Biopsy thigh soft tissues at Banner Gateway Medical Center
1900 North Higley Road, Gilbert, AZ · Banner Health · · NPI 1699884858
$1,190.55
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.
$3,878.00
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.
$1,170.00 with Aetna vs $5,838.00 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 |
|---|---|---|---|
| Aetna | Banner Employee Plans | $1,170.00 | ↓ -2% |
| Hospice of the Valley | Medicare | $1,357.30 | ↑ +14% |
| Cigna Healthcare of Arizona, Inc. | LocalFlex | $1,597.00 | ↑ +34% |
| Mercy Care | Mercy Medicaid | $1,718.26 | ↑ +44% |
| Arizona Physicians IPA | Medicaid | $1,718.26 | ↑ +44% |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $1,718.26 | ↑ +44% |
| Health Net | Medicaid | $1,718.26 | ↑ +44% |
| Health Choice Arizona, Inc. | Medicaid | $1,718.26 | ↑ +44% |
| Plotkin Health | Plotkin Health | $1,745.10 | ↑ +47% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $1,745.10 | ↑ +47% |
| Cigna Healthcare of Arizona, Inc. | Commercial | $1,774.00 | ↑ +49% |
| Aetna | Medical Rental | $2,043.71 | ↑ +72% |
| Quiktrip Corporation | Commercial | $2,094.12 | ↑ +76% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $2,440.42 | ↑ +105% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $2,603.12 | ↑ +119% |
| Arizona Medical Network | Commercial | $2,714.60 | ↑ +128% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $2,733.25 | ↑ +130% |
| Provider Network of America | Commercial | $2,908.50 | ↑ +144% |
| Wellpoint (fka Amerigroup) | Medicare Advantage HMO | $3,050.43 | ↑ +156% |
| Cigna Healthcare of Arizona, Inc. | HMO Medicare Advantage Plans | $3,050.43 | ↑ +156% |
| Aetna | Medicare Advantage | $3,050.43 | ↑ +156% |
| Cigna Healthcare of Arizona, Inc. | PPO Medicare Advantage Plan | $3,050.43 | ↑ +156% |
| Banner Health | Medicare Advantage | $3,050.43 | ↑ +156% |
| Gila River Health Care Corporation | Managed Care Program | $3,050.43 | ↑ +156% |
| United Healthcare | UHC Medicare Advantage | $3,050.43 | ↑ +156% |
| Mercy Care | Mercy Care Advantage | $3,050.43 | ↑ +156% |
| UPMC Health Plan | Medicare Advantage | $3,050.43 | ↑ +156% |
| Health Choice Arizona, Inc. | Medicare Advantage | $3,050.43 | ↑ +156% |
| Kaiser Foundation Health Plan | Medicare Advantage | $3,050.43 | ↑ +156% |
| Humana | Medicare Advantage | $3,050.43 | ↑ +156% |
| Banner University Health Plan | University Care Advantage | $3,050.43 | ↑ +156% |
| Arizona Physicians IPA | Medicare Advantage | $3,050.43 | ↑ +156% |
| TriWest Healthcare Alliance Corp - VA CCN | VA Community Care Network | $3,050.43 | ↑ +156% |
| Blue Cross Blue Shield of Arizona | Medicare Advantage | $3,050.43 | ↑ +156% |
| Health Net | Medicare | $3,050.43 | ↑ +156% |
| Care 1st | Medicare Advantage | $3,050.43 | ↑ +156% |
| Devoted Health Services | Medicare Advantage | $3,202.95 | ↑ +169% |
| Carekin | Medicare Advantage | $3,202.95 | ↑ +169% |
| Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Preferred | $3,253.90 | ↑ +173% |
| Blue Cross Blue Shield of Arizona | Commercial | $3,253.90 | ↑ +173% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $3,253.90 | ↑ +173% |
| Arizona Priority Care | Medicare Advantage | $3,355.47 | ↑ +182% |
| Gold Kidney Health Plan | Medicare Advantage | $3,355.47 | ↑ +182% |
| Aetna | Qualified Health Plan | $4,148.58 | ↑ +248% |
| United Healthcare | Individual Exchange | $4,270.60 | ↑ +259% |
| Aetna | Joint Venture | $4,405.00 | ↑ +270% |
| Health Net | Commerical Exchange Product | $4,514.64 | ↑ +279% |
| Health Choice Arizona, Inc. | ACA Health Plan | $4,575.65 | ↑ +284% |
| Aetna | Designated Group | $4,680.00 | ↑ +293% |
| Oscar Health Plan | Commercial | $5,033.21 | ↑ +323% |
| United Healthcare | UHC Doctor's Plan | $5,307.00 | ↑ +346% |
| Aetna | Broad Network | $5,506.00 | ↑ +362% |
| United Healthcare | UHC Core | $5,546.00 | ↑ +366% |
| United Healthcare | Commercial | $5,838.00 | ↑ +390% |
| TriWest Healthcare Alliance Corp - VA CCN | Tricare | not published by hospital | — |
Visitor-reported prices
Comments
Biopsy thigh soft tissues at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Gilbert Medical Center | Gilbert | not published | $437.01 – $3,050.43 |
| Banner Baywood Medical Center | Mesa | not published | $1,718.26 – $2,440.42 |
| Banner Boswell Medical Center | Sun City | not published | $1,718.26 – $1,863.43 |
| Banner Desert Medical Center | Mesa | not published | $1,718.26 – $2,440.42 |
| Arizona General Hospital Laveen | Phoenix | not published | $437.01 – $3,141.95 |
| St. Joseph’s Hospital and Medical Center | Phoenix | not published | $437.01 – $3,141.94 |
| Yavapai Regional Medical Center (East) | Prescott | not published | $437.01 – $3,233.46 |
| Arizona General Hospital Mesa | Mesa | not published | $437.01 – $3,141.95 |