Biopsy of toe joint lining at Mercy Gilbert Medical Center
3555 S Val Vista Dr, Gilbert, AZ · CommonSpirit Health · · NPI 1992735088
not published by hospital
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.
not published by hospital
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.
$249.26 with United vs $4,807.98 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 |
|---|---|---|---|
| United | Medicaid|All Plans | $249.26 | — |
| Health Choice | Medicaid|All Plans | $249.26 | — |
| Cigna | Commercial|Exchange | $2,236.00 | — |
| Cigna | Commercial|LocalPlus SureFit | $2,393.00 | — |
| BCBS - AZ | Commercial|MaricopaFocus | $2,428.17 | — |
| BCBS - AZ | Commercial|Neighborhood | $2,428.17 | — |
| Cigna | Commercial|All Other Plans | $3,149.00 | — |
| Cigna | Commercial|PPO | $3,149.00 | — |
| BCBS - AZ | Commercial|All Other Plans | $3,237.34 | — |
| Mercy Care Plan | Medicare|All Plans | $3,458.17 | — |
| Humana | Medicare|All Plans | $3,458.17 | — |
| Aetna | Medicare|All Plans | $3,458.17 | — |
| First Health | Medicare|All Plans | $3,458.17 | — |
| Cigna | Medicare|All Plans | $3,458.17 | — |
| BCBS - AZ | Medicare|All Plans | $3,458.17 | — |
| Health Choice | Medicare|All Plans | $3,458.17 | — |
| Mercy Care Plan | Medicaid|All Plans | $3,458.17 | — |
| Care 1st | Medicare|All Plans | $3,458.17 | — |
| United | Medicare|All Plans | $3,544.63 | — |
| BCBS - AZ | Commercial|Workers Comp | $4,807.98 | — |
| United | Commercial|DignityHealthEmployee | not published by hospital | — |
| First Health | Commercial|All Plans | not published by hospital | — |
| MultiPlan | Commercial|All Plans | not published by hospital | — |
Visitor-reported prices
Comments
Biopsy of toe joint lining at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Arizona General Hospital Laveen | Phoenix | not published | $249.26 – $3,561.92 |
| St. Joseph’s Hospital and Medical Center | Phoenix | not published | $249.26 – $3,561.92 |
| Yavapai Regional Medical Center (East) | Prescott | not published | $249.26 – $3,665.67 |
| Arizona General Hospital Mesa | Mesa | not published | $249.26 – $3,561.92 |
| Chandler Regional Medical Center | Chandler | not published | $249.26 – $346.81 |