Bx breast add lesion strtctc at Banner Gateway Medical Center
1900 North Higley Road, Gilbert, AZ · Banner Health · · NPI 1699884858
$431.03
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.
$1,404.00
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.
$280.80 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 | $280.80 | ↓ -35% |
| Arizona Physicians IPA | Medicaid | $338.36 | ↓ -21% |
| Mercy Care | Mercy Medicaid | $338.36 | ↓ -21% |
| Health Choice Arizona, Inc. | Medicaid | $338.36 | ↓ -21% |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $338.36 | ↓ -21% |
| Health Net | Medicaid | $338.36 | ↓ -21% |
| Aetna | Qualified Health Plan | $356.62 | ↓ -17% |
| Health Choice Arizona, Inc. | Medicare Advantage | $421.20 | ↓ -2% |
| Hospice of the Valley | Medicare | $491.40 | ↑ +14% |
| Arizona Priority Care | Medicare Advantage | $561.60 | ↑ +30% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $631.80 | ↑ +47% |
| Plotkin Health | Plotkin Health | $631.80 | ↑ +47% |
| Oscar Health Plan | Commercial | $702.00 | ↑ +63% |
| Health Net | Medicare | $702.00 | ↑ +63% |
| Health Choice Arizona, Inc. | ACA Health Plan | $702.00 | ↑ +63% |
| Aetna | Medical Rental | $739.91 | ↑ +72% |
| Quiktrip Corporation | Commercial | $758.16 | ↑ +76% |
| Health Net | Commerical Exchange Product | $758.16 | ↑ +76% |
| Cigna Healthcare of Arizona, Inc. | LocalFlex | $922.43 | ↑ +114% |
| Cigna Healthcare of Arizona, Inc. | Commercial | $964.55 | ↑ +124% |
| Arizona Medical Network | Commercial | $982.80 | ↑ +128% |
| Provider Network of America | Commercial | $1,053.00 | ↑ +144% |
| Aetna | Banner Employee Plans | $1,170.00 | ↑ +171% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $1,220.21 | ↑ +183% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $1,301.56 | ↑ +202% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $1,366.63 | ↑ +217% |
| Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Preferred | $1,626.95 | ↑ +277% |
| Blue Cross Blue Shield of Arizona | Commercial | $1,626.95 | ↑ +277% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $1,626.95 | ↑ +277% |
| United Healthcare | UHC Doctor's Plan | $2,114.00 | ↑ +390% |
| United Healthcare | UHC Core | $2,210.00 | ↑ +413% |
| United Healthcare | Commercial | $2,326.00 | ↑ +440% |
| Aetna | Joint Venture | $4,405.00 | ↑ +922% |
| Aetna | Designated Group | $4,680.00 | ↑ +986% |
| Aetna | Broad Network | $5,506.00 | ↑ +1177% |
Visitor-reported prices
Comments
Bx breast add lesion strtctc at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Gilbert Medical Center | Gilbert | $1,079.21 | $84.40 – $3,377.99 |
| Banner University Medical Center Phoenix | Phoenix | $502.63 | $280.80 – $4,018.00 |
| Banner University Medical Center Tucson | Tucson | $438.87 | $241.80 – $2,041.00 |
| Banner Baywood Medical Center | Mesa | $480.17 | $280.80 – $4,018.00 |
| Banner Del Webb Medical Center | Sun City West | $447.88 | $280.80 – $4,018.00 |
| St. Joseph’s Hospital and Medical Center | Phoenix | $667.74 | $84.40 – $1,380.92 |
| Yavapai Regional Medical Center (East) | Prescott | $2,258.65 | $84.40 – $162.45 |
| Chandler Regional Medical Center | Chandler | $1,175.72 | $84.40 – $3,685.08 |