Acetazolamide 500 mg solution for injection at Mercy Gilbert Medical Center
3555 S Val Vista Dr, Gilbert, AZ · CommonSpirit Health · · NPI 1992735088
$100.37
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.
$408.00
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.
$22.16 with United vs $172.48 with MultiPlan — 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 |
|---|---|---|---|
| United | Medicaid|All Plans | $22.16 | ↓ -78% |
| Health Choice | Medicaid|All Plans | $22.16 | ↓ -78% |
| Cigna | Commercial|Exchange | $23.63 | ↓ -76% |
| Cigna | Commercial|LocalPlus SureFit | $25.35 | ↓ -75% |
| United | Commercial|DignityHealthEmployee | $31.36 | ↓ -69% |
| Cigna | Commercial|All Other Plans | $33.36 | ↓ -67% |
| Cigna | Commercial|PPO | $33.36 | ↓ -67% |
| BCBS - AZ | Commercial|MaricopaFocus | $36.75 | ↓ -63% |
| BCBS - AZ | Commercial|All Other Plans | $36.75 | ↓ -63% |
| BCBS - AZ | Commercial|Workers Comp | $36.75 | ↓ -63% |
| BCBS - AZ | Commercial|Neighborhood | $36.75 | ↓ -63% |
| Connected Care | Commercial|Intel | $87.36 | ↓ -13% |
| Aetna | Commercial|HMO | $109.84 | ↑ +9% |
| Aetna | Commercial|PPO | $109.84 | ↑ +9% |
| Aetna | Commercial|All Other Plans | $109.84 | ↑ +9% |
| First Health | Commercial|All Plans | $120.96 | ↑ +21% |
| MultiPlan | Commercial|All Plans | $172.48 | ↑ +72% |
Visitor-reported prices
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Acetazolamide 500 mg solution for injection at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Arizona General Hospital Laveen | Phoenix | $93.44 | $22.16 – $333.34 |
| St. Joseph’s Hospital and Medical Center | Phoenix | $76.40 | $4.94 – $26.00 |
| Yavapai Regional Medical Center (East) | Prescott | $103.88 | $22.16 – $133.00 |
| Arizona General Hospital Mesa | Mesa | $100.78 | $22.16 – $333.34 |
| Chandler Regional Medical Center | Chandler | $109.35 | $22.16 – $188.16 |