Ins/rplc spi npg/rcvr pocket at Banner Boswell Medical Center
10401 West Thunderbird Blvd, Sun City, AZ · Banner Health · · NPI 1952560914
$1,460.61
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.
$5,054.00
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.
$1,768.90 with Hospice of the Valley vs $53,590.94 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 |
|---|---|---|---|
| Hospice of the Valley | Medicare | $1,768.90 | ↑ +21% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $2,274.30 | ↑ +56% |
| Plotkin Health | Plotkin Health | $2,274.30 | ↑ +56% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $2,495.41 | ↑ +71% |
| Aetna | Banner Employee Plans | $2,633.00 | ↑ +80% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $2,661.73 | ↑ +82% |
| Aetna | Medical Rental | $2,663.46 | ↑ +82% |
| Quiktrip Corporation | Commercial | $2,729.16 | ↑ +87% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $2,794.82 | ↑ +91% |
| Blue Cross Blue Shield of Arizona | Commercial | $3,327.16 | ↑ +128% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $3,327.16 | ↑ +128% |
| Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Preferred | $3,327.16 | ↑ +128% |
| Provider Network of America | Commercial | $3,790.50 | ↑ +160% |
| Cigna Healthcare of Arizona, Inc. | LocalFlex | $4,018.00 | ↑ +175% |
| Arizona Medical Network | Commercial | $4,043.20 | ↑ +177% |
| Cigna Healthcare of Arizona, Inc. | Commercial | $4,464.00 | ↑ +206% |
| United Healthcare | UHC Doctor's Plan | $11,665.00 | ↑ +699% |
| United Healthcare | UHC Core | $12,191.00 | ↑ +735% |
| Aetna | Joint Venture | $12,378.00 | ↑ +747% |
| United Healthcare | Commercial | $12,833.00 | ↑ +779% |
| Aetna | Designated Group | $13,151.00 | ↑ +800% |
| Aetna | Broad Network | $15,472.00 | ↑ +959% |
| Arizona Physicians IPA | Medicaid | $21,347.28 | ↑ +1362% |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $21,347.28 | ↑ +1362% |
| Health Net | Medicaid | $21,347.28 | ↑ +1362% |
| Health Choice Arizona, Inc. | Medicaid | $21,347.28 | ↑ +1362% |
| Mercy Care | Mercy Medicaid | $21,347.28 | ↑ +1362% |
| Care 1st | Medicare Advantage | $32,479.36 | ↑ +2124% |
| United Healthcare | Medicare Advantage | $32,479.36 | ↑ +2124% |
| Arizona Physicians IPA | Medicare Advantage | $32,479.36 | ↑ +2124% |
| Banner University Health Plan | University Care Advantage | $32,479.36 | ↑ +2124% |
| Blue Cross Blue Shield of Arizona | Medicare Advantage | $32,479.36 | ↑ +2124% |
| Cigna Healthcare of Arizona, Inc. | PPO Medicare Advantage Plan | $32,479.36 | ↑ +2124% |
| Cigna Healthcare of Arizona, Inc. | HMO Medicare Advantage Plans | $32,479.36 | ↑ +2124% |
| UPMC Health Plan | Medicare Advantage | $32,479.36 | ↑ +2124% |
| Aetna | Medicare Advantage | $32,479.36 | ↑ +2124% |
| Banner Health | Medicare Advantage | $32,479.36 | ↑ +2124% |
| Humana | Medicare Advantage | $32,479.36 | ↑ +2124% |
| Health Choice Arizona, Inc. | Medicare Advantage | $32,479.36 | ↑ +2124% |
| Kaiser Foundation Health Plan | Medicare Advantage | $32,479.36 | ↑ +2124% |
| TriWest Healthcare Alliance Corp - VA CCN | VA Community Care Network | $32,479.36 | ↑ +2124% |
| Health Net | Medicare | $32,479.36 | ↑ +2124% |
| Gila River Health Care Corporation | Managed Care Program | $32,479.36 | ↑ +2124% |
| Wellpoint | Medicare Advantage HMO | $32,479.36 | ↑ +2124% |
| Mercy Care | Mercy Care Advantage | $32,479.36 | ↑ +2124% |
| Devoted Health Services | Medicare Advantage | $34,103.33 | ↑ +2235% |
| Carelon | Medicare Advantage | $34,103.33 | ↑ +2235% |
| Gold Kidney Health Plan | Medicare Advantage | $35,727.30 | ↑ +2346% |
| Arizona Priority Care | Medicare Advantage | $35,727.30 | ↑ +2346% |
| Aetna | Qualified Health Plan | $44,171.93 | ↑ +2924% |
| United Healthcare | Individual Exchange | $45,471.10 | ↑ +3013% |
| Health Net | Commerical Exchange Product | $48,069.45 | ↑ +3191% |
| Health Choice Arizona, Inc. | ACA Health Plan | $48,719.04 | ↑ +3236% |
| Oscar Health Plan | Commercial | $53,590.94 | ↑ +3569% |
| TriWest Healthcare Alliance Corp - VA CCN | Tricare | not published by hospital | — |
Visitor-reported prices
Comments
Ins/rplc spi npg/rcvr pocket at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Desert Medical Center | Mesa | $1,789.12 | $1,768.90 – $53,590.94 |
| Banner Thunderbird Medical Center | Glendale | $1,556.63 | $72.99 – $53,590.94 |
| Mercy Gilbert Medical Center | Gilbert | not published | $358.33 – $32,479.36 |
| Banner University Medical Center Phoenix | Phoenix | not published | $1,271.44 – $21,347.28 |
| Banner University Medical Center Tucson | Tucson | not published | $2,788.18 – $21,347.28 |
| Banner University Medical Center South | Tucson | not published | $1,963.82 – $21,347.28 |
| Banner Ironwood Medical Center | San Tan Valley | not published | $3,268.08 – $21,347.28 |
| Banner Estrella Medical Center | Phoenix | not published | $3,268.08 – $21,347.28 |