Biopsy needle lymph node superficial at Banner Gateway Medical Center
1900 North Higley Road, Gilbert, AZ · Banner Health · · NPI 1699884858
$805.57
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.
$2,624.00
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.
$349.80 with Aetna vs $5,506.00 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 |
|---|---|---|---|
| Aetna | Medicare Advantage | $349.80 | ↓ -57% |
| Aetna | Qualified Health Plan | $444.25 | ↓ -45% |
| Health Choice Arizona, Inc. | Medicare Advantage | $524.70 | ↓ -35% |
| Hospice of the Valley | Medicare | $612.15 | ↓ -24% |
| Arizona Priority Care | Medicare Advantage | $699.60 | ↓ -13% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $787.05 | ↓ -2% |
| Plotkin Health | Plotkin Health | $787.05 | ↓ -2% |
| Health Choice Arizona, Inc. | ACA Health Plan | $874.50 | ↑ +9% |
| Health Net | Medicare | $874.50 | ↑ +9% |
| Oscar Health Plan | Commercial | $874.50 | ↑ +9% |
| Aetna | Medical Rental | $921.72 | ↑ +14% |
| Quiktrip Corporation | Commercial | $944.46 | ↑ +17% |
| Health Net | Commerical Exchange Product | $944.46 | ↑ +17% |
| Health Choice Arizona, Inc. | Medicaid | $1,020.08 | ↑ +27% |
| Arizona Physicians IPA | Medicaid | $1,020.08 | ↑ +27% |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $1,020.08 | ↑ +27% |
| Mercy Care | Mercy Medicaid | $1,020.08 | ↑ +27% |
| Health Net | Medicaid | $1,020.08 | ↑ +27% |
| Aetna | Banner Employee Plans | $1,170.00 | ↑ +45% |
| Arizona Medical Network | Commercial | $1,224.30 | ↑ +52% |
| Provider Network of America | Commercial | $1,311.75 | ↑ +63% |
| Cigna Healthcare of Arizona, Inc. | LocalFlex | $1,597.00 | ↑ +98% |
| Cigna Healthcare of Arizona, Inc. | Commercial | $1,774.00 | ↑ +120% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $2,440.42 | ↑ +203% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $2,603.12 | ↑ +223% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $2,733.25 | ↑ +239% |
| Blue Cross Blue Shield of Arizona | Commercial | $3,253.90 | ↑ +304% |
| Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Preferred | $3,253.90 | ↑ +304% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $3,253.90 | ↑ +304% |
| Aetna | Joint Venture | $4,405.00 | ↑ +447% |
| United Healthcare | UHC Doctor's Plan | $4,640.00 | ↑ +476% |
| Aetna | Designated Group | $4,680.00 | ↑ +481% |
| United Healthcare | UHC Core | $4,850.00 | ↑ +502% |
| United Healthcare | Commercial | $5,105.00 | ↑ +534% |
| Aetna | Broad Network | $5,506.00 | ↑ +583% |
| TriWest Healthcare Alliance Corp - VA CCN | Tricare | not published by hospital | — |
Visitor-reported prices
Comments
Biopsy needle lymph node superficial at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Gilbert Medical Center | Gilbert | $675.77 | $89.05 – $1,726.88 |
| Banner University Medical Center Phoenix | Phoenix | $939.39 | $349.80 – $4,640.00 |
| Banner University Medical Center Tucson | Tucson | $1,266.14 | $465.00 – $4,466.00 |
| Banner University Medical Center South | Tucson | $1,838.18 | $465.00 – $4,466.00 |
| Banner Baywood Medical Center | Mesa | $897.41 | $349.80 – $4,640.00 |
| Banner Boswell Medical Center | Sun City | $758.34 | $349.80 – $4,640.00 |
| Banner Casa Grande Medical Center | Casa Grande | $726.85 | $349.80 – $4,037.00 |
| Banner Del Webb Medical Center | Sun City West | $837.06 | $349.80 – $4,640.00 |