Ureteral reflux study at Banner Gateway Medical Center
1900 North Higley Road, Gilbert, AZ · Banner Health · · NPI 1699884858
$476.56
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.
$1,649.00
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.
$273.41 with Health Net 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 |
|---|---|---|---|
| Health Net | Medicaid | $273.41 | ↓ -43% |
| Health Choice Arizona, Inc. | Medicaid | $273.41 | ↓ -43% |
| Mercy Care | Mercy Medicaid | $273.41 | ↓ -43% |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $273.41 | ↓ -43% |
| Arizona Physicians IPA | Medicaid | $273.41 | ↓ -43% |
| TriWest Healthcare Alliance Corp - VA CCN | VA Community Care Network | $428.28 | ↓ -10% |
| United Healthcare | UHC Medicare Advantage | $428.28 | ↓ -10% |
| UPMC Health Plan | Medicare Advantage | $428.28 | ↓ -10% |
| Kaiser Foundation Health Plan | Medicare Advantage | $428.28 | ↓ -10% |
| Health Choice Arizona, Inc. | Medicare Advantage | $428.28 | ↓ -10% |
| Wellpoint (fka Amerigroup) | Medicare Advantage HMO | $428.28 | ↓ -10% |
| Blue Cross Blue Shield of Arizona | Medicare Advantage | $428.28 | ↓ -10% |
| Banner Health | Medicare Advantage | $428.28 | ↓ -10% |
| Aetna | Medicare Advantage | $428.28 | ↓ -10% |
| Gila River Health Care Corporation | Managed Care Program | $428.28 | ↓ -10% |
| Banner University Health Plan | University Care Advantage | $428.28 | ↓ -10% |
| Cigna Healthcare of Arizona, Inc. | PPO Medicare Advantage Plan | $428.28 | ↓ -10% |
| Care 1st | Medicare Advantage | $428.28 | ↓ -10% |
| Humana | Medicare Advantage | $428.28 | ↓ -10% |
| Arizona Physicians IPA | Medicare Advantage | $428.28 | ↓ -10% |
| Health Net | Medicare | $428.28 | ↓ -10% |
| Mercy Care | Mercy Care Advantage | $428.28 | ↓ -10% |
| Cigna Healthcare of Arizona, Inc. | HMO Medicare Advantage Plans | $428.28 | ↓ -10% |
| Carekin | Medicare Advantage | $449.69 | ↓ -6% |
| Devoted Health Services | Medicare Advantage | $449.69 | ↓ -6% |
| Arizona Priority Care | Medicare Advantage | $471.11 | ↓ -1% |
| Gold Kidney Health Plan | Medicare Advantage | $471.11 | ↓ -1% |
| Aetna | Banner Employee Plans | $554.06 | ↑ +16% |
| Hospice of the Valley | Medicare | $577.15 | ↑ +21% |
| Aetna | Qualified Health Plan | $582.46 | ↑ +22% |
| United Healthcare | Individual Exchange | $599.59 | ↑ +26% |
| Health Net | Commerical Exchange Product | $633.85 | ↑ +33% |
| Health Choice Arizona, Inc. | ACA Health Plan | $642.42 | ↑ +35% |
| Oscar Health Plan | Commercial | $706.66 | ↑ +48% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $742.05 | ↑ +56% |
| Plotkin Health | Plotkin Health | $742.05 | ↑ +56% |
| Aetna | Joint Venture | $761.84 | ↑ +60% |
| Aetna | Designated Group | $809.66 | ↑ +70% |
| Aetna | Medical Rental | $869.02 | ↑ +82% |
| Quiktrip Corporation | Commercial | $890.46 | ↑ +87% |
| Aetna | Broad Network | $951.47 | ↑ +100% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $983.22 | ↑ +106% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $1,048.76 | ↑ +120% |
| Cigna Healthcare of Arizona, Inc. | LocalFlex | $1,083.39 | ↑ +127% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $1,101.19 | ↑ +131% |
| Cigna Healthcare of Arizona, Inc. | Commercial | $1,132.86 | ↑ +138% |
| Arizona Medical Network | Commercial | $1,154.30 | ↑ +142% |
| Provider Network of America | Commercial | $1,236.75 | ↑ +160% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $1,310.95 | ↑ +175% |
| Blue Cross Blue Shield of Arizona | Commercial | $1,310.95 | ↑ +175% |
| Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Preferred | $1,310.95 | ↑ +175% |
| United Healthcare | UHC Doctor's Plan | $1,617.92 | ↑ +239% |
| United Healthcare | UHC Core | $1,763.10 | ↑ +270% |
| United Healthcare | Commercial | $1,909.17 | ↑ +301% |
| TriWest Healthcare Alliance Corp - VA CCN | Tricare | not published by hospital | — |
Visitor-reported prices
Comments
Ureteral reflux study at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner University Medical Center Phoenix | Phoenix | $654.65 | $273.41 – $1,236.75 |
| Banner Baywood Medical Center | Mesa | $517.79 | $273.41 – $1,236.75 |
| Banner Casa Grande Medical Center | Casa Grande | $324.85 | $273.41 – $1,236.75 |
| Banner Desert Medical Center | Mesa | $461.72 | $273.41 – $1,236.75 |
| Banner Estrella Medical Center | Phoenix | $347.94 | $273.41 – $1,236.75 |
| Banner Heart Hospital | Mesa | $220.97 | $273.41 – $1,236.75 |
| Banner Thunderbird Medical Center | Glendale | $404.00 | $72.99 – $1,236.75 |
| Yavapai Regional Medical Center (East) | Prescott | $2,079.83 | $220.29 – $2,382.55 |