Fna bx w/mr gdn 1st les at Banner Gateway Medical Center
1900 North Higley Road, Gilbert, AZ · Banner Health · · NPI 1699884858
$1,215.72
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.
$3,960.00
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.
$450.93 with Health Net vs $5,506.00 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 |
|---|---|---|---|
| Health Net | Medicaid | $450.93 | ↓ -63% |
| Health Choice Arizona, Inc. | Medicaid | $450.93 | ↓ -63% |
| Mercy Care | Mercy Medicaid | $450.93 | ↓ -63% |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $450.93 | ↓ -63% |
| Arizona Physicians IPA | Medicaid | $450.93 | ↓ -63% |
| TriWest Healthcare Alliance Corp - VA CCN | VA Community Care Network | $749.90 | ↓ -38% |
| United Healthcare | UHC Medicare Advantage | $749.90 | ↓ -38% |
| UPMC Health Plan | Medicare Advantage | $749.90 | ↓ -38% |
| Kaiser Foundation Health Plan | Medicare Advantage | $749.90 | ↓ -38% |
| Health Choice Arizona, Inc. | Medicare Advantage | $749.90 | ↓ -38% |
| Wellpoint (fka Amerigroup) | Medicare Advantage HMO | $749.90 | ↓ -38% |
| Blue Cross Blue Shield of Arizona | Medicare Advantage | $749.90 | ↓ -38% |
| Banner Health | Medicare Advantage | $749.90 | ↓ -38% |
| Aetna | Medicare Advantage | $749.90 | ↓ -38% |
| Gila River Health Care Corporation | Managed Care Program | $749.90 | ↓ -38% |
| Banner University Health Plan | University Care Advantage | $749.90 | ↓ -38% |
| Cigna Healthcare of Arizona, Inc. | PPO Medicare Advantage Plan | $749.90 | ↓ -38% |
| Care 1st | Medicare Advantage | $749.90 | ↓ -38% |
| Humana | Medicare Advantage | $749.90 | ↓ -38% |
| Arizona Physicians IPA | Medicare Advantage | $749.90 | ↓ -38% |
| Health Net | Medicare | $749.90 | ↓ -38% |
| Mercy Care | Mercy Care Advantage | $749.90 | ↓ -38% |
| Cigna Healthcare of Arizona, Inc. | HMO Medicare Advantage Plans | $749.90 | ↓ -38% |
| Carekin | Medicare Advantage | $787.39 | ↓ -35% |
| Devoted Health Services | Medicare Advantage | $787.39 | ↓ -35% |
| Arizona Priority Care | Medicare Advantage | $824.89 | ↓ -32% |
| Gold Kidney Health Plan | Medicare Advantage | $824.89 | ↓ -32% |
| Aetna | Qualified Health Plan | $1,019.86 | ↓ -16% |
| United Healthcare | Individual Exchange | $1,049.86 | ↓ -14% |
| Health Net | Commerical Exchange Product | $1,109.85 | ↓ -9% |
| Health Choice Arizona, Inc. | ACA Health Plan | $1,124.85 | ↓ -7% |
| Aetna | Banner Employee Plans | $1,170.00 | ↓ -4% |
| Oscar Health Plan | Commercial | $1,237.34 | ↑ +2% |
| Hospice of the Valley | Medicare | $1,386.00 | ↑ +14% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $1,495.14 | ↑ +23% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $1,594.81 | ↑ +31% |
| Cigna Healthcare of Arizona, Inc. | LocalFlex | $1,597.00 | ↑ +31% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $1,674.54 | ↑ +38% |
| Cigna Healthcare of Arizona, Inc. | Commercial | $1,774.00 | ↑ +46% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $1,782.00 | ↑ +47% |
| Plotkin Health | Plotkin Health | $1,782.00 | ↑ +47% |
| Blue Cross Blue Shield of Arizona | Commercial | $1,993.52 | ↑ +64% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $1,993.52 | ↑ +64% |
| Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Preferred | $1,993.52 | ↑ +64% |
| Aetna | Medical Rental | $2,086.92 | ↑ +72% |
| Quiktrip Corporation | Commercial | $2,138.40 | ↑ +76% |
| Arizona Medical Network | Commercial | $2,772.00 | ↑ +128% |
| Provider Network of America | Commercial | $2,970.00 | ↑ +144% |
| United Healthcare | UHC Doctor's Plan | $3,152.00 | ↑ +159% |
| United Healthcare | UHC Core | $3,294.00 | ↑ +171% |
| United Healthcare | Commercial | $3,467.00 | ↑ +185% |
| Aetna | Joint Venture | $4,405.00 | ↑ +262% |
| Aetna | Designated Group | $4,680.00 | ↑ +285% |
| Aetna | Broad Network | $5,506.00 | ↑ +353% |
| TriWest Healthcare Alliance Corp - VA CCN | Tricare | not published by hospital | — |
Visitor-reported prices
Comments
Fna bx w/mr gdn 1st les at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Gilbert Medical Center | Gilbert | not published | $102.93 – $749.90 |
| Banner University Medical Center Phoenix | Phoenix | $1,417.68 | $450.93 – $2,970.00 |
| Banner Baywood Medical Center | Mesa | $1,354.32 | $450.93 – $4,018.00 |
| Arizona General Hospital Laveen | Phoenix | not published | $102.93 – $772.40 |
| St. Joseph’s Hospital and Medical Center | Phoenix | not published | $102.93 – $772.40 |
| Yavapai Regional Medical Center (East) | Prescott | not published | $102.93 – $794.90 |
| Arizona General Hospital Mesa | Mesa | not published | $102.93 – $772.40 |
| Chandler Regional Medical Center | Chandler | not published | $102.93 – $749.90 |