Skin Biopsy at Mercy Gilbert Medical Center
3555 S Val Vista Dr, Gilbert, AZ · CommonSpirit Health · · NPI 1992735088
$194.34
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.
$790.00
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.
$39.34 with United vs $608.30 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 |
|---|---|---|---|
| United | Medicaid|All Plans | $39.34 | ↓ -80% |
| Health Choice | Medicaid|All Plans | $39.34 | ↓ -80% |
| United | Commercial|DignityHealthEmployee | $110.60 | ↓ -43% |
| BCBS - AZ | Commercial|MaricopaFocus | $158.34 | ↓ -19% |
| BCBS - AZ | Commercial|Neighborhood | $158.34 | ↓ -19% |
| BCBS - AZ | Commercial|All Other Plans | $211.11 | ↑ +9% |
| Mercy Care Plan | Medicare|All Plans | $211.78 | ↑ +9% |
| Humana | Medicare|All Plans | $211.78 | ↑ +9% |
| Aetna | Medicare|All Plans | $211.78 | ↑ +9% |
| First Health | Medicare|All Plans | $211.78 | ↑ +9% |
| Cigna | Medicare|All Plans | $211.78 | ↑ +9% |
| BCBS - AZ | Medicare|All Plans | $211.78 | ↑ +9% |
| Health Choice | Medicare|All Plans | $211.78 | ↑ +9% |
| Mercy Care Plan | Medicaid|All Plans | $211.78 | ↑ +9% |
| Care 1st | Medicare|All Plans | $211.78 | ↑ +9% |
| United | Medicare|All Plans | $217.08 | ↑ +12% |
| BCBS - AZ | Commercial|Workers Comp | $313.53 | ↑ +61% |
| First Health | Commercial|All Plans | $426.60 | ↑ +120% |
| MultiPlan | Commercial|All Plans | $608.30 | ↑ +213% |
Visitor-reported prices
Comments
Skin Biopsy at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Gateway Medical Center | Gilbert | $121.57 | $130.17 – $349.44 |
| Banner University Medical Center Phoenix | Phoenix | $205.13 | $82.91 – $349.44 |
| Banner Baywood Medical Center | Mesa | $152.06 | $130.17 – $349.44 |
| Banner Boswell Medical Center | Sun City | $95.50 | $130.17 – $349.44 |
| Banner Casa Grande Medical Center | Casa Grande | $178.20 | $124.80 – $317.67 |
| Banner Heart Hospital | Mesa | $112.07 | $130.17 – $349.44 |
| Banner Payson Medical Center | Payson | $103.92 | $74.07 – $163.80 |
| St. Joseph’s Hospital and Medical Center | Phoenix | $303.31 | $39.34 – $627.26 |