Cystostomy cystotomy w/drainage 51040 at Banner Gateway Medical Center
1900 North Higley Road, Gilbert, AZ · Banner Health · · NPI 1699884858
$904.73
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.
$2,947.00
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.
$1,031.45 with Hospice of the Valley vs $8,447.00 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 |
|---|---|---|---|
| Hospice of the Valley | Medicare | $1,031.45 | ↑ +14% |
| Arizona Physicians IPA | Medicaid | $1,299.92 | ↑ +44% |
| Health Choice Arizona, Inc. | Medicaid | $1,299.92 | ↑ +44% |
| Mercy Care | Mercy Medicaid | $1,299.92 | ↑ +44% |
| Health Net | Medicaid | $1,299.92 | ↑ +44% |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $1,299.92 | ↑ +44% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $1,326.15 | ↑ +47% |
| Plotkin Health | Plotkin Health | $1,326.15 | ↑ +47% |
| Aetna | Medical Rental | $1,553.07 | ↑ +72% |
| Quiktrip Corporation | Commercial | $1,591.38 | ↑ +76% |
| Arizona Medical Network | Commercial | $2,062.90 | ↑ +128% |
| Aetna | Medicare Advantage | $2,183.34 | ↑ +141% |
| Banner University Health Plan | University Care Advantage | $2,183.34 | ↑ +141% |
| Health Net | Medicare | $2,183.34 | ↑ +141% |
| Care 1st | Medicare Advantage | $2,183.34 | ↑ +141% |
| Arizona Physicians IPA | Medicare Advantage | $2,183.34 | ↑ +141% |
| Banner Health | Medicare Advantage | $2,183.34 | ↑ +141% |
| Cigna Healthcare of Arizona, Inc. | PPO Medicare Advantage Plan | $2,183.34 | ↑ +141% |
| Gila River Health Care Corporation | Managed Care Program | $2,183.34 | ↑ +141% |
| UPMC Health Plan | Medicare Advantage | $2,183.34 | ↑ +141% |
| Wellpoint (fka Amerigroup) | Medicare Advantage HMO | $2,183.34 | ↑ +141% |
| Health Choice Arizona, Inc. | Medicare Advantage | $2,183.34 | ↑ +141% |
| United Healthcare | UHC Medicare Advantage | $2,183.34 | ↑ +141% |
| Blue Cross Blue Shield of Arizona | Medicare Advantage | $2,183.34 | ↑ +141% |
| Mercy Care | Mercy Care Advantage | $2,183.34 | ↑ +141% |
| TriWest Healthcare Alliance Corp - VA CCN | VA Community Care Network | $2,183.34 | ↑ +141% |
| Kaiser Foundation Health Plan | Medicare Advantage | $2,183.34 | ↑ +141% |
| Cigna Healthcare of Arizona, Inc. | HMO Medicare Advantage Plans | $2,183.34 | ↑ +141% |
| Humana | Medicare Advantage | $2,183.34 | ↑ +141% |
| Provider Network of America | Commercial | $2,210.25 | ↑ +144% |
| Carekin | Medicare Advantage | $2,292.51 | ↑ +153% |
| Devoted Health Services | Medicare Advantage | $2,292.51 | ↑ +153% |
| Gold Kidney Health Plan | Medicare Advantage | $2,401.67 | ↑ +165% |
| Arizona Priority Care | Medicare Advantage | $2,401.67 | ↑ +165% |
| Aetna | Qualified Health Plan | $2,969.34 | ↑ +228% |
| United Healthcare | Individual Exchange | $3,056.68 | ↑ +238% |
| Health Net | Commerical Exchange Product | $3,231.34 | ↑ +257% |
| Health Choice Arizona, Inc. | ACA Health Plan | $3,275.01 | ↑ +262% |
| Oscar Health Plan | Commercial | $3,602.51 | ↑ +298% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $4,620.72 | ↑ +411% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $4,928.77 | ↑ +445% |
| Aetna | Banner Employee Plans | $4,972.00 | ↑ +450% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $5,175.17 | ↑ +472% |
| United Healthcare | UHC Doctor's Plan | $5,307.00 | ↑ +487% |
| United Healthcare | UHC Core | $5,546.00 | ↑ +513% |
| United Healthcare | Commercial | $5,838.00 | ↑ +545% |
| Blue Cross Blue Shield of Arizona | Commercial | $6,160.96 | ↑ +581% |
| Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Preferred | $6,160.96 | ↑ +581% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $6,160.96 | ↑ +581% |
| Cigna Healthcare of Arizona, Inc. | LocalFlex | $6,674.00 | ↑ +638% |
| Aetna | Joint Venture | $6,758.00 | ↑ +647% |
| Aetna | Designated Group | $7,180.00 | ↑ +694% |
| Cigna Healthcare of Arizona, Inc. | Commercial | $7,416.00 | ↑ +720% |
| Aetna | Broad Network | $8,447.00 | ↑ +834% |
| TriWest Healthcare Alliance Corp - VA CCN | Tricare | not published by hospital | — |
Visitor-reported prices
Comments
Cystostomy cystotomy w/drainage 51040 at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Gilbert Medical Center | Gilbert | not published | $308.62 – $2,183.34 |
| Banner University Medical Center Tucson | Tucson | $1,424.05 | $1,299.92 – $3,602.51 |
| Banner University Medical Center South | Tucson | $2,067.42 | $1,299.92 – $3,602.51 |
| Banner Desert Medical Center | Mesa | $1,043.24 | $1,031.45 – $3,602.51 |
| Banner Estrella Medical Center | Phoenix | $1,140.49 | $1,031.45 – $3,602.51 |
| Banner Thunderbird Medical Center | Glendale | $907.68 | $72.99 – $3,602.51 |
| Yavapai Regional Medical Center (East) | Prescott | $425.91 | $308.62 – $608.44 |
| Banner Baywood Medical Center | Mesa | not published | $1,299.92 – $4,620.72 |