Initiation & management bipap/cpap initial day at Banner Gateway Medical Center
1900 North Higley Road, Gilbert, AZ · Banner Health · · NPI 1699884858
$271.34
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.
$1,451.00
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.
$136.21 with Mercy Care vs $1,088.25 with Provider Network of America — 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 | $136.21 | ↓ -50% |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $136.21 | ↓ -50% |
| Health Choice Arizona, Inc. | Medicaid | $136.21 | ↓ -50% |
| Arizona Physicians IPA | Medicaid | $136.21 | ↓ -50% |
| Health Net | Medicaid | $136.21 | ↓ -50% |
| TriWest Healthcare Alliance Corp - VA CCN | VA Community Care Network | $216.78 | ↓ -20% |
| United Healthcare | UHC Medicare Advantage | $216.78 | ↓ -20% |
| UPMC Health Plan | Medicare Advantage | $216.78 | ↓ -20% |
| Care 1st | Medicare Advantage | $216.78 | ↓ -20% |
| Kaiser Foundation Health Plan | Medicare Advantage | $216.78 | ↓ -20% |
| Health Choice Arizona, Inc. | Medicare Advantage | $216.78 | ↓ -20% |
| Blue Cross Blue Shield of Arizona | Medicare Advantage | $216.78 | ↓ -20% |
| Wellpoint (fka Amerigroup) | Medicare Advantage HMO | $216.78 | ↓ -20% |
| Banner Health | Medicare Advantage | $216.78 | ↓ -20% |
| Cigna Healthcare of Arizona, Inc. | PPO Medicare Advantage Plan | $216.78 | ↓ -20% |
| Gila River Health Care Corporation | Managed Care Program | $216.78 | ↓ -20% |
| Humana | Medicare Advantage | $216.78 | ↓ -20% |
| Arizona Physicians IPA | Medicare Advantage | $216.78 | ↓ -20% |
| Health Net | Medicare | $216.78 | ↓ -20% |
| Mercy Care | Mercy Care Advantage | $216.78 | ↓ -20% |
| Aetna | Medicare Advantage | $216.78 | ↓ -20% |
| Cigna Healthcare of Arizona, Inc. | HMO Medicare Advantage Plans | $216.78 | ↓ -20% |
| Banner University Health Plan | University Care Advantage | $216.78 | ↓ -20% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $218.74 | ↓ -19% |
| Devoted Health Services | Medicare Advantage | $227.62 | ↓ -16% |
| Carekin | Medicare Advantage | $227.62 | ↓ -16% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $233.32 | ↓ -14% |
| Gold Kidney Health Plan | Medicare Advantage | $238.46 | ↓ -12% |
| Arizona Priority Care | Medicare Advantage | $238.46 | ↓ -12% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $244.99 | ↓ -10% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $291.65 | ↑ +7% |
| Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Preferred | $291.65 | ↑ +7% |
| Blue Cross Blue Shield of Arizona | Commercial | $291.65 | ↑ +7% |
| Aetna | Qualified Health Plan | $294.82 | ↑ +9% |
| United Healthcare | Individual Exchange | $303.49 | ↑ +12% |
| Health Net | Commerical Exchange Product | $320.83 | ↑ +18% |
| Health Choice Arizona, Inc. | ACA Health Plan | $325.17 | ↑ +20% |
| Oscar Health Plan | Commercial | $357.69 | ↑ +32% |
| Aetna | Banner Employee Plans | $487.54 | ↑ +80% |
| Hospice of the Valley | Medicare | $507.85 | ↑ +87% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $652.95 | ↑ +141% |
| Plotkin Health | Plotkin Health | $652.95 | ↑ +141% |
| Aetna | Joint Venture | $670.36 | ↑ +147% |
| United Healthcare | UHC Doctor's Plan | $703.74 | ↑ +159% |
| Aetna | Designated Group | $712.44 | ↑ +163% |
| United Healthcare | UHC Core | $735.66 | ↑ +171% |
| Aetna | Medical Rental | $764.68 | ↑ +182% |
| United Healthcare | Commercial | $774.83 | ↑ +186% |
| Quiktrip Corporation | Commercial | $783.54 | ↑ +189% |
| Aetna | Broad Network | $837.23 | ↑ +209% |
| Cigna Healthcare of Arizona, Inc. | LocalFlex | $953.31 | ↑ +251% |
| Cigna Healthcare of Arizona, Inc. | Commercial | $996.84 | ↑ +267% |
| Arizona Medical Network | Commercial | $1,015.70 | ↑ +274% |
| Provider Network of America | Commercial | $1,088.25 | ↑ +301% |
| TriWest Healthcare Alliance Corp - VA CCN | Tricare | not published by hospital | — |
Visitor-reported prices
Comments
Initiation & management bipap/cpap initial day at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Gilbert Medical Center | Gilbert | $234.20 | $38.62 – $733.04 |
| Banner University Medical Center Phoenix | Phoenix | $281.49 | $85.10 – $1,088.25 |
| Banner University Medical Center Tucson | Tucson | $339.28 | $136.21 – $1,324.00 |
| Banner University Medical Center South | Tucson | $339.28 | $131.44 – $1,324.00 |
| Banner Baywood Medical Center | Mesa | $335.18 | $136.21 – $1,088.25 |
| Banner Boswell Medical Center | Sun City | $298.91 | $136.21 – $1,160.80 |
| Banner Casa Grande Medical Center | Casa Grande | $266.98 | $128.10 – $1,088.25 |
| Banner Del Webb Medical Center | Sun City West | $290.20 | $85.10 – $1,160.80 |