Arizona / Banner Boswell Medical Center
CMS certification 030061 · Sun City, AZ · 3 entries in CMS's price-transparency list
Banner Boswell Medical Center: charges and Medicare payments
Banner Boswell Medical Center reported 4,057 Medicare inpatient stays across 113 DRGs in 2024. Across them it charged 5.3 times what it was paid — mid-range in Arizona, number 25 of 53 hospitals with at least 100 stays (state median 5×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 424 stays at an average charge of $67,735, 25% below the national average. It also billed 3,708 outpatient services, charging 7.04 times what Medicare paid.
- 1Medicare inpatient stays 4,057
- 2Charge ÷ paid, inpatient 5.3×
- 3Rank in AZ (highest ratio = 1) 25 of 53
- 4CMS price-transparency actions 3
Inpatient stays
For the 113 DRGs that can be compared with the national average, Banner Boswell Medical Center charged more than the national average in 12 (11%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 424 | $67,735 | -25% | $14,350 |
| 291 Heart Failure and Shock with MCC | 278 | $50,830 | -10% | $9,546 |
| 193 Simple Pneumonia and Pleurisy with MCC | 131 | $51,595 | -14% | $10,039 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 131 | $122,135 | -22% | $23,449 |
| 177 Respiratory Infections and Inflammations with MCC | 126 | $63,814 | -10% | $12,343 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 104 | $39,975 | -18% | $8,102 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 89 | $221,480 | 0% | $36,874 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 83 | $31,858 | -21% | $6,033 |
| 378 Gastrointestinal Hemorrhage with CC | 77 | $42,047 | -13% | $7,361 |
| 690 Kidney and Urinary Tract Infections without MCC | 77 | $27,203 | -28% | $5,910 |
| 683 Renal Failure with CC | 76 | $37,305 | -8% | $6,850 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 73 | $37,772 | -25% | $8,236 |
| 682 Renal Failure with MCC | 64 | $62,709 | -5% | $10,773 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 62 | $43,673 | -22% | $7,614 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 62 | $62,713 | -15% | $12,458 |
| 603 Cellulitis without MCC | 61 | $27,020 | -28% | $6,221 |
| 312 Syncope and Collapse | 60 | $40,867 | -10% | $6,382 |
| 689 Kidney and Urinary Tract Infections with MCC | 57 | $38,438 | -25% | $8,354 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 56 | $154,243 | -33% | $35,438 |
| 481 Hip and Femur Procedures except Major Joint with CC | 54 | $71,981 | -29% | $14,570 |
| 377 Gastrointestinal Hemorrhage with MCC | 52 | $59,733 | -30% | $12,978 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 46 | $31,324 | -15% | $5,903 |
| 194 Simple Pneumonia and Pleurisy with CC | 45 | $29,165 | -24% | $5,995 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 44 | $31,613 | -12% | $5,458 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 42 | $35,547 | -25% | $7,313 |
| 189 Pulmonary Edema and Respiratory Failure | 41 | $40,871 | -29% | $10,286 |
| 236 Coronary Bypass without Cardiac Catheterization without MCC | 41 | $188,954 | -10% | $31,306 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 38 | $58,209 | +3% | $9,077 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 37 | $49,993 | -17% | $9,638 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 36 | $49,952 | -18% | $9,311 |
| 220 Cardiac Valve and Other Major Cardiothoracic Procedures... | 35 | $287,110 | +4% | $39,758 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 34 | $63,532 | -36% | $15,422 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 34 | $74,399 | -27% | $16,306 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 32 | $52,089 | -20% | $10,723 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 30 | $96,033 | -16% | $17,772 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 29 | $61,082 | -19% | $11,501 |
| 813 Coagulation Disorders | 29 | $50,404 | -37% | $11,427 |
| 660 Kidney and Ureter Procedures for Non-Neoplasm with CC | 28 | $62,872 | -7% | $9,826 |
| 330 Major Small and Large Bowel Procedures with CC | 26 | $88,997 | -25% | $19,150 |
| 372 Major Gastrointestinal Disorders and Peritoneal Infections... | 26 | $37,225 | -22% | $7,958 |
| 389 Gastrointestinal Obstruction with CC | 26 | $27,971 | -28% | $6,374 |
| 552 Medical Back Problems without MCC | 26 | $39,005 | -20% | $6,953 |
| 854 Infectious and Parasitic Diseases with O.R. Procedures with... | 26 | $98,757 | 0% | $16,151 |
| 394 Other Digestive System Diagnoses with CC | 25 | $35,580 | -24% | $6,895 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 23 | $101,089 | -26% | $20,573 |
| 266 Endovascular Cardiac Valve Replacement and Supplement... | 23 | $295,639 | +4% | $45,424 |
| 163 Major Chest Procedures with MCC | 22 | $162,004 | -23% | $33,366 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 22 | $235,492 | -27% | $62,841 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 21 | $152,528 | -7% | $27,770 |
| 331 Major Small and Large Bowel Procedures without CC/MCC | 21 | $73,130 | -15% | $13,155 |
| 445 Disorders of The Biliary Tract with CC | 21 | $49,647 | -15% | $7,993 |
| 454 Combined Anterior and Posterior Spinal Fusion with CC | 21 | $337,158 | +21% | $54,975 |
| 563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,... | 21 | $24,419 | -43% | $6,052 |
| 812 Red Blood Cell Disorders without MCC | 21 | $30,910 | -30% | $6,585 |
| 243 Permanent Cardiac Pacemaker Implant with CC | 20 | $109,838 | -1% | $17,037 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 20 | $101,068 | -27% | $20,650 |
| 039 Extracranial Procedures without CC/MCC | 19 | $65,477 | +3% | $8,301 |
| 191 Chronic Obstructive Pulmonary Disease with CC | 19 | $33,291 | -16% | $6,145 |
| 234 Coronary Bypass with Cardiac Catheterization or Open... | 19 | $240,822 | -10% | $37,923 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 19 | $55,622 | -13% | $7,990 |
Showing the 60 most frequent of 113 DRGs.
Outpatient services
Against the Arizona average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Banner Boswell Medical Center charged $67,735 on average, 23% less than the Arizona average of $87,638, and was paid $14,350 against a state average of $17,455. For Heart Failure and Shock with MCC (DRG 291), Banner Boswell Medical Center charged $50,830 on average, 15% less than the Arizona average of $59,877, and was paid $9,546 against a state average of $11,479. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Banner Boswell Medical Center charged $51,595 on average, 13% less than the Arizona average of $59,468, and was paid $10,039 against a state average of $11,853. For Percutaneous and Other Intracardiac Procedures without MCC (DRG 274), Banner Boswell Medical Center charged $122,135 on average, 26% less than the Arizona average of $164,794, and was paid $23,449 against a state average of $26,205. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $15,918 was 34% below the state average of $24,129. For Level 3 Electrophysiologic Procedures (outpatient APC 5213), its average charge of $133,858 was 14% below the state average of $155,808. For Level 4 Urology and Related Services (outpatient APC 5374), its average charge of $26,331 was 10% below the state average of $29,259. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $61,764 was 32% below the state average of $91,091.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Banner Boswell Medical Center in Sun City, AZ, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2023-11-16 (CMS case 2037)
- Closure Notice — 2024-03-14 (CMS case 2037)
- Met Requirements — 2025-07-24 (CMS case 5956)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.