Chrom analysis at Banner Gateway Medical Center
1900 North Higley Road, Gilbert, AZ · Banner Health · · NPI 1699884858
$31.25
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.
?
What you pay up front if you don't use insurance.
$168.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$34.81 with Cigna Healthcare of Arizona, Inc. vs $180.73 with Blue Cross Blue Shield of Arizona — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Cigna Healthcare of Arizona, Inc. | PPO Medicare Advantage Plan | $34.81 | ↑ +11% |
| Wellpoint (fka Amerigroup) | Medicare Advantage HMO | $34.81 | ↑ +11% |
| UPMC Health Plan | Medicare Advantage | $34.81 | ↑ +11% |
| United Healthcare | UHC Medicare Advantage | $34.81 | ↑ +11% |
| TriWest Healthcare Alliance Corp - VA CCN | VA Community Care Network | $34.81 | ↑ +11% |
| Aetna | Medicare Advantage | $34.81 | ↑ +11% |
| Mercy Care | Mercy Medicaid | $34.81 | ↑ +11% |
| Mercy Care | Mercy Care Advantage | $34.81 | ↑ +11% |
| Arizona Physicians IPA | Medicaid | $34.81 | ↑ +11% |
| Arizona Physicians IPA | Medicare Advantage | $34.81 | ↑ +11% |
| Health Choice Arizona, Inc. | Medicaid | $34.81 | ↑ +11% |
| Care 1st | Medicare Advantage | $34.81 | ↑ +11% |
| Cigna Healthcare of Arizona, Inc. | HMO Medicare Advantage Plans | $34.81 | ↑ +11% |
| Gila River Health Care Corporation | Managed Care Program | $34.81 | ↑ +11% |
| Banner Health | Medicare Advantage | $34.81 | ↑ +11% |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $34.81 | ↑ +11% |
| Banner University Health Plan | University Care Advantage | $34.81 | ↑ +11% |
| Kaiser Foundation Health Plan | Medicare Advantage | $34.81 | ↑ +11% |
| Humana | Medicare Advantage | $34.81 | ↑ +11% |
| Health Net | Medicare | $34.81 | ↑ +11% |
| Health Net | Medicaid | $34.81 | ↑ +11% |
| Health Choice Arizona, Inc. | Medicare Advantage | $34.81 | ↑ +11% |
| Blue Cross Blue Shield of Arizona | Medicare Advantage | $34.81 | ↑ +11% |
| Devoted Health Services | Medicare Advantage | $36.55 | ↑ +17% |
| Carekin | Medicare Advantage | $36.55 | ↑ +17% |
| Arizona Priority Care | Medicare Advantage | $38.29 | ↑ +23% |
| Gold Kidney Health Plan | Medicare Advantage | $38.29 | ↑ +23% |
| Aetna | Qualified Health Plan | $47.34 | ↑ +51% |
| United Healthcare | Individual Exchange | $48.73 | ↑ +56% |
| Health Net | Commerical Exchange Product | $51.52 | ↑ +65% |
| Health Choice Arizona, Inc. | ACA Health Plan | $52.22 | ↑ +67% |
| Aetna | Banner Employee Plans | $56.45 | ↑ +81% |
| Oscar Health Plan | Commercial | $57.44 | ↑ +84% |
| Hospice of the Valley | Medicare | $58.80 | ↑ +88% |
| United Healthcare | UHC Doctor's Plan | $64.38 | ↑ +106% |
| Cigna Healthcare of Arizona, Inc. | LocalFlex | $67.21 | ↑ +115% |
| United Healthcare | UHC Core | $71.19 | ↑ +128% |
| Cigna Healthcare of Arizona, Inc. | Commercial | $74.68 | ↑ +139% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $75.60 | ↑ +142% |
| Plotkin Health | Plotkin Health | $75.60 | ↑ +142% |
| United Healthcare | Commercial | $78.33 | ↑ +151% |
| Aetna | Medical Rental | $88.54 | ↑ +183% |
| Quiktrip Corporation | Commercial | $90.72 | ↑ +190% |
| Arizona Medical Network | Commercial | $117.60 | ↑ +276% |
| Aetna | Designated Group | $124.20 | ↑ +297% |
| Provider Network of America | Commercial | $126.00 | ↑ +303% |
| Aetna | Joint Venture | $128.59 | ↑ +311% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $135.55 | ↑ +334% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $144.58 | ↑ +363% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $151.81 | ↑ +386% |
| Aetna | Broad Network | $160.72 | ↑ +414% |
| Blue Cross Blue Shield of Arizona | Commercial | $180.73 | ↑ +478% |
| Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Preferred | $180.73 | ↑ +478% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $180.73 | ↑ +478% |
Visitor-reported prices
Comments
Chrom analysis at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Gilbert Medical Center | Gilbert | $34.26 | $19.46 – $107.03 |
| Banner University Medical Center Phoenix | Phoenix | $41.50 | $34.81 – $126.00 |
| Banner University Medical Center Tucson | Tucson | $35.03 | $34.81 – $114.40 |
| Banner University Medical Center South | Tucson | $33.75 | $34.81 – $114.40 |
| Banner Baywood Medical Center | Mesa | $35.78 | $34.81 – $126.00 |
| Banner Boswell Medical Center | Sun City | $36.29 | $34.81 – $134.40 |
| Banner Casa Grande Medical Center | Casa Grande | $30.24 | $34.81 – $126.00 |
| Banner Del Webb Medical Center | Sun City West | $34.61 | $34.81 – $134.40 |