Team conf w/pat by hc prof at Banner Del Webb Medical Center
14502 West Meeker Boulevard, Sun City West, AZ · Banner Health · · NPI 1588823553
$34.40
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.
$206.00
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.
$41.20 with Aetna vs $265.00 with United Healthcare — 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 | $41.20 | ↑ +20% |
| Arizona Physicians IPA | Medicaid | $43.47 | ↑ +26% |
| Health Net | Medicaid | $43.47 | ↑ +26% |
| Mercy Care | Medicaid | $43.47 | ↑ +26% |
| Health Choice Arizona, Inc. | Medicaid | $43.47 | ↑ +26% |
| Aetna | Qualified Health Plan | $52.32 | ↑ +52% |
| Health Choice Arizona, Inc. | Medicare Advantage | $61.80 | ↑ +80% |
| Hospice of the Valley | Medicare | $72.10 | ↑ +110% |
| Aetna | Banner Employee Plans | $81.00 | ↑ +135% |
| Arizona Priority Care | Alignment Health Plans Medicare Advantage/Eternal Health Plan Medicare/SCAN Health Plan Medicare | $82.40 | ↑ +140% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $92.70 | ↑ +169% |
| Plotkin Health | Plotkin Health | $92.70 | ↑ +169% |
| Aetna | Joint Venture | $95.17 | ↑ +177% |
| Aetna | Designated Group | $101.15 | ↑ +194% |
| Health Net | Medicare | $103.00 | ↑ +199% |
| Health Choice Arizona, Inc. | ACA Health Plan | $103.00 | ↑ +199% |
| Oscar Health Plan | Commercial | $103.00 | ↑ +199% |
| Aetna | Medical Rental | $108.56 | ↑ +216% |
| Quiktrip Corporation | Commercial | $111.24 | ↑ +223% |
| Health Net | Commerical Exchange Product | $111.24 | ↑ +223% |
| Aetna | Broad Network | $118.86 | ↑ +246% |
| Provider Network of America | Commercial | $154.50 | ↑ +349% |
| Arizona Medical Network | Commercial | $164.80 | ↑ +379% |
| Cigna Healthcare of Arizona, Inc. | LocalFlex | $203.00 | ↑ +490% |
| Cigna Healthcare of Arizona, Inc. | Commercial | $225.00 | ↑ +554% |
| United Healthcare | UHC Doctor's Plan | $241.00 | ↑ +601% |
| United Healthcare | UHC Core | $252.00 | ↑ +633% |
| United Healthcare | Commercial | $265.00 | ↑ +670% |
Visitor-reported prices
Comments
Team conf w/pat by hc prof at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner University Medical Center Phoenix | Phoenix | $33.99 | $41.20 – $241.00 |
| Banner University Medical Center Tucson | Tucson | $46.54 | $34.60 – $268.00 |
| Banner University Medical Center South | Tucson | $32.70 | $34.60 – $268.00 |
| Banner Baywood Medical Center | Mesa | $40.79 | $41.20 – $241.00 |
| Banner Boswell Medical Center | Sun City | $36.67 | $41.20 – $241.00 |
| Banner Desert Medical Center | Mesa | $53.97 | $41.20 – $241.00 |
| Banner Gateway Medical Center | Gilbert | $76.84 | $41.20 – $241.00 |
| Banner Heart Hospital | Mesa | $54.55 | $36.67 – $241.00 |