Surgical pathology level 5 gross & microscopic examination at Banner Heart Hospital
6750 E Baywood Avenue, Mesa, AZ · Banner Health · · NPI 1215961248
$121.55
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.
$1,136.00
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.
$211.16 with Mercy Care vs $1,170.74 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 | $211.16 | ↑ +74% |
| Arizona Physicians IPA | Medicaid | $211.16 | ↑ +74% |
| Health Net | Medicaid | $211.16 | ↑ +74% |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $211.16 | ↑ +74% |
| Health Choice Arizona, Inc. | Medicaid | $211.16 | ↑ +74% |
| Cigna Healthcare of Arizona, Inc. | LocalFlex | $353.67 | ↑ +191% |
| Aetna | Banner Employee Plans | $381.70 | ↑ +214% |
| Arizona Physicians IPA | Medicare Advantage | $383.40 | ↑ +215% |
| Gila River Health Care Corporation | Managed Care Program | $383.40 | ↑ +215% |
| Humana | Medicare Advantage | $383.40 | ↑ +215% |
| United Healthcare | UHC Medicare Advantage | $383.40 | ↑ +215% |
| UPMC Health Plan | Medicare Advantage | $383.40 | ↑ +215% |
| Blue Cross Blue Shield of Arizona | Medicare Advantage | $383.40 | ↑ +215% |
| Banner University Health Plan | University Care Advantage | $383.40 | ↑ +215% |
| Mercy Care | Mercy Care Advantage | $383.40 | ↑ +215% |
| Cigna Healthcare of Arizona, Inc. | PPO Medicare Advantage Plan | $383.40 | ↑ +215% |
| Cigna Healthcare of Arizona, Inc. | HMO Medicare Advantage Plans | $383.40 | ↑ +215% |
| Aetna | Medicare Advantage | $383.40 | ↑ +215% |
| Banner Health | Medicare Advantage | $383.40 | ↑ +215% |
| Health Choice Arizona, Inc. | Medicare Advantage | $383.40 | ↑ +215% |
| Kaiser Foundation Health Plan | Medicare Advantage | $383.40 | ↑ +215% |
| TriWest Healthcare Alliance Corp - VA CCN | VA Community Care Network | $383.40 | ↑ +215% |
| Health Net | Medicare | $383.40 | ↑ +215% |
| Wellpoint | Medicare Advantage HMO | $383.40 | ↑ +215% |
| Care 1st | Medicare Advantage | $383.40 | ↑ +215% |
| Cigna Healthcare of Arizona, Inc. | Commercial | $392.97 | ↑ +223% |
| Hospice of the Valley | Medicare | $397.60 | ↑ +227% |
| Devoted Health Services | Medicare Advantage | $402.57 | ↑ +231% |
| Carelon | Medicare Advantage | $402.57 | ↑ +231% |
| Arizona Priority Care | Medicare Advantage | $421.74 | ↑ +247% |
| Gold Kidney Health Plan | Medicare Advantage | $421.74 | ↑ +247% |
| Plotkin Health | Plotkin Health | $511.20 | ↑ +321% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $511.20 | ↑ +321% |
| Aetna | Qualified Health Plan | $521.42 | ↑ +329% |
| United Healthcare | Individual Exchange | $536.76 | ↑ +342% |
| United Healthcare | UHC Doctor's Plan | $538.71 | ↑ +343% |
| Health Net | Commerical Exchange Product | $567.43 | ↑ +367% |
| Health Choice Arizona, Inc. | ACA Health Plan | $575.10 | ↑ +373% |
| Aetna | Medical Rental | $598.67 | ↑ +393% |
| United Healthcare | UHC Core | $608.25 | ↑ +400% |
| Quiktrip Corporation | Commercial | $613.44 | ↑ +405% |
| Oscar Health Plan | Commercial | $632.61 | ↑ +420% |
| United Healthcare | Commercial | $655.34 | ↑ +439% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $769.56 | ↑ +533% |
| Arizona Medical Network | Commercial | $795.20 | ↑ +554% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $820.87 | ↑ +575% |
| Provider Network of America | Commercial | $852.00 | ↑ +601% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $861.91 | ↑ +609% |
| Aetna | Joint Venture | $936.48 | ↑ +670% |
| Aetna | Designated Group | $995.04 | ↑ +719% |
| Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Preferred | $1,026.08 | ↑ +744% |
| Blue Cross Blue Shield of Arizona | Commercial | $1,026.08 | ↑ +744% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $1,026.08 | ↑ +744% |
| Aetna | Broad Network | $1,170.74 | ↑ +863% |
| TriWest Healthcare Alliance Corp - VA CCN | Tricare | not published by hospital | — |
Visitor-reported prices
Comments
Surgical pathology level 5 gross & microscopic examination at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Baywood Medical Center | Mesa | $249.92 | $211.16 – $852.00 |
| Banner Desert Medical Center | Mesa | $297.63 | $211.16 – $852.00 |
| Arizona General Hospital Mesa | Mesa | $388.04 | $205.48 – $1,283.51 |
| Mercy Gilbert Medical Center | Gilbert | $377.37 | $214.76 – $1,181.18 |
| Banner University Medical Center Phoenix | Phoenix | $315.81 | $211.16 – $852.00 |
| Banner University Medical Center Tucson | Tucson | $256.26 | $211.16 – $773.60 |
| Banner University Medical Center South | Tucson | $271.73 | $211.16 – $773.60 |
| Banner Boswell Medical Center | Sun City | $248.78 | $211.16 – $908.80 |