Copper Springs East- Gilbert
10550 West McDowell Road, Avondale, AZ 85392 · 3 Priced Procedures
Typical commercial prices here are +118% above the fair benchmark (2.18×) even after accounting for local nurse/doctor wages and patient complexity.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
Specialty Drug & Surgical Margin Engine
Copper Springs East- Gilbert concentrates commercial margin in outpatient surgical suites (3.8× Medicare) and specialty drug infusions (3.4× Medicare) relative to routine diagnostics (3.2×). Comparing freestanding ambulatory surgery centers or specialty pharmacy options before treatment yields substantial savings.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 2.49× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 0% of shoppable procedures (25/100 Cash Honesty)
- CMS clinical safety score (54/100 safety score) with 72% patient recommendation
- Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 3.8× markup over Medicare rates
- Commercial insurance median sits at 2.59× Fair BaseRate (3.0× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Specialty infusion drugs (J-codes) average 3.4× Medicare — verify per-unit billing on itemized statements
- Unnegotiated chargemaster list prices average 2.6× Medicare (38¢ true HCRIS cost per $1 gross)
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at Copper Springs East- Gilbert
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 3 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Psychotherapy session (45 minutes) CPT Code: 90834 | $430 | unverified |
| Family therapy session CPT Code: 90847 | $430 | unverified |
| Group therapy session CPT Code: 90853 | $430 | unverified |
Audit a Bill or Quote at Copper Springs East- Gilbert (Zero PHI Required)
Above Standard 400% FPL Financial-Assistance Ceiling
At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask Copper Springs East- Gilbert's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.
Negotiate Toward $166 Fair BaseRate ($181 Medicare)
Your bill ($382) is $216 above the denoised Fair BaseRate ($166) and 2.1× the $181 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Public IRS & CMS ownership records classify Copper Springs East- Gilbert as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Copper Springs East- Gilbert.
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.