X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation 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

$456.91

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.

$1,101.00

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.

$181.72 with Blue Cross Blue Shield of Arizona vs $1,863.61 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 →

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
Blue Cross Blue Shield of Arizona BXBSAZ Neighborhood $181.72 ↓ -60%
Blue Cross Blue Shield of Arizona BCBSAZ Alliance/Blue HPN $193.84 ↓ -58%
Blue Cross Blue Shield of Arizona BXBSAZ Alliance CHS $203.53 ↓ -55%
Blue Cross Blue Shield of Arizona Medicare Supplemental Senior Preferred $242.30 ↓ -47%
Blue Cross Blue Shield of Arizona BCBSAZ Workers Comp $242.30 ↓ -47%
Blue Cross Blue Shield of Arizona Commercial $242.30 ↓ -47%
Mercy Care Mercy Medicaid $266.89 ↓ -42%
Arizona Physicians IPA Medicaid $266.89 ↓ -42%
Health Net Medicaid $266.89 ↓ -42%
Health Choice Arizona, Inc. Medicaid $266.89 ↓ -42%
Banner University Health Plan AZ Medicaid - AHCCCS $266.89 ↓ -42%
Aetna Banner Employee Plans $369.94 ↓ -19%
Care 1st Medicare Advantage $380.64 ↓ -17%
Gila River Health Care Corporation Managed Care Program $380.64 ↓ -17%
Humana Medicare Advantage $380.64 ↓ -17%
United Healthcare UHC Medicare Advantage $380.64 ↓ -17%
UPMC Health Plan Medicare Advantage $380.64 ↓ -17%
Blue Cross Blue Shield of Arizona Medicare Advantage $380.64 ↓ -17%
Banner University Health Plan University Care Advantage $380.64 ↓ -17%
Mercy Care Mercy Care Advantage $380.64 ↓ -17%
Cigna Healthcare of Arizona, Inc. PPO Medicare Advantage Plan $380.64 ↓ -17%
Cigna Healthcare of Arizona, Inc. HMO Medicare Advantage Plans $380.64 ↓ -17%
Aetna Medicare Advantage $380.64 ↓ -17%
Banner Health Medicare Advantage $380.64 ↓ -17%
Health Choice Arizona, Inc. Medicare Advantage $380.64 ↓ -17%
Kaiser Foundation Health Plan Medicare Advantage $380.64 ↓ -17%
TriWest Healthcare Alliance Corp - VA CCN VA Community Care Network $380.64 ↓ -17%
Health Net Medicare $380.64 ↓ -17%
Wellpoint Medicare Advantage HMO $380.64 ↓ -17%
Arizona Physicians IPA Medicare Advantage $380.64 ↓ -17%
Hospice of the Valley Medicare $385.35 ↓ -16%
Carelon Medicare Advantage $399.67 ↓ -13%
Devoted Health Services Medicare Advantage $399.67 ↓ -13%
Gold Kidney Health Plan Medicare Advantage $418.70 ↓ -8%
Arizona Priority Care Medicare Advantage $418.70 ↓ -8%
National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) NHSI VUMI $495.45 ↑ +8%
Plotkin Health Plotkin Health $495.45 ↑ +8%
Aetna Joint Venture $508.66 ↑ +11%
Aetna Qualified Health Plan $517.67 ↑ +13%
United Healthcare Individual Exchange $532.90 ↑ +17%
Aetna Designated Group $540.59 ↑ +18%
Health Net Commerical Exchange Product $563.35 ↑ +23%
Health Choice Arizona, Inc. ACA Health Plan $570.96 ↑ +25%
Aetna Medical Rental $580.23 ↑ +27%
Quiktrip Corporation Commercial $594.54 ↑ +30%
Oscar Health Plan Commercial $628.06 ↑ +37%
Aetna Broad Network $635.28 ↑ +39%
Cigna Healthcare of Arizona, Inc. LocalFlex $723.36 ↑ +58%
Cigna Healthcare of Arizona, Inc. Commercial $756.39 ↑ +66%
Arizona Medical Network Commercial $770.70 ↑ +69%
Provider Network of America Commercial $825.75 ↑ +81%
United Healthcare UHC Doctor's Plan $1,580.51 ↑ +246%
United Healthcare UHC Core $1,722.34 ↑ +277%
United Healthcare Commercial $1,863.61 ↑ +308%
TriWest Healthcare Alliance Corp - VA CCN Tricare not published by hospital

Visitor-reported prices

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X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation at other Arizona hospitals

Hospital City Cash price Negotiated range
Banner Baywood Medical Center Mesa $317.09 $216.71 – $825.75
Banner Desert Medical Center Mesa $308.28 $216.71 – $825.75
Arizona General Hospital Mesa Mesa $276.15 $81.89 – $1,320.24
Mercy Gilbert Medical Center Gilbert $386.96 $81.89 – $1,211.21
Banner University Medical Center Phoenix Phoenix $310.48 $84.31 – $825.75
Banner University Medical Center Tucson Tucson $236.10 $105.54 – $629.60
Banner University Medical Center South Tucson $242.40 $105.54 – $629.60
Banner Boswell Medical Center Sun City $268.64 $165.47 – $880.80

All Arizona hospitals for this procedure →