Acyclovir 400 mg tablet at Banner University Medical Center South

2800 East Ajo Way, Tucson, AZ · Banner Health · · NPI 1558759498

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

$0.17

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.

$11.40

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.

$0.01 with Aetna vs $10.76 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
Aetna Banner Employee Plans $0.01 ↓ -94%
Aetna Medicare Advantage $0.01 ↓ -94%
Aetna Qualified Health Plan $0.01 ↓ -94%
Arizona Physicians IPA Medicaid $0.01 ↓ -94%
Health Choice Arizona, Inc. Medicare Advantage $0.01 ↓ -94%
University of Arizona (Kasser Medical Treatment Center) Commerical $0.01 ↓ -94%
Plotkin Health Plotkin Health $0.02 ↓ -88%
Health Net Commerical Exchange Product $0.02 ↓ -88%
Health Net Medicare $0.02 ↓ -88%
National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) NHSI VUMI $0.02 ↓ -88%
Oscar Health Plan Commercial $0.02 ↓ -88%
Aetna Broad Network $0.02 ↓ -88%
Aetna Designated Group $0.02 ↓ -88%
Aetna Joint Venture $0.02 ↓ -88%
Aetna Medical Rental $0.02 ↓ -88%
Quiktrip Corporation Commercial $0.02 ↓ -88%
Arizona Priority Care Alignment Health Plans Medicare Advantage/Eternal Health Plan Medicare/SCAN Health Plan Medicare $0.02 ↓ -88%
Health Choice Arizona, Inc. ACA Health Plan $0.02 ↓ -88%
United Healthcare Commercial $0.02 ↓ -88%
Arizona Medical Network Commercial $0.03 ↓ -82%
Provider Network of America Commercial $0.03 ↓ -82%
Blue Cross Blue Shield of Arizona Medicare Supplemental Senior Preferred $5.68 ↑ +3241%
Blue Cross Blue Shield of Arizona BXBSAZ Neighborhood $8.07 ↑ +4647%
Blue Cross Blue Shield of Arizona BCBSAZ Alliance/Blue HPN $8.61 ↑ +4965%
Blue Cross Blue Shield of Arizona BXBSAZ Alliance CHS $9.04 ↑ +5218%
Blue Cross Blue Shield of Arizona Commercial $10.76 ↑ +6229%
Blue Cross Blue Shield of Arizona BCBSAZ Workers Comp $10.76 ↑ +6229%

Visitor-reported prices

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Acyclovir 400 mg tablet at other Arizona hospitals

Hospital City Cash price Negotiated range
Banner University Medical Center Phoenix Phoenix $11.38 $0.01 – $3.68
Banner Baywood Medical Center Mesa $16.36 $0.62 – $9.46
Banner Behavioral Health Hospital Scottsdale $12.95 $0.82 – $2.93
Banner Boswell Medical Center Sun City $5.38 $0.72 – $7.22
Banner Casa Grande Medical Center Casa Grande $24.54 $0.01 – $5.54
Banner Del Webb Medical Center Sun City West $17.59 $0.63 – $3.68
Banner Desert Medical Center Mesa $10.13 $0.00 – $9.46
Banner Estrella Medical Center Phoenix $69.01 $0.06 – $9.46

All Arizona hospitals for this procedure →