Lipoprotein direct measurement ldl at Banner Heart Hospital
6750 E Baywood Avenue, Mesa, AZ · Banner Health · · NPI 1215961248
$7.90
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.
$94.00
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.
$10.50 with Banner Health vs $44.08 with Aetna — 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 | $10.50 | ↑ +33% |
| Gila River Health Care Corporation | Managed Care Program | $10.50 | ↑ +33% |
| Humana | Medicare Advantage | $10.50 | ↑ +33% |
| Arizona Physicians IPA | Medicare Advantage | $10.50 | ↑ +33% |
| Arizona Physicians IPA | Medicaid | $10.50 | ↑ +33% |
| Health Net | Medicaid | $10.50 | ↑ +33% |
| Health Net | Medicare | $10.50 | ↑ +33% |
| TriWest Healthcare Alliance Corp - VA CCN | VA Community Care Network | $10.50 | ↑ +33% |
| Blue Cross Blue Shield of Arizona | Medicare Advantage | $10.50 | ↑ +33% |
| Kaiser Foundation Health Plan | Medicare Advantage | $10.50 | ↑ +33% |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $10.50 | ↑ +33% |
| Banner University Health Plan | University Care Advantage | $10.50 | ↑ +33% |
| Mercy Care | Mercy Medicaid | $10.50 | ↑ +33% |
| Mercy Care | Mercy Care Advantage | $10.50 | ↑ +33% |
| Care 1st | Medicare Advantage | $10.50 | ↑ +33% |
| Health Choice Arizona, Inc. | Medicare Advantage | $10.50 | ↑ +33% |
| Cigna Healthcare of Arizona, Inc. | PPO Medicare Advantage Plan | $10.50 | ↑ +33% |
| Cigna Healthcare of Arizona, Inc. | HMO Medicare Advantage Plans | $10.50 | ↑ +33% |
| Health Choice Arizona, Inc. | Medicaid | $10.50 | ↑ +33% |
| Aetna | Medicare Advantage | $10.50 | ↑ +33% |
| Wellpoint | Medicare Advantage HMO | $10.50 | ↑ +33% |
| United Healthcare | UHC Medicare Advantage | $10.50 | ↑ +33% |
| UPMC Health Plan | Medicare Advantage | $10.50 | ↑ +33% |
| Aetna | Banner Employee Plans | $10.75 | ↑ +36% |
| Devoted Health Services | Medicare Advantage | $11.03 | ↑ +40% |
| Carelon | Medicare Advantage | $11.03 | ↑ +40% |
| Hospice of the Valley | Medicare | $11.20 | ↑ +42% |
| Gold Kidney Health Plan | Medicare Advantage | $11.55 | ↑ +46% |
| Arizona Priority Care | Medicare Advantage | $11.55 | ↑ +46% |
| Aetna | Qualified Health Plan | $14.28 | ↑ +81% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $14.40 | ↑ +82% |
| Plotkin Health | Plotkin Health | $14.40 | ↑ +82% |
| United Healthcare | Individual Exchange | $14.70 | ↑ +86% |
| Health Net | Commerical Exchange Product | $15.54 | ↑ +97% |
| Health Choice Arizona, Inc. | ACA Health Plan | $15.75 | ↑ +99% |
| Aetna | Medical Rental | $16.86 | ↑ +113% |
| Quiktrip Corporation | Commercial | $17.28 | ↑ +119% |
| Oscar Health Plan | Commercial | $17.32 | ↑ +119% |
| Cigna Healthcare of Arizona, Inc. | LocalFlex | $18.44 | ↑ +133% |
| United Healthcare | UHC Doctor's Plan | $19.42 | ↑ +146% |
| Cigna Healthcare of Arizona, Inc. | Commercial | $20.49 | ↑ +159% |
| United Healthcare | UHC Core | $21.48 | ↑ +172% |
| Arizona Medical Network | Commercial | $22.40 | ↑ +184% |
| United Healthcare | Commercial | $23.62 | ↑ +199% |
| Provider Network of America | Commercial | $24.00 | ↑ +204% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $30.26 | ↑ +283% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $32.28 | ↑ +309% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $33.89 | ↑ +329% |
| Aetna | Joint Venture | $35.26 | ↑ +346% |
| Aetna | Designated Group | $37.46 | ↑ +374% |
| Blue Cross Blue Shield of Arizona | Commercial | $40.35 | ↑ +411% |
| Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Preferred | $40.35 | ↑ +411% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $40.35 | ↑ +411% |
| Aetna | Broad Network | $44.08 | ↑ +458% |
Visitor-reported prices
Comments
Lipoprotein direct measurement ldl at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Baywood Medical Center | Mesa | $11.94 | $10.50 – $24.00 |
| Banner Desert Medical Center | Mesa | $14.10 | $10.50 – $24.00 |
| Arizona General Hospital Mesa | Mesa | $35.33 | $6.30 – $116.84 |
| Mercy Gilbert Medical Center | Gilbert | $10.34 | $5.88 – $32.34 |
| Banner University Medical Center Phoenix | Phoenix | $15.04 | $10.50 – $24.00 |
| Banner University Medical Center Tucson | Tucson | $15.23 | $10.50 – $25.60 |
| Banner University Medical Center South | Tucson | $14.66 | $10.50 – $25.60 |
| Banner Boswell Medical Center | Sun City | $14.19 | $10.50 – $25.60 |