Established Patient Office Visit (level 4) at Mercy Gilbert Medical Center
3555 S Val Vista Dr, Gilbert, AZ · CommonSpirit Health · · NPI 1992735088
$269.87
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.
$1,097.00
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.
$38.50 with United vs $496.00 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 |
|---|---|---|---|
| United | Commercial|DignityHealthEmployee | $38.50 | ↓ -86% |
| Health Choice | Medicaid|All Plans | $68.27 | ↓ -75% |
| United | Medicaid|All Plans | $68.27 | ↓ -75% |
| First Health | Commercial|All Plans | $148.50 | ↓ -45% |
| MultiPlan | Commercial|All Plans | $211.75 | ↓ -22% |
| United | Commercial|Navigate | $330.00 | ↑ +22% |
| United | Commercial|All Other Plans | $394.00 | ↑ +46% |
| United | Commercial|Options PPO | $396.00 | ↑ +47% |
| Connected Care | Commercial|Intel | $397.00 | ↑ +47% |
| BCBS - AZ | Commercial|MaricopaFocus | $496.00 | ↑ +84% |
| BCBS - AZ | Commercial|Neighborhood | $496.00 | ↑ +84% |
| BCBS - AZ | Commercial|Workers Comp | $496.00 | ↑ +84% |
| BCBS - AZ | Commercial|All Other Plans | $496.00 | ↑ +84% |
Visitor-reported prices
Comments
Established Patient Office Visit (level 4) at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Gateway Medical Center | Gilbert | $1,854.12 | $54.54 – $322.50 |
| Banner University Medical Center Phoenix | Phoenix | $1,731.28 | $54.54 – $322.50 |
| Banner University Medical Center Tucson | Tucson | $1,612.97 | $54.54 – $224.00 |
| Banner University Medical Center South | Tucson | $94.36 | $54.54 – $224.00 |
| Banner Baywood Medical Center | Mesa | $402.91 | $20.00 – $75.00 |
| Banner Boswell Medical Center | Sun City | $103.70 | $54.54 – $344.00 |
| Banner Casa Grande Medical Center | Casa Grande | $1,233.05 | $20.00 – $75.00 |
| Banner Del Webb Medical Center | Sun City West | $1,644.83 | $54.54 – $344.00 |