Encephalitis, western equine igg/igm at Mercy Gilbert Medical Center
3555 S Val Vista Dr, Gilbert, AZ · CommonSpirit Health · · NPI 1992735088
$12.98
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.
$52.76
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.
$7.39 with United vs $52.76 with Aetna — 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 |
|---|---|---|---|
| United | Commercial|DignityHealthEmployee | $7.39 | ↓ -43% |
| Humana | Medicare|All Plans | $13.19 | ↑ +2% |
| Care 1st | Medicare|All Plans | $13.19 | ↑ +2% |
| Aetna | Medicare|All Plans | $13.19 | ↑ +2% |
| First Health | Medicare|All Plans | $13.19 | ↑ +2% |
| Cigna | Medicare|All Plans | $13.19 | ↑ +2% |
| BCBS - AZ | Medicare|All Plans | $13.19 | ↑ +2% |
| Health Choice | Medicare|All Plans | $13.19 | ↑ +2% |
| Mercy Care Plan | Medicaid|All Plans | $13.19 | ↑ +2% |
| Mercy Care Plan | Medicare|All Plans | $13.19 | ↑ +2% |
| Health Choice | Medicaid|All Plans | $13.52 | ↑ +4% |
| United | Medicaid|All Plans | $13.52 | ↑ +4% |
| United | Medicare|All Plans | $13.52 | ↑ +4% |
| United | Commercial|Navigate | $15.83 | ↑ +22% |
| United | Commercial|Options PPO | $15.83 | ↑ +22% |
| United | Commercial|All Other Plans | $15.83 | ↑ +22% |
| Cigna | Commercial|Exchange | $27.42 | ↑ +111% |
| First Health | Commercial|All Plans | $28.50 | ↑ +120% |
| Cigna | Commercial|LocalPlus SureFit | $29.31 | ↑ +126% |
| BCBS - AZ | Commercial|MaricopaFocus | $33.66 | ↑ +159% |
| BCBS - AZ | Commercial|Neighborhood | $33.66 | ↑ +159% |
| Cigna | Commercial|PPO | $38.57 | ↑ +197% |
| Cigna | Commercial|All Other Plans | $38.57 | ↑ +197% |
| MultiPlan | Commercial|All Plans | $40.63 | ↑ +213% |
| BCBS - AZ | Commercial|All Other Plans | $44.88 | ↑ +246% |
| Aetna | Commercial|PPO | $52.76 | ↑ +306% |
| Aetna | Commercial|HMO | $52.76 | ↑ +306% |
| BCBS - AZ | Commercial|Workers Comp | $52.76 | ↑ +306% |
| Aetna | Commercial|All Other Plans | $52.76 | ↑ +306% |
Visitor-reported prices
Comments
Encephalitis, western equine igg/igm at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Gateway Medical Center | Gilbert | $9.55 | $13.19 – $48.75 |
| Banner University Medical Center Phoenix | Phoenix | $12.35 | $13.19 – $48.75 |
| Banner University Medical Center Tucson | Tucson | $13.97 | $13.19 – $52.00 |
| Banner University Medical Center South | Tucson | $8.84 | $13.19 – $52.00 |
| Banner Baywood Medical Center | Mesa | $10.92 | $13.19 – $48.75 |
| Banner Boswell Medical Center | Sun City | $11.89 | $13.19 – $52.00 |
| Banner Casa Grande Medical Center | Casa Grande | $11.05 | $13.19 – $48.75 |
| Banner Del Webb Medical Center | Sun City West | $8.52 | $13.19 – $52.00 |