healthcosts.net
Shoulder MRI (with and without contrast) at Banner Gateway Medical Center
1900 North Higley Road, Gilbert, AZ · Banner Health · · NPI 1699884858
$617.53
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.
$3,654.00
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.
$266.89 with Mercy Care vs $2,740.50 with Provider Network of America — 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 | $266.89 | ↓ -57% |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $266.89 | ↓ -57% |
| Health Net | Medicaid | $266.89 | ↓ -57% |
| Health Choice Arizona, Inc. | Medicaid | $266.89 | ↓ -57% |
| Arizona Physicians IPA | Medicaid | $266.89 | ↓ -57% |
| Aetna | Banner Employee Plans | $487.00 | ↓ -21% |
| Aetna | Medicare Advantage | $730.80 | ↑ +18% |
| Aetna | Qualified Health Plan | $928.12 | ↑ +50% |
| Aetna | Joint Venture | $1,090.00 | ↑ +77% |
| Health Choice Arizona, Inc. | Medicare Advantage | $1,096.20 | ↑ +78% |
| Aetna | Designated Group | $1,158.00 | ↑ +88% |
| Hospice of the Valley | Medicare | $1,278.90 | ↑ +107% |
| Aetna | Broad Network | $1,362.00 | ↑ +121% |
| Arizona Priority Care | Medicare Advantage | $1,461.60 | ↑ +137% |
| Cigna Healthcare of Arizona, Inc. | LocalFlex | $1,481.00 | ↑ +140% |
| United Healthcare | UHC Doctor's Plan | $1,580.51 | ↑ +156% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $1,586.75 | ↑ +157% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $1,644.30 | ↑ +166% |
| Plotkin Health | Plotkin Health | $1,644.30 | ↑ +166% |
| Cigna Healthcare of Arizona, Inc. | Commercial | $1,646.00 | ↑ +167% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $1,692.53 | ↑ +174% |
| United Healthcare | UHC Core | $1,722.34 | ↑ +179% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $1,777.14 | ↑ +188% |
| Oscar Health Plan | Commercial | $1,827.00 | ↑ +196% |
| Health Net | Medicare | $1,827.00 | ↑ +196% |
| Health Choice Arizona, Inc. | ACA Health Plan | $1,827.00 | ↑ +196% |
| United Healthcare | Commercial | $1,863.61 | ↑ +202% |
| Aetna | Medical Rental | $1,925.66 | ↑ +212% |
| Health Net | Commerical Exchange Product | $1,973.16 | ↑ +220% |
| Quiktrip Corporation | Commercial | $1,973.16 | ↑ +220% |
| Blue Cross Blue Shield of Arizona | Commercial | $2,115.66 | ↑ +243% |
| Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Preferred | $2,115.66 | ↑ +243% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $2,115.66 | ↑ +243% |
| Arizona Medical Network | Commercial | $2,557.80 | ↑ +314% |
| Provider Network of America | Commercial | $2,740.50 | ↑ +344% |
| TriWest Healthcare Alliance Corp - VA CCN | Tricare | not published by hospital | — |
Visitor-reported prices
Comments
Shoulder MRI (with and without contrast) at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner University Medical Center Phoenix | Phoenix | $701.57 | $266.89 – $2,740.50 |
| Banner University Medical Center Tucson | Tucson | $899.10 | $266.89 – $3,888.00 |
| Banner University Medical Center South | Tucson | $767.88 | $266.89 – $3,888.00 |
| Banner Baywood Medical Center | Mesa | $646.76 | $266.89 – $2,740.50 |
| Banner Boswell Medical Center | Sun City | $537.14 | $266.89 – $2,923.20 |
| Banner Casa Grande Medical Center | Casa Grande | $723.49 | $266.89 – $2,740.50 |
| Banner Del Webb Medical Center | Sun City West | $540.79 | $266.89 – $2,923.20 |
| Banner Estrella Medical Center | Phoenix | $690.61 | $266.89 – $2,740.50 |