Payer comparison · HCPCS Q2058 · GILBERT, AZ

Q2058 — Obecbtge Autol Up To 400 Mil

What each payer pays BANNER GATEWAY MEDICAL CENTER (CCN 030122) for this procedure, and where each sits versus the all-payer median at this facility. Find your plan to see whether you're above or below the market here.

$270,375 All-payer median here

$660,455 Cash / self-pay here

28 payer/plan-name variants

← This hospital National rates for Q2058 →

Per-payer negotiated rate at this facility. Use the column headers to sort, the filter row to narrow results.
Payer / plan	Median negotiated	vs all-payer median	Rate rows

Provider Network of America (PNOA)	$794,293	193.8%	2
Arizona Medical Network	$741,340	174.2%	2
Quiktrip Corporation	$571,891	111.5%	2
Plotkin Health	$476,576	76.3%	2
National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI)	$476,576	76.3%	2
Hospice of the Valley	$370,670	37.1%	2
UnitedHealthcare	$324,450	20.0%	2
Gold Kidney Health Plan	$297,412	10.0%	1
Devoted Health	$283,894	5.0%	1
Carekin	$283,894	5.0%	1
Humana	$274,431	1.5%	2
Oscar Health	$273,525	1.2%	2
Care 1st	$270,375	0.0%	1
Wellpoint (fka Amerigroup)	$270,375	0.0%	1
UPMC Health Plan	$270,375	0.0%	1
Cigna Healthcare	$270,375	0.0%	6
Kaiser Permanente	$270,375	0.0%	1
Banner Health	$270,375	0.0%	1
TriWest Healthcare Alliance Corp - VA CCN	$270,375	0.0%	1
BCBS of Arizona	$270,375	0.0%	1
Gila River Health Care Corporation	$270,375	0.0%	1
Health Net	$216,300	-20.0%	6
Arizona Physicians IPA	$216,300	-20.0%	3
Banner University Health Plan	$216,300	-20.0%	3
HEALTH CHOICE OF ARIZONA	$216,300	-20.0%	6
Mercy Care	$216,300	-20.0%	3
Aetna	$193,425	-28.5%	14
Arizona Priority Care	$189,079	-30.1%	2

Median over current-blob negotiated rates (COALESCE of standard / median / min–max midpoint, $0.01–$5M sentinel guard). Payers are canonical-grouped where a mapping exists; unmapped regional-plan name variants may appear as separate rows.