Valvuloplasty mitral at Banner Boswell Medical Center
10401 West Thunderbird Blvd, Sun City, AZ · Banner Health · · NPI 1952560914
$3,138.25
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.
$10,859.00
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.
$3,800.65 with Hospice of the Valley vs $19,943.57 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 | $3,800.65 | ↑ +21% |
| Plotkin Health | Plotkin Health | $4,886.55 | ↑ +56% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $4,886.55 | ↑ +56% |
| Aetna | Medical Rental | $5,722.69 | ↑ +82% |
| Quiktrip Corporation | Commercial | $5,863.86 | ↑ +87% |
| United Healthcare | UHC Doctor's Plan | $5,878.00 | ↑ +87% |
| Cigna Healthcare of Arizona, Inc. | LocalFlex | $7,134.36 | ↑ +127% |
| Arizona Physicians IPA | Medicaid | $7,281.13 | ↑ +132% |
| Mercy Care | Mercy Medicaid | $7,281.13 | ↑ +132% |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $7,281.13 | ↑ +132% |
| Health Net | Medicaid | $7,281.13 | ↑ +132% |
| Health Choice Arizona, Inc. | Medicaid | $7,281.13 | ↑ +132% |
| Cigna Healthcare of Arizona, Inc. | Commercial | $7,460.13 | ↑ +138% |
| Aetna | Banner Employee Plans | $7,604.00 | ↑ +142% |
| Provider Network of America | Commercial | $8,144.25 | ↑ +160% |
| Arizona Medical Network | Commercial | $8,687.20 | ↑ +177% |
| United Healthcare | UHC Core | $8,965.00 | ↑ +186% |
| Aetna | Joint Venture | $9,112.00 | ↑ +190% |
| United Healthcare | Commercial | $9,437.00 | ↑ +201% |
| Aetna | Designated Group | $9,682.00 | ↑ +209% |
| Aetna | Broad Network | $11,390.00 | ↑ +263% |
| Arizona Physicians IPA | Medicare Advantage | $12,087.01 | ↑ +285% |
| Gila River Health Care Corporation | Managed Care Program | $12,087.01 | ↑ +285% |
| Humana | Medicare Advantage | $12,087.01 | ↑ +285% |
| United Healthcare | Medicare Advantage | $12,087.01 | ↑ +285% |
| UPMC Health Plan | Medicare Advantage | $12,087.01 | ↑ +285% |
| Blue Cross Blue Shield of Arizona | Medicare Advantage | $12,087.01 | ↑ +285% |
| Banner University Health Plan | University Care Advantage | $12,087.01 | ↑ +285% |
| Mercy Care | Mercy Care Advantage | $12,087.01 | ↑ +285% |
| Cigna Healthcare of Arizona, Inc. | PPO Medicare Advantage Plan | $12,087.01 | ↑ +285% |
| Cigna Healthcare of Arizona, Inc. | HMO Medicare Advantage Plans | $12,087.01 | ↑ +285% |
| Aetna | Medicare Advantage | $12,087.01 | ↑ +285% |
| Banner Health | Medicare Advantage | $12,087.01 | ↑ +285% |
| Health Choice Arizona, Inc. | Medicare Advantage | $12,087.01 | ↑ +285% |
| Kaiser Foundation Health Plan | Medicare Advantage | $12,087.01 | ↑ +285% |
| TriWest Healthcare Alliance Corp - VA CCN | VA Community Care Network | $12,087.01 | ↑ +285% |
| Health Net | Medicare | $12,087.01 | ↑ +285% |
| Wellpoint | Medicare Advantage HMO | $12,087.01 | ↑ +285% |
| Care 1st | Medicare Advantage | $12,087.01 | ↑ +285% |
| Carelon | Medicare Advantage | $12,691.36 | ↑ +304% |
| Devoted Health Services | Medicare Advantage | $12,691.36 | ↑ +304% |
| Arizona Priority Care | Medicare Advantage | $13,295.71 | ↑ +324% |
| Gold Kidney Health Plan | Medicare Advantage | $13,295.71 | ↑ +324% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $14,528.26 | ↑ +363% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $15,496.60 | ↑ +394% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $16,271.43 | ↑ +418% |
| Aetna | Qualified Health Plan | $16,438.33 | ↑ +424% |
| United Healthcare | Individual Exchange | $16,921.81 | ↑ +439% |
| Health Net | Commerical Exchange Product | $17,888.77 | ↑ +470% |
| Health Choice Arizona, Inc. | ACA Health Plan | $18,130.51 | ↑ +478% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $19,370.74 | ↑ +517% |
| Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Preferred | $19,370.74 | ↑ +517% |
| Blue Cross Blue Shield of Arizona | Commercial | $19,370.74 | ↑ +517% |
| Oscar Health Plan | Commercial | $19,943.57 | ↑ +535% |
| TriWest Healthcare Alliance Corp - VA CCN | Tricare | not published by hospital | — |
Visitor-reported prices
Comments
Valvuloplasty mitral at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner University Medical Center Phoenix | Phoenix | $3,887.52 | $4,886.55 – $19,943.57 |
| Banner University Medical Center Tucson | Tucson | $6,169.18 | $5,948.25 – $19,943.57 |
| Banner Baywood Medical Center | Mesa | $3,713.78 | $3,800.65 – $19,943.57 |
| Banner Desert Medical Center | Mesa | $3,844.09 | $3,800.65 – $19,943.57 |
| Banner Estrella Medical Center | Phoenix | $4,202.43 | $3,800.65 – $19,943.57 |
| Banner Heart Hospital | Mesa | $3,073.10 | $3,800.65 – $19,943.57 |
| Banner Thunderbird Medical Center | Glendale | $3,344.57 | $72.99 – $19,943.57 |
| St. Joseph’s Hospital and Medical Center | Phoenix | $12,437.92 | $1,398.64 – $25,722.40 |