Appl modality 1+lllt po pain at Banner Gateway Medical Center
1900 North Higley Road, Gilbert, AZ · Banner Health · · NPI 1699884858
$42.05
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.
$163.00
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.
$27.70 with Arizona Physicians IPA vs $265.00 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 |
|---|---|---|---|
| Arizona Physicians IPA | Medicaid | $27.70 | ↓ -34% |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $27.70 | ↓ -34% |
| Health Net | Medicaid | $27.70 | ↓ -34% |
| Mercy Care | Mercy Medicaid | $27.70 | ↓ -34% |
| Health Choice Arizona, Inc. | Medicaid | $27.70 | ↓ -34% |
| Aetna | Medicare Advantage | $41.83 | ↓ -1% |
| Mercy Care | Mercy Care Advantage | $41.83 | ↓ -1% |
| Arizona Physicians IPA | Medicare Advantage | $41.83 | ↓ -1% |
| Banner Health | Medicare Advantage | $41.83 | ↓ -1% |
| Banner University Health Plan | University Care Advantage | $41.83 | ↓ -1% |
| Kaiser Foundation Health Plan | Medicare Advantage | $41.83 | ↓ -1% |
| Humana | Medicare Advantage | $41.83 | ↓ -1% |
| Health Net | Medicare | $41.83 | ↓ -1% |
| Health Choice Arizona, Inc. | Medicare Advantage | $41.83 | ↓ -1% |
| Blue Cross Blue Shield of Arizona | Medicare Advantage | $41.83 | ↓ -1% |
| Cigna Healthcare of Arizona, Inc. | PPO Medicare Advantage Plan | $41.83 | ↓ -1% |
| Wellpoint (fka Amerigroup) | Medicare Advantage HMO | $41.83 | ↓ -1% |
| UPMC Health Plan | Medicare Advantage | $41.83 | ↓ -1% |
| United Healthcare | UHC Medicare Advantage | $41.83 | ↓ -1% |
| TriWest Healthcare Alliance Corp - VA CCN | VA Community Care Network | $41.83 | ↓ -1% |
| Care 1st | Medicare Advantage | $41.83 | ↓ -1% |
| Cigna Healthcare of Arizona, Inc. | HMO Medicare Advantage Plans | $41.83 | ↓ -1% |
| Gila River Health Care Corporation | Managed Care Program | $41.83 | ↓ -1% |
| Devoted Health Services | Medicare Advantage | $43.92 | ↑ +4% |
| Carekin | Medicare Advantage | $43.92 | ↑ +4% |
| Gold Kidney Health Plan | Medicare Advantage | $46.01 | ↑ +9% |
| Arizona Priority Care | Medicare Advantage | $46.01 | ↑ +9% |
| Aetna | Qualified Health Plan | $56.89 | ↑ +35% |
| Hospice of the Valley | Medicare | $57.05 | ↑ +36% |
| United Healthcare | Individual Exchange | $58.56 | ↑ +39% |
| Health Net | Commerical Exchange Product | $61.91 | ↑ +47% |
| Health Choice Arizona, Inc. | ACA Health Plan | $62.74 | ↑ +49% |
| Oscar Health Plan | Commercial | $69.02 | ↑ +64% |
| Plotkin Health | Plotkin Health | $73.35 | ↑ +74% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $73.35 | ↑ +74% |
| Aetna | Joint Venture | $75.31 | ↑ +79% |
| Aetna | Designated Group | $80.03 | ↑ +90% |
| Aetna | Banner Employee Plans | $81.00 | ↑ +93% |
| Aetna | Medical Rental | $85.90 | ↑ +104% |
| Quiktrip Corporation | Commercial | $88.02 | ↑ +109% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $93.27 | ↑ +122% |
| Aetna | Broad Network | $94.05 | ↑ +124% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $99.48 | ↑ +137% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $104.46 | ↑ +148% |
| Arizona Medical Network | Commercial | $114.10 | ↑ +171% |
| Provider Network of America | Commercial | $122.25 | ↑ +191% |
| Blue Cross Blue Shield of Arizona | Commercial | $124.35 | ↑ +196% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $124.35 | ↑ +196% |
| Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Preferred | $124.35 | ↑ +196% |
| Cigna Healthcare of Arizona, Inc. | LocalFlex | $203.00 | ↑ +383% |
| Cigna Healthcare of Arizona, Inc. | Commercial | $225.00 | ↑ +435% |
| United Healthcare | UHC Doctor's Plan | $241.00 | ↑ +473% |
| United Healthcare | UHC Core | $252.00 | ↑ +499% |
| United Healthcare | Commercial | $265.00 | ↑ +530% |
Visitor-reported prices
Comments
Appl modality 1+lllt po pain at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Page Hospital | Page | $64.75 | $27.70 – $107.35 |