Bilirubin direct at Mercy Gilbert Medical Center
3555 S Val Vista Dr, Gilbert, AZ · CommonSpirit Health · · NPI 1992735088
$62.98
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.
$256.00
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.
$5.02 with Care 1st vs $189.42 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 |
|---|---|---|---|
| Care 1st | Medicare|All Plans | $5.02 | ↓ -92% |
| Humana | Medicare|All Plans | $5.02 | ↓ -92% |
| Aetna | Medicare|All Plans | $5.02 | ↓ -92% |
| First Health | Medicare|All Plans | $5.02 | ↓ -92% |
| Cigna | Medicare|All Plans | $5.02 | ↓ -92% |
| BCBS - AZ | Medicare|All Plans | $5.02 | ↓ -92% |
| Health Choice | Medicare|All Plans | $5.02 | ↓ -92% |
| Mercy Care Plan | Medicaid|All Plans | $5.02 | ↓ -92% |
| Mercy Care Plan | Medicare|All Plans | $5.02 | ↓ -92% |
| United | Medicare|All Plans | $5.15 | ↓ -92% |
| Health Choice | Medicaid|All Plans | $5.15 | ↓ -92% |
| United | Medicaid|All Plans | $5.15 | ↓ -92% |
| United | Commercial|All Other Plans | $6.02 | ↓ -90% |
| United | Commercial|Navigate | $6.02 | ↓ -90% |
| United | Commercial|Options PPO | $6.02 | ↓ -90% |
| Cigna | Commercial|Exchange | $10.43 | ↓ -83% |
| Cigna | Commercial|LocalPlus SureFit | $11.15 | ↓ -82% |
| BCBS - AZ | Commercial|MaricopaFocus | $12.83 | ↓ -80% |
| BCBS - AZ | Commercial|Neighborhood | $12.83 | ↓ -80% |
| Cigna | Commercial|PPO | $14.67 | ↓ -77% |
| Cigna | Commercial|All Other Plans | $14.67 | ↓ -77% |
| BCBS - AZ | Commercial|All Other Plans | $17.10 | ↓ -73% |
| BCBS - AZ | Commercial|Workers Comp | $25.40 | ↓ -60% |
| Aetna | Commercial|HMO | $25.45 | ↓ -60% |
| Aetna | Commercial|All Other Plans | $25.45 | ↓ -60% |
| Aetna | Commercial|PPO | $25.45 | ↓ -60% |
| United | Commercial|DignityHealthEmployee | $34.44 | ↓ -45% |
| First Health | Commercial|All Plans | $132.84 | ↑ +111% |
| MultiPlan | Commercial|All Plans | $189.42 | ↑ +201% |
Visitor-reported prices
Comments
Bilirubin direct at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Gateway Medical Center | Gilbert | $26.39 | $5.02 – $116.25 |
| Banner University Medical Center Phoenix | Phoenix | $25.44 | $5.02 – $116.25 |
| Banner University Medical Center Tucson | Tucson | $20.09 | $5.02 – $29.60 |
| Banner University Medical Center South | Tucson | $19.34 | $5.02 – $29.60 |
| Banner Baywood Medical Center | Mesa | $20.19 | $5.02 – $116.25 |
| Banner Behavioral Health Hospital | Scottsdale | $90.81 | $5.02 – $108.50 |
| Banner Boswell Medical Center | Sun City | $24.01 | $5.02 – $124.00 |
| Banner Casa Grande Medical Center | Casa Grande | $17.97 | $5.02 – $116.25 |