M/phmtrc alys ishquant/semiq at Banner Gateway Medical Center
1900 North Higley Road, Gilbert, AZ · Banner Health · · NPI 1699884858
$322.62
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.
$1,529.00
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.
$108.14 with Health Net vs $1,818.54 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 |
|---|---|---|---|
| Health Net | Medicaid | $108.14 | ↓ -66% |
| Health Choice Arizona, Inc. | Medicaid | $108.14 | ↓ -66% |
| Mercy Care | Mercy Medicaid | $108.14 | ↓ -66% |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $108.14 | ↓ -66% |
| Arizona Physicians IPA | Medicaid | $108.14 | ↓ -66% |
| TriWest Healthcare Alliance Corp - VA CCN | VA Community Care Network | $182.64 | ↓ -43% |
| United Healthcare | UHC Medicare Advantage | $182.64 | ↓ -43% |
| UPMC Health Plan | Medicare Advantage | $182.64 | ↓ -43% |
| Kaiser Foundation Health Plan | Medicare Advantage | $182.64 | ↓ -43% |
| Health Choice Arizona, Inc. | Medicare Advantage | $182.64 | ↓ -43% |
| Wellpoint (fka Amerigroup) | Medicare Advantage HMO | $182.64 | ↓ -43% |
| Blue Cross Blue Shield of Arizona | Medicare Advantage | $182.64 | ↓ -43% |
| Banner Health | Medicare Advantage | $182.64 | ↓ -43% |
| Aetna | Medicare Advantage | $182.64 | ↓ -43% |
| Gila River Health Care Corporation | Managed Care Program | $182.64 | ↓ -43% |
| Banner University Health Plan | University Care Advantage | $182.64 | ↓ -43% |
| Cigna Healthcare of Arizona, Inc. | PPO Medicare Advantage Plan | $182.64 | ↓ -43% |
| Care 1st | Medicare Advantage | $182.64 | ↓ -43% |
| Humana | Medicare Advantage | $182.64 | ↓ -43% |
| Arizona Physicians IPA | Medicare Advantage | $182.64 | ↓ -43% |
| Health Net | Medicare | $182.64 | ↓ -43% |
| Mercy Care | Mercy Care Advantage | $182.64 | ↓ -43% |
| Cigna Healthcare of Arizona, Inc. | HMO Medicare Advantage Plans | $182.64 | ↓ -43% |
| Carekin | Medicare Advantage | $191.77 | ↓ -41% |
| Devoted Health Services | Medicare Advantage | $191.77 | ↓ -41% |
| Arizona Priority Care | Medicare Advantage | $200.90 | ↓ -38% |
| Gold Kidney Health Plan | Medicare Advantage | $200.90 | ↓ -38% |
| Aetna | Qualified Health Plan | $248.39 | ↓ -23% |
| United Healthcare | Individual Exchange | $255.70 | ↓ -21% |
| Health Net | Commerical Exchange Product | $270.31 | ↓ -16% |
| Health Choice Arizona, Inc. | ACA Health Plan | $273.96 | ↓ -15% |
| United Healthcare | UHC Doctor's Plan | $275.89 | ↓ -14% |
| Oscar Health Plan | Commercial | $301.36 | ↓ -7% |
| United Healthcare | UHC Core | $311.48 | ↓ -3% |
| United Healthcare | Commercial | $335.61 | ↑ +4% |
| Aetna | Banner Employee Plans | $513.74 | ↑ +59% |
| Hospice of the Valley | Medicare | $535.15 | ↑ +66% |
| Cigna Healthcare of Arizona, Inc. | LocalFlex | $609.47 | ↑ +89% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $618.81 | ↑ +92% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $660.06 | ↑ +105% |
| Cigna Healthcare of Arizona, Inc. | Commercial | $677.19 | ↑ +110% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $688.05 | ↑ +113% |
| Plotkin Health | Plotkin Health | $688.05 | ↑ +113% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $693.06 | ↑ +115% |
| Aetna | Medical Rental | $805.78 | ↑ +150% |
| Blue Cross Blue Shield of Arizona | Commercial | $825.08 | ↑ +156% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $825.08 | ↑ +156% |
| Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Preferred | $825.08 | ↑ +156% |
| Quiktrip Corporation | Commercial | $825.66 | ↑ +156% |
| Arizona Medical Network | Commercial | $1,070.30 | ↑ +232% |
| Provider Network of America | Commercial | $1,146.75 | ↑ +255% |
| Aetna | Designated Group | $1,405.36 | ↑ +336% |
| Aetna | Joint Venture | $1,454.99 | ↑ +351% |
| Aetna | Broad Network | $1,818.54 | ↑ +464% |
| TriWest Healthcare Alliance Corp - VA CCN | Tricare | not published by hospital | — |
Visitor-reported prices
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M/phmtrc alys ishquant/semiq at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Gilbert Medical Center | Gilbert | $450.72 | $88.06 – $484.33 |
| Banner University Medical Center Phoenix | Phoenix | $425.06 | $108.14 – $1,146.75 |
| Banner University Medical Center Tucson | Tucson | $301.04 | $108.14 – $908.80 |
| Banner University Medical Center South | Tucson | $319.22 | $108.14 – $908.80 |
| Banner Baywood Medical Center | Mesa | $336.38 | $108.14 – $1,146.75 |
| Banner Boswell Medical Center | Sun City | $334.85 | $108.14 – $1,223.20 |
| Banner Casa Grande Medical Center | Casa Grande | $350.14 | $108.14 – $1,146.75 |
| Banner Del Webb Medical Center | Sun City West | $344.03 | $108.14 – $1,223.20 |