Ins lv lead exist pm/icd at Mercy Gilbert Medical Center
3555 S Val Vista Dr, Gilbert, AZ · CommonSpirit Health · · NPI 1992735088
$5,836.11
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.
$23,724.00
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.
$521.76 with Health Choice vs $18,267.48 with MultiPlan — 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 | $521.76 | ↓ -91% |
| United | Medicaid|All Plans | $521.76 | ↓ -91% |
| United | Commercial|DignityHealthEmployee | $3,321.36 | ↓ -43% |
| Cigna | Commercial|Exchange | $3,377.00 | ↓ -42% |
| Cigna | Commercial|LocalPlus SureFit | $3,615.00 | ↓ -38% |
| Cigna | Commercial|PPO | $4,756.00 | ↓ -19% |
| Cigna | Commercial|All Other Plans | $4,756.00 | ↓ -19% |
| BCBS - AZ | Commercial|Neighborhood | $5,418.59 | ↓ -7% |
| BCBS - AZ | Commercial|MaricopaFocus | $5,418.59 | ↓ -7% |
| BCBS - AZ | Commercial|All Other Plans | $7,224.27 | ↑ +24% |
| BCBS - AZ | Commercial|Workers Comp | $10,729.24 | ↑ +84% |
| Mercy Care Plan | Medicare|All Plans | $11,154.16 | ↑ +91% |
| Humana | Medicare|All Plans | $11,154.16 | ↑ +91% |
| Aetna | Medicare|All Plans | $11,154.16 | ↑ +91% |
| First Health | Medicare|All Plans | $11,154.16 | ↑ +91% |
| Cigna | Medicare|All Plans | $11,154.16 | ↑ +91% |
| BCBS - AZ | Medicare|All Plans | $11,154.16 | ↑ +91% |
| Health Choice | Medicare|All Plans | $11,154.16 | ↑ +91% |
| Mercy Care Plan | Medicaid|All Plans | $11,154.16 | ↑ +91% |
| Care 1st | Medicare|All Plans | $11,154.16 | ↑ +91% |
| United | Medicare|All Plans | $11,433.02 | ↑ +96% |
| First Health | Commercial|All Plans | $12,810.96 | ↑ +120% |
| Connected Care | Commercial|Intel | $13,285.44 | ↑ +128% |
| MultiPlan | Commercial|All Plans | $18,267.48 | ↑ +213% |
Visitor-reported prices
Comments
Ins lv lead exist pm/icd at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner University Medical Center Phoenix | Phoenix | $5,565.11 | $2,837.28 – $18,404.36 |
| Banner University Medical Center Tucson | Tucson | $10,634.45 | $3,243.00 – $23,436.80 |
| Banner University Medical Center South | Tucson | $15,438.99 | $3,243.00 – $23,436.80 |
| Banner Baywood Medical Center | Mesa | $5,316.39 | $4,018.00 – $18,404.36 |
| Banner Boswell Medical Center | Sun City | $4,492.50 | $4,018.00 – $18,404.36 |
| Banner Casa Grande Medical Center | Casa Grande | $4,305.96 | $2,884.00 – $16,731.24 |
| Banner Del Webb Medical Center | Sun City West | $4,958.86 | $2,837.28 – $18,404.36 |
| Banner Desert Medical Center | Mesa | $5,502.93 | $4,018.00 – $18,404.36 |