Biopsy skin incisional single lesion at Mercy Gilbert Medical Center
3555 S Val Vista Dr, Gilbert, AZ · CommonSpirit Health · · NPI 1992735088
$346.86
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.
$1,410.00
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.
$59.01 with Health Choice vs $2,782.00 with Cigna — 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 | $59.01 | ↓ -83% |
| United | Medicaid|All Plans | $59.01 | ↓ -83% |
| United | Commercial|DignityHealthEmployee | $197.40 | ↓ -43% |
| BCBS - AZ | Commercial|MaricopaFocus | $241.62 | ↓ -30% |
| BCBS - AZ | Commercial|Neighborhood | $241.62 | ↓ -30% |
| BCBS - AZ | Commercial|All Other Plans | $322.14 | ↓ -7% |
| BCBS - AZ | Commercial|Workers Comp | $478.43 | ↑ +38% |
| Mercy Care Plan | Medicare|All Plans | $652.42 | ↑ +88% |
| Humana | Medicare|All Plans | $652.42 | ↑ +88% |
| Aetna | Medicare|All Plans | $652.42 | ↑ +88% |
| First Health | Medicare|All Plans | $652.42 | ↑ +88% |
| Cigna | Medicare|All Plans | $652.42 | ↑ +88% |
| BCBS - AZ | Medicare|All Plans | $652.42 | ↑ +88% |
| Health Choice | Medicare|All Plans | $652.42 | ↑ +88% |
| Mercy Care Plan | Medicaid|All Plans | $652.42 | ↑ +88% |
| Care 1st | Medicare|All Plans | $652.42 | ↑ +88% |
| United | Medicare|All Plans | $668.74 | ↑ +93% |
| First Health | Commercial|All Plans | $761.40 | ↑ +120% |
| MultiPlan | Commercial|All Plans | $1,085.70 | ↑ +213% |
| Cigna | Commercial|Exchange | $1,975.00 | ↑ +469% |
| Cigna | Commercial|LocalPlus SureFit | $2,114.00 | ↑ +509% |
| Cigna | Commercial|PPO | $2,782.00 | ↑ +702% |
| Cigna | Commercial|All Other Plans | $2,782.00 | ↑ +702% |
Visitor-reported prices
Comments
Biopsy skin incisional single lesion at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Gateway Medical Center | Gilbert | $272.00 | $310.10 – $1,076.49 |
| Banner University Medical Center Phoenix | Phoenix | $458.95 | $126.52 – $1,076.49 |
| Banner Baywood Medical Center | Mesa | $340.22 | $297.70 – $1,076.49 |
| Banner Boswell Medical Center | Sun City | $213.67 | $248.31 – $1,076.49 |
| Banner Casa Grande Medical Center | Casa Grande | $398.70 | $190.44 – $978.63 |
| Banner Heart Hospital | Mesa | $250.74 | $272.70 – $1,076.49 |
| Banner Payson Medical Center | Payson | $138.18 | $98.49 – $217.80 |
| St. Joseph’s Hospital and Medical Center | Phoenix | $620.75 | $59.01 – $1,283.75 |