Biopsy of heart lining at Mercy Gilbert Medical Center
3555 S Val Vista Dr, Gilbert, AZ · CommonSpirit Health · · NPI 1992735088
$2,447.95
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.
?
What you pay up front if you don't use insurance.
$9,951.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$666.96 with Health Choice vs $16,852.28 with BCBS - AZ — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $666.96 | ↓ -73% |
| United | Medicaid|All Plans | $666.96 | ↓ -73% |
| United | Commercial|DignityHealthEmployee | $1,393.14 | ↓ -43% |
| Cigna | Commercial|Exchange | $2,885.79 | ↑ +18% |
| Cigna | Commercial|LocalPlus SureFit | $3,184.32 | ↑ +30% |
| Aetna | Medicare|All Plans | $3,354.67 | ↑ +37% |
| Health Choice | Medicare|All Plans | $3,354.67 | ↑ +37% |
| Mercy Care Plan | Medicare|All Plans | $3,354.67 | ↑ +37% |
| First Health | Medicare|All Plans | $3,354.67 | ↑ +37% |
| Humana | Medicare|All Plans | $3,354.67 | ↑ +37% |
| Cigna | Medicare|All Plans | $3,354.67 | ↑ +37% |
| Mercy Care Plan | Medicaid|All Plans | $3,354.67 | ↑ +37% |
| Care 1st | Medicare|All Plans | $3,354.67 | ↑ +37% |
| BCBS - AZ | Medicare|All Plans | $3,354.67 | ↑ +37% |
| United | Medicare|All Plans | $3,438.54 | ↑ +40% |
| Cigna | Commercial|PPO | $4,079.91 | ↑ +67% |
| Cigna | Commercial|All Other Plans | $4,079.91 | ↑ +67% |
| First Health | Commercial|All Plans | $5,373.54 | ↑ +120% |
| Connected Care | Commercial|Intel | $5,572.56 | ↑ +128% |
| MultiPlan | Commercial|All Plans | $7,662.27 | ↑ +213% |
| BCBS - AZ | Commercial|Neighborhood | $8,510.91 | ↑ +248% |
| BCBS - AZ | Commercial|MaricopaFocus | $8,510.91 | ↑ +248% |
| Aetna | Commercial|HMO | $9,448.00 | ↑ +286% |
| Aetna | Commercial|PPO | $9,448.00 | ↑ +286% |
| Aetna | Commercial|All Other Plans | $9,448.00 | ↑ +286% |
| BCBS - AZ | Commercial|All Other Plans | $11,347.07 | ↑ +364% |
| BCBS - AZ | Commercial|Workers Comp | $16,852.28 | ↑ +588% |
Visitor-reported prices
Comments
Biopsy of heart lining at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Gateway Medical Center | Gilbert | $1,930.10 | $1,960.00 – $5,535.21 |
| Banner University Medical Center Phoenix | Phoenix | $6,831.17 | $2,074.70 – $5,535.21 |
| Banner University Medical Center Tucson | Tucson | $856.87 | $1,421.35 – $5,535.21 |
| Banner University Medical Center South | Tucson | $467.02 | $1,421.35 – $5,535.21 |
| Banner Baywood Medical Center | Mesa | $1,411.54 | $1,960.00 – $12,389.00 |
| Banner Boswell Medical Center | Sun City | $1,103.20 | $1,960.00 – $5,535.21 |
| Banner Desert Medical Center | Mesa | $1,803.20 | $1,960.00 – $5,535.21 |
| Banner Estrella Medical Center | Phoenix | $1,842.40 | $1,960.00 – $5,535.21 |