healthcosts.net
Knee X-ray at Banner Gateway Medical Center
1900 North Higley Road, Gilbert, AZ · Banner Health · · NPI 1699884858
$133.06
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.
$448.00
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.
$79.00 with Mercy Care vs $551.65 with United Healthcare — 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 | $79.00 | ↓ -41% |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $79.00 | ↓ -41% |
| Health Net | Medicaid | $79.00 | ↓ -41% |
| Health Choice Arizona, Inc. | Medicaid | $79.00 | ↓ -41% |
| Arizona Physicians IPA | Medicaid | $79.00 | ↓ -41% |
| Aetna | Medicare Advantage | $89.60 | ↓ -33% |
| Aetna | Qualified Health Plan | $113.79 | ↓ -14% |
| Health Choice Arizona, Inc. | Medicare Advantage | $134.40 | ↑ +1% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $145.76 | ↑ +10% |
| Aetna | Banner Employee Plans | $150.53 | ↑ +13% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $155.48 | ↑ +17% |
| Hospice of the Valley | Medicare | $156.80 | ↑ +18% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $163.25 | ↑ +23% |
| Arizona Priority Care | Medicare Advantage | $179.20 | ↑ +35% |
| Blue Cross Blue Shield of Arizona | Commercial | $194.35 | ↑ +46% |
| Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Preferred | $194.35 | ↑ +46% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $194.35 | ↑ +46% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $201.60 | ↑ +52% |
| Plotkin Health | Plotkin Health | $201.60 | ↑ +52% |
| Aetna | Joint Venture | $206.98 | ↑ +56% |
| Aetna | Designated Group | $219.97 | ↑ +65% |
| Oscar Health Plan | Commercial | $224.00 | ↑ +68% |
| Health Net | Medicare | $224.00 | ↑ +68% |
| Health Choice Arizona, Inc. | ACA Health Plan | $224.00 | ↑ +68% |
| Aetna | Medical Rental | $236.10 | ↑ +77% |
| Health Net | Commerical Exchange Product | $241.92 | ↑ +82% |
| Quiktrip Corporation | Commercial | $241.92 | ↑ +82% |
| Aetna | Broad Network | $258.50 | ↑ +94% |
| Cigna Healthcare of Arizona, Inc. | LocalFlex | $294.34 | ↑ +121% |
| Cigna Healthcare of Arizona, Inc. | Commercial | $307.78 | ↑ +131% |
| Arizona Medical Network | Commercial | $313.60 | ↑ +136% |
| Provider Network of America | Commercial | $336.00 | ↑ +153% |
| United Healthcare | UHC Doctor's Plan | $467.28 | ↑ +251% |
| United Healthcare | UHC Core | $509.21 | ↑ +283% |
| United Healthcare | Commercial | $551.65 | ↑ +315% |
| TriWest Healthcare Alliance Corp - VA CCN | Tricare | not published by hospital | — |
Visitor-reported prices
Comments
Knee X-ray at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner University Medical Center Phoenix | Phoenix | $126.34 | $56.71 – $467.28 |
| Banner University Medical Center South | Tucson | $173.71 | $79.00 – $551.65 |
| Banner University Medical Center Tucson | Tucson | $169.20 | $79.00 – $551.65 |
| Banner Behavioral Health Hospital | Scottsdale | $262.47 | $45.19 – $313.60 |
| Banner Baywood Medical Center | Mesa | $129.02 | $79.00 – $467.28 |
| Banner Casa Grande Medical Center | Casa Grande | $96.32 | $79.00 – $449.06 |
| Banner Boswell Medical Center | Sun City | $109.31 | $79.00 – $467.28 |
| Banner Del Webb Medical Center | Sun City West | $104.38 | $56.71 – $467.28 |