Revasc lithotrip tibi/perone at Banner Heart Hospital

6750 E Baywood Avenue, Mesa, AZ · Banner Health · · NPI 1215961248

Source: hospital's published price file ↗ · Published Mar 2, 2026 · Ingested Aug 12, 2026

$3,959.45

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$13,991.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$4,896.85 with Hospice of the Valley vs $19,943.57 with Oscar Health Plan — 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 →

Payer
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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
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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
Hospice of the Valley Medicare $4,896.85 ↑ +24%
Aetna Banner Employee Plans $4,972.00 ↑ +26%
Blue Cross Blue Shield of Arizona BXBSAZ Neighborhood $6,115.57 ↑ +54%
National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) NHSI VUMI $6,295.95 ↑ +59%
Plotkin Health Plotkin Health $6,295.95 ↑ +59%
Blue Cross Blue Shield of Arizona BCBSAZ Alliance/Blue HPN $6,523.28 ↑ +65%
Aetna Joint Venture $6,758.00 ↑ +71%
Blue Cross Blue Shield of Arizona BXBSAZ Alliance CHS $6,849.41 ↑ +73%
Aetna Designated Group $7,180.00 ↑ +81%
Health Choice Arizona, Inc. Medicaid $7,281.13 ↑ +84%
Arizona Physicians IPA Medicaid $7,281.13 ↑ +84%
Banner University Health Plan AZ Medicaid - AHCCCS $7,281.13 ↑ +84%
Mercy Care Mercy Medicaid $7,281.13 ↑ +84%
Health Net Medicaid $7,281.13 ↑ +84%
Aetna Medical Rental $7,373.26 ↑ +86%
Quiktrip Corporation Commercial $7,555.14 ↑ +91%
Blue Cross Blue Shield of Arizona Commercial $8,154.10 ↑ +106%
Blue Cross Blue Shield of Arizona Medicare Supplemental Senior Preferred $8,154.10 ↑ +106%
Blue Cross Blue Shield of Arizona BCBSAZ Workers Comp $8,154.10 ↑ +106%
Aetna Broad Network $8,447.00 ↑ +113%
Cigna Healthcare of Arizona, Inc. LocalFlex $9,192.09 ↑ +132%
Cigna Healthcare of Arizona, Inc. Commercial $9,611.82 ↑ +143%
United Healthcare UHC Doctor's Plan $9,613.00 ↑ +143%
Arizona Medical Network Commercial $9,793.70 ↑ +147%
United Healthcare UHC Core $10,046.00 ↑ +154%
Provider Network of America Commercial $10,493.25 ↑ +165%
United Healthcare Commercial $10,575.00 ↑ +167%
Wellpoint Medicare Advantage HMO $12,087.01 ↑ +205%
Gila River Health Care Corporation Managed Care Program $12,087.01 ↑ +205%
Care 1st Medicare Advantage $12,087.01 ↑ +205%
Blue Cross Blue Shield of Arizona Medicare Advantage $12,087.01 ↑ +205%
Banner University Health Plan University Care Advantage $12,087.01 ↑ +205%
Banner Health Medicare Advantage $12,087.01 ↑ +205%
TriWest Healthcare Alliance Corp - VA CCN VA Community Care Network $12,087.01 ↑ +205%
Arizona Physicians IPA Medicare Advantage $12,087.01 ↑ +205%
Aetna Medicare Advantage $12,087.01 ↑ +205%
United Healthcare UHC Medicare Advantage $12,087.01 ↑ +205%
UPMC Health Plan Medicare Advantage $12,087.01 ↑ +205%
Cigna Healthcare of Arizona, Inc. PPO Medicare Advantage Plan $12,087.01 ↑ +205%
Health Choice Arizona, Inc. Medicare Advantage $12,087.01 ↑ +205%
Cigna Healthcare of Arizona, Inc. HMO Medicare Advantage Plans $12,087.01 ↑ +205%
Health Net Medicare $12,087.01 ↑ +205%
Humana Medicare Advantage $12,087.01 ↑ +205%
Kaiser Foundation Health Plan Medicare Advantage $12,087.01 ↑ +205%
Mercy Care Mercy Care Advantage $12,087.01 ↑ +205%
Carelon Medicare Advantage $12,691.36 ↑ +221%
Devoted Health Services Medicare Advantage $12,691.36 ↑ +221%
Gold Kidney Health Plan Medicare Advantage $13,295.71 ↑ +236%
Arizona Priority Care Medicare Advantage $13,295.71 ↑ +236%
Aetna Qualified Health Plan $16,438.33 ↑ +315%
United Healthcare Individual Exchange $16,921.81 ↑ +327%
Health Net Commerical Exchange Product $17,888.77 ↑ +352%
Health Choice Arizona, Inc. ACA Health Plan $18,130.51 ↑ +358%
Oscar Health Plan Commercial $19,943.57 ↑ +404%

Visitor-reported prices

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Revasc lithotrip tibi/perone at other Arizona hospitals

Hospital City Cash price Negotiated range
Banner Desert Medical Center Mesa $4,952.81 $4,896.85 – $19,943.57
Banner University Medical Center Phoenix Phoenix $5,008.78 $2,837.28 – $19,943.57
Banner Casa Grande Medical Center Casa Grande $3,875.51 $4,251.00 – $18,130.51
Banner Estrella Medical Center Phoenix $5,414.52 $4,896.85 – $19,943.57
Banner Ocotillo Medical Center Chandler $6,309.94 $4,896.85 – $19,943.57
Banner Thunderbird Medical Center Glendale $4,309.23 $72.99 – $19,943.57
Banner Boswell Medical Center Sun City not published $5,568.62 – $7,281.13

All Arizona hospitals for this procedure →