Biopsy lower leg soft tissue at Banner Boswell Medical Center
10401 West Thunderbird Blvd, Sun City, AZ · Banner Health · · NPI 1952560914
$748.80
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.
$3,105.00
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.
$1,020.08 with Banner University Health Plan vs $2,849.35 with Oscar Health Plan — 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 |
|---|---|---|---|
| Banner University Health Plan | AZ Medicaid - AHCCCS | $1,020.08 | ↑ +36% |
| Mercy Care | Mercy Medicaid | $1,020.08 | ↑ +36% |
| Health Choice Arizona, Inc. | Medicaid | $1,020.08 | ↑ +36% |
| Arizona Physicians IPA | Medicaid | $1,020.08 | ↑ +36% |
| Health Net | Medicaid | $1,020.08 | ↑ +36% |
| Aetna | Banner Employee Plans | $1,043.28 | ↑ +39% |
| Hospice of the Valley | Medicare | $1,086.75 | ↑ +45% |
| Plotkin Health | Plotkin Health | $1,397.25 | ↑ +87% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $1,397.25 | ↑ +87% |
| Aetna | Joint Venture | $1,434.51 | ↑ +92% |
| United Healthcare | UHC Doctor's Plan | $1,505.92 | ↑ +101% |
| Aetna | Designated Group | $1,524.56 | ↑ +104% |
| United Healthcare | UHC Core | $1,574.23 | ↑ +110% |
| Aetna | Medical Rental | $1,636.34 | ↑ +119% |
| United Healthcare | Commercial | $1,658.07 | ↑ +121% |
| Quiktrip Corporation | Commercial | $1,676.70 | ↑ +124% |
| Wellpoint | Medicare Advantage HMO | $1,726.88 | ↑ +131% |
| Aetna | Medicare Advantage | $1,726.88 | ↑ +131% |
| Arizona Physicians IPA | Medicare Advantage | $1,726.88 | ↑ +131% |
| Banner Health | Medicare Advantage | $1,726.88 | ↑ +131% |
| Banner University Health Plan | University Care Advantage | $1,726.88 | ↑ +131% |
| Blue Cross Blue Shield of Arizona | Medicare Advantage | $1,726.88 | ↑ +131% |
| Care 1st | Medicare Advantage | $1,726.88 | ↑ +131% |
| Cigna Healthcare of Arizona, Inc. | HMO Medicare Advantage Plans | $1,726.88 | ↑ +131% |
| Cigna Healthcare of Arizona, Inc. | PPO Medicare Advantage Plan | $1,726.88 | ↑ +131% |
| Gila River Health Care Corporation | Managed Care Program | $1,726.88 | ↑ +131% |
| Health Choice Arizona, Inc. | Medicare Advantage | $1,726.88 | ↑ +131% |
| Health Net | Medicare | $1,726.88 | ↑ +131% |
| Humana | Medicare Advantage | $1,726.88 | ↑ +131% |
| Kaiser Foundation Health Plan | Medicare Advantage | $1,726.88 | ↑ +131% |
| Mercy Care | Mercy Care Advantage | $1,726.88 | ↑ +131% |
| TriWest Healthcare Alliance Corp - VA CCN | VA Community Care Network | $1,726.88 | ↑ +131% |
| United Healthcare | Medicare Advantage | $1,726.88 | ↑ +131% |
| UPMC Health Plan | Medicare Advantage | $1,726.88 | ↑ +131% |
| Aetna | Broad Network | $1,791.59 | ↑ +139% |
| Carelon | Medicare Advantage | $1,813.22 | ↑ +142% |
| Devoted Health Services | Medicare Advantage | $1,813.22 | ↑ +142% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $1,863.43 | ↑ +149% |
| Gold Kidney Health Plan | Medicare Advantage | $1,899.57 | ↑ +154% |
| Arizona Priority Care | Medicare Advantage | $1,899.57 | ↑ +154% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $1,987.63 | ↑ +165% |
| Cigna Healthcare of Arizona, Inc. | LocalFlex | $2,039.98 | ↑ +172% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $2,087.01 | ↑ +179% |
| Cigna Healthcare of Arizona, Inc. | Commercial | $2,133.14 | ↑ +185% |
| Provider Network of America | Commercial | $2,328.75 | ↑ +211% |
| Aetna | Qualified Health Plan | $2,348.56 | ↑ +214% |
| United Healthcare | Individual Exchange | $2,417.63 | ↑ +223% |
| Arizona Medical Network | Commercial | $2,484.00 | ↑ +232% |
| Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Preferred | $2,484.54 | ↑ +232% |
| Blue Cross Blue Shield of Arizona | Commercial | $2,484.54 | ↑ +232% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $2,484.54 | ↑ +232% |
| Health Net | Commerical Exchange Product | $2,555.78 | ↑ +241% |
| Health Choice Arizona, Inc. | ACA Health Plan | $2,590.32 | ↑ +246% |
| Oscar Health Plan | Commercial | $2,849.35 | ↑ +281% |
| TriWest Healthcare Alliance Corp - VA CCN | Tricare | not published by hospital | — |
Visitor-reported prices
Comments
Biopsy lower leg soft tissue at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Gilbert Medical Center | Gilbert | $1,441.32 | $170.94 – $4,511.43 |
| Banner University Medical Center Phoenix | Phoenix | $2,412.84 | $621.00 – $2,331.29 |
| Yavapai Regional Medical Center (East) | Prescott | $395.49 | $170.94 – $564.98 |
| Chandler Regional Medical Center | Chandler | $1,570.22 | $170.94 – $4,921.56 |
| Arizona General Hospital Laveen | Phoenix | not published | $170.94 – $1,778.69 |
| St. Joseph’s Hospital and Medical Center | Phoenix | not published | $170.94 – $1,778.69 |
| Arizona General Hospital Mesa | Mesa | not published | $170.94 – $1,778.69 |