Apl(pml-rara) quant - sendout at Banner Boswell Medical Center
10401 West Thunderbird Blvd, Sun City, AZ · Banner Health · · NPI 1952560914
$226.77
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.
$999.00
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.
$207.31 with Cigna Healthcare of Arizona, Inc. vs $870.29 with Aetna — 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 |
|---|---|---|---|
| Cigna Healthcare of Arizona, Inc. | PPO Medicare Advantage Plan | $207.31 | ↓ -9% |
| Wellpoint | Medicare Advantage HMO | $207.31 | ↓ -9% |
| UPMC Health Plan | Medicare Advantage | $207.31 | ↓ -9% |
| United Healthcare | Medicare Advantage | $207.31 | ↓ -9% |
| TriWest Healthcare Alliance Corp - VA CCN | VA Community Care Network | $207.31 | ↓ -9% |
| Aetna | Medicare Advantage | $207.31 | ↓ -9% |
| Mercy Care | Mercy Medicaid | $207.31 | ↓ -9% |
| Mercy Care | Mercy Care Advantage | $207.31 | ↓ -9% |
| Arizona Physicians IPA | Medicaid | $207.31 | ↓ -9% |
| Arizona Physicians IPA | Medicare Advantage | $207.31 | ↓ -9% |
| Health Choice Arizona, Inc. | Medicaid | $207.31 | ↓ -9% |
| Care 1st | Medicare Advantage | $207.31 | ↓ -9% |
| Cigna Healthcare of Arizona, Inc. | HMO Medicare Advantage Plans | $207.31 | ↓ -9% |
| Gila River Health Care Corporation | Managed Care Program | $207.31 | ↓ -9% |
| Banner Health | Medicare Advantage | $207.31 | ↓ -9% |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $207.31 | ↓ -9% |
| Banner University Health Plan | University Care Advantage | $207.31 | ↓ -9% |
| Kaiser Foundation Health Plan | Medicare Advantage | $207.31 | ↓ -9% |
| Humana | Medicare Advantage | $207.31 | ↓ -9% |
| Health Net | Medicare | $207.31 | ↓ -9% |
| Health Net | Medicaid | $207.31 | ↓ -9% |
| Health Choice Arizona, Inc. | Medicare Advantage | $207.31 | ↓ -9% |
| Blue Cross Blue Shield of Arizona | Medicare Advantage | $207.31 | ↓ -9% |
| Devoted Health Services | Medicare Advantage | $217.68 | ↓ -4% |
| Carelon | Medicare Advantage | $217.68 | ↓ -4% |
| Arizona Priority Care | Medicare Advantage | $228.04 | ↑ +1% |
| Gold Kidney Health Plan | Medicare Advantage | $228.04 | ↑ +1% |
| Aetna | Qualified Health Plan | $281.94 | ↑ +24% |
| United Healthcare | Individual Exchange | $290.23 | ↑ +28% |
| Health Net | Commerical Exchange Product | $306.82 | ↑ +35% |
| Health Choice Arizona, Inc. | ACA Health Plan | $310.96 | ↑ +37% |
| Aetna | Banner Employee Plans | $335.66 | ↑ +48% |
| Oscar Health Plan | Commercial | $342.06 | ↑ +51% |
| Hospice of the Valley | Medicare | $349.65 | ↑ +54% |
| Cigna Healthcare of Arizona, Inc. | LocalFlex | $363.82 | ↑ +60% |
| United Healthcare | UHC Doctor's Plan | $383.44 | ↑ +69% |
| Cigna Healthcare of Arizona, Inc. | Commercial | $404.25 | ↑ +78% |
| United Healthcare | UHC Core | $423.92 | ↑ +87% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $449.55 | ↑ +98% |
| Plotkin Health | Plotkin Health | $449.55 | ↑ +98% |
| United Healthcare | Commercial | $466.45 | ↑ +106% |
| Aetna | Medical Rental | $526.47 | ↑ +132% |
| Quiktrip Corporation | Commercial | $539.46 | ↑ +138% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $616.27 | ↑ +172% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $657.34 | ↑ +190% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $690.21 | ↑ +204% |
| Aetna | Joint Venture | $696.15 | ↑ +207% |
| Aetna | Designated Group | $739.68 | ↑ +226% |
| Provider Network of America | Commercial | $749.25 | ↑ +230% |
| Arizona Medical Network | Commercial | $799.20 | ↑ +252% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $821.68 | ↑ +262% |
| Blue Cross Blue Shield of Arizona | Commercial | $821.68 | ↑ +262% |
| Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Preferred | $821.68 | ↑ +262% |
| Aetna | Broad Network | $870.29 | ↑ +284% |
Visitor-reported prices
Comments
Apl(pml-rara) quant - sendout at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Gilbert Medical Center | Gilbert | $204.00 | $116.10 – $638.52 |
| Banner University Medical Center Phoenix | Phoenix | $278.72 | $207.31 – $749.25 |
| Banner University Medical Center Tucson | Tucson | $206.79 | $207.31 – $680.80 |
| Banner University Medical Center South | Tucson | $145.52 | $207.31 – $680.80 |
| Banner Baywood Medical Center | Mesa | $217.78 | $207.31 – $749.25 |
| Banner Casa Grande Medical Center | Casa Grande | $157.84 | $207.31 – $749.25 |
| Banner Del Webb Medical Center | Sun City West | $177.82 | $207.31 – $799.20 |
| Banner Desert Medical Center | Mesa | $439.56 | $207.31 – $749.25 |