Inst via cath agent pleurds at Banner Gateway Medical Center
1900 North Higley Road, Gilbert, AZ · Banner Health · · NPI 1699884858
$295.64
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.
$963.00
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.
$337.05 with Hospice of the Valley vs $6,483.00 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 |
|---|---|---|---|
| Hospice of the Valley | Medicare | $337.05 | ↑ +14% |
| Health Choice Arizona, Inc. | Medicaid | $392.67 | ↑ +33% |
| Health Net | Medicaid | $392.67 | ↑ +33% |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $392.67 | ↑ +33% |
| Arizona Physicians IPA | Medicaid | $392.67 | ↑ +33% |
| Mercy Care | Mercy Medicaid | $392.67 | ↑ +33% |
| Plotkin Health | Plotkin Health | $433.35 | ↑ +47% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $433.35 | ↑ +47% |
| Aetna | Medical Rental | $507.50 | ↑ +72% |
| Quiktrip Corporation | Commercial | $520.02 | ↑ +76% |
| Wellpoint (fka Amerigroup) | Medicare Advantage HMO | $658.95 | ↑ +123% |
| Gila River Health Care Corporation | Managed Care Program | $658.95 | ↑ +123% |
| Banner University Health Plan | University Care Advantage | $658.95 | ↑ +123% |
| Mercy Care | Mercy Care Advantage | $658.95 | ↑ +123% |
| Cigna Healthcare of Arizona, Inc. | HMO Medicare Advantage Plans | $658.95 | ↑ +123% |
| Humana | Medicare Advantage | $658.95 | ↑ +123% |
| Arizona Physicians IPA | Medicare Advantage | $658.95 | ↑ +123% |
| United Healthcare | UHC Medicare Advantage | $658.95 | ↑ +123% |
| UPMC Health Plan | Medicare Advantage | $658.95 | ↑ +123% |
| Health Net | Medicare | $658.95 | ↑ +123% |
| TriWest Healthcare Alliance Corp - VA CCN | VA Community Care Network | $658.95 | ↑ +123% |
| Kaiser Foundation Health Plan | Medicare Advantage | $658.95 | ↑ +123% |
| Health Choice Arizona, Inc. | Medicare Advantage | $658.95 | ↑ +123% |
| Blue Cross Blue Shield of Arizona | Medicare Advantage | $658.95 | ↑ +123% |
| Care 1st | Medicare Advantage | $658.95 | ↑ +123% |
| Banner Health | Medicare Advantage | $658.95 | ↑ +123% |
| Cigna Healthcare of Arizona, Inc. | PPO Medicare Advantage Plan | $658.95 | ↑ +123% |
| Aetna | Medicare Advantage | $658.95 | ↑ +123% |
| Arizona Medical Network | Commercial | $674.10 | ↑ +128% |
| Devoted Health Services | Medicare Advantage | $691.90 | ↑ +134% |
| Carekin | Medicare Advantage | $691.90 | ↑ +134% |
| Provider Network of America | Commercial | $722.25 | ↑ +144% |
| Arizona Priority Care | Medicare Advantage | $724.85 | ↑ +145% |
| Gold Kidney Health Plan | Medicare Advantage | $724.85 | ↑ +145% |
| Aetna | Qualified Health Plan | $896.17 | ↑ +203% |
| United Healthcare | Individual Exchange | $922.53 | ↑ +212% |
| Health Net | Commerical Exchange Product | $975.25 | ↑ +230% |
| Health Choice Arizona, Inc. | ACA Health Plan | $988.42 | ↑ +234% |
| Oscar Health Plan | Commercial | $1,087.27 | ↑ +268% |
| Cigna Healthcare of Arizona, Inc. | LocalFlex | $1,597.00 | ↑ +440% |
| Cigna Healthcare of Arizona, Inc. | Commercial | $1,774.00 | ↑ +500% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $2,440.42 | ↑ +725% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $2,603.12 | ↑ +781% |
| Aetna | Banner Employee Plans | $2,633.00 | ↑ +791% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $2,733.25 | ↑ +825% |
| United Healthcare | UHC Doctor's Plan | $3,152.00 | ↑ +966% |
| Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Preferred | $3,253.90 | ↑ +1001% |
| Blue Cross Blue Shield of Arizona | Commercial | $3,253.90 | ↑ +1001% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $3,253.90 | ↑ +1001% |
| United Healthcare | UHC Core | $3,294.00 | ↑ +1014% |
| United Healthcare | Commercial | $3,467.00 | ↑ +1073% |
| Aetna | Joint Venture | $5,186.00 | ↑ +1654% |
| Aetna | Designated Group | $5,511.00 | ↑ +1764% |
| Aetna | Broad Network | $6,483.00 | ↑ +2093% |
| TriWest Healthcare Alliance Corp - VA CCN | Tricare | not published by hospital | — |
Visitor-reported prices
Comments
Inst via cath agent pleurds at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Gilbert Medical Center | Gilbert | not published | $78.32 – $658.95 |
| Banner University Medical Center Phoenix | Phoenix | $344.75 | $392.67 – $1,087.27 |
| Banner Baywood Medical Center | Mesa | $329.35 | $337.05 – $4,018.00 |
| Banner Boswell Medical Center | Sun City | $278.31 | $337.05 – $1,087.27 |
| Banner Casa Grande Medical Center | Casa Grande | $266.75 | $337.05 – $988.42 |
| Banner Del Webb Medical Center | Sun City West | $307.20 | $337.05 – $1,087.27 |
| Banner Desert Medical Center | Mesa | $340.90 | $337.05 – $1,087.27 |
| Banner Estrella Medical Center | Phoenix | $372.68 | $337.05 – $1,087.27 |