Prgrmg eval implantable dfb at Banner Boswell Medical Center
10401 West Thunderbird Blvd, Sun City, AZ · Banner Health · · NPI 1952560914
$39.20
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.
$162.00
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.
$26.93 with Health Net vs $337.53 with Aetna — 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 | $26.93 | ↓ -31% |
| Arizona Physicians IPA | Medicaid | $26.93 | ↓ -31% |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $26.93 | ↓ -31% |
| Health Choice Arizona, Inc. | Medicaid | $26.93 | ↓ -31% |
| Mercy Care | Mercy Medicaid | $26.93 | ↓ -31% |
| Wellpoint | Medicare Advantage HMO | $39.74 | ↑ +1% |
| United Healthcare | Medicare Advantage | $39.74 | ↑ +1% |
| UPMC Health Plan | Medicare Advantage | $39.74 | ↑ +1% |
| Health Net | Medicare | $39.74 | ↑ +1% |
| Blue Cross Blue Shield of Arizona | Medicare Advantage | $39.74 | ↑ +1% |
| TriWest Healthcare Alliance Corp - VA CCN | VA Community Care Network | $39.74 | ↑ +1% |
| Aetna | Medicare Advantage | $39.74 | ↑ +1% |
| Gila River Health Care Corporation | Managed Care Program | $39.74 | ↑ +1% |
| Humana | Medicare Advantage | $39.74 | ↑ +1% |
| Arizona Physicians IPA | Medicare Advantage | $39.74 | ↑ +1% |
| Care 1st | Medicare Advantage | $39.74 | ↑ +1% |
| Banner University Health Plan | University Care Advantage | $39.74 | ↑ +1% |
| Mercy Care | Mercy Care Advantage | $39.74 | ↑ +1% |
| Kaiser Foundation Health Plan | Medicare Advantage | $39.74 | ↑ +1% |
| Health Choice Arizona, Inc. | Medicare Advantage | $39.74 | ↑ +1% |
| Cigna Healthcare of Arizona, Inc. | PPO Medicare Advantage Plan | $39.74 | ↑ +1% |
| Cigna Healthcare of Arizona, Inc. | HMO Medicare Advantage Plans | $39.74 | ↑ +1% |
| Banner Health | Medicare Advantage | $39.74 | ↑ +1% |
| Carelon | Medicare Advantage | $41.73 | ↑ +6% |
| Devoted Health Services | Medicare Advantage | $41.73 | ↑ +6% |
| Gold Kidney Health Plan | Medicare Advantage | $43.71 | ↑ +12% |
| Arizona Priority Care | Medicare Advantage | $43.71 | ↑ +12% |
| Aetna | Qualified Health Plan | $54.05 | ↑ +38% |
| Aetna | Banner Employee Plans | $54.43 | ↑ +39% |
| United Healthcare | Individual Exchange | $55.64 | ↑ +42% |
| Hospice of the Valley | Medicare | $56.70 | ↑ +45% |
| Health Net | Commerical Exchange Product | $58.82 | ↑ +50% |
| Health Choice Arizona, Inc. | ACA Health Plan | $59.61 | ↑ +52% |
| Oscar Health Plan | Commercial | $65.57 | ↑ +67% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $72.90 | ↑ +86% |
| Plotkin Health | Plotkin Health | $72.90 | ↑ +86% |
| United Healthcare | UHC Doctor's Plan | $78.57 | ↑ +100% |
| United Healthcare | UHC Core | $82.13 | ↑ +110% |
| Aetna | Medical Rental | $85.37 | ↑ +118% |
| United Healthcare | Commercial | $86.51 | ↑ +121% |
| Quiktrip Corporation | Commercial | $87.48 | ↑ +123% |
| Cigna Healthcare of Arizona, Inc. | LocalFlex | $106.43 | ↑ +172% |
| Cigna Healthcare of Arizona, Inc. | Commercial | $111.29 | ↑ +184% |
| Provider Network of America | Commercial | $121.50 | ↑ +210% |
| Arizona Medical Network | Commercial | $129.60 | ↑ +231% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $134.27 | ↑ +243% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $143.22 | ↑ +265% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $150.38 | ↑ +284% |
| Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Preferred | $179.02 | ↑ +357% |
| Blue Cross Blue Shield of Arizona | Commercial | $179.02 | ↑ +357% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $179.02 | ↑ +357% |
| Aetna | Joint Venture | $270.02 | ↑ +589% |
| Aetna | Designated Group | $286.90 | ↑ +632% |
| Aetna | Broad Network | $337.53 | ↑ +761% |
| TriWest Healthcare Alliance Corp - VA CCN | Tricare | not published by hospital | — |
Visitor-reported prices
Comments
Prgrmg eval implantable dfb at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner University Medical Center Phoenix | Phoenix | $47.47 | $26.93 – $121.50 |
| Banner University Medical Center Tucson | Tucson | $181.47 | $26.93 – $552.00 |
| Banner University Medical Center South | Tucson | $80.73 | $26.93 – $552.00 |
| Banner Baywood Medical Center | Mesa | $16.04 | $26.93 – $121.50 |
| Banner Heart Hospital | Mesa | $46.33 | $26.93 – $121.50 |
| Banner Thunderbird Medical Center | Glendale | $46.33 | $26.93 – $121.50 |
| Yavapai Regional Medical Center (East) | Prescott | $86.82 | $39.74 – $107.40 |