X-ray humerus >= 2 views left at Banner Heart Hospital
6750 E Baywood Avenue, Mesa, AZ · Banner Health · · NPI 1215961248
$146.08
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.
$352.00
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.
$58.65 with Banner University Health Plan vs $409.57 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 |
|---|---|---|---|
| Banner University Health Plan | AZ Medicaid - AHCCCS | $58.65 | ↓ -60% |
| Arizona Physicians IPA | Medicaid | $58.65 | ↓ -60% |
| Health Net | Medicaid | $58.65 | ↓ -60% |
| Health Choice Arizona, Inc. | Medicaid | $58.65 | ↓ -60% |
| Mercy Care | Mercy Medicaid | $58.65 | ↓ -60% |
| Aetna | Medicare Advantage | $70.40 | ↓ -52% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $81.82 | ↓ -44% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $87.27 | ↓ -40% |
| Aetna | Qualified Health Plan | $89.41 | ↓ -39% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $91.64 | ↓ -37% |
| Health Choice Arizona, Inc. | Medicare Advantage | $105.60 | ↓ -28% |
| Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Preferred | $109.09 | ↓ -25% |
| Blue Cross Blue Shield of Arizona | Commercial | $109.09 | ↓ -25% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $109.09 | ↓ -25% |
| Aetna | Banner Employee Plans | $118.27 | ↓ -19% |
| Hospice of the Valley | Medicare | $123.20 | ↓ -16% |
| Arizona Priority Care | Medicare Advantage | $140.80 | ↓ -4% |
| Plotkin Health | Plotkin Health | $158.40 | ↑ +8% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $158.40 | ↑ +8% |
| Aetna | Joint Venture | $162.62 | ↑ +11% |
| Aetna | Designated Group | $172.83 | ↑ +18% |
| Oscar Health Plan | Commercial | $176.00 | ↑ +20% |
| Health Net | Medicare | $176.00 | ↑ +20% |
| Health Choice Arizona, Inc. | ACA Health Plan | $176.00 | ↑ +20% |
| Aetna | Medical Rental | $185.50 | ↑ +27% |
| Quiktrip Corporation | Commercial | $190.08 | ↑ +30% |
| Health Net | Commerical Exchange Product | $190.08 | ↑ +30% |
| Aetna | Broad Network | $203.10 | ↑ +39% |
| Cigna Healthcare of Arizona, Inc. | LocalFlex | $231.26 | ↑ +58% |
| Cigna Healthcare of Arizona, Inc. | Commercial | $241.82 | ↑ +66% |
| Arizona Medical Network | Commercial | $246.40 | ↑ +69% |
| Provider Network of America | Commercial | $264.00 | ↑ +81% |
| United Healthcare | UHC Doctor's Plan | $347.17 | ↑ +138% |
| United Healthcare | UHC Core | $378.33 | ↑ +159% |
| United Healthcare | Commercial | $409.57 | ↑ +180% |
| TriWest Healthcare Alliance Corp - VA CCN | Tricare | not published by hospital | — |
Visitor-reported prices
Comments
X-ray humerus >= 2 views left at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Baywood Medical Center | Mesa | $101.38 | $58.65 – $347.17 |
| Banner Desert Medical Center | Mesa | $98.56 | $58.65 – $347.17 |
| Arizona General Hospital Mesa | Mesa | $208.97 | $33.62 – $594.78 |
| Banner University Medical Center Phoenix | Phoenix | $99.26 | $37.96 – $347.17 |
| Banner University Medical Center Tucson | Tucson | $139.80 | $58.65 – $409.57 |
| Banner University Medical Center South | Tucson | $143.53 | $58.63 – $409.57 |
| Banner Behavioral Health Hospital | Scottsdale | $206.23 | $30.25 – $246.40 |
| Banner Boswell Medical Center | Sun City | $85.89 | $58.65 – $347.17 |