Quant diff pulm perf and vent w/imaging at Banner Heart Hospital
6750 E Baywood Avenue, Mesa, AZ · Banner Health · · NPI 1215961248
$246.83
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.
$1,842.00
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.
$354.82 with Health Choice Arizona, Inc. vs $2,477.59 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 |
|---|---|---|---|
| Health Choice Arizona, Inc. | Medicaid | $354.82 | ↑ +44% |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $354.82 | ↑ +44% |
| Arizona Physicians IPA | Medicaid | $354.82 | ↑ +44% |
| Health Net | Medicaid | $354.82 | ↑ +44% |
| Mercy Care | Mercy Medicaid | $354.82 | ↑ +44% |
| United Healthcare | UHC Medicare Advantage | $573.70 | ↑ +132% |
| UPMC Health Plan | Medicare Advantage | $573.70 | ↑ +132% |
| Health Net | Medicare | $573.70 | ↑ +132% |
| TriWest Healthcare Alliance Corp - VA CCN | VA Community Care Network | $573.70 | ↑ +132% |
| Blue Cross Blue Shield of Arizona | Medicare Advantage | $573.70 | ↑ +132% |
| Kaiser Foundation Health Plan | Medicare Advantage | $573.70 | ↑ +132% |
| Health Choice Arizona, Inc. | Medicare Advantage | $573.70 | ↑ +132% |
| Aetna | Medicare Advantage | $573.70 | ↑ +132% |
| Gila River Health Care Corporation | Managed Care Program | $573.70 | ↑ +132% |
| Humana | Medicare Advantage | $573.70 | ↑ +132% |
| Arizona Physicians IPA | Medicare Advantage | $573.70 | ↑ +132% |
| Wellpoint | Medicare Advantage HMO | $573.70 | ↑ +132% |
| Banner University Health Plan | University Care Advantage | $573.70 | ↑ +132% |
| Mercy Care | Mercy Care Advantage | $573.70 | ↑ +132% |
| Cigna Healthcare of Arizona, Inc. | PPO Medicare Advantage Plan | $573.70 | ↑ +132% |
| Cigna Healthcare of Arizona, Inc. | HMO Medicare Advantage Plans | $573.70 | ↑ +132% |
| Care 1st | Medicare Advantage | $573.70 | ↑ +132% |
| Banner Health | Medicare Advantage | $573.70 | ↑ +132% |
| Devoted Health Services | Medicare Advantage | $602.38 | ↑ +144% |
| Carelon | Medicare Advantage | $602.38 | ↑ +144% |
| Aetna | Banner Employee Plans | $618.91 | ↑ +151% |
| Gold Kidney Health Plan | Medicare Advantage | $631.07 | ↑ +156% |
| Arizona Priority Care | Medicare Advantage | $631.07 | ↑ +156% |
| Hospice of the Valley | Medicare | $644.70 | ↑ +161% |
| Aetna | Qualified Health Plan | $780.23 | ↑ +216% |
| United Healthcare | Individual Exchange | $803.18 | ↑ +225% |
| Plotkin Health | Plotkin Health | $828.90 | ↑ +236% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $828.90 | ↑ +236% |
| Health Net | Commerical Exchange Product | $849.08 | ↑ +244% |
| Aetna | Joint Venture | $851.00 | ↑ +245% |
| Health Choice Arizona, Inc. | ACA Health Plan | $860.55 | ↑ +249% |
| Aetna | Designated Group | $904.42 | ↑ +266% |
| Oscar Health Plan | Commercial | $946.61 | ↑ +284% |
| Aetna | Medical Rental | $970.73 | ↑ +293% |
| Quiktrip Corporation | Commercial | $994.68 | ↑ +303% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $1,061.62 | ↑ +330% |
| Aetna | Broad Network | $1,062.83 | ↑ +331% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $1,132.39 | ↑ +359% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $1,189.01 | ↑ +382% |
| Cigna Healthcare of Arizona, Inc. | LocalFlex | $1,210.19 | ↑ +390% |
| Cigna Healthcare of Arizona, Inc. | Commercial | $1,265.45 | ↑ +413% |
| Arizona Medical Network | Commercial | $1,289.40 | ↑ +422% |
| Provider Network of America | Commercial | $1,381.50 | ↑ +460% |
| Blue Cross Blue Shield of Arizona | Commercial | $1,415.49 | ↑ +473% |
| Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Preferred | $1,415.49 | ↑ +473% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $1,415.49 | ↑ +473% |
| United Healthcare | UHC Doctor's Plan | $2,100.33 | ↑ +751% |
| United Healthcare | UHC Core | $2,288.79 | ↑ +827% |
| United Healthcare | Commercial | $2,477.59 | ↑ +904% |
| TriWest Healthcare Alliance Corp - VA CCN | Tricare | not published by hospital | — |
Visitor-reported prices
Comments
Quant diff pulm perf and vent w/imaging at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Baywood Medical Center | Mesa | $578.39 | $354.82 – $1,381.50 |
| Banner Desert Medical Center | Mesa | $515.76 | $354.82 – $1,381.50 |
| Mercy Gilbert Medical Center | Gilbert | $498.15 | $283.50 – $1,559.25 |
| Banner University Medical Center Phoenix | Phoenix | $731.27 | $354.82 – $1,381.50 |
| Banner University Medical Center Tucson | Tucson | $580.99 | $354.82 – $1,708.80 |
| Banner Boswell Medical Center | Sun City | $390.50 | $354.82 – $1,473.60 |
| Banner Del Webb Medical Center | Sun City West | $390.50 | $354.82 – $1,473.60 |
| Banner Estrella Medical Center | Phoenix | $388.66 | $354.82 – $1,381.50 |