Lipoprotein blood quant at Banner Heart Hospital
6750 E Baywood Avenue, Mesa, AZ · Banner Health · · NPI 1215961248
$8.65
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.
$103.00
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.
$34.19 with Banner Health vs $157.58 with Blue Cross Blue Shield of Arizona — 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 |
|---|---|---|---|
| Banner Health | Medicare Advantage | $34.19 | ↑ +295% |
| Gila River Health Care Corporation | Managed Care Program | $34.19 | ↑ +295% |
| Humana | Medicare Advantage | $34.19 | ↑ +295% |
| Arizona Physicians IPA | Medicare Advantage | $34.19 | ↑ +295% |
| Arizona Physicians IPA | Medicaid | $34.19 | ↑ +295% |
| Health Net | Medicaid | $34.19 | ↑ +295% |
| Health Net | Medicare | $34.19 | ↑ +295% |
| TriWest Healthcare Alliance Corp - VA CCN | VA Community Care Network | $34.19 | ↑ +295% |
| Blue Cross Blue Shield of Arizona | Medicare Advantage | $34.19 | ↑ +295% |
| Kaiser Foundation Health Plan | Medicare Advantage | $34.19 | ↑ +295% |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $34.19 | ↑ +295% |
| Banner University Health Plan | University Care Advantage | $34.19 | ↑ +295% |
| Mercy Care | Mercy Medicaid | $34.19 | ↑ +295% |
| Mercy Care | Mercy Care Advantage | $34.19 | ↑ +295% |
| Care 1st | Medicare Advantage | $34.19 | ↑ +295% |
| Health Choice Arizona, Inc. | Medicare Advantage | $34.19 | ↑ +295% |
| Cigna Healthcare of Arizona, Inc. | PPO Medicare Advantage Plan | $34.19 | ↑ +295% |
| Cigna Healthcare of Arizona, Inc. | HMO Medicare Advantage Plans | $34.19 | ↑ +295% |
| Health Choice Arizona, Inc. | Medicaid | $34.19 | ↑ +295% |
| Aetna | Medicare Advantage | $34.19 | ↑ +295% |
| Wellpoint | Medicare Advantage HMO | $34.19 | ↑ +295% |
| United Healthcare | UHC Medicare Advantage | $34.19 | ↑ +295% |
| UPMC Health Plan | Medicare Advantage | $34.19 | ↑ +295% |
| Aetna | Banner Employee Plans | $34.61 | ↑ +300% |
| Devoted Health Services | Medicare Advantage | $35.90 | ↑ +315% |
| Carelon | Medicare Advantage | $35.90 | ↑ +315% |
| Hospice of the Valley | Medicare | $36.05 | ↑ +317% |
| Gold Kidney Health Plan | Medicare Advantage | $37.61 | ↑ +335% |
| Arizona Priority Care | Medicare Advantage | $37.61 | ↑ +335% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $46.35 | ↑ +436% |
| Plotkin Health | Plotkin Health | $46.35 | ↑ +436% |
| Aetna | Qualified Health Plan | $46.50 | ↑ +438% |
| United Healthcare | Individual Exchange | $47.87 | ↑ +453% |
| Health Net | Commerical Exchange Product | $50.60 | ↑ +485% |
| Health Choice Arizona, Inc. | ACA Health Plan | $51.28 | ↑ +493% |
| Aetna | Medical Rental | $54.28 | ↑ +528% |
| Quiktrip Corporation | Commercial | $55.62 | ↑ +543% |
| Oscar Health Plan | Commercial | $56.41 | ↑ +552% |
| Cigna Healthcare of Arizona, Inc. | LocalFlex | $59.99 | ↑ +594% |
| United Healthcare | UHC Doctor's Plan | $63.24 | ↑ +631% |
| Cigna Healthcare of Arizona, Inc. | Commercial | $66.66 | ↑ +671% |
| United Healthcare | UHC Core | $69.91 | ↑ +708% |
| Arizona Medical Network | Commercial | $72.10 | ↑ +734% |
| United Healthcare | Commercial | $76.94 | ↑ +789% |
| Provider Network of America | Commercial | $77.25 | ↑ +793% |
| Aetna | Joint Venture | $114.81 | ↑ +1227% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $118.19 | ↑ +1266% |
| Aetna | Designated Group | $121.99 | ↑ +1310% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $126.07 | ↑ +1357% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $132.37 | ↑ +1430% |
| Aetna | Broad Network | $143.53 | ↑ +1559% |
| Blue Cross Blue Shield of Arizona | Commercial | $157.58 | ↑ +1722% |
| Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Preferred | $157.58 | ↑ +1722% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $157.58 | ↑ +1722% |
Visitor-reported prices
Comments
Lipoprotein blood quant at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Baywood Medical Center | Mesa | $13.08 | $34.19 – $77.25 |
| Banner Desert Medical Center | Mesa | $15.45 | $34.19 – $77.25 |
| Arizona General Hospital Mesa | Mesa | $36.56 | $20.51 – $166.40 |
| Mercy Gilbert Medical Center | Gilbert | $33.65 | $19.15 – $105.31 |
| Banner University Medical Center Phoenix | Phoenix | $16.48 | $34.19 – $77.25 |
| Banner University Medical Center Tucson | Tucson | $16.69 | $34.19 – $82.40 |
| Banner University Medical Center South | Tucson | $16.07 | $34.19 – $82.40 |
| Banner Boswell Medical Center | Sun City | $15.55 | $34.19 – $82.40 |