Ductogram sgl duct at Banner Gateway Medical Center
1900 North Higley Road, Gilbert, AZ · Banner Health · · NPI 1699884858
$237.30
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.
$799.00
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.
$159.80 with Aetna vs $1,165.03 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 | $159.80 | ↓ -33% |
| Arizona Physicians IPA | Medicaid | $166.84 | ↓ -30% |
| Health Net | Medicaid | $166.84 | ↓ -30% |
| Health Choice Arizona, Inc. | Medicaid | $166.84 | ↓ -30% |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $166.84 | ↓ -30% |
| Mercy Care | Mercy Medicaid | $166.84 | ↓ -30% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $171.63 | ↓ -28% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $183.08 | ↓ -23% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $192.23 | ↓ -19% |
| Aetna | Qualified Health Plan | $202.95 | ↓ -14% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $228.84 | ↓ -4% |
| Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Preferred | $228.84 | ↓ -4% |
| Blue Cross Blue Shield of Arizona | Commercial | $228.84 | ↓ -4% |
| Health Choice Arizona, Inc. | Medicare Advantage | $239.70 | ↑ +1% |
| Aetna | Banner Employee Plans | $268.46 | ↑ +13% |
| Hospice of the Valley | Medicare | $279.65 | ↑ +18% |
| Arizona Priority Care | Medicare Advantage | $319.60 | ↑ +35% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $359.55 | ↑ +52% |
| Plotkin Health | Plotkin Health | $359.55 | ↑ +52% |
| Aetna | Joint Venture | $369.14 | ↑ +56% |
| Aetna | Designated Group | $392.31 | ↑ +65% |
| Health Choice Arizona, Inc. | ACA Health Plan | $399.50 | ↑ +68% |
| Oscar Health Plan | Commercial | $399.50 | ↑ +68% |
| Health Net | Medicare | $399.50 | ↑ +68% |
| Aetna | Medical Rental | $421.07 | ↑ +77% |
| Quiktrip Corporation | Commercial | $431.46 | ↑ +82% |
| Health Net | Commerical Exchange Product | $431.46 | ↑ +82% |
| Aetna | Broad Network | $461.02 | ↑ +94% |
| Cigna Healthcare of Arizona, Inc. | LocalFlex | $524.94 | ↑ +121% |
| Cigna Healthcare of Arizona, Inc. | Commercial | $548.91 | ↑ +131% |
| Arizona Medical Network | Commercial | $559.30 | ↑ +136% |
| Provider Network of America | Commercial | $599.25 | ↑ +153% |
| United Healthcare | UHC Doctor's Plan | $987.59 | ↑ +316% |
| United Healthcare | UHC Core | $1,076.21 | ↑ +354% |
| United Healthcare | Commercial | $1,165.03 | ↑ +391% |
| TriWest Healthcare Alliance Corp - VA CCN | Tricare | not published by hospital | — |
Visitor-reported prices
Comments
Ductogram sgl duct at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner University Medical Center Phoenix | Phoenix | $225.32 | $66.77 – $987.59 |
| Banner University Medical Center Tucson | Tucson | $207.30 | $138.20 – $1,165.03 |
| Banner University Medical Center South | Tucson | $212.83 | $103.14 – $1,165.03 |
| Banner Baywood Medical Center | Mesa | $230.11 | $159.80 – $987.59 |
| Banner Del Webb Medical Center | Sun City West | $186.17 | $66.77 – $987.59 |
| Banner Desert Medical Center | Mesa | $223.72 | $159.80 – $987.59 |
| Banner Ironwood Medical Center | San Tan Valley | $187.76 | $159.80 – $987.59 |
| Banner Goldfield Medical Center | Apache Junction | $151.81 | $108.35 – $987.59 |