Tc-99m exametazime diag at Banner Gateway Medical Center
1900 North Higley Road, Gilbert, AZ · Banner Health · · NPI 1699884858
$958.61
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.
$3,317.00
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.
$802.34 with Cigna Healthcare of Arizona, Inc. vs $12,218.76 with Blue Cross Blue Shield of Arizona — 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 |
|---|---|---|---|
| Cigna Healthcare of Arizona, Inc. | HMO Medicare Advantage Plans | $802.34 | ↓ -16% |
| Mercy Care | Mercy Care Advantage | $802.34 | ↓ -16% |
| Humana | Medicare Advantage | $802.34 | ↓ -16% |
| Arizona Physicians IPA | Medicare Advantage | $802.34 | ↓ -16% |
| Gila River Health Care Corporation | Managed Care Program | $802.34 | ↓ -16% |
| Care 1st | Medicare Advantage | $802.34 | ↓ -16% |
| United Healthcare | UHC Medicare Advantage | $802.34 | ↓ -16% |
| UPMC Health Plan | Medicare Advantage | $802.34 | ↓ -16% |
| Health Net | Medicare | $802.34 | ↓ -16% |
| TriWest Healthcare Alliance Corp - VA CCN | VA Community Care Network | $802.34 | ↓ -16% |
| Kaiser Foundation Health Plan | Medicare Advantage | $802.34 | ↓ -16% |
| Health Choice Arizona, Inc. | Medicare Advantage | $802.34 | ↓ -16% |
| Blue Cross Blue Shield of Arizona | Medicare Advantage | $802.34 | ↓ -16% |
| Wellpoint (fka Amerigroup) | Medicare Advantage HMO | $802.34 | ↓ -16% |
| Banner Health | Medicare Advantage | $802.34 | ↓ -16% |
| Cigna Healthcare of Arizona, Inc. | PPO Medicare Advantage Plan | $802.34 | ↓ -16% |
| Aetna | Medicare Advantage | $802.34 | ↓ -16% |
| Banner University Health Plan | University Care Advantage | $802.34 | ↓ -16% |
| Devoted Health Services | Medicare Advantage | $842.46 | ↓ -12% |
| Carekin | Medicare Advantage | $842.46 | ↓ -12% |
| Gold Kidney Health Plan | Medicare Advantage | $882.57 | ↓ -8% |
| Arizona Priority Care | Medicare Advantage | $882.57 | ↓ -8% |
| Aetna | Qualified Health Plan | $1,091.18 | ↑ +14% |
| United Healthcare | Individual Exchange | $1,123.28 | ↑ +17% |
| Hospice of the Valley | Medicare | $1,160.95 | ↑ +21% |
| Health Net | Commerical Exchange Product | $1,187.46 | ↑ +24% |
| Health Choice Arizona, Inc. | ACA Health Plan | $1,203.51 | ↑ +26% |
| Oscar Health Plan | Commercial | $1,323.86 | ↑ +38% |
| Plotkin Health | Plotkin Health | $1,492.65 | ↑ +56% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $1,492.65 | ↑ +56% |
| Health Choice Arizona, Inc. | Medicaid | $1,713.97 | ↑ +79% |
| Mercy Care | Mercy Medicaid | $1,713.97 | ↑ +79% |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $1,713.97 | ↑ +79% |
| Health Net | Medicaid | $1,713.97 | ↑ +79% |
| Arizona Physicians IPA | Medicaid | $1,713.97 | ↑ +79% |
| Aetna | Medical Rental | $1,748.06 | ↑ +82% |
| Quiktrip Corporation | Commercial | $1,791.18 | ↑ +87% |
| Arizona Medical Network | Commercial | $2,321.90 | ↑ +142% |
| Provider Network of America | Commercial | $2,487.75 | ↑ +160% |
| Cigna Healthcare of Arizona, Inc. | LocalFlex | $2,596.15 | ↑ +171% |
| Cigna Healthcare of Arizona, Inc. | Commercial | $2,884.61 | ↑ +201% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $9,164.07 | ↑ +856% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $9,775.01 | ↑ +920% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $10,263.68 | ↑ +971% |
| Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Preferred | $12,218.76 | ↑ +1175% |
| Blue Cross Blue Shield of Arizona | Commercial | $12,218.76 | ↑ +1175% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $12,218.76 | ↑ +1175% |
Visitor-reported prices
Comments
Tc-99m exametazime diag at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Gilbert Medical Center | Gilbert | $595.32 | $100.00 – $1,863.40 |
| Banner University Medical Center Phoenix | Phoenix | $2,715.79 | $802.34 – $5,689.50 |
| Banner University Medical Center Tucson | Tucson | $1,896.50 | $802.34 – $6,068.80 |
| Banner Baywood Medical Center | Mesa | $986.95 | $802.34 – $2,701.50 |
| Banner Boswell Medical Center | Sun City | $453.15 | $802.34 – $1,908.00 |
| Banner Casa Grande Medical Center | Casa Grande | $512.41 | $802.34 – $2,123.25 |
| Banner Del Webb Medical Center | Sun City West | $402.81 | $792.05 – $1,810.40 |
| Banner Desert Medical Center | Mesa | $576.19 | $784.70 – $1,681.50 |