healthcosts.net
Established Patient Office Visit (level 1) at Banner Boswell Medical Center
10401 West Thunderbird Blvd, Sun City, AZ · Banner Health · · NPI 1952560914
$32.56
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.
$135.00
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.
$27.00 with Aetna vs $108.00 with Arizona Medical Network — 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 | $27.00 | ↓ -17% |
| Aetna | Qualified Health Plan | $34.29 | ↑ +5% |
| Health Choice Arizona, Inc. | Medicare Advantage | $40.50 | ↑ +24% |
| Hospice of the Valley | Medicare | $47.25 | ↑ +45% |
| Arizona Priority Care | Medicare Advantage | $54.00 | ↑ +66% |
| Arizona Physicians IPA | Medicaid | $54.54 | ↑ +68% |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $54.54 | ↑ +68% |
| Health Choice Arizona, Inc. | Medicaid | $54.54 | ↑ +68% |
| Mercy Care | Mercy Medicaid | $54.54 | ↑ +68% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $60.75 | ↑ +87% |
| Plotkin Health | Plotkin Health | $60.75 | ↑ +87% |
| United Healthcare | UHC Doctor's Plan | $65.47 | ↑ +101% |
| Health Choice Arizona, Inc. | ACA Health Plan | $67.50 | ↑ +107% |
| Oscar Health Plan | Commercial | $67.50 | ↑ +107% |
| United Healthcare | UHC Core | $68.44 | ↑ +110% |
| Aetna | Medical Rental | $71.14 | ↑ +118% |
| United Healthcare | Commercial | $72.09 | ↑ +121% |
| Quiktrip Corporation | Commercial | $72.90 | ↑ +124% |
| Cigna Healthcare of Arizona, Inc. | LocalFlex | $88.69 | ↑ +172% |
| Cigna Healthcare of Arizona, Inc. | Commercial | $92.75 | ↑ +185% |
| Provider Network of America | Commercial | $101.25 | ↑ +211% |
| Arizona Medical Network | Commercial | $108.00 | ↑ +232% |
Visitor-reported prices
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Established Patient Office Visit (level 1) at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner University Medical Center Phoenix | Phoenix | $220.69 | $27.00 – $101.25 |
| Banner University Medical Center Tucson | Tucson | $205.61 | $30.00 – $120.00 |
| Banner University Medical Center South | Tucson | $50.55 | $30.00 – $120.00 |
| Banner Baywood Medical Center | Mesa | $126.50 | $8.00 – $54.54 |
| Banner Casa Grande Medical Center | Casa Grande | $157.18 | $8.00 – $54.54 |
| Banner Del Webb Medical Center | Sun City West | $209.67 | $27.00 – $108.00 |
| Banner Desert Medical Center | Mesa | $216.63 | $27.00 – $101.25 |
| Banner Estrella Medical Center | Phoenix | $225.91 | $27.00 – $101.25 |