X-ray surgical specimen at Banner Heart Hospital
6750 E Baywood Avenue, Mesa, AZ · Banner Health · · NPI 1215961248
$213.31
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.
$514.00
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.
$63.38 with Blue Cross Blue Shield of Arizona vs $2,444.62 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 |
|---|---|---|---|
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $63.38 | ↓ -70% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $67.60 | ↓ -68% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $70.98 | ↓ -67% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $84.50 | ↓ -60% |
| Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Preferred | $84.50 | ↓ -60% |
| Blue Cross Blue Shield of Arizona | Commercial | $84.50 | ↓ -60% |
| Aetna | Banner Employee Plans | $172.70 | ↓ -19% |
| Hospice of the Valley | Medicare | $179.90 | ↓ -16% |
| Plotkin Health | Plotkin Health | $231.30 | ↑ +8% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $231.30 | ↑ +8% |
| Aetna | Joint Venture | $237.47 | ↑ +11% |
| Aetna | Designated Group | $252.37 | ↑ +18% |
| Aetna | Medical Rental | $270.88 | ↑ +27% |
| Quiktrip Corporation | Commercial | $277.56 | ↑ +30% |
| Aetna | Broad Network | $296.58 | ↑ +39% |
| Cigna Healthcare of Arizona, Inc. | LocalFlex | $337.70 | ↑ +58% |
| Arizona Physicians IPA | Medicaid | $350.10 | ↑ +64% |
| Health Net | Medicaid | $350.10 | ↑ +64% |
| Mercy Care | Mercy Medicaid | $350.10 | ↑ +64% |
| Health Choice Arizona, Inc. | Medicaid | $350.10 | ↑ +64% |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $350.10 | ↑ +64% |
| Cigna Healthcare of Arizona, Inc. | Commercial | $353.12 | ↑ +66% |
| Arizona Medical Network | Commercial | $359.80 | ↑ +69% |
| Provider Network of America | Commercial | $385.50 | ↑ +81% |
| Arizona Physicians IPA | Medicare Advantage | $584.39 | ↑ +174% |
| Gila River Health Care Corporation | Managed Care Program | $584.39 | ↑ +174% |
| Humana | Medicare Advantage | $584.39 | ↑ +174% |
| United Healthcare | UHC Medicare Advantage | $584.39 | ↑ +174% |
| UPMC Health Plan | Medicare Advantage | $584.39 | ↑ +174% |
| Blue Cross Blue Shield of Arizona | Medicare Advantage | $584.39 | ↑ +174% |
| Banner University Health Plan | University Care Advantage | $584.39 | ↑ +174% |
| Mercy Care | Mercy Care Advantage | $584.39 | ↑ +174% |
| Cigna Healthcare of Arizona, Inc. | PPO Medicare Advantage Plan | $584.39 | ↑ +174% |
| Cigna Healthcare of Arizona, Inc. | HMO Medicare Advantage Plans | $584.39 | ↑ +174% |
| Aetna | Medicare Advantage | $584.39 | ↑ +174% |
| Banner Health | Medicare Advantage | $584.39 | ↑ +174% |
| Health Choice Arizona, Inc. | Medicare Advantage | $584.39 | ↑ +174% |
| Kaiser Foundation Health Plan | Medicare Advantage | $584.39 | ↑ +174% |
| TriWest Healthcare Alliance Corp - VA CCN | VA Community Care Network | $584.39 | ↑ +174% |
| Health Net | Medicare | $584.39 | ↑ +174% |
| Wellpoint | Medicare Advantage HMO | $584.39 | ↑ +174% |
| Care 1st | Medicare Advantage | $584.39 | ↑ +174% |
| Carelon | Medicare Advantage | $613.61 | ↑ +188% |
| Devoted Health Services | Medicare Advantage | $613.61 | ↑ +188% |
| Arizona Priority Care | Medicare Advantage | $642.83 | ↑ +201% |
| Gold Kidney Health Plan | Medicare Advantage | $642.83 | ↑ +201% |
| Aetna | Qualified Health Plan | $794.77 | ↑ +273% |
| United Healthcare | Individual Exchange | $818.15 | ↑ +284% |
| Health Net | Commerical Exchange Product | $864.90 | ↑ +305% |
| Health Choice Arizona, Inc. | ACA Health Plan | $876.59 | ↑ +311% |
| Oscar Health Plan | Commercial | $964.24 | ↑ +352% |
| United Healthcare | UHC Doctor's Plan | $2,073.84 | ↑ +872% |
| United Healthcare | UHC Core | $2,259.95 | ↑ +959% |
| United Healthcare | Commercial | $2,444.62 | ↑ +1046% |
| TriWest Healthcare Alliance Corp - VA CCN | Tricare | not published by hospital | — |
Visitor-reported prices
Comments
X-ray surgical specimen at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Baywood Medical Center | Mesa | $148.03 | $75.58 – $964.24 |
| Banner Desert Medical Center | Mesa | $143.92 | $75.58 – $964.24 |
| Mercy Gilbert Medical Center | Gilbert | $403.44 | $44.70 – $1,262.80 |
| Banner University Medical Center Phoenix | Phoenix | $144.95 | $29.40 – $964.24 |
| Banner University Medical Center Tucson | Tucson | $246.00 | $55.79 – $964.24 |
| Banner University Medical Center South | Tucson | $252.56 | $45.42 – $964.24 |
| Banner Boswell Medical Center | Sun City | $125.42 | $57.71 – $964.24 |
| Banner Casa Grande Medical Center | Casa Grande | $110.51 | $44.26 – $876.59 |