Alys cplx sp/pn npgt w/prgrm at Banner Boswell Medical Center
10401 West Thunderbird Blvd, Sun City, AZ · Banner Health · · NPI 1952560914
$119.37
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.
$495.00
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.
$72.72 with Arizona Physicians IPA vs $667.00 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 |
|---|---|---|---|
| Arizona Physicians IPA | Medicaid | $72.72 | ↓ -39% |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $72.72 | ↓ -39% |
| Health Net | Medicaid | $72.72 | ↓ -39% |
| Mercy Care | Mercy Medicaid | $72.72 | ↓ -39% |
| Health Choice Arizona, Inc. | Medicaid | $72.72 | ↓ -39% |
| Aetna | Medicare Advantage | $97.83 | ↓ -18% |
| Mercy Care | Mercy Care Advantage | $97.83 | ↓ -18% |
| Arizona Physicians IPA | Medicare Advantage | $97.83 | ↓ -18% |
| Banner Health | Medicare Advantage | $97.83 | ↓ -18% |
| Banner University Health Plan | University Care Advantage | $97.83 | ↓ -18% |
| Kaiser Foundation Health Plan | Medicare Advantage | $97.83 | ↓ -18% |
| Humana | Medicare Advantage | $97.83 | ↓ -18% |
| Health Net | Medicare | $97.83 | ↓ -18% |
| Health Choice Arizona, Inc. | Medicare Advantage | $97.83 | ↓ -18% |
| Blue Cross Blue Shield of Arizona | Medicare Advantage | $97.83 | ↓ -18% |
| Cigna Healthcare of Arizona, Inc. | PPO Medicare Advantage Plan | $97.83 | ↓ -18% |
| Wellpoint | Medicare Advantage HMO | $97.83 | ↓ -18% |
| UPMC Health Plan | Medicare Advantage | $97.83 | ↓ -18% |
| United Healthcare | Medicare Advantage | $97.83 | ↓ -18% |
| TriWest Healthcare Alliance Corp - VA CCN | VA Community Care Network | $97.83 | ↓ -18% |
| Care 1st | Medicare Advantage | $97.83 | ↓ -18% |
| Cigna Healthcare of Arizona, Inc. | HMO Medicare Advantage Plans | $97.83 | ↓ -18% |
| Gila River Health Care Corporation | Managed Care Program | $97.83 | ↓ -18% |
| Devoted Health Services | Medicare Advantage | $102.72 | ↓ -14% |
| Carelon | Medicare Advantage | $102.72 | ↓ -14% |
| Gold Kidney Health Plan | Medicare Advantage | $107.61 | ↓ -10% |
| Arizona Priority Care | Medicare Advantage | $107.61 | ↓ -10% |
| Aetna | Qualified Health Plan | $133.05 | ↑ +11% |
| United Healthcare | Individual Exchange | $136.96 | ↑ +15% |
| Health Net | Commerical Exchange Product | $144.79 | ↑ +21% |
| Health Choice Arizona, Inc. | ACA Health Plan | $146.75 | ↑ +23% |
| Oscar Health Plan | Commercial | $161.42 | ↑ +35% |
| Aetna | Banner Employee Plans | $166.32 | ↑ +39% |
| Hospice of the Valley | Medicare | $173.25 | ↑ +45% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $222.75 | ↑ +87% |
| Plotkin Health | Plotkin Health | $222.75 | ↑ +87% |
| Aetna | Joint Venture | $228.69 | ↑ +92% |
| Aetna | Designated Group | $243.04 | ↑ +104% |
| Aetna | Medical Rental | $260.87 | ↑ +119% |
| Quiktrip Corporation | Commercial | $267.30 | ↑ +124% |
| Aetna | Broad Network | $285.62 | ↑ +139% |
| Cigna Healthcare of Arizona, Inc. | LocalFlex | $325.21 | ↑ +172% |
| Cigna Healthcare of Arizona, Inc. | Commercial | $340.06 | ↑ +185% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $350.40 | ↑ +194% |
| Provider Network of America | Commercial | $371.25 | ↑ +211% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $373.76 | ↑ +213% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $392.45 | ↑ +229% |
| Arizona Medical Network | Commercial | $396.00 | ↑ +232% |
| Blue Cross Blue Shield of Arizona | Commercial | $467.20 | ↑ +291% |
| Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Preferred | $467.20 | ↑ +291% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $467.20 | ↑ +291% |
| United Healthcare | UHC Doctor's Plan | $606.00 | ↑ +408% |
| United Healthcare | UHC Core | $634.00 | ↑ +431% |
| United Healthcare | Commercial | $667.00 | ↑ +459% |
| TriWest Healthcare Alliance Corp - VA CCN | Tricare | not published by hospital | — |
Visitor-reported prices
Comments
Alys cplx sp/pn npgt w/prgrm at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner University Medical Center Phoenix | Phoenix | $442.04 | $72.72 – $371.25 |
| Banner University Medical Center South | Tucson | $131.24 | $72.72 – $355.20 |
| Yavapai Regional Medical Center (East) | Prescott | $86.08 | $41.84 – $103.70 |