M/phmtrc alysishquant/semiq at Banner Gateway Medical Center
1900 North Higley Road, Gilbert, AZ · Banner Health · · NPI 1699884858
$78.70
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.
$373.00
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.
$74.60 with Aetna vs $518.77 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 |
|---|---|---|---|
| Aetna | Medicare Advantage | $74.60 | ↓ -5% |
| Health Net | Medicaid | $89.89 | ↑ +14% |
| Mercy Care | Mercy Medicaid | $89.89 | ↑ +14% |
| Arizona Physicians IPA | Medicaid | $89.89 | ↑ +14% |
| Aetna | Qualified Health Plan | $94.74 | ↑ +20% |
| Health Choice Arizona, Inc. | Medicare Advantage | $111.90 | ↑ +42% |
| Aetna | Banner Employee Plans | $125.33 | ↑ +59% |
| Hospice of the Valley | Medicare | $130.55 | ↑ +66% |
| Arizona Priority Care | Medicare Advantage | $149.20 | ↑ +90% |
| United Healthcare | UHC Doctor's Plan | $158.77 | ↑ +102% |
| Plotkin Health | Plotkin Health | $167.85 | ↑ +113% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $167.85 | ↑ +113% |
| United Healthcare | UHC Core | $173.39 | ↑ +120% |
| Cigna Healthcare of Arizona, Inc. | LocalFlex | $182.95 | ↑ +132% |
| Oscar Health Plan | Commercial | $186.50 | ↑ +137% |
| Health Net | Medicare | $186.50 | ↑ +137% |
| Health Choice Arizona, Inc. | ACA Health Plan | $186.50 | ↑ +137% |
| United Healthcare | Commercial | $193.14 | ↑ +145% |
| Aetna | Medical Rental | $196.57 | ↑ +150% |
| Health Net | Commerical Exchange Product | $201.42 | ↑ +156% |
| Quiktrip Corporation | Commercial | $201.42 | ↑ +156% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $202.19 | ↑ +157% |
| Cigna Healthcare of Arizona, Inc. | Commercial | $203.28 | ↑ +158% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $215.67 | ↑ +174% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $226.45 | ↑ +188% |
| Arizona Medical Network | Commercial | $261.10 | ↑ +232% |
| Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Preferred | $269.58 | ↑ +243% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $269.58 | ↑ +243% |
| Blue Cross Blue Shield of Arizona | Commercial | $269.58 | ↑ +243% |
| Provider Network of America | Commercial | $279.75 | ↑ +255% |
| Aetna | Designated Group | $400.90 | ↑ +409% |
| Aetna | Joint Venture | $415.06 | ↑ +427% |
| Aetna | Broad Network | $518.77 | ↑ +559% |
Visitor-reported prices
Comments
M/phmtrc alysishquant/semiq at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Gilbert Medical Center | Gilbert | $83.89 | $47.74 – $341.00 |
| Banner University Medical Center Phoenix | Phoenix | $103.69 | $74.60 – $279.75 |
| Banner University Medical Center Tucson | Tucson | $73.40 | $55.40 – $221.60 |
| Banner University Medical Center South | Tucson | $77.84 | $55.40 – $221.60 |
| Banner Baywood Medical Center | Mesa | $82.06 | $74.60 – $279.75 |
| Banner Boswell Medical Center | Sun City | $81.69 | $74.60 – $298.40 |
| Banner Casa Grande Medical Center | Casa Grande | $85.42 | $74.60 – $279.75 |
| Banner Del Webb Medical Center | Sun City West | $83.92 | $74.60 – $298.40 |