Ins/rpl pm gen exist sgl lead at Banner Heart Hospital
6750 E Baywood Avenue, Mesa, AZ · Banner Health · · NPI 1215961248
$3,047.34
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.
$10,768.00
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 | ↑ +3% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $3,346.25 | ↑ +10% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $3,513.54 | ↑ +15% |
| Hospice of the Valley | Medicare | $3,768.80 | ↑ +24% |
| Cigna Healthcare of Arizona, Inc. | LocalFlex | $4,018.00 | ↑ +32% |
| Blue Cross Blue Shield of Arizona | Commercial | $4,182.81 | ↑ +37% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $4,182.81 | ↑ +37% |
| Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Preferred | $4,182.81 | ↑ +37% |
| Cigna Healthcare of Arizona, Inc. | Commercial | $4,464.00 | ↑ +46% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $4,845.60 | ↑ +59% |
| Plotkin Health | Plotkin Health | $4,845.60 | ↑ +59% |
| Aetna | Medical Rental | $5,674.74 | ↑ +86% |
| Quiktrip Corporation | Commercial | $5,814.72 | ↑ +91% |
| Health Net | Medicaid | $5,910.62 | ↑ +94% |
| Health Choice Arizona, Inc. | Medicaid | $5,910.62 | ↑ +94% |
| Arizona Physicians IPA | Medicaid | $5,910.62 | ↑ +94% |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $5,910.62 | ↑ +94% |
| Mercy Care | Mercy Medicaid | $5,910.62 | ↑ +94% |
| Arizona Medical Network | Commercial | $7,537.60 | ↑ +147% |
| Provider Network of America | Commercial | $8,076.00 | ↑ +165% |
| Arizona Physicians IPA | Medicare Advantage | $8,820.71 | ↑ +189% |
| Gila River Health Care Corporation | Managed Care Program | $8,820.71 | ↑ +189% |
| Humana | Medicare Advantage | $8,820.71 | ↑ +189% |
| United Healthcare | UHC Medicare Advantage | $8,820.71 | ↑ +189% |
| UPMC Health Plan | Medicare Advantage | $8,820.71 | ↑ +189% |
| Blue Cross Blue Shield of Arizona | Medicare Advantage | $8,820.71 | ↑ +189% |
| Banner University Health Plan | University Care Advantage | $8,820.71 | ↑ +189% |
| Mercy Care | Mercy Care Advantage | $8,820.71 | ↑ +189% |
| Cigna Healthcare of Arizona, Inc. | PPO Medicare Advantage Plan | $8,820.71 | ↑ +189% |
| Cigna Healthcare of Arizona, Inc. | HMO Medicare Advantage Plans | $8,820.71 | ↑ +189% |
| Aetna | Medicare Advantage | $8,820.71 | ↑ +189% |
| Banner Health | Medicare Advantage | $8,820.71 | ↑ +189% |
| Health Choice Arizona, Inc. | Medicare Advantage | $8,820.71 | ↑ +189% |
| Kaiser Foundation Health Plan | Medicare Advantage | $8,820.71 | ↑ +189% |
| TriWest Healthcare Alliance Corp - VA CCN | VA Community Care Network | $8,820.71 | ↑ +189% |
| Health Net | Medicare | $8,820.71 | ↑ +189% |
| Wellpoint | Medicare Advantage HMO | $8,820.71 | ↑ +189% |
| Care 1st | Medicare Advantage | $8,820.71 | ↑ +189% |
| Carelon | Medicare Advantage | $9,261.75 | ↑ +204% |
| Devoted Health Services | Medicare Advantage | $9,261.75 | ↑ +204% |
| Gold Kidney Health Plan | Medicare Advantage | $9,702.78 | ↑ +218% |
| Arizona Priority Care | Medicare Advantage | $9,702.78 | ↑ +218% |
| Aetna | Banner Employee Plans | $10,026.00 | ↑ +229% |
| Aetna | Qualified Health Plan | $11,996.17 | ↑ +294% |
| United Healthcare | Individual Exchange | $12,348.99 | ↑ +305% |
| Health Net | Commerical Exchange Product | $13,054.65 | ↑ +328% |
| Health Choice Arizona, Inc. | ACA Health Plan | $13,231.07 | ↑ +334% |
| Oscar Health Plan | Commercial | $14,554.17 | ↑ +378% |
| Aetna | Joint Venture | $17,328.00 | ↑ +469% |
| Aetna | Designated Group | $18,411.00 | ↑ +504% |
| Aetna | Broad Network | $21,660.00 | ↑ +611% |
| United Healthcare | UHC Doctor's Plan | $47,100.00 | ↑ +1446% |
| United Healthcare | UHC Core | $49,224.00 | ↑ +1515% |
| United Healthcare | Commercial | $51,815.00 | ↑ +1600% |
| TriWest Healthcare Alliance Corp - VA CCN | Tricare | not published by hospital | — |
Visitor-reported prices
Comments
Ins/rpl pm gen exist sgl lead at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Baywood Medical Center | Mesa | $3,682.66 | $3,741.03 – $14,554.17 |
| Banner Desert Medical Center | Mesa | $3,811.87 | $3,741.03 – $14,554.17 |
| Arizona General Hospital Mesa | Mesa | not published | $332.58 – $9,085.34 |
| Banner University Medical Center Phoenix | Phoenix | $3,854.94 | $1,455.44 – $14,554.17 |
| Banner University Medical Center Tucson | Tucson | $8,739.23 | $3,191.68 – $19,260.00 |
| Banner University Medical Center South | Tucson | $12,687.53 | $2,248.02 – $19,260.00 |
| Banner Boswell Medical Center | Sun City | $3,111.95 | $2,856.54 – $14,554.17 |
| Banner Del Webb Medical Center | Sun City West | $3,434.99 | $1,455.44 – $14,554.17 |