Biopsy skin incisional single lesion at Banner Gateway Medical Center
1900 North Higley Road, Gilbert, AZ · Banner Health · · NPI 1699884858
$272.00
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.
$886.00
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.
$310.10 with Hospice of the Valley 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 |
|---|---|---|---|
| Hospice of the Valley | Medicare | $310.10 | ↑ +14% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $325.20 | ↑ +20% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $346.88 | ↑ +28% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $364.22 | ↑ +34% |
| Arizona Physicians IPA | Medicaid | $380.02 | ↑ +40% |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $380.02 | ↑ +40% |
| Health Net | Medicaid | $380.02 | ↑ +40% |
| Health Choice Arizona, Inc. | Medicaid | $380.02 | ↑ +40% |
| Mercy Care | Mercy Medicaid | $380.02 | ↑ +40% |
| Plotkin Health | Plotkin Health | $398.70 | ↑ +47% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $398.70 | ↑ +47% |
| Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Preferred | $433.60 | ↑ +59% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $433.60 | ↑ +59% |
| Blue Cross Blue Shield of Arizona | Commercial | $433.60 | ↑ +59% |
| Aetna | Medical Rental | $466.92 | ↑ +72% |
| Quiktrip Corporation | Commercial | $478.44 | ↑ +76% |
| Arizona Medical Network | Commercial | $620.20 | ↑ +128% |
| Mercy Care | Mercy Care Advantage | $652.42 | ↑ +140% |
| Blue Cross Blue Shield of Arizona | Medicare Advantage | $652.42 | ↑ +140% |
| TriWest Healthcare Alliance Corp - VA CCN | VA Community Care Network | $652.42 | ↑ +140% |
| Care 1st | Medicare Advantage | $652.42 | ↑ +140% |
| Kaiser Foundation Health Plan | Medicare Advantage | $652.42 | ↑ +140% |
| Cigna Healthcare of Arizona, Inc. | HMO Medicare Advantage Plans | $652.42 | ↑ +140% |
| Cigna Healthcare of Arizona, Inc. | PPO Medicare Advantage Plan | $652.42 | ↑ +140% |
| Banner University Health Plan | University Care Advantage | $652.42 | ↑ +140% |
| Gila River Health Care Corporation | Managed Care Program | $652.42 | ↑ +140% |
| Banner Health | Medicare Advantage | $652.42 | ↑ +140% |
| Aetna | Medicare Advantage | $652.42 | ↑ +140% |
| Wellpoint (fka Amerigroup) | Medicare Advantage HMO | $652.42 | ↑ +140% |
| Humana | Medicare Advantage | $652.42 | ↑ +140% |
| Arizona Physicians IPA | Medicare Advantage | $652.42 | ↑ +140% |
| Health Net | Medicare | $652.42 | ↑ +140% |
| Health Choice Arizona, Inc. | Medicare Advantage | $652.42 | ↑ +140% |
| United Healthcare | UHC Medicare Advantage | $652.42 | ↑ +140% |
| UPMC Health Plan | Medicare Advantage | $652.42 | ↑ +140% |
| Provider Network of America | Commercial | $664.50 | ↑ +144% |
| Devoted Health Services | Medicare Advantage | $685.04 | ↑ +152% |
| Carekin | Medicare Advantage | $685.04 | ↑ +152% |
| Gold Kidney Health Plan | Medicare Advantage | $717.66 | ↑ +164% |
| Arizona Priority Care | Medicare Advantage | $717.66 | ↑ +164% |
| Aetna | Qualified Health Plan | $887.29 | ↑ +226% |
| United Healthcare | Individual Exchange | $913.39 | ↑ +236% |
| Health Net | Commerical Exchange Product | $965.58 | ↑ +255% |
| Health Choice Arizona, Inc. | ACA Health Plan | $978.63 | ↑ +260% |
| Oscar Health Plan | Commercial | $1,076.49 | ↑ +296% |
| Aetna | Banner Employee Plans | $1,170.00 | ↑ +330% |
| Cigna Healthcare of Arizona, Inc. | LocalFlex | $1,597.00 | ↑ +487% |
| Cigna Healthcare of Arizona, Inc. | Commercial | $1,774.00 | ↑ +552% |
| United Healthcare | UHC Doctor's Plan | $3,152.00 | ↑ +1059% |
| United Healthcare | UHC Core | $3,294.00 | ↑ +1111% |
| United Healthcare | Commercial | $3,467.00 | ↑ +1175% |
| Aetna | Joint Venture | $4,405.00 | ↑ +1519% |
| Aetna | Designated Group | $4,680.00 | ↑ +1621% |
| Aetna | Broad Network | $5,506.00 | ↑ +1924% |
| TriWest Healthcare Alliance Corp - VA CCN | Tricare | not published by hospital | — |
Visitor-reported prices
Comments
Biopsy skin incisional single lesion at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Gilbert Medical Center | Gilbert | $346.86 | $59.01 – $1,085.70 |
| Banner University Medical Center Phoenix | Phoenix | $458.95 | $126.52 – $1,076.49 |
| Banner Baywood Medical Center | Mesa | $340.22 | $297.70 – $1,076.49 |
| Banner Boswell Medical Center | Sun City | $213.67 | $248.31 – $1,076.49 |
| Banner Casa Grande Medical Center | Casa Grande | $398.70 | $190.44 – $978.63 |
| Banner Heart Hospital | Mesa | $250.74 | $272.70 – $1,076.49 |
| Banner Payson Medical Center | Payson | $138.18 | $98.49 – $217.80 |
| St. Joseph’s Hospital and Medical Center | Phoenix | $620.75 | $59.01 – $1,283.75 |