healthcosts.net
Knee MRI (without contrast) at Banner Heart Hospital
6750 E Baywood Avenue, Mesa, AZ · Banner Health · · NPI 1215961248
$609.02
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.
$2,379.00
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.
$166.84 with Mercy Care vs $1,784.25 with Provider Network of America — 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 |
|---|---|---|---|
| Mercy Care | Mercy Medicaid | $166.84 | ↓ -73% |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $166.84 | ↓ -73% |
| Health Net | Medicaid | $166.84 | ↓ -73% |
| Health Choice Arizona, Inc. | Medicaid | $166.84 | ↓ -73% |
| Arizona Physicians IPA | Medicaid | $166.84 | ↓ -73% |
| Aetna | Medicare Advantage | $475.80 | ↓ -22% |
| Aetna | Qualified Health Plan | $604.27 | ↓ -1% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $647.25 | ↑ +6% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $690.40 | ↑ +13% |
| Health Choice Arizona, Inc. | Medicare Advantage | $713.70 | ↑ +17% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $724.92 | ↑ +19% |
| Aetna | Banner Employee Plans | $799.34 | ↑ +31% |
| Hospice of the Valley | Medicare | $832.65 | ↑ +37% |
| Blue Cross Blue Shield of Arizona | Commercial | $863.00 | ↑ +42% |
| Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Preferred | $863.00 | ↑ +42% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $863.00 | ↑ +42% |
| Arizona Priority Care | Medicare Advantage | $951.60 | ↑ +56% |
| United Healthcare | UHC Doctor's Plan | $987.59 | ↑ +62% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $1,070.55 | ↑ +76% |
| Plotkin Health | Plotkin Health | $1,070.55 | ↑ +76% |
| United Healthcare | UHC Core | $1,076.21 | ↑ +77% |
| Aetna | Joint Venture | $1,099.10 | ↑ +80% |
| United Healthcare | Commercial | $1,165.03 | ↑ +91% |
| Aetna | Designated Group | $1,168.09 | ↑ +92% |
| Oscar Health Plan | Commercial | $1,189.50 | ↑ +95% |
| Health Net | Medicare | $1,189.50 | ↑ +95% |
| Health Choice Arizona, Inc. | ACA Health Plan | $1,189.50 | ↑ +95% |
| Aetna | Medical Rental | $1,253.73 | ↑ +106% |
| Health Net | Commerical Exchange Product | $1,284.66 | ↑ +111% |
| Quiktrip Corporation | Commercial | $1,284.66 | ↑ +111% |
| Cigna Healthcare of Arizona, Inc. | LocalFlex | $1,346.00 | ↑ +121% |
| Aetna | Broad Network | $1,372.68 | ↑ +125% |
| Cigna Healthcare of Arizona, Inc. | Commercial | $1,496.00 | ↑ +146% |
| Arizona Medical Network | Commercial | $1,665.30 | ↑ +173% |
| Provider Network of America | Commercial | $1,784.25 | ↑ +193% |
| TriWest Healthcare Alliance Corp - VA CCN | Tricare | not published by hospital | — |
Visitor-reported prices
Comments
Knee MRI (without contrast) at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Baywood Medical Center | Mesa | $421.08 | $166.84 – $1,784.25 |
| Banner Desert Medical Center | Mesa | $575.72 | $166.84 – $1,784.25 |
| Banner University Medical Center Phoenix | Phoenix | $456.77 | $166.84 – $1,784.25 |
| Banner University Medical Center Tucson | Tucson | $685.61 | $166.84 – $2,964.80 |
| Banner University Medical Center South | Tucson | $585.55 | $166.84 – $2,964.80 |
| Banner Boswell Medical Center | Sun City | $349.71 | $166.84 – $1,903.20 |
| Banner Casa Grande Medical Center | Casa Grande | $471.04 | $166.84 – $1,784.25 |
| Banner Del Webb Medical Center | Sun City West | $352.09 | $166.84 – $1,903.20 |