Conversion ext bil drg cath at Banner Gateway Medical Center
1900 North Higley Road, Gilbert, AZ · Banner Health · · NPI 1699884858
$1,636.62
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.
$5,331.00
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.
$1,865.85 with Hospice of the Valley vs $16,820.00 with Cigna Healthcare of Arizona, Inc. — 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 | $1,865.85 | ↑ +14% |
| Health Net | Medicaid | $2,307.97 | ↑ +41% |
| Health Choice Arizona, Inc. | Medicaid | $2,307.97 | ↑ +41% |
| Mercy Care | Mercy Medicaid | $2,307.97 | ↑ +41% |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $2,307.97 | ↑ +41% |
| Arizona Physicians IPA | Medicaid | $2,307.97 | ↑ +41% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $2,398.95 | ↑ +47% |
| Plotkin Health | Plotkin Health | $2,398.95 | ↑ +47% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $2,440.42 | ↑ +49% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $2,603.12 | ↑ +59% |
| Aetna | Banner Employee Plans | $2,633.00 | ↑ +61% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $2,733.25 | ↑ +67% |
| Aetna | Medical Rental | $2,809.44 | ↑ +72% |
| Quiktrip Corporation | Commercial | $2,878.74 | ↑ +76% |
| Blue Cross Blue Shield of Arizona | Commercial | $3,253.90 | ↑ +99% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $3,253.90 | ↑ +99% |
| Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Preferred | $3,253.90 | ↑ +99% |
| Arizona Medical Network | Commercial | $3,731.70 | ↑ +128% |
| Arizona Physicians IPA | Medicare Advantage | $3,761.34 | ↑ +130% |
| Blue Cross Blue Shield of Arizona | Medicare Advantage | $3,761.34 | ↑ +130% |
| Health Net | Medicare | $3,761.34 | ↑ +130% |
| Care 1st | Medicare Advantage | $3,761.34 | ↑ +130% |
| Wellpoint (fka Amerigroup) | Medicare Advantage HMO | $3,761.34 | ↑ +130% |
| Cigna Healthcare of Arizona, Inc. | HMO Medicare Advantage Plans | $3,761.34 | ↑ +130% |
| TriWest Healthcare Alliance Corp - VA CCN | VA Community Care Network | $3,761.34 | ↑ +130% |
| Cigna Healthcare of Arizona, Inc. | PPO Medicare Advantage Plan | $3,761.34 | ↑ +130% |
| Aetna | Medicare Advantage | $3,761.34 | ↑ +130% |
| Gila River Health Care Corporation | Managed Care Program | $3,761.34 | ↑ +130% |
| United Healthcare | UHC Medicare Advantage | $3,761.34 | ↑ +130% |
| Mercy Care | Mercy Care Advantage | $3,761.34 | ↑ +130% |
| UPMC Health Plan | Medicare Advantage | $3,761.34 | ↑ +130% |
| Health Choice Arizona, Inc. | Medicare Advantage | $3,761.34 | ↑ +130% |
| Kaiser Foundation Health Plan | Medicare Advantage | $3,761.34 | ↑ +130% |
| Humana | Medicare Advantage | $3,761.34 | ↑ +130% |
| Banner Health | Medicare Advantage | $3,761.34 | ↑ +130% |
| Banner University Health Plan | University Care Advantage | $3,761.34 | ↑ +130% |
| Devoted Health Services | Medicare Advantage | $3,949.41 | ↑ +141% |
| Carekin | Medicare Advantage | $3,949.41 | ↑ +141% |
| Provider Network of America | Commercial | $3,998.25 | ↑ +144% |
| Gold Kidney Health Plan | Medicare Advantage | $4,137.47 | ↑ +153% |
| Arizona Priority Care | Medicare Advantage | $4,137.47 | ↑ +153% |
| Aetna | Qualified Health Plan | $5,115.42 | ↑ +213% |
| Aetna | Joint Venture | $5,186.00 | ↑ +217% |
| United Healthcare | Individual Exchange | $5,265.88 | ↑ +222% |
| Aetna | Designated Group | $5,511.00 | ↑ +237% |
| Health Net | Commerical Exchange Product | $5,566.78 | ↑ +240% |
| Health Choice Arizona, Inc. | ACA Health Plan | $5,642.01 | ↑ +245% |
| Oscar Health Plan | Commercial | $6,206.21 | ↑ +279% |
| Aetna | Broad Network | $6,483.00 | ↑ +296% |
| United Healthcare | UHC Doctor's Plan | $6,560.00 | ↑ +301% |
| United Healthcare | UHC Core | $6,856.00 | ↑ +319% |
| United Healthcare | Commercial | $7,217.00 | ↑ +341% |
| Cigna Healthcare of Arizona, Inc. | LocalFlex | $15,138.00 | ↑ +825% |
| Cigna Healthcare of Arizona, Inc. | Commercial | $16,820.00 | ↑ +928% |
| TriWest Healthcare Alliance Corp - VA CCN | Tricare | not published by hospital | — |
Visitor-reported prices
Comments
Conversion ext bil drg cath at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Gilbert Medical Center | Gilbert | $3,125.19 | $199.91 – $9,782.08 |
| Banner University Medical Center Phoenix | Phoenix | $1,908.50 | $949.44 – $6,206.21 |
| Banner University Medical Center Tucson | Tucson | $2,391.81 | $2,082.06 – $6,206.21 |
| Banner University Medical Center South | Tucson | $3,472.40 | $1,466.47 – $6,206.21 |
| Banner Baywood Medical Center | Mesa | $1,823.20 | $1,865.85 – $15,138.00 |
| Banner Boswell Medical Center | Sun City | $1,540.66 | $1,863.43 – $6,206.21 |
| Banner Casa Grande Medical Center | Casa Grande | $1,476.69 | $1,429.17 – $5,642.01 |
| Banner Del Webb Medical Center | Sun City West | $1,700.59 | $949.44 – $6,206.21 |