Pt re-evaluation patient/family at Banner Del Webb Medical Center
14502 West Meeker Boulevard, Sun City West, AZ · Banner Health · · NPI 1588823553
$55.22
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.
$272.00
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.
$54.40 with Aetna vs $275.03 with Blue Cross Blue Shield of Arizona — 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 |
|---|---|---|---|
| Aetna | Medicare Advantage | $54.40 | ↓ -1% |
| Mercy Care | Medicaid | $57.39 | ↑ +4% |
| Arizona Physicians IPA | Medicaid | $57.39 | ↑ +4% |
| Health Net | Medicaid | $57.39 | ↑ +4% |
| Health Choice Arizona, Inc. | Medicaid | $57.39 | ↑ +4% |
| Aetna | Qualified Health Plan | $69.09 | ↑ +25% |
| Aetna | Banner Employee Plans | $81.00 | ↑ +47% |
| Health Choice Arizona, Inc. | Medicare Advantage | $81.60 | ↑ +48% |
| Hospice of the Valley | Medicare | $95.20 | ↑ +72% |
| Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Preferred | $105.10 | ↑ +90% |
| Arizona Priority Care | Alignment Health Plans Medicare Advantage/Eternal Health Plan Medicare/SCAN Health Plan Medicare | $108.80 | ↑ +97% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $122.40 | ↑ +122% |
| Plotkin Health | Plotkin Health | $122.40 | ↑ +122% |
| Aetna | Joint Venture | $125.66 | ↑ +128% |
| Aetna | Designated Group | $133.55 | ↑ +142% |
| Oscar Health Plan | Commercial | $136.00 | ↑ +146% |
| Health Net | Medicare | $136.00 | ↑ +146% |
| Health Choice Arizona, Inc. | ACA Health Plan | $136.00 | ↑ +146% |
| Aetna | Medical Rental | $143.34 | ↑ +160% |
| Health Net | Commerical Exchange Product | $146.88 | ↑ +166% |
| Quiktrip Corporation | Commercial | $146.88 | ↑ +166% |
| Aetna | Broad Network | $156.94 | ↑ +184% |
| Cigna Healthcare of Arizona, Inc. | LocalFlex | $203.00 | ↑ +268% |
| Provider Network of America | Commercial | $204.00 | ↑ +269% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $206.28 | ↑ +274% |
| Arizona Medical Network | Commercial | $217.60 | ↑ +294% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $220.03 | ↑ +298% |
| Cigna Healthcare of Arizona, Inc. | Commercial | $225.00 | ↑ +307% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $231.03 | ↑ +318% |
| United Healthcare | UHC Doctor's Plan | $241.00 | ↑ +336% |
| United Healthcare | UHC Core | $252.00 | ↑ +356% |
| United Healthcare | Commercial | $265.00 | ↑ +380% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $275.03 | ↑ +398% |
| Blue Cross Blue Shield of Arizona | Commercial | $275.03 | ↑ +398% |
Visitor-reported prices
Comments
Pt re-evaluation patient/family at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner University Medical Center Phoenix | Phoenix | $47.33 | $54.40 – $241.00 |
| Banner University Medical Center Tucson | Tucson | $41.48 | $37.20 – $268.00 |
| Banner University Medical Center South | Tucson | $31.62 | $37.20 – $268.00 |
| Banner Baywood Medical Center | Mesa | $60.66 | $54.40 – $270.15 |
| Banner Boswell Medical Center | Sun City | $57.39 | $54.40 – $241.00 |
| Banner Casa Grande Medical Center | Casa Grande | $63.38 | $54.40 – $235.00 |
| Banner Desert Medical Center | Mesa | $48.14 | $54.40 – $270.15 |
| Banner Ironwood Medical Center | San Tan Valley | $68.27 | $54.40 – $270.15 |