Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis at Banner Gateway Medical Center
1900 North Higley Road, Gilbert, AZ · Banner Health · · NPI 1699884858
$55.35
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.
$296.00
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.
$99.46 with Aetna vs $357.69 with Oscar Health Plan — 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 | Banner Employee Plans | $99.46 | ↑ +80% |
| Hospice of the Valley | Medicare | $103.60 | ↑ +87% |
| Plotkin Health | Plotkin Health | $133.20 | ↑ +141% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $133.20 | ↑ +141% |
| Health Choice Arizona, Inc. | Medicaid | $136.21 | ↑ +146% |
| Mercy Care | Mercy Medicaid | $136.21 | ↑ +146% |
| Arizona Physicians IPA | Medicaid | $136.21 | ↑ +146% |
| Health Net | Medicaid | $136.21 | ↑ +146% |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $136.21 | ↑ +146% |
| Aetna | Joint Venture | $136.75 | ↑ +147% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $141.88 | ↑ +156% |
| United Healthcare | UHC Doctor's Plan | $143.56 | ↑ +159% |
| Aetna | Designated Group | $145.34 | ↑ +163% |
| United Healthcare | UHC Core | $150.07 | ↑ +171% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $151.34 | ↑ +173% |
| Aetna | Medical Rental | $155.99 | ↑ +182% |
| United Healthcare | Commercial | $158.06 | ↑ +186% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $158.91 | ↑ +187% |
| Quiktrip Corporation | Commercial | $159.84 | ↑ +189% |
| Aetna | Broad Network | $170.79 | ↑ +209% |
| Blue Cross Blue Shield of Arizona | Commercial | $189.18 | ↑ +242% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $189.18 | ↑ +242% |
| Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Preferred | $189.18 | ↑ +242% |
| Cigna Healthcare of Arizona, Inc. | LocalFlex | $194.47 | ↑ +251% |
| Cigna Healthcare of Arizona, Inc. | Commercial | $203.35 | ↑ +267% |
| Arizona Medical Network | Commercial | $207.20 | ↑ +274% |
| Arizona Physicians IPA | Medicare Advantage | $216.78 | ↑ +292% |
| Gila River Health Care Corporation | Managed Care Program | $216.78 | ↑ +292% |
| Humana | Medicare Advantage | $216.78 | ↑ +292% |
| United Healthcare | UHC Medicare Advantage | $216.78 | ↑ +292% |
| UPMC Health Plan | Medicare Advantage | $216.78 | ↑ +292% |
| Blue Cross Blue Shield of Arizona | Medicare Advantage | $216.78 | ↑ +292% |
| Banner University Health Plan | University Care Advantage | $216.78 | ↑ +292% |
| Mercy Care | Mercy Care Advantage | $216.78 | ↑ +292% |
| Cigna Healthcare of Arizona, Inc. | PPO Medicare Advantage Plan | $216.78 | ↑ +292% |
| Cigna Healthcare of Arizona, Inc. | HMO Medicare Advantage Plans | $216.78 | ↑ +292% |
| Aetna | Medicare Advantage | $216.78 | ↑ +292% |
| Banner Health | Medicare Advantage | $216.78 | ↑ +292% |
| Wellpoint (fka Amerigroup) | Medicare Advantage HMO | $216.78 | ↑ +292% |
| Health Choice Arizona, Inc. | Medicare Advantage | $216.78 | ↑ +292% |
| Kaiser Foundation Health Plan | Medicare Advantage | $216.78 | ↑ +292% |
| TriWest Healthcare Alliance Corp - VA CCN | VA Community Care Network | $216.78 | ↑ +292% |
| Health Net | Medicare | $216.78 | ↑ +292% |
| Care 1st | Medicare Advantage | $216.78 | ↑ +292% |
| Provider Network of America | Commercial | $222.00 | ↑ +301% |
| Devoted Health Services | Medicare Advantage | $227.62 | ↑ +311% |
| Carekin | Medicare Advantage | $227.62 | ↑ +311% |
| Gold Kidney Health Plan | Medicare Advantage | $238.46 | ↑ +331% |
| Arizona Priority Care | Medicare Advantage | $238.46 | ↑ +331% |
| Aetna | Qualified Health Plan | $294.82 | ↑ +433% |
| United Healthcare | Individual Exchange | $303.49 | ↑ +448% |
| Health Net | Commerical Exchange Product | $320.83 | ↑ +480% |
| Health Choice Arizona, Inc. | ACA Health Plan | $325.17 | ↑ +487% |
| Oscar Health Plan | Commercial | $357.69 | ↑ +546% |
| TriWest Healthcare Alliance Corp - VA CCN | Tricare | not published by hospital | — |
Visitor-reported prices
Comments
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner University Medical Center Phoenix | Phoenix | $57.42 | $55.20 – $357.69 |
| Banner University Medical Center Tucson | Tucson | $64.98 | $103.03 – $357.69 |
| Banner Baywood Medical Center | Mesa | $68.38 | $99.46 – $357.69 |
| Banner Casa Grande Medical Center | Casa Grande | $54.46 | $83.09 – $325.17 |
| Banner Desert Medical Center | Mesa | $76.07 | $99.46 – $357.69 |
| Banner Ironwood Medical Center | San Tan Valley | $65.71 | $99.46 – $325.17 |
| Banner Estrella Medical Center | Phoenix | $58.02 | $99.46 – $357.69 |
| Banner Goldfield Medical Center | Apache Junction | $71.04 | $89.57 – $325.17 |