Nuclear exam of tear flow at Banner Gateway Medical Center
1900 North Higley Road, Gilbert, AZ · Banner Health · · NPI 1699884858
$228.02
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.
$789.00
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.
$265.10 with Aetna vs $1,909.17 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 |
|---|---|---|---|
| Aetna | Banner Employee Plans | $265.10 | ↑ +16% |
| Health Choice Arizona, Inc. | Medicaid | $273.41 | ↑ +20% |
| Health Net | Medicaid | $273.41 | ↑ +20% |
| Mercy Care | Mercy Medicaid | $273.41 | ↑ +20% |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $273.41 | ↑ +20% |
| Arizona Physicians IPA | Medicaid | $273.41 | ↑ +20% |
| Hospice of the Valley | Medicare | $276.15 | ↑ +21% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $355.05 | ↑ +56% |
| Plotkin Health | Plotkin Health | $355.05 | ↑ +56% |
| Aetna | Joint Venture | $364.52 | ↑ +60% |
| Aetna | Designated Group | $387.40 | ↑ +70% |
| Aetna | Medical Rental | $415.80 | ↑ +82% |
| Quiktrip Corporation | Commercial | $426.06 | ↑ +87% |
| Arizona Physicians IPA | Medicare Advantage | $428.28 | ↑ +88% |
| Gila River Health Care Corporation | Managed Care Program | $428.28 | ↑ +88% |
| Humana | Medicare Advantage | $428.28 | ↑ +88% |
| United Healthcare | UHC Medicare Advantage | $428.28 | ↑ +88% |
| UPMC Health Plan | Medicare Advantage | $428.28 | ↑ +88% |
| Blue Cross Blue Shield of Arizona | Medicare Advantage | $428.28 | ↑ +88% |
| Banner University Health Plan | University Care Advantage | $428.28 | ↑ +88% |
| Mercy Care | Mercy Care Advantage | $428.28 | ↑ +88% |
| Cigna Healthcare of Arizona, Inc. | PPO Medicare Advantage Plan | $428.28 | ↑ +88% |
| Cigna Healthcare of Arizona, Inc. | HMO Medicare Advantage Plans | $428.28 | ↑ +88% |
| Aetna | Medicare Advantage | $428.28 | ↑ +88% |
| Banner Health | Medicare Advantage | $428.28 | ↑ +88% |
| Wellpoint (fka Amerigroup) | Medicare Advantage HMO | $428.28 | ↑ +88% |
| Health Choice Arizona, Inc. | Medicare Advantage | $428.28 | ↑ +88% |
| Kaiser Foundation Health Plan | Medicare Advantage | $428.28 | ↑ +88% |
| TriWest Healthcare Alliance Corp - VA CCN | VA Community Care Network | $428.28 | ↑ +88% |
| Health Net | Medicare | $428.28 | ↑ +88% |
| Care 1st | Medicare Advantage | $428.28 | ↑ +88% |
| Carekin | Medicare Advantage | $449.69 | ↑ +97% |
| Devoted Health Services | Medicare Advantage | $449.69 | ↑ +97% |
| Aetna | Broad Network | $455.25 | ↑ +100% |
| Gold Kidney Health Plan | Medicare Advantage | $471.11 | ↑ +107% |
| Arizona Priority Care | Medicare Advantage | $471.11 | ↑ +107% |
| Cigna Healthcare of Arizona, Inc. | LocalFlex | $518.37 | ↑ +127% |
| Cigna Healthcare of Arizona, Inc. | Commercial | $542.04 | ↑ +138% |
| Arizona Medical Network | Commercial | $552.30 | ↑ +142% |
| Aetna | Qualified Health Plan | $582.46 | ↑ +155% |
| Provider Network of America | Commercial | $591.75 | ↑ +160% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $597.05 | ↑ +162% |
| United Healthcare | Individual Exchange | $599.59 | ↑ +163% |
| Health Net | Commerical Exchange Product | $633.85 | ↑ +178% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $636.86 | ↑ +179% |
| Health Choice Arizona, Inc. | ACA Health Plan | $642.42 | ↑ +182% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $668.69 | ↑ +193% |
| Oscar Health Plan | Commercial | $706.66 | ↑ +210% |
| Blue Cross Blue Shield of Arizona | Commercial | $796.07 | ↑ +249% |
| Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Preferred | $796.07 | ↑ +249% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $796.07 | ↑ +249% |
| United Healthcare | UHC Doctor's Plan | $1,617.92 | ↑ +610% |
| United Healthcare | UHC Core | $1,763.10 | ↑ +673% |
| United Healthcare | Commercial | $1,909.17 | ↑ +737% |
| TriWest Healthcare Alliance Corp - VA CCN | Tricare | not published by hospital | — |
Visitor-reported prices
Comments
Nuclear exam of tear flow at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Estrella Medical Center | Phoenix | $166.48 | $265.10 – $706.66 |
| Yavapai Regional Medical Center (East) | Prescott | $703.42 | $139.11 – $805.80 |