CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Banner Boswell Medical Center

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$17,938

about 1.3× the $14,044 Medicare rate · typically $16,116–$23,224

modeled estimate · not a bill or quote

What this hospital charges insurers

$15,573

Below the fair price — a good deal

about $2,365 under the fair price · 1.1× Medicare

Medicare pays $14,044 Fair price $17,938 This hospital $15,573 Cash price $19,634

How we calculate the fair BaseRate →

How this hospital compares to other AZ hospitals

A typical price — 3 charge more and 5 charge less, among the 9 AZ hospitals compared.

Cheapest $13,152 Priciest $15,911

Black dot = this hospital, among the 9 AZ hospitals with a price for this procedure. Full list below.

A fair price for a Hip or knee replacement (inpatient stay) is about $17,938 (about 1.3× the $14,044 Medicare rate). Banner Boswell Medical Center charges insurers about $15,573, or about $19,634 in cash — below the fair price — a good deal. Located in Sun City, AZ.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$14,487 - $50,000	103%
Blue Cross Blue Shieldmajor	$14,487 - $61,689	103%
Aetnamajor	$14,487 - $47,780	103%
Cignamajor	$14,487 - $57,065	103%
Humanamajor	$14,487 - $14,922	103%
Kaiser Permanentemajor	$14,487	103%
Banner Health	$14,487	103%
Devoted Health	$15,211	108%
Health Net	$14,487 - $21,441	103%
Oscar Health	$23,903	170%
UPMC Health Plan	$14,487	103%
+ 8 smaller / regional plans	$14,487 - $21,730

Government programs also on file: Military & VA.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 19,634), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the MS-DRG code on your bill matches exactly: 470.

Insurance Before you use insurance

Call your insurance company to confirm Banner Boswell Medical Center is in-network.
Ask your insurer whether prior approval is required for MS-DRG code 470.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Banner Boswell Medical Center

Compare: Hip or knee replacement (inpatient stay) at other AZ hospitals

Northern Cochise Community Hospital, Inc. · Willcox $13,152
Yavapai Regional Medical Center · Prescott $14,155
Havasu Regional Medical Center · Lake Havasu City $14,683
Banner Heart Hospital · Mesa $15,052
Honorhealth Scottsdale Shea Medical Center · Scottsdale $15,344
Honorhealth Deer Valley Medical Center · Phoenix $15,699
Honorhealth Sonoran Crossing Medical Center · Phoenix $15,838
Honorhealth Scottsdale Osborn Medical Center · Scottsdale $15,911

Insurance negotiated median for the same procedure, sorted lowest first.