Coombs direct at Banner Gateway Medical Center
1900 North Higley Road, Gilbert, AZ · Banner Health · · NPI 1699884858
$18.67
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.
$127.00
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.
$5.39 with Cigna Healthcare of Arizona, Inc. vs $95.25 with Provider Network of America — 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 |
|---|---|---|---|
| Cigna Healthcare of Arizona, Inc. | PPO Medicare Advantage Plan | $5.39 | ↓ -71% |
| Wellpoint (fka Amerigroup) | Medicare Advantage HMO | $5.39 | ↓ -71% |
| UPMC Health Plan | Medicare Advantage | $5.39 | ↓ -71% |
| United Healthcare | UHC Medicare Advantage | $5.39 | ↓ -71% |
| TriWest Healthcare Alliance Corp - VA CCN | VA Community Care Network | $5.39 | ↓ -71% |
| Aetna | Medicare Advantage | $5.39 | ↓ -71% |
| Mercy Care | Mercy Medicaid | $5.39 | ↓ -71% |
| Mercy Care | Mercy Care Advantage | $5.39 | ↓ -71% |
| Arizona Physicians IPA | Medicaid | $5.39 | ↓ -71% |
| Arizona Physicians IPA | Medicare Advantage | $5.39 | ↓ -71% |
| Health Choice Arizona, Inc. | Medicaid | $5.39 | ↓ -71% |
| Care 1st | Medicare Advantage | $5.39 | ↓ -71% |
| Cigna Healthcare of Arizona, Inc. | HMO Medicare Advantage Plans | $5.39 | ↓ -71% |
| Gila River Health Care Corporation | Managed Care Program | $5.39 | ↓ -71% |
| Banner Health | Medicare Advantage | $5.39 | ↓ -71% |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $5.39 | ↓ -71% |
| Banner University Health Plan | University Care Advantage | $5.39 | ↓ -71% |
| Kaiser Foundation Health Plan | Medicare Advantage | $5.39 | ↓ -71% |
| Humana | Medicare Advantage | $5.39 | ↓ -71% |
| Health Net | Medicare | $5.39 | ↓ -71% |
| Health Net | Medicaid | $5.39 | ↓ -71% |
| Health Choice Arizona, Inc. | Medicare Advantage | $5.39 | ↓ -71% |
| Blue Cross Blue Shield of Arizona | Medicare Advantage | $5.39 | ↓ -71% |
| Devoted Health Services | Medicare Advantage | $5.66 | ↓ -70% |
| Carekin | Medicare Advantage | $5.66 | ↓ -70% |
| Arizona Priority Care | Medicare Advantage | $5.93 | ↓ -68% |
| Gold Kidney Health Plan | Medicare Advantage | $5.93 | ↓ -68% |
| Aetna | Qualified Health Plan | $7.33 | ↓ -61% |
| United Healthcare | Individual Exchange | $7.55 | ↓ -60% |
| Health Net | Commerical Exchange Product | $7.98 | ↓ -57% |
| Health Choice Arizona, Inc. | ACA Health Plan | $8.09 | ↓ -57% |
| Oscar Health Plan | Commercial | $8.89 | ↓ -52% |
| United Healthcare | UHC Doctor's Plan | $9.97 | ↓ -47% |
| Cigna Healthcare of Arizona, Inc. | LocalFlex | $10.39 | ↓ -44% |
| United Healthcare | UHC Core | $11.03 | ↓ -41% |
| Cigna Healthcare of Arizona, Inc. | Commercial | $11.55 | ↓ -38% |
| United Healthcare | Commercial | $12.13 | ↓ -35% |
| Aetna | Designated Group | $19.23 | ↑ +3% |
| Aetna | Joint Venture | $19.91 | ↑ +7% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $21.00 | ↑ +12% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $22.40 | ↑ +20% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $23.52 | ↑ +26% |
| Aetna | Broad Network | $24.89 | ↑ +33% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $28.00 | ↑ +50% |
| Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Preferred | $28.00 | ↑ +50% |
| Blue Cross Blue Shield of Arizona | Commercial | $28.00 | ↑ +50% |
| Aetna | Banner Employee Plans | $42.67 | ↑ +129% |
| Hospice of the Valley | Medicare | $44.45 | ↑ +138% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $57.15 | ↑ +206% |
| Plotkin Health | Plotkin Health | $57.15 | ↑ +206% |
| Aetna | Medical Rental | $66.93 | ↑ +258% |
| Quiktrip Corporation | Commercial | $68.58 | ↑ +267% |
| Arizona Medical Network | Commercial | $88.90 | ↑ +376% |
| Provider Network of America | Commercial | $95.25 | ↑ +410% |
| TriWest Healthcare Alliance Corp - VA CCN | Tricare | not published by hospital | — |
Visitor-reported prices
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Coombs direct at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Gilbert Medical Center | Gilbert | $44.78 | $3.02 – $21.56 |
| Banner University Medical Center Phoenix | Phoenix | $24.13 | $5.39 – $95.25 |
| Banner University Medical Center Tucson | Tucson | $27.30 | $5.39 – $101.60 |
| Banner University Medical Center South | Tucson | $17.27 | $5.39 – $101.60 |
| Banner Baywood Medical Center | Mesa | $21.34 | $5.39 – $95.25 |
| Banner Boswell Medical Center | Sun City | $23.24 | $5.39 – $101.60 |
| Banner Casa Grande Medical Center | Casa Grande | $21.59 | $5.39 – $95.25 |
| Banner Del Webb Medical Center | Sun City West | $16.64 | $5.39 – $101.60 |