Prcrd drg 6+yr without anomly at Banner Boswell Medical Center
10401 West Thunderbird Blvd, Sun City, AZ · Banner Health · · NPI 1952560914
$749.95
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.
$2,595.00
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.
$519.00 with Aetna vs $11,661.93 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 | $519.00 | ↓ -31% |
| Arizona Physicians IPA | Medicaid | $519.00 | ↓ -31% |
| Health Net | Medicaid | $519.00 | ↓ -31% |
| Health Choice Arizona, Inc. | Medicaid | $519.00 | ↓ -31% |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $519.00 | ↓ -31% |
| Mercy Care | Mercy Medicaid | $519.00 | ↓ -31% |
| Aetna | Qualified Health Plan | $659.13 | ↓ -12% |
| Health Choice Arizona, Inc. | Medicare Advantage | $778.50 | ↑ +4% |
| Hospice of the Valley | Medicare | $908.25 | ↑ +21% |
| Aetna | Banner Employee Plans | $936.00 | ↑ +25% |
| Arizona Priority Care | Medicare Advantage | $1,038.00 | ↑ +38% |
| Plotkin Health | Plotkin Health | $1,167.75 | ↑ +56% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $1,167.75 | ↑ +56% |
| Health Net | Medicare | $1,297.50 | ↑ +73% |
| Health Choice Arizona, Inc. | ACA Health Plan | $1,297.50 | ↑ +73% |
| Oscar Health Plan | Commercial | $1,297.50 | ↑ +73% |
| Aetna | Medical Rental | $1,367.57 | ↑ +82% |
| Health Net | Commerical Exchange Product | $1,401.30 | ↑ +87% |
| Quiktrip Corporation | Commercial | $1,401.30 | ↑ +87% |
| Provider Network of America | Commercial | $1,946.25 | ↑ +160% |
| Arizona Medical Network | Commercial | $2,076.00 | ↑ +177% |
| Aetna | Joint Venture | $3,617.00 | ↑ +382% |
| Aetna | Designated Group | $3,843.00 | ↑ +412% |
| Cigna Healthcare of Arizona, Inc. | LocalFlex | $4,018.00 | ↑ +436% |
| Cigna Healthcare of Arizona, Inc. | Commercial | $4,464.00 | ↑ +495% |
| Aetna | Broad Network | $4,521.00 | ↑ +503% |
| United Healthcare | UHC Doctor's Plan | $4,640.00 | ↑ +519% |
| United Healthcare | UHC Core | $4,850.00 | ↑ +547% |
| United Healthcare | Commercial | $5,105.00 | ↑ +581% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $8,746.57 | ↑ +1066% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $9,329.54 | ↑ +1144% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $9,796.02 | ↑ +1206% |
| Blue Cross Blue Shield of Arizona | Commercial | $11,661.93 | ↑ +1455% |
| Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Preferred | $11,661.93 | ↑ +1455% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $11,661.93 | ↑ +1455% |
Visitor-reported prices
Comments
Prcrd drg 6+yr without anomly at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner University Medical Center Phoenix | Phoenix | $929.01 | $519.00 – $4,640.00 |
| Banner University Medical Center Tucson | Tucson | $521.63 | $287.40 – $9,772.77 |
| Banner University Medical Center South | Tucson | $757.30 | $287.40 – $6,883.32 |
| Banner Baywood Medical Center | Mesa | $887.49 | $519.00 – $11,454.85 |
| Banner Casa Grande Medical Center | Casa Grande | $718.82 | $519.00 – $6,708.21 |
| Banner Del Webb Medical Center | Sun City West | $827.81 | $519.00 – $4,640.00 |
| Banner Desert Medical Center | Mesa | $918.63 | $519.00 – $11,454.85 |
| Banner Estrella Medical Center | Phoenix | $1,004.26 | $519.00 – $11,454.85 |