App high cost ss t/a/l <100sq cm addl <25sq cm at Banner Boswell Medical Center
10401 West Thunderbird Blvd, Sun City, AZ · Banner Health · · NPI 1952560914
$19.78
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.
$82.00
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.
$16.40 with Aetna vs $1,665.99 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 | $16.40 | ↓ -17% |
| Aetna | Qualified Health Plan | $20.83 | ↑ +5% |
| Health Choice Arizona, Inc. | Medicare Advantage | $24.60 | ↑ +24% |
| Aetna | Banner Employee Plans | $27.55 | ↑ +39% |
| Hospice of the Valley | Medicare | $28.70 | ↑ +45% |
| Arizona Priority Care | Medicare Advantage | $32.80 | ↑ +66% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $36.90 | ↑ +87% |
| Plotkin Health | Plotkin Health | $36.90 | ↑ +87% |
| Aetna | Joint Venture | $37.88 | ↑ +92% |
| United Healthcare | UHC Doctor's Plan | $39.77 | ↑ +101% |
| Aetna | Designated Group | $40.26 | ↑ +104% |
| Health Choice Arizona, Inc. | ACA Health Plan | $41.00 | ↑ +107% |
| Oscar Health Plan | Commercial | $41.00 | ↑ +107% |
| Health Net | Medicare | $41.00 | ↑ +107% |
| United Healthcare | UHC Core | $41.57 | ↑ +110% |
| Aetna | Medical Rental | $43.21 | ↑ +118% |
| United Healthcare | Commercial | $43.79 | ↑ +121% |
| Health Net | Commerical Exchange Product | $44.28 | ↑ +124% |
| Quiktrip Corporation | Commercial | $44.28 | ↑ +124% |
| Aetna | Broad Network | $47.31 | ↑ +139% |
| Cigna Healthcare of Arizona, Inc. | LocalFlex | $53.87 | ↑ +172% |
| Cigna Healthcare of Arizona, Inc. | Commercial | $56.33 | ↑ +185% |
| Provider Network of America | Commercial | $61.50 | ↑ +211% |
| Arizona Medical Network | Commercial | $65.60 | ↑ +232% |
| Health Choice Arizona, Inc. | Medicaid | $82.69 | ↑ +318% |
| Arizona Physicians IPA | Medicaid | $82.69 | ↑ +318% |
| Health Net | Medicaid | $82.69 | ↑ +318% |
| Mercy Care | Mercy Medicaid | $82.69 | ↑ +318% |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $82.69 | ↑ +318% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $1,249.51 | ↑ +6217% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $1,332.79 | ↑ +6638% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $1,399.43 | ↑ +6975% |
| Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Preferred | $1,665.99 | ↑ +8323% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $1,665.99 | ↑ +8323% |
| Blue Cross Blue Shield of Arizona | Commercial | $1,665.99 | ↑ +8323% |
Visitor-reported prices
Comments
App high cost ss t/a/l <100sq cm addl <25sq cm at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Gilbert Medical Center | Gilbert | $666.91 | $17.52 – $2,087.47 |
| Banner University Medical Center Phoenix | Phoenix | $42.48 | $16.40 – $636.64 |
| Banner Baywood Medical Center | Mesa | $31.49 | $16.40 – $1,636.41 |
| Banner Casa Grande Medical Center | Casa Grande | $36.90 | $16.40 – $958.32 |
| Banner Payson Medical Center | Payson | $46.82 | $33.37 – $73.80 |
| St. Joseph’s Hospital and Medical Center | Phoenix | $1,182.29 | $17.52 – $1,187.47 |
| Yavapai Regional Medical Center (East) | Prescott | $2,617.04 | $17.52 – $31.35 |
| Chandler Regional Medical Center | Chandler | $726.55 | $17.52 – $2,277.24 |