healthcosts.net
Skin Biopsy at Banner Heart Hospital
6750 E Baywood Avenue, Mesa, AZ · Banner Health · · NPI 1215961248
$112.07
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.
$396.00
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.
$130.17 with Mercy Care vs $5,506.00 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 |
|---|---|---|---|
| Mercy Care | Mercy Medicaid | $130.17 | ↑ +16% |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $130.17 | ↑ +16% |
| Health Net | Medicaid | $130.17 | ↑ +16% |
| Health Choice Arizona, Inc. | Medicaid | $130.17 | ↑ +16% |
| Arizona Physicians IPA | Medicaid | $130.17 | ↑ +16% |
| Hospice of the Valley | Medicare | $138.60 | ↑ +24% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $178.20 | ↑ +59% |
| Plotkin Health | Plotkin Health | $178.20 | ↑ +59% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $178.71 | ↑ +59% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $190.62 | ↑ +70% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $200.15 | ↑ +79% |
| Aetna | Medical Rental | $208.69 | ↑ +86% |
| UPMC Health Plan | Medicare Advantage | $211.78 | ↑ +89% |
| Gila River Health Care Corporation | Managed Care Program | $211.78 | ↑ +89% |
| Cigna Healthcare of Arizona, Inc. | HMO Medicare Advantage Plans | $211.78 | ↑ +89% |
| Banner University Health Plan | University Care Advantage | $211.78 | ↑ +89% |
| TriWest Healthcare Alliance Corp - VA CCN | VA Community Care Network | $211.78 | ↑ +89% |
| Cigna Healthcare of Arizona, Inc. | PPO Medicare Advantage Plan | $211.78 | ↑ +89% |
| Health Choice Arizona, Inc. | Medicare Advantage | $211.78 | ↑ +89% |
| United Healthcare | UHC Medicare Advantage | $211.78 | ↑ +89% |
| Aetna | Medicare Advantage | $211.78 | ↑ +89% |
| Humana | Medicare Advantage | $211.78 | ↑ +89% |
| Health Net | Medicare | $211.78 | ↑ +89% |
| Wellpoint | Medicare Advantage HMO | $211.78 | ↑ +89% |
| Blue Cross Blue Shield of Arizona | Medicare Advantage | $211.78 | ↑ +89% |
| Mercy Care | Mercy Care Advantage | $211.78 | ↑ +89% |
| Arizona Physicians IPA | Medicare Advantage | $211.78 | ↑ +89% |
| Banner Health | Medicare Advantage | $211.78 | ↑ +89% |
| Care 1st | Medicare Advantage | $211.78 | ↑ +89% |
| Kaiser Foundation Health Plan | Medicare Advantage | $211.78 | ↑ +89% |
| Quiktrip Corporation | Commercial | $213.84 | ↑ +91% |
| Carelon | Medicare Advantage | $222.37 | ↑ +98% |
| Devoted Health Services | Medicare Advantage | $222.37 | ↑ +98% |
| Gold Kidney Health Plan | Medicare Advantage | $232.96 | ↑ +108% |
| Arizona Priority Care | Medicare Advantage | $232.96 | ↑ +108% |
| Blue Cross Blue Shield of Arizona | Commercial | $238.28 | ↑ +113% |
| Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Preferred | $238.28 | ↑ +113% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $238.28 | ↑ +113% |
| Arizona Medical Network | Commercial | $277.20 | ↑ +147% |
| Aetna | Qualified Health Plan | $288.02 | ↑ +157% |
| United Healthcare | Individual Exchange | $296.49 | ↑ +165% |
| Provider Network of America | Commercial | $297.00 | ↑ +165% |
| Health Net | Commerical Exchange Product | $313.43 | ↑ +180% |
| Health Choice Arizona, Inc. | ACA Health Plan | $317.67 | ↑ +183% |
| Oscar Health Plan | Commercial | $349.44 | ↑ +212% |
| Cigna Healthcare of Arizona, Inc. | LocalFlex | $360.00 | ↑ +221% |
| Cigna Healthcare of Arizona, Inc. | Commercial | $400.00 | ↑ +257% |
| Aetna | Banner Employee Plans | $1,170.00 | ↑ +944% |
| United Healthcare | UHC Doctor's Plan | $2,114.00 | ↑ +1786% |
| United Healthcare | UHC Core | $2,210.00 | ↑ +1872% |
| United Healthcare | Commercial | $2,326.00 | ↑ +1975% |
| Aetna | Joint Venture | $4,405.00 | ↑ +3831% |
| Aetna | Designated Group | $4,680.00 | ↑ +4076% |
| Aetna | Broad Network | $5,506.00 | ↑ +4813% |
| TriWest Healthcare Alliance Corp - VA CCN | Tricare | not published by hospital | — |
Visitor-reported prices
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Skin Biopsy at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Baywood Medical Center | Mesa | $152.06 | $130.17 – $349.44 |
| Banner University Medical Center Phoenix | Phoenix | $205.13 | $82.91 – $349.44 |
| Banner Boswell Medical Center | Sun City | $95.50 | $130.17 – $349.44 |
| Banner Casa Grande Medical Center | Casa Grande | $178.20 | $124.80 – $317.67 |
| Banner Gateway Medical Center | Gilbert | $121.57 | $130.17 – $349.44 |
| Banner Payson Medical Center | Payson | $103.92 | $74.07 – $163.80 |