healthcosts.net
Lower Back (Lumbar Spine) MRI (with and without contrast) at Banner Gateway Medical Center
1900 North Higley Road, Gilbert, AZ · Banner Health · · NPI 1699884858
$587.41
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.
?
What you pay up front if you don't use insurance.
$3,626.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$266.89 with Mercy Care vs $2,719.50 with Provider Network of America — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $266.89 | ↓ -55% |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $266.89 | ↓ -55% |
| Health Net | Medicaid | $266.89 | ↓ -55% |
| Health Choice Arizona, Inc. | Medicaid | $266.89 | ↓ -55% |
| Arizona Physicians IPA | Medicaid | $266.89 | ↓ -55% |
| UPMC Health Plan | Medicare Advantage | $380.64 | ↓ -35% |
| Gila River Health Care Corporation | Managed Care Program | $380.64 | ↓ -35% |
| Cigna Healthcare of Arizona, Inc. | HMO Medicare Advantage Plans | $380.64 | ↓ -35% |
| Wellpoint (fka Amerigroup) | Medicare Advantage HMO | $380.64 | ↓ -35% |
| Banner University Health Plan | University Care Advantage | $380.64 | ↓ -35% |
| TriWest Healthcare Alliance Corp - VA CCN | VA Community Care Network | $380.64 | ↓ -35% |
| Cigna Healthcare of Arizona, Inc. | PPO Medicare Advantage Plan | $380.64 | ↓ -35% |
| Health Choice Arizona, Inc. | Medicare Advantage | $380.64 | ↓ -35% |
| United Healthcare | UHC Medicare Advantage | $380.64 | ↓ -35% |
| Aetna | Medicare Advantage | $380.64 | ↓ -35% |
| Humana | Medicare Advantage | $380.64 | ↓ -35% |
| Health Net | Medicare | $380.64 | ↓ -35% |
| Blue Cross Blue Shield of Arizona | Medicare Advantage | $380.64 | ↓ -35% |
| Mercy Care | Mercy Care Advantage | $380.64 | ↓ -35% |
| Arizona Physicians IPA | Medicare Advantage | $380.64 | ↓ -35% |
| Banner Health | Medicare Advantage | $380.64 | ↓ -35% |
| Care 1st | Medicare Advantage | $380.64 | ↓ -35% |
| Kaiser Foundation Health Plan | Medicare Advantage | $380.64 | ↓ -35% |
| Carekin | Medicare Advantage | $399.67 | ↓ -32% |
| Devoted Health Services | Medicare Advantage | $399.67 | ↓ -32% |
| Gold Kidney Health Plan | Medicare Advantage | $418.70 | ↓ -29% |
| Arizona Priority Care | Medicare Advantage | $418.70 | ↓ -29% |
| Aetna | Banner Employee Plans | $487.00 | ↓ -17% |
| Aetna | Qualified Health Plan | $517.67 | ↓ -12% |
| United Healthcare | Individual Exchange | $532.90 | ↓ -9% |
| Health Net | Commerical Exchange Product | $563.35 | ↓ -4% |
| Health Choice Arizona, Inc. | ACA Health Plan | $570.96 | ↓ -3% |
| Oscar Health Plan | Commercial | $628.06 | ↑ +7% |
| Aetna | Joint Venture | $1,090.00 | ↑ +86% |
| Aetna | Designated Group | $1,158.00 | ↑ +97% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $1,179.21 | ↑ +101% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $1,257.82 | ↑ +114% |
| Hospice of the Valley | Medicare | $1,269.10 | ↑ +116% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $1,320.70 | ↑ +125% |
| Aetna | Broad Network | $1,362.00 | ↑ +132% |
| Cigna Healthcare of Arizona, Inc. | LocalFlex | $1,481.00 | ↑ +152% |
| Blue Cross Blue Shield of Arizona | Commercial | $1,572.27 | ↑ +168% |
| Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Preferred | $1,572.27 | ↑ +168% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $1,572.27 | ↑ +168% |
| United Healthcare | UHC Doctor's Plan | $1,580.51 | ↑ +169% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $1,631.70 | ↑ +178% |
| Plotkin Health | Plotkin Health | $1,631.70 | ↑ +178% |
| Cigna Healthcare of Arizona, Inc. | Commercial | $1,646.00 | ↑ +180% |
| United Healthcare | UHC Core | $1,722.34 | ↑ +193% |
| United Healthcare | Commercial | $1,863.61 | ↑ +217% |
| Aetna | Medical Rental | $1,910.90 | ↑ +225% |
| Quiktrip Corporation | Commercial | $1,958.04 | ↑ +233% |
| Arizona Medical Network | Commercial | $2,538.20 | ↑ +332% |
| Provider Network of America | Commercial | $2,719.50 | ↑ +363% |
| TriWest Healthcare Alliance Corp - VA CCN | Tricare | not published by hospital | — |
Visitor-reported prices
Comments
Lower Back (Lumbar Spine) MRI (with and without contrast) at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner University Medical Center Phoenix | Phoenix | $522.14 | $266.89 – $2,719.50 |
| Banner University Medical Center Tucson | Tucson | $793.69 | $266.89 – $3,547.20 |
| Banner University Medical Center South | Tucson | $607.46 | $266.89 – $3,547.20 |
| Banner Baywood Medical Center | Mesa | $456.88 | $266.89 – $2,719.50 |
| Banner Boswell Medical Center | Sun City | $420.62 | $266.89 – $2,900.80 |
| Banner Casa Grande Medical Center | Casa Grande | $478.63 | $266.89 – $2,719.50 |
| Banner Del Webb Medical Center | Sun City West | $453.25 | $266.89 – $2,900.80 |
| Banner Estrella Medical Center | Phoenix | $464.13 | $266.89 – $2,719.50 |