Breast Biopsy (ultrasound-guided, percutaneous) at Mercy Gilbert Medical Center
3555 S Val Vista Dr, Gilbert, AZ · CommonSpirit Health · · NPI 1992735088
$990.15
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.
$4,025.00
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.
$159.14 with Health Choice vs $4,807.98 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 | $159.14 | ↓ -84% |
| United | Medicaid|All Plans | $159.14 | ↓ -84% |
| United | Commercial|DignityHealthEmployee | $563.50 | ↓ -43% |
| First Health | Medicare|All Plans | $1,726.88 | ↑ +74% |
| Mercy Care Plan | Medicare|All Plans | $1,726.88 | ↑ +74% |
| Humana | Medicare|All Plans | $1,726.88 | ↑ +74% |
| Aetna | Medicare|All Plans | $1,726.88 | ↑ +74% |
| Cigna | Medicare|All Plans | $1,726.88 | ↑ +74% |
| BCBS - AZ | Medicare|All Plans | $1,726.88 | ↑ +74% |
| Health Choice | Medicare|All Plans | $1,726.88 | ↑ +74% |
| Mercy Care Plan | Medicaid|All Plans | $1,726.88 | ↑ +74% |
| Care 1st | Medicare|All Plans | $1,726.88 | ↑ +74% |
| United | Medicare|All Plans | $1,770.06 | ↑ +79% |
| First Health | Commercial|All Plans | $2,173.50 | ↑ +120% |
| BCBS - AZ | Commercial|MaricopaFocus | $2,428.17 | ↑ +145% |
| BCBS - AZ | Commercial|Neighborhood | $2,428.17 | ↑ +145% |
| Cigna | Commercial|Exchange | $2,495.00 | ↑ +152% |
| Cigna | Commercial|LocalPlus SureFit | $2,671.00 | ↑ +170% |
| MultiPlan | Commercial|All Plans | $3,099.25 | ↑ +213% |
| BCBS - AZ | Commercial|All Other Plans | $3,237.34 | ↑ +227% |
| Cigna | Commercial|All Other Plans | $3,514.00 | ↑ +255% |
| Cigna | Commercial|PPO | $3,514.00 | ↑ +255% |
| BCBS - AZ | Commercial|Workers Comp | $4,807.98 | ↑ +386% |
Visitor-reported prices
Comments
Breast Biopsy (ultrasound-guided, percutaneous) at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Gateway Medical Center | Gilbert | $924.38 | $602.20 – $4,982.00 |
| Banner University Medical Center Phoenix | Phoenix | $1,077.94 | $602.20 – $4,640.00 |
| Banner University Medical Center Tucson | Tucson | $966.67 | $532.60 – $2,788.18 |
| Banner Baywood Medical Center | Mesa | $1,029.76 | $602.20 – $4,640.00 |
| Banner Boswell Medical Center | Sun City | $870.18 | $602.20 – $4,640.00 |
| Banner Casa Grande Medical Center | Casa Grande | $834.05 | $602.20 – $4,037.00 |
| Banner Del Webb Medical Center | Sun City West | $960.51 | $602.20 – $4,640.00 |
| Banner Desert Medical Center | Mesa | $1,065.89 | $602.20 – $4,640.00 |