Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm at Banner Thunderbird Medical Center

5555 West Thunderbird Road, Glendale, AZ · Banner Health · · NPI 1154355188

Source: hospital's published price file ↗ · Published Mar 2, 2026 · Ingested Aug 12, 2026

$104.75

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$398.30

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$26.09 with Banner University Health Plan vs $183.25 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 →

Payer
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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
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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
Banner University Health Plan University Family Plan $26.09 ↓ -75%
Arizona Physicians IPA Medicaid $26.09 ↓ -75%
Health Net Medicaid $26.09 ↓ -75%
Mercy Care Medicaid $26.09 ↓ -75%
Health Choice Arizona, Inc. Medicaid $26.09 ↓ -75%
Banner University Health Plan AZ Medicaid - AHCCCS $26.09 ↓ -75%
Aetna Medicare Advantage $27.78 ↓ -73%
Aetna Qualified Health Plan $35.28 ↓ -66%
Cigna Healthcare of Arizona, Inc. LocalFlex $38.74 ↓ -63%
Health Choice Arizona, Inc. Medicare Advantage $41.67 ↓ -60%
Cigna Healthcare of Arizona, Inc. Commercial $43.05 ↓ -59%
Aetna Banner Employee Plans $46.67 ↓ -55%
Hospice of the Valley Medicare $48.62 ↓ -54%
Blue Cross Blue Shield of Arizona Medicare Supplemental Senior Preferred $53.47 ↓ -49%
Arizona Priority Care Alignment Health Plans Medicare Advantage/Eternal Health Plan Medicare/SCAN Health Plan Medicare $55.56 ↓ -47%
Plotkin Health Plotkin Health $62.51 ↓ -40%
National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) NHSI VUMI $62.51 ↓ -40%
Aetna Joint Venture $63.34 ↓ -40%
Aetna Designated Group $67.23 ↓ -36%
United Healthcare UHC Doctor's Plan $67.37 ↓ -36%
Health Choice Arizona, Inc. ACA Health Plan $69.45 ↓ -34%
Oscar Health Plan Commercial $69.45 ↓ -34%
United Healthcare UHC Core $70.42 ↓ -33%
Mercy Care Mercy Care Advantage/Mercy Care Plan $72.99 ↓ -30%
Aetna Medical Rental $73.20 ↓ -30%
United Healthcare Commercial $74.17 ↓ -29%
Health Net Commerical Exchange Product $75.01 ↓ -28%
Quiktrip Corporation Commercial $75.01 ↓ -28%
Aetna Broad Network $79.17 ↓ -24%
Arizona Medical Network Commercial $97.23 ↓ -7%
Provider Network of America Commercial $104.17 ↓ -1%
Blue Cross Blue Shield of Arizona BCBSAZ MaricopaFocus $137.44 ↑ +31%
Blue Cross Blue Shield of Arizona BXBSAZ Neighborhood $137.44 ↑ +31%
Blue Cross Blue Shield of Arizona BCBSAZ Alliance/Blue HPN $146.60 ↑ +40%
Blue Cross Blue Shield of Arizona BXBSAZ Alliance CHS $153.93 ↑ +47%
Blue Cross Blue Shield of Arizona BCBSAZ Workers Comp $183.25 ↑ +75%
Blue Cross Blue Shield of Arizona Commercial $183.25 ↑ +75%

Visitor-reported prices

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Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm at other Arizona hospitals

Hospital City Cash price Negotiated range
Banner University Medical Center Tucson Tucson $117.10 $22.38 – $117.26
Banner University Medical Center South Tucson $112.32 $26.09 – $111.12
Banner Baywood Medical Center Mesa $103.14 $26.09 – $284.40
Banner Boswell Medical Center Sun City $93.28 $26.09 – $303.36

All Arizona hospitals for this procedure →