Ins/rpl pm gen exist dual lead at Banner Heart Hospital
6750 E Baywood Avenue, Mesa, AZ · Banner Health · · NPI 1215961248
$3,190.82
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.
$11,275.00
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.
$3,137.11 with Blue Cross Blue Shield of Arizona vs $51,815.00 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 |
|---|---|---|---|
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $3,137.11 | ↓ -2% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $3,346.25 | ↑ +5% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $3,513.54 | ↑ +10% |
| Hospice of the Valley | Medicare | $3,946.25 | ↑ +24% |
| Cigna Healthcare of Arizona, Inc. | LocalFlex | $4,018.00 | ↑ +26% |
| Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Preferred | $4,182.81 | ↑ +31% |
| Blue Cross Blue Shield of Arizona | Commercial | $4,182.81 | ↑ +31% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $4,182.81 | ↑ +31% |
| Cigna Healthcare of Arizona, Inc. | Commercial | $4,464.00 | ↑ +40% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $5,073.75 | ↑ +59% |
| Plotkin Health | Plotkin Health | $5,073.75 | ↑ +59% |
| Aetna | Medical Rental | $5,941.93 | ↑ +86% |
| Quiktrip Corporation | Commercial | $6,088.50 | ↑ +91% |
| Mercy Care | Mercy Medicaid | $7,540.11 | ↑ +136% |
| Arizona Physicians IPA | Medicaid | $7,540.11 | ↑ +136% |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $7,540.11 | ↑ +136% |
| Health Net | Medicaid | $7,540.11 | ↑ +136% |
| Health Choice Arizona, Inc. | Medicaid | $7,540.11 | ↑ +136% |
| Arizona Medical Network | Commercial | $7,892.50 | ↑ +147% |
| Provider Network of America | Commercial | $8,456.25 | ↑ +165% |
| Aetna | Banner Employee Plans | $10,026.00 | ↑ +214% |
| Arizona Physicians IPA | Medicare Advantage | $11,154.16 | ↑ +250% |
| Gila River Health Care Corporation | Managed Care Program | $11,154.16 | ↑ +250% |
| Humana | Medicare Advantage | $11,154.16 | ↑ +250% |
| United Healthcare | UHC Medicare Advantage | $11,154.16 | ↑ +250% |
| UPMC Health Plan | Medicare Advantage | $11,154.16 | ↑ +250% |
| Blue Cross Blue Shield of Arizona | Medicare Advantage | $11,154.16 | ↑ +250% |
| Banner University Health Plan | University Care Advantage | $11,154.16 | ↑ +250% |
| Mercy Care | Mercy Care Advantage | $11,154.16 | ↑ +250% |
| Cigna Healthcare of Arizona, Inc. | PPO Medicare Advantage Plan | $11,154.16 | ↑ +250% |
| Cigna Healthcare of Arizona, Inc. | HMO Medicare Advantage Plans | $11,154.16 | ↑ +250% |
| Aetna | Medicare Advantage | $11,154.16 | ↑ +250% |
| Banner Health | Medicare Advantage | $11,154.16 | ↑ +250% |
| Health Choice Arizona, Inc. | Medicare Advantage | $11,154.16 | ↑ +250% |
| Kaiser Foundation Health Plan | Medicare Advantage | $11,154.16 | ↑ +250% |
| TriWest Healthcare Alliance Corp - VA CCN | VA Community Care Network | $11,154.16 | ↑ +250% |
| Health Net | Medicare | $11,154.16 | ↑ +250% |
| Wellpoint | Medicare Advantage HMO | $11,154.16 | ↑ +250% |
| Care 1st | Medicare Advantage | $11,154.16 | ↑ +250% |
| Carelon | Medicare Advantage | $11,711.87 | ↑ +267% |
| Devoted Health Services | Medicare Advantage | $11,711.87 | ↑ +267% |
| Arizona Priority Care | Medicare Advantage | $12,269.58 | ↑ +285% |
| Gold Kidney Health Plan | Medicare Advantage | $12,269.58 | ↑ +285% |
| Aetna | Qualified Health Plan | $15,169.66 | ↑ +375% |
| United Healthcare | Individual Exchange | $15,615.82 | ↑ +389% |
| Health Net | Commerical Exchange Product | $16,508.16 | ↑ +417% |
| Health Choice Arizona, Inc. | ACA Health Plan | $16,731.24 | ↑ +424% |
| Aetna | Joint Venture | $17,328.00 | ↑ +443% |
| Oscar Health Plan | Commercial | $18,404.36 | ↑ +477% |
| Aetna | Designated Group | $18,411.00 | ↑ +477% |
| Aetna | Broad Network | $21,660.00 | ↑ +579% |
| United Healthcare | UHC Doctor's Plan | $47,100.00 | ↑ +1376% |
| United Healthcare | UHC Core | $49,224.00 | ↑ +1443% |
| United Healthcare | Commercial | $51,815.00 | ↑ +1524% |
| TriWest Healthcare Alliance Corp - VA CCN | Tricare | not published by hospital | — |
Visitor-reported prices
Comments
Ins/rpl pm gen exist dual lead at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Baywood Medical Center | Mesa | $3,856.05 | $3,741.03 – $18,404.36 |
| Banner Desert Medical Center | Mesa | $3,991.35 | $3,741.03 – $18,404.36 |
| Arizona General Hospital Mesa | Mesa | not published | $348.32 – $11,488.79 |
| Mercy Gilbert Medical Center | Gilbert | $5,090.24 | $348.32 – $15,932.84 |
| Banner University Medical Center Phoenix | Phoenix | $4,036.45 | $1,455.44 – $18,404.36 |
| Banner University Medical Center Tucson | Tucson | $9,150.87 | $3,191.68 – $20,167.20 |
| Banner University Medical Center South | Tucson | $13,285.14 | $2,248.02 – $20,167.20 |
| Banner Boswell Medical Center | Sun City | $3,258.48 | $2,856.54 – $18,404.36 |