Consultation pathology during surgery at Banner Gateway Medical Center
1900 North Higley Road, Gilbert, AZ · Banner Health · · NPI 1699884858
$43.89
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.
$208.00
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.
$24.53 with Mercy Care vs $223.99 with Blue Cross Blue Shield of Arizona — 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 |
|---|---|---|---|
| Mercy Care | Mercy Medicaid | $24.53 | ↓ -44% |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $24.53 | ↓ -44% |
| Health Net | Medicaid | $24.53 | ↓ -44% |
| Arizona Physicians IPA | Medicaid | $24.53 | ↓ -44% |
| Health Choice Arizona, Inc. | Medicaid | $24.53 | ↓ -44% |
| United Healthcare | UHC Doctor's Plan | $62.59 | ↑ +43% |
| Arizona Physicians IPA | Medicare Advantage | $63.31 | ↑ +44% |
| Banner Health | Medicare Advantage | $63.31 | ↑ +44% |
| Banner University Health Plan | University Care Advantage | $63.31 | ↑ +44% |
| Mercy Care | Mercy Care Advantage | $63.31 | ↑ +44% |
| Kaiser Foundation Health Plan | Medicare Advantage | $63.31 | ↑ +44% |
| Humana | Medicare Advantage | $63.31 | ↑ +44% |
| Health Net | Medicare | $63.31 | ↑ +44% |
| Blue Cross Blue Shield of Arizona | Medicare Advantage | $63.31 | ↑ +44% |
| Health Choice Arizona, Inc. | Medicare Advantage | $63.31 | ↑ +44% |
| Care 1st | Medicare Advantage | $63.31 | ↑ +44% |
| Gila River Health Care Corporation | Managed Care Program | $63.31 | ↑ +44% |
| Wellpoint (fka Amerigroup) | Medicare Advantage HMO | $63.31 | ↑ +44% |
| UPMC Health Plan | Medicare Advantage | $63.31 | ↑ +44% |
| United Healthcare | UHC Medicare Advantage | $63.31 | ↑ +44% |
| Aetna | Medicare Advantage | $63.31 | ↑ +44% |
| TriWest Healthcare Alliance Corp - VA CCN | VA Community Care Network | $63.31 | ↑ +44% |
| Cigna Healthcare of Arizona, Inc. | HMO Medicare Advantage Plans | $63.31 | ↑ +44% |
| Cigna Healthcare of Arizona, Inc. | PPO Medicare Advantage Plan | $63.31 | ↑ +44% |
| Cigna Healthcare of Arizona, Inc. | LocalFlex | $64.33 | ↑ +47% |
| Devoted Health Services | Medicare Advantage | $66.48 | ↑ +51% |
| Carekin | Medicare Advantage | $66.48 | ↑ +51% |
| Gold Kidney Health Plan | Medicare Advantage | $69.64 | ↑ +59% |
| Arizona Priority Care | Medicare Advantage | $69.64 | ↑ +59% |
| Aetna | Banner Employee Plans | $69.89 | ↑ +59% |
| United Healthcare | UHC Core | $70.70 | ↑ +61% |
| Cigna Healthcare of Arizona, Inc. | Commercial | $71.48 | ↑ +63% |
| Hospice of the Valley | Medicare | $72.80 | ↑ +66% |
| United Healthcare | Commercial | $76.14 | ↑ +73% |
| Aetna | Qualified Health Plan | $86.10 | ↑ +96% |
| United Healthcare | Individual Exchange | $88.63 | ↑ +102% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $93.60 | ↑ +113% |
| Plotkin Health | Plotkin Health | $93.60 | ↑ +113% |
| Health Net | Commerical Exchange Product | $93.70 | ↑ +113% |
| Health Choice Arizona, Inc. | ACA Health Plan | $94.97 | ↑ +116% |
| Oscar Health Plan | Commercial | $104.46 | ↑ +138% |
| Aetna | Medical Rental | $109.62 | ↑ +150% |
| Quiktrip Corporation | Commercial | $112.32 | ↑ +156% |
| Aetna | Designated Group | $124.52 | ↑ +184% |
| Aetna | Joint Venture | $128.92 | ↑ +194% |
| Arizona Medical Network | Commercial | $145.60 | ↑ +232% |
| Provider Network of America | Commercial | $156.00 | ↑ +255% |
| Aetna | Broad Network | $161.13 | ↑ +267% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $167.99 | ↑ +283% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $179.19 | ↑ +308% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $188.15 | ↑ +329% |
| Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Preferred | $223.99 | ↑ +410% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $223.99 | ↑ +410% |
| Blue Cross Blue Shield of Arizona | Commercial | $223.99 | ↑ +410% |
| TriWest Healthcare Alliance Corp - VA CCN | Tricare | not published by hospital | — |
Visitor-reported prices
Comments
Consultation pathology during surgery at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Gilbert Medical Center | Gilbert | $206.40 | $36.48 – $646.03 |
| Banner University Medical Center Phoenix | Phoenix | $57.82 | $24.53 – $156.00 |
| Banner University Medical Center Tucson | Tucson | $46.91 | $24.53 – $141.60 |
| Banner University Medical Center South | Tucson | $49.74 | $24.53 – $141.60 |
| Banner Baywood Medical Center | Mesa | $45.76 | $24.53 – $156.00 |
| Banner Boswell Medical Center | Sun City | $45.55 | $24.53 – $166.40 |
| Banner Casa Grande Medical Center | Casa Grande | $47.63 | $24.53 – $156.00 |
| Banner Del Webb Medical Center | Sun City West | $46.80 | $24.53 – $166.40 |