healthcosts.net
Hip X-ray at Banner Heart Hospital
6750 E Baywood Avenue, Mesa, AZ · Banner Health · · NPI 1215961248
$131.56
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.
?
What you pay up front if you don't use insurance.
$317.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$58.65 with Mercy Care vs $409.57 with United Healthcare — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Mercy Care | Mercy Medicaid | $58.65 | ↓ -55% |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $58.65 | ↓ -55% |
| Health Net | Medicaid | $58.65 | ↓ -55% |
| Health Choice Arizona, Inc. | Medicaid | $58.65 | ↓ -55% |
| Arizona Physicians IPA | Medicaid | $58.65 | ↓ -55% |
| Aetna | Medicare Advantage | $63.40 | ↓ -52% |
| Aetna | Qualified Health Plan | $80.52 | ↓ -39% |
| Health Choice Arizona, Inc. | Medicare Advantage | $95.10 | ↓ -28% |
| Aetna | Banner Employee Plans | $106.51 | ↓ -19% |
| Hospice of the Valley | Medicare | $110.95 | ↓ -16% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $124.49 | ↓ -5% |
| Arizona Priority Care | Medicare Advantage | $126.80 | ↓ -4% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $132.79 | ↑ +1% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $139.43 | ↑ +6% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $142.65 | ↑ +8% |
| Plotkin Health | Plotkin Health | $142.65 | ↑ +8% |
| Aetna | Joint Venture | $146.45 | ↑ +11% |
| Aetna | Designated Group | $155.65 | ↑ +18% |
| Oscar Health Plan | Commercial | $158.50 | ↑ +20% |
| Health Net | Medicare | $158.50 | ↑ +20% |
| Health Choice Arizona, Inc. | ACA Health Plan | $158.50 | ↑ +20% |
| Blue Cross Blue Shield of Arizona | Commercial | $165.99 | ↑ +26% |
| Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Preferred | $165.99 | ↑ +26% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $165.99 | ↑ +26% |
| Aetna | Medical Rental | $167.06 | ↑ +27% |
| Health Net | Commerical Exchange Product | $171.18 | ↑ +30% |
| Quiktrip Corporation | Commercial | $171.18 | ↑ +30% |
| Aetna | Broad Network | $182.91 | ↑ +39% |
| Cigna Healthcare of Arizona, Inc. | LocalFlex | $208.27 | ↑ +58% |
| Cigna Healthcare of Arizona, Inc. | Commercial | $217.78 | ↑ +66% |
| Arizona Medical Network | Commercial | $221.90 | ↑ +69% |
| Provider Network of America | Commercial | $237.75 | ↑ +81% |
| United Healthcare | UHC Doctor's Plan | $347.17 | ↑ +164% |
| United Healthcare | UHC Core | $378.33 | ↑ +188% |
| United Healthcare | Commercial | $409.57 | ↑ +211% |
| TriWest Healthcare Alliance Corp - VA CCN | Tricare | not published by hospital | — |
Visitor-reported prices
Comments
Hip X-ray at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Baywood Medical Center | Mesa | $91.30 | $58.65 – $347.17 |
| Banner Desert Medical Center | Mesa | $88.76 | $58.65 – $347.17 |
| Banner University Medical Center Phoenix | Phoenix | $89.39 | $57.76 – $347.17 |
| Banner University Medical Center South | Tucson | $123.20 | $58.65 – $409.57 |
| Banner University Medical Center Tucson | Tucson | $120.00 | $58.65 – $409.57 |
| Banner Behavioral Health Hospital | Scottsdale | $185.72 | $46.03 – $221.90 |
| Banner Casa Grande Medical Center | Casa Grande | $68.16 | $58.65 – $333.39 |
| Banner Boswell Medical Center | Sun City | $77.35 | $58.65 – $347.17 |