Factor ix at Banner Heart Hospital
6750 E Baywood Avenue, Mesa, AZ · Banner Health · · NPI 1215961248
$5.06
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.
$79.00
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.
$19.04 with Cigna Healthcare of Arizona, Inc. vs $79.93 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 |
|---|---|---|---|
| Cigna Healthcare of Arizona, Inc. | PPO Medicare Advantage Plan | $19.04 | ↑ +276% |
| Wellpoint | Medicare Advantage HMO | $19.04 | ↑ +276% |
| UPMC Health Plan | Medicare Advantage | $19.04 | ↑ +276% |
| United Healthcare | UHC Medicare Advantage | $19.04 | ↑ +276% |
| TriWest Healthcare Alliance Corp - VA CCN | VA Community Care Network | $19.04 | ↑ +276% |
| Aetna | Medicare Advantage | $19.04 | ↑ +276% |
| Mercy Care | Mercy Medicaid | $19.04 | ↑ +276% |
| Mercy Care | Mercy Care Advantage | $19.04 | ↑ +276% |
| Arizona Physicians IPA | Medicaid | $19.04 | ↑ +276% |
| Arizona Physicians IPA | Medicare Advantage | $19.04 | ↑ +276% |
| Health Choice Arizona, Inc. | Medicaid | $19.04 | ↑ +276% |
| Care 1st | Medicare Advantage | $19.04 | ↑ +276% |
| Cigna Healthcare of Arizona, Inc. | HMO Medicare Advantage Plans | $19.04 | ↑ +276% |
| Gila River Health Care Corporation | Managed Care Program | $19.04 | ↑ +276% |
| Banner Health | Medicare Advantage | $19.04 | ↑ +276% |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $19.04 | ↑ +276% |
| Banner University Health Plan | University Care Advantage | $19.04 | ↑ +276% |
| Kaiser Foundation Health Plan | Medicare Advantage | $19.04 | ↑ +276% |
| Humana | Medicare Advantage | $19.04 | ↑ +276% |
| Health Net | Medicare | $19.04 | ↑ +276% |
| Health Net | Medicaid | $19.04 | ↑ +276% |
| Health Choice Arizona, Inc. | Medicare Advantage | $19.04 | ↑ +276% |
| Blue Cross Blue Shield of Arizona | Medicare Advantage | $19.04 | ↑ +276% |
| Devoted Health Services | Medicare Advantage | $19.99 | ↑ +295% |
| Carelon | Medicare Advantage | $19.99 | ↑ +295% |
| Arizona Priority Care | Medicare Advantage | $20.94 | ↑ +314% |
| Gold Kidney Health Plan | Medicare Advantage | $20.94 | ↑ +314% |
| Aetna | Banner Employee Plans | $25.20 | ↑ +398% |
| Aetna | Qualified Health Plan | $25.89 | ↑ +412% |
| Hospice of the Valley | Medicare | $26.25 | ↑ +419% |
| United Healthcare | Individual Exchange | $26.66 | ↑ +427% |
| Health Net | Commerical Exchange Product | $28.18 | ↑ +457% |
| Health Choice Arizona, Inc. | ACA Health Plan | $28.56 | ↑ +464% |
| Oscar Health Plan | Commercial | $31.42 | ↑ +521% |
| Cigna Healthcare of Arizona, Inc. | LocalFlex | $33.43 | ↑ +561% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $33.75 | ↑ +567% |
| Plotkin Health | Plotkin Health | $33.75 | ↑ +567% |
| United Healthcare | UHC Doctor's Plan | $35.21 | ↑ +596% |
| Cigna Healthcare of Arizona, Inc. | Commercial | $37.14 | ↑ +634% |
| United Healthcare | UHC Core | $38.94 | ↑ +670% |
| Aetna | Medical Rental | $39.52 | ↑ +681% |
| Quiktrip Corporation | Commercial | $40.50 | ↑ +700% |
| United Healthcare | Commercial | $42.84 | ↑ +747% |
| Arizona Medical Network | Commercial | $52.50 | ↑ +938% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $54.85 | ↑ +984% |
| Provider Network of America | Commercial | $56.25 | ↑ +1012% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $58.51 | ↑ +1056% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $61.43 | ↑ +1114% |
| Aetna | Joint Venture | $63.94 | ↑ +1164% |
| Aetna | Designated Group | $67.93 | ↑ +1242% |
| Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Preferred | $73.13 | ↑ +1345% |
| Blue Cross Blue Shield of Arizona | Commercial | $73.13 | ↑ +1345% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $73.13 | ↑ +1345% |
| Aetna | Broad Network | $79.93 | ↑ +1480% |
Visitor-reported prices
Comments
Factor ix at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Baywood Medical Center | Mesa | $35.55 | $19.04 – $56.25 |
| Banner Desert Medical Center | Mesa | $14.93 | $19.04 – $56.25 |
| Arizona General Hospital Mesa | Mesa | $227.99 | $11.42 – $754.10 |
| Mercy Gilbert Medical Center | Gilbert | $166.05 | $10.67 – $58.65 |
| Banner University Medical Center Phoenix | Phoenix | $14.46 | $19.04 – $56.25 |
| Banner University Medical Center Tucson | Tucson | $10.82 | $19.04 – $60.00 |
| Banner University Medical Center South | Tucson | $10.27 | $19.04 – $60.00 |
| Banner Behavioral Health Hospital | Scottsdale | $46.28 | $19.04 – $55.30 |