Echo exam of fetal heart at Banner Gateway Medical Center
1900 North Higley Road, Gilbert, AZ · Banner Health · · NPI 1699884858
$238.05
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.
$688.00
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.
$166.84 with Health Choice Arizona, Inc. vs $631.48 with Blue Cross Blue Shield of Arizona — 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 |
|---|---|---|---|
| Health Choice Arizona, Inc. | Medicaid | $166.84 | ↓ -30% |
| Arizona Physicians IPA | Medicaid | $166.84 | ↓ -30% |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $166.84 | ↓ -30% |
| Health Net | Medicaid | $166.84 | ↓ -30% |
| Mercy Care | Mercy Medicaid | $166.84 | ↓ -30% |
| Aetna | Banner Employee Plans | $231.17 | ↓ -3% |
| Hospice of the Valley | Medicare | $240.80 | ↑ +1% |
| Mercy Care | Mercy Care Advantage | $257.63 | ↑ +8% |
| Aetna | Medicare Advantage | $257.63 | ↑ +8% |
| Arizona Physicians IPA | Medicare Advantage | $257.63 | ↑ +8% |
| Banner Health | Medicare Advantage | $257.63 | ↑ +8% |
| Banner University Health Plan | University Care Advantage | $257.63 | ↑ +8% |
| Blue Cross Blue Shield of Arizona | Medicare Advantage | $257.63 | ↑ +8% |
| Care 1st | Medicare Advantage | $257.63 | ↑ +8% |
| Cigna Healthcare of Arizona, Inc. | HMO Medicare Advantage Plans | $257.63 | ↑ +8% |
| Cigna Healthcare of Arizona, Inc. | PPO Medicare Advantage Plan | $257.63 | ↑ +8% |
| Gila River Health Care Corporation | Managed Care Program | $257.63 | ↑ +8% |
| Health Choice Arizona, Inc. | Medicare Advantage | $257.63 | ↑ +8% |
| Health Net | Medicare | $257.63 | ↑ +8% |
| Humana | Medicare Advantage | $257.63 | ↑ +8% |
| Kaiser Foundation Health Plan | Medicare Advantage | $257.63 | ↑ +8% |
| TriWest Healthcare Alliance Corp - VA CCN | VA Community Care Network | $257.63 | ↑ +8% |
| United Healthcare | UHC Medicare Advantage | $257.63 | ↑ +8% |
| UPMC Health Plan | Medicare Advantage | $257.63 | ↑ +8% |
| Wellpoint (fka Amerigroup) | Medicare Advantage HMO | $257.63 | ↑ +8% |
| Devoted Health Services | Medicare Advantage | $270.51 | ↑ +14% |
| Carekin | Medicare Advantage | $270.51 | ↑ +14% |
| Arizona Priority Care | Medicare Advantage | $283.39 | ↑ +19% |
| Gold Kidney Health Plan | Medicare Advantage | $283.39 | ↑ +19% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $309.60 | ↑ +30% |
| Plotkin Health | Plotkin Health | $309.60 | ↑ +30% |
| Aetna | Joint Venture | $317.86 | ↑ +34% |
| Aetna | Designated Group | $337.81 | ↑ +42% |
| Aetna | Qualified Health Plan | $350.38 | ↑ +47% |
| United Healthcare | Individual Exchange | $360.68 | ↑ +52% |
| Aetna | Medical Rental | $362.58 | ↑ +52% |
| Quiktrip Corporation | Commercial | $371.52 | ↑ +56% |
| Health Net | Commerical Exchange Product | $381.29 | ↑ +60% |
| Health Choice Arizona, Inc. | ACA Health Plan | $386.44 | ↑ +62% |
| Aetna | Broad Network | $396.98 | ↑ +67% |
| Oscar Health Plan | Commercial | $425.09 | ↑ +79% |
| Cigna Healthcare of Arizona, Inc. | LocalFlex | $452.02 | ↑ +90% |
| Cigna Healthcare of Arizona, Inc. | Commercial | $472.66 | ↑ +99% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $473.61 | ↑ +99% |
| Arizona Medical Network | Commercial | $481.60 | ↑ +102% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $505.19 | ↑ +112% |
| Provider Network of America | Commercial | $516.00 | ↑ +117% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $530.44 | ↑ +123% |
| Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Preferred | $631.48 | ↑ +165% |
| Blue Cross Blue Shield of Arizona | Commercial | $631.48 | ↑ +165% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $631.48 | ↑ +165% |
| TriWest Healthcare Alliance Corp - VA CCN | Tricare | not published by hospital | — |
Visitor-reported prices
Comments
Echo exam of fetal heart at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner University Medical Center Phoenix | Phoenix | $240.11 | $166.84 – $516.00 |
| Banner Baywood Medical Center | Mesa | $220.16 | $166.84 – $516.00 |
| Banner Desert Medical Center | Mesa | $298.59 | $166.84 – $516.00 |
| Banner Ironwood Medical Center | San Tan Valley | $288.96 | $166.84 – $516.00 |
| Banner Estrella Medical Center | Phoenix | $273.82 | $166.84 – $516.00 |
| Banner Goldfield Medical Center | Apache Junction | $122.46 | $166.84 – $516.00 |
| Banner Payson Medical Center | Payson | $168.17 | $111.11 – $245.70 |
| Banner Thunderbird Medical Center | Glendale | $284.83 | $72.99 – $516.00 |