healthcosts.net
Diagnostic Mammogram (one breast) at Banner Gateway Medical Center
1900 North Higley Road, Gilbert, AZ · Banner Health · · NPI 1699884858
$169.30
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.
$406.00
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.
$81.20 with Aetna vs $462.82 with United Healthcare — 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 |
|---|---|---|---|
| Aetna | Medicare Advantage | $81.20 | ↓ -52% |
| Mercy Care | Mercy Medicaid | $97.85 | ↓ -42% |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $97.85 | ↓ -42% |
| Health Net | Medicaid | $97.85 | ↓ -42% |
| Health Choice Arizona, Inc. | Medicaid | $97.85 | ↓ -42% |
| Arizona Physicians IPA | Medicaid | $97.85 | ↓ -42% |
| Aetna | Qualified Health Plan | $103.12 | ↓ -39% |
| Health Choice Arizona, Inc. | Medicare Advantage | $121.80 | ↓ -28% |
| Aetna | Banner Employee Plans | $136.42 | ↓ -19% |
| Hospice of the Valley | Medicare | $142.10 | ↓ -16% |
| Arizona Priority Care | Medicare Advantage | $162.40 | ↓ -4% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $182.70 | ↑ +8% |
| Plotkin Health | Plotkin Health | $182.70 | ↑ +8% |
| Aetna | Joint Venture | $187.57 | ↑ +11% |
| Aetna | Designated Group | $199.35 | ↑ +18% |
| Oscar Health Plan | Commercial | $203.00 | ↑ +20% |
| Health Net | Medicare | $203.00 | ↑ +20% |
| Health Choice Arizona, Inc. | ACA Health Plan | $203.00 | ↑ +20% |
| Aetna | Medical Rental | $213.96 | ↑ +26% |
| Health Net | Commerical Exchange Product | $219.24 | ↑ +29% |
| Quiktrip Corporation | Commercial | $219.24 | ↑ +29% |
| Aetna | Broad Network | $234.26 | ↑ +38% |
| Cigna Healthcare of Arizona, Inc. | LocalFlex | $266.74 | ↑ +58% |
| Cigna Healthcare of Arizona, Inc. | Commercial | $278.92 | ↑ +65% |
| Arizona Medical Network | Commercial | $284.20 | ↑ +68% |
| Provider Network of America | Commercial | $304.50 | ↑ +80% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $317.21 | ↑ +87% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $338.35 | ↑ +100% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $355.27 | ↑ +110% |
| United Healthcare | UHC Doctor's Plan | $381.03 | ↑ +125% |
| United Healthcare | UHC Core | $415.22 | ↑ +145% |
| Blue Cross Blue Shield of Arizona | Commercial | $422.94 | ↑ +150% |
| Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Preferred | $422.94 | ↑ +150% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $422.94 | ↑ +150% |
| United Healthcare | Commercial | $462.82 | ↑ +173% |
Visitor-reported prices
Comments
Diagnostic Mammogram (one breast) at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner University Medical Center Phoenix | Phoenix | $185.95 | $81.20 – $381.03 |
| Banner Baywood Medical Center | Mesa | $155.90 | $81.20 – $381.03 |
| Banner Del Webb Medical Center | Sun City West | $131.54 | $81.20 – $381.03 |
| Banner Payson Medical Center | Payson | $99.06 | $37.84 – $143.10 |
| Banner Page Hospital | Page | $232.85 | $24.99 – $155.82 |