In-111 capromab pendet at Banner Gateway Medical Center
1900 North Higley Road, Gilbert, AZ · Banner Health · · NPI 1699884858
$2,510.25
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.
$8,686.00
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.
$835.24 with Mercy Care vs $7,398.48 with Cigna Healthcare of Arizona, Inc. — 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 |
|---|---|---|---|
| Mercy Care | Mercy Medicaid | $835.24 | ↓ -67% |
| Health Net | Medicaid | $835.24 | ↓ -67% |
| Arizona Physicians IPA | Medicaid | $835.24 | ↓ -67% |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $835.24 | ↓ -67% |
| Health Choice Arizona, Inc. | Medicaid | $835.24 | ↓ -67% |
| Aetna | Medicare Advantage | $1,737.20 | ↓ -31% |
| Aetna | Qualified Health Plan | $2,206.24 | ↓ -12% |
| Health Choice Arizona, Inc. | Medicare Advantage | $2,605.80 | ↑ +4% |
| Hospice of the Valley | Medicare | $3,040.10 | ↑ +21% |
| Arizona Priority Care | Medicare Advantage | $3,474.40 | ↑ +38% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $3,908.70 | ↑ +56% |
| Plotkin Health | Plotkin Health | $3,908.70 | ↑ +56% |
| Health Net | Medicare | $4,343.00 | ↑ +73% |
| Oscar Health Plan | Commercial | $4,343.00 | ↑ +73% |
| Health Choice Arizona, Inc. | ACA Health Plan | $4,343.00 | ↑ +73% |
| Aetna | Medical Rental | $4,577.52 | ↑ +82% |
| Health Net | Commerical Exchange Product | $4,690.44 | ↑ +87% |
| Quiktrip Corporation | Commercial | $4,690.44 | ↑ +87% |
| Arizona Medical Network | Commercial | $6,080.20 | ↑ +142% |
| Provider Network of America | Commercial | $6,514.50 | ↑ +160% |
| Cigna Healthcare of Arizona, Inc. | LocalFlex | $6,658.64 | ↑ +165% |
| Cigna Healthcare of Arizona, Inc. | Commercial | $7,398.48 | ↑ +195% |