Ghs phenylketonurid at Banner Gateway Medical Center
1900 North Higley Road, Gilbert, AZ · Banner Health · · NPI 1699884858
$2.82
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.
$17.00
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.
$5.50 with Care 1st vs $25.39 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 |
|---|---|---|---|
| Care 1st | Medicare Advantage | $5.50 | ↑ +95% |
| Cigna Healthcare of Arizona, Inc. | PPO Medicare Advantage Plan | $5.50 | ↑ +95% |
| Humana | Medicare Advantage | $5.50 | ↑ +95% |
| Arizona Physicians IPA | Medicare Advantage | $5.50 | ↑ +95% |
| Mercy Care | Mercy Medicaid | $5.50 | ↑ +95% |
| Mercy Care | Mercy Care Advantage | $5.50 | ↑ +95% |
| Aetna | Medicare Advantage | $5.50 | ↑ +95% |
| Cigna Healthcare of Arizona, Inc. | HMO Medicare Advantage Plans | $5.50 | ↑ +95% |
| Arizona Physicians IPA | Medicaid | $5.50 | ↑ +95% |
| Health Net | Medicaid | $5.50 | ↑ +95% |
| Health Net | Medicare | $5.50 | ↑ +95% |
| TriWest Healthcare Alliance Corp - VA CCN | VA Community Care Network | $5.50 | ↑ +95% |
| United Healthcare | UHC Medicare Advantage | $5.50 | ↑ +95% |
| UPMC Health Plan | Medicare Advantage | $5.50 | ↑ +95% |
| Kaiser Foundation Health Plan | Medicare Advantage | $5.50 | ↑ +95% |
| Health Choice Arizona, Inc. | Medicare Advantage | $5.50 | ↑ +95% |
| Health Choice Arizona, Inc. | Medicaid | $5.50 | ↑ +95% |
| Wellpoint (fka Amerigroup) | Medicare Advantage HMO | $5.50 | ↑ +95% |
| Blue Cross Blue Shield of Arizona | Medicare Advantage | $5.50 | ↑ +95% |
| Banner Health | Medicare Advantage | $5.50 | ↑ +95% |
| Gila River Health Care Corporation | Managed Care Program | $5.50 | ↑ +95% |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $5.50 | ↑ +95% |
| Banner University Health Plan | University Care Advantage | $5.50 | ↑ +95% |
| Aetna | Banner Employee Plans | $5.71 | ↑ +102% |
| Carekin | Medicare Advantage | $5.78 | ↑ +105% |
| Devoted Health Services | Medicare Advantage | $5.78 | ↑ +105% |
| Hospice of the Valley | Medicare | $5.95 | ↑ +111% |
| Arizona Priority Care | Medicare Advantage | $6.05 | ↑ +115% |
| Gold Kidney Health Plan | Medicare Advantage | $6.05 | ↑ +115% |
| Aetna | Qualified Health Plan | $7.48 | ↑ +165% |
| Plotkin Health | Plotkin Health | $7.65 | ↑ +171% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $7.65 | ↑ +171% |
| United Healthcare | Individual Exchange | $7.70 | ↑ +173% |
| Health Net | Commerical Exchange Product | $8.14 | ↑ +189% |
| Health Choice Arizona, Inc. | ACA Health Plan | $8.25 | ↑ +193% |
| Aetna | Medical Rental | $8.96 | ↑ +218% |
| Oscar Health Plan | Commercial | $9.07 | ↑ +222% |
| Quiktrip Corporation | Commercial | $9.18 | ↑ +226% |
| United Healthcare | UHC Doctor's Plan | $10.17 | ↑ +261% |
| Cigna Healthcare of Arizona, Inc. | LocalFlex | $10.63 | ↑ +277% |
| United Healthcare | UHC Core | $11.25 | ↑ +299% |
| Cigna Healthcare of Arizona, Inc. | Commercial | $11.81 | ↑ +319% |
| Arizona Medical Network | Commercial | $11.90 | ↑ +322% |
| United Healthcare | Commercial | $12.38 | ↑ +339% |
| Provider Network of America | Commercial | $12.75 | ↑ +352% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $18.92 | ↑ +571% |
| Aetna | Designated Group | $19.62 | ↑ +596% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $20.18 | ↑ +616% |
| Aetna | Joint Venture | $20.32 | ↑ +621% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $21.19 | ↑ +651% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $25.22 | ↑ +794% |
| Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Preferred | $25.22 | ↑ +794% |
| Blue Cross Blue Shield of Arizona | Commercial | $25.22 | ↑ +794% |
| Aetna | Broad Network | $25.39 | ↑ +800% |
Visitor-reported prices
Comments
Ghs phenylketonurid at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner University Medical Center Phoenix | Phoenix | $2.72 | $5.50 – $12.75 |
| Banner University Medical Center Tucson | Tucson | $2.75 | $5.50 – $13.60 |
| Banner Ironwood Medical Center | San Tan Valley | $2.94 | $5.50 – $12.75 |
| Banner Estrella Medical Center | Phoenix | $2.69 | $5.50 – $12.75 |
| Banner Goldfield Medical Center | Apache Junction | $3.23 | $5.50 – $12.75 |
| Banner Ocotillo Medical Center | Chandler | $3.33 | $5.50 – $12.75 |
| Banner Payson Medical Center | Payson | $7.99 | $5.50 – $15.30 |
| Banner Thunderbird Medical Center | Glendale | $2.69 | $5.50 – $12.75 |