Perq transcath septal reduxn at Banner Boswell Medical Center
10401 West Thunderbird Blvd, Sun City, AZ · Banner Health · · NPI 1952560914
$4,548.39
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.
$18,795.00
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.
$3,759.00 with Health Net vs $57,659.62 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 |
|---|---|---|---|
| Health Net | Medicaid | $3,759.00 | ↓ -17% |
| Aetna | Medicare Advantage | $3,759.00 | ↓ -17% |
| Mercy Care | Mercy Medicaid | $3,759.00 | ↓ -17% |
| Arizona Physicians IPA | Medicaid | $3,759.00 | ↓ -17% |
| Aetna | Qualified Health Plan | $4,773.93 | ↑ +5% |
| Health Choice Arizona, Inc. | Medicare Advantage | $5,638.50 | ↑ +24% |
| Hospice of the Valley | Medicare | $6,578.25 | ↑ +45% |
| Arizona Priority Care | Medicare Advantage | $7,518.00 | ↑ +65% |
| Plotkin Health | Plotkin Health | $8,457.75 | ↑ +86% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $8,457.75 | ↑ +86% |
| Aetna | Banner Employee Plans | $8,481.00 | ↑ +86% |
| United Healthcare | UHC Doctor's Plan | $9,115.58 | ↑ +100% |
| Health Net | Medicare | $9,397.50 | ↑ +107% |
| Oscar Health Plan | Commercial | $9,397.50 | ↑ +107% |
| Health Choice Arizona, Inc. | ACA Health Plan | $9,397.50 | ↑ +107% |
| United Healthcare | UHC Core | $9,529.07 | ↑ +110% |
| Aetna | Joint Venture | $9,895.00 | ↑ +118% |
| Aetna | Medical Rental | $9,904.97 | ↑ +118% |
| United Healthcare | Commercial | $10,036.53 | ↑ +121% |
| Quiktrip Corporation | Commercial | $10,149.30 | ↑ +123% |
| Health Net | Commerical Exchange Product | $10,149.30 | ↑ +123% |
| Aetna | Designated Group | $10,514.00 | ↑ +131% |
| Cigna Healthcare of Arizona, Inc. | LocalFlex | $12,348.32 | ↑ +171% |
| Aetna | Broad Network | $12,369.00 | ↑ +172% |
| Cigna Healthcare of Arizona, Inc. | Commercial | $12,912.17 | ↑ +184% |
| Provider Network of America | Commercial | $14,096.25 | ↑ +210% |
| Arizona Medical Network | Commercial | $15,036.00 | ↑ +231% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $43,245.32 | ↑ +851% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $46,127.70 | ↑ +914% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $48,434.08 | ↑ +965% |
| Blue Cross Blue Shield of Arizona | Commercial | $57,659.62 | ↑ +1168% |
| Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Preferred | $57,659.62 | ↑ +1168% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $57,659.62 | ↑ +1168% |
Visitor-reported prices
Comments
Perq transcath septal reduxn at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Gilbert Medical Center | Gilbert | $7,296.61 | $754.57 – $42,080.15 |
| Banner University Medical Center Phoenix | Phoenix | $5,506.93 | $3,759.00 – $22,034.00 |
| Banner University Medical Center Tucson | Tucson | $2,789.64 | $2,121.40 – $48,319.12 |
| Banner Heart Hospital | Mesa | $5,375.37 | $3,345.51 – $47,492.85 |
| St. Joseph’s Hospital and Medical Center | Phoenix | $25,891.58 | $754.57 – $56,797.43 |
| Yavapai Regional Medical Center (East) | Prescott | $10,598.73 | $754.57 – $1,430.70 |
| Chandler Regional Medical Center | Chandler | $7,949.15 | $683.63 – $24,915.24 |