Ultrasound dx ophth b-scan at Banner Gateway Medical Center
1900 North Higley Road, Gilbert, AZ · Banner Health · · NPI 1699884858
$128.02
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.
$370.00
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.
$72.12 with Blue Cross Blue Shield of Arizona vs $277.50 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 |
|---|---|---|---|
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $72.12 | ↓ -44% |
| Aetna | Medicare Advantage | $74.00 | ↓ -42% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $76.93 | ↓ -40% |
| Arizona Physicians IPA | Medicaid | $79.00 | ↓ -38% |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $79.00 | ↓ -38% |
| Mercy Care | Mercy Medicaid | $79.00 | ↓ -38% |
| Health Choice Arizona, Inc. | Medicaid | $79.00 | ↓ -38% |
| Health Net | Medicaid | $79.00 | ↓ -38% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $80.78 | ↓ -37% |
| Aetna | Qualified Health Plan | $93.98 | ↓ -27% |
| Blue Cross Blue Shield of Arizona | Commercial | $96.17 | ↓ -25% |
| Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Preferred | $96.17 | ↓ -25% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $96.17 | ↓ -25% |
| Health Choice Arizona, Inc. | Medicare Advantage | $111.00 | ↓ -13% |
| Aetna | Banner Employee Plans | $124.32 | ↓ -3% |
| Hospice of the Valley | Medicare | $129.50 | ↑ +1% |
| Arizona Priority Care | Medicare Advantage | $148.00 | ↑ +16% |
| Plotkin Health | Plotkin Health | $166.50 | ↑ +30% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $166.50 | ↑ +30% |
| Aetna | Joint Venture | $170.94 | ↑ +34% |
| Aetna | Designated Group | $181.67 | ↑ +42% |
| Oscar Health Plan | Commercial | $185.00 | ↑ +45% |
| Health Choice Arizona, Inc. | ACA Health Plan | $185.00 | ↑ +45% |
| Health Net | Medicare | $185.00 | ↑ +45% |
| Aetna | Medical Rental | $194.99 | ↑ +52% |
| Health Net | Commerical Exchange Product | $199.80 | ↑ +56% |
| Quiktrip Corporation | Commercial | $199.80 | ↑ +56% |
| Aetna | Broad Network | $213.49 | ↑ +67% |
| Cigna Healthcare of Arizona, Inc. | LocalFlex | $243.09 | ↑ +90% |
| Cigna Healthcare of Arizona, Inc. | Commercial | $254.19 | ↑ +99% |
| Arizona Medical Network | Commercial | $259.00 | ↑ +102% |
| Provider Network of America | Commercial | $277.50 | ↑ +117% |
| TriWest Healthcare Alliance Corp - VA CCN | Tricare | not published by hospital | — |
Visitor-reported prices
Comments
Ultrasound dx ophth b-scan at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner University Medical Center Tucson | Tucson | $116.22 | $61.53 – $279.20 |
| Banner University Medical Center South | Tucson | $98.07 | $43.34 – $279.20 |
| Banner Desert Medical Center | Mesa | $160.58 | $72.12 – $277.50 |
| Banner Ironwood Medical Center | San Tan Valley | $155.40 | $72.12 – $277.50 |
| Banner Estrella Medical Center | Phoenix | $147.26 | $72.12 – $277.50 |
| Banner Goldfield Medical Center | Apache Junction | $65.86 | $45.53 – $277.50 |
| Banner Payson Medical Center | Payson | $164.47 | $74.44 – $240.30 |
| Yavapai Regional Medical Center (East) | Prescott | $199.60 | $50.78 – $228.65 |