Mr safety determination physician/other qhp at Banner Heart Hospital
6750 E Baywood Avenue, Mesa, AZ · Banner Health · · NPI 1215961248
$56.02
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.
?
What you pay up front if you don't use insurance.
$135.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$45.36 with Aetna vs $445.75 with United Healthcare — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Aetna | Banner Employee Plans | $45.36 | ↓ -19% |
| Hospice of the Valley | Medicare | $47.25 | ↓ -16% |
| Plotkin Health | Plotkin Health | $60.75 | ↑ +8% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $60.75 | ↑ +8% |
| Aetna | Joint Venture | $62.37 | ↑ +11% |
| Health Choice Arizona, Inc. | Medicaid | $63.84 | ↑ +14% |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $63.84 | ↑ +14% |
| Arizona Physicians IPA | Medicaid | $63.84 | ↑ +14% |
| Health Net | Medicaid | $63.84 | ↑ +14% |
| Mercy Care | Mercy Medicaid | $63.84 | ↑ +14% |
| Aetna | Designated Group | $66.28 | ↑ +18% |
| Aetna | Medical Rental | $71.14 | ↑ +27% |
| Quiktrip Corporation | Commercial | $72.90 | ↑ +30% |
| Aetna | Broad Network | $77.89 | ↑ +39% |
| Cigna Healthcare of Arizona, Inc. | LocalFlex | $88.69 | ↑ +58% |
| Cigna Healthcare of Arizona, Inc. | Commercial | $92.75 | ↑ +66% |
| Arizona Physicians IPA | Medicare Advantage | $93.85 | ↑ +68% |
| Gila River Health Care Corporation | Managed Care Program | $93.85 | ↑ +68% |
| Humana | Medicare Advantage | $93.85 | ↑ +68% |
| United Healthcare | UHC Medicare Advantage | $93.85 | ↑ +68% |
| UPMC Health Plan | Medicare Advantage | $93.85 | ↑ +68% |
| Blue Cross Blue Shield of Arizona | Medicare Advantage | $93.85 | ↑ +68% |
| Banner University Health Plan | University Care Advantage | $93.85 | ↑ +68% |
| Mercy Care | Mercy Care Advantage | $93.85 | ↑ +68% |
| Cigna Healthcare of Arizona, Inc. | PPO Medicare Advantage Plan | $93.85 | ↑ +68% |
| Cigna Healthcare of Arizona, Inc. | HMO Medicare Advantage Plans | $93.85 | ↑ +68% |
| Aetna | Medicare Advantage | $93.85 | ↑ +68% |
| Banner Health | Medicare Advantage | $93.85 | ↑ +68% |
| Health Choice Arizona, Inc. | Medicare Advantage | $93.85 | ↑ +68% |
| Kaiser Foundation Health Plan | Medicare Advantage | $93.85 | ↑ +68% |
| TriWest Healthcare Alliance Corp - VA CCN | VA Community Care Network | $93.85 | ↑ +68% |
| Health Net | Medicare | $93.85 | ↑ +68% |
| Wellpoint | Medicare Advantage HMO | $93.85 | ↑ +68% |
| Care 1st | Medicare Advantage | $93.85 | ↑ +68% |
| Arizona Medical Network | Commercial | $94.50 | ↑ +69% |
| Carelon | Medicare Advantage | $98.54 | ↑ +76% |
| Devoted Health Services | Medicare Advantage | $98.54 | ↑ +76% |
| Provider Network of America | Commercial | $101.25 | ↑ +81% |
| Gold Kidney Health Plan | Medicare Advantage | $103.23 | ↑ +84% |
| Arizona Priority Care | Medicare Advantage | $103.23 | ↑ +84% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $107.95 | ↑ +93% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $115.15 | ↑ +106% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $120.91 | ↑ +116% |
| Aetna | Qualified Health Plan | $127.64 | ↑ +128% |
| United Healthcare | Individual Exchange | $131.39 | ↑ +135% |
| Health Net | Commerical Exchange Product | $138.90 | ↑ +148% |
| Health Choice Arizona, Inc. | ACA Health Plan | $140.78 | ↑ +151% |
| Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Preferred | $143.94 | ↑ +157% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $143.94 | ↑ +157% |
| Blue Cross Blue Shield of Arizona | Commercial | $143.94 | ↑ +157% |
| Oscar Health Plan | Commercial | $154.85 | ↑ +176% |
| United Healthcare | UHC Doctor's Plan | $370.02 | ↑ +561% |
| United Healthcare | UHC Core | $403.24 | ↑ +620% |
| United Healthcare | Commercial | $445.75 | ↑ +696% |
Visitor-reported prices
Comments
Mr safety determination physician/other qhp at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Baywood Medical Center | Mesa | $38.88 | $45.36 – $154.85 |
| Banner Desert Medical Center | Mesa | $37.80 | $45.36 – $154.85 |
| Mercy Gilbert Medical Center | Gilbert | $57.81 | $32.90 – $180.95 |
| Banner University Medical Center Phoenix | Phoenix | $38.07 | $45.36 – $154.85 |
| Banner University Medical Center Tucson | Tucson | $40.50 | $43.88 – $154.85 |
| Banner University Medical Center South | Tucson | $41.58 | $43.88 – $154.85 |
| Banner Boswell Medical Center | Sun City | $32.94 | $45.36 – $154.85 |
| Banner Casa Grande Medical Center | Casa Grande | $29.02 | $47.25 – $140.78 |