Biopsy abdominal mass at Mercy Gilbert Medical Center
3555 S Val Vista Dr, Gilbert, AZ · CommonSpirit Health · · NPI 1992735088
$775.40
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.
$3,152.00
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.
$85.11 with Health Choice vs $3,590.33 with BCBS - AZ — 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 Choice | Medicaid|All Plans | $85.11 | ↓ -89% |
| United | Medicaid|All Plans | $85.11 | ↓ -89% |
| United | Commercial|DignityHealthEmployee | $396.62 | ↓ -49% |
| First Health | Commercial|All Plans | $1,529.82 | ↑ +97% |
| Mercy Care Plan | Medicare|All Plans | $1,726.88 | ↑ +123% |
| Humana | Medicare|All Plans | $1,726.88 | ↑ +123% |
| Aetna | Medicare|All Plans | $1,726.88 | ↑ +123% |
| First Health | Medicare|All Plans | $1,726.88 | ↑ +123% |
| Cigna | Medicare|All Plans | $1,726.88 | ↑ +123% |
| BCBS - AZ | Medicare|All Plans | $1,726.88 | ↑ +123% |
| Health Choice | Medicare|All Plans | $1,726.88 | ↑ +123% |
| Mercy Care Plan | Medicaid|All Plans | $1,726.88 | ↑ +123% |
| Care 1st | Medicare|All Plans | $1,726.88 | ↑ +123% |
| United | Medicare|All Plans | $1,770.06 | ↑ +128% |
| BCBS - AZ | Commercial|Neighborhood | $1,813.22 | ↑ +134% |
| BCBS - AZ | Commercial|MaricopaFocus | $1,813.22 | ↑ +134% |
| Cigna | Commercial|Exchange | $1,975.00 | ↑ +155% |
| Cigna | Commercial|LocalPlus SureFit | $2,114.00 | ↑ +173% |
| MultiPlan | Commercial|All Plans | $2,181.41 | ↑ +181% |
| BCBS - AZ | Commercial|All Other Plans | $2,417.46 | ↑ +212% |
| Cigna | Commercial|All Other Plans | $2,782.00 | ↑ +259% |
| Cigna | Commercial|PPO | $2,782.00 | ↑ +259% |
| BCBS - AZ | Commercial|Workers Comp | $3,590.33 | ↑ +363% |
Visitor-reported prices
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Biopsy abdominal mass at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Gateway Medical Center | Gilbert | $678.16 | $773.15 – $2,849.35 |
| Banner University Medical Center Phoenix | Phoenix | $790.82 | $949.44 – $2,849.35 |
| Banner University Medical Center Tucson | Tucson | $843.98 | $813.75 – $2,849.35 |
| Banner University Medical Center South | Tucson | $1,225.28 | $813.75 – $2,849.35 |
| Banner Baywood Medical Center | Mesa | $755.48 | $773.15 – $4,018.00 |
| Banner Boswell Medical Center | Sun City | $638.40 | $773.15 – $2,849.35 |
| Banner Casa Grande Medical Center | Casa Grande | $611.89 | $773.15 – $2,590.32 |
| Banner Del Webb Medical Center | Sun City West | $704.67 | $773.15 – $2,849.35 |