% |
| Health Net | Medicaid | $281.32 | ↓ -23% |
| Hospice of the Valley | Medicare | $302.75 | ↓ -18% |
| Arizona Priority Care | Medicare Advantage | $346.00 | ↓ -6% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $389.25 | ↑ +6% |
| Plotkin Health | Plotkin Health | $389.25 | ↑ +6% |
| Health Choice Arizona, Inc. | ACA Health Plan | $432.50 | ↑ +18% |
| Oscar Health Plan | Commercial | $432.50 | ↑ +18% |
| Health Net | Medicare | $432.50 | ↑ +18% |
| Aetna | Medical Rental | $455.86 | ↑ +24% |
| Quiktrip Corporation | Commercial | $467.10 | ↑ +27% |
| Health Net | Commerical Exchange Product | $467.10 | ↑ +27% |
| Arizona Medical Network | Commercial | $605.50 | ↑ +65% |
| Provider Network of America | Commercial | $648.75 | ↑ +77% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $798.95 | ↑ +118% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $852.21 | ↑ +132% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $894.82 | ↑ +144% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $1,065.27 | ↑ +190% |
| Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Preferred | $1,065.27 | ↑ +190% |
| Blue Cross Blue Shield of Arizona | Commercial | $1,065.27 | ↑ +190% |
| Aetna | Banner Employee Plans | $1,170.00 | ↑ +219% |
| United Healthcare | UHC Doctor's Plan | $2,114.00 | ↑ +476% |
| United Healthcare | UHC Core | $2,210.00 | ↑ +502% |
| United Healthcare | Commercial | $2,326.00 | ↑ +533% |
| Cigna Healthcare of Arizona, Inc. | LocalFlex | $4,018.00 | ↑ +994% |
| Aetna | Joint Venture | $4,405.00 | ↑ +1099% |
| Cigna Healthcare of Arizona, Inc. | Commercial | $4,464.00 | ↑ +1115% |
| Aetna | Designated Group | $4,680.00 | ↑ +1174% |
| Aetna | Broad Network | $5,506.00 | ↑ +1399% |
Visitor-reported prices
Comments
Epidural/lumbar/sacral/ea add level64484 at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Baywood Medical Center | Mesa | $443.92 | $173.00 – $4,018.00 |
| Banner Desert Medical Center | Mesa | $459.49 | $173.00 – $4,018.00 |
| Arizona General Hospital Mesa | Mesa | not published | $53.64 – $597.50 |
| Banner University Medical Center Phoenix | Phoenix | $464.68 | $173.00 – $4,018.00 |
| Banner University Medical Center Tucson | Tucson | $396.03 | $145.40 – $2,041.00 |
| Banner University Medical Center South | Tucson | $574.96 | $145.40 – $2,041.00 |
| Banner Casa Grande Medical Center | Casa Grande | $359.55 | $259.60 – $1,851.00 |
| Banner Estrella Medical Center | Phoenix | $502.33 | $173.00 – $4,018.00 |