Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet at Banner University Medical Center South
2800 East Ajo Way, Tucson, AZ · Banner Health · · NPI 1558759498
$237.16
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.
$841.00
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.
$121.19 with Arizona Physicians IPA vs $1,059.32 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 →
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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 |
|---|---|---|---|
| Arizona Physicians IPA | Medicaid | $121.19 | ↓ -49% |
| Aetna | Medicare Advantage | $168.20 | ↓ -29% |
| Aetna | Qualified Health Plan | $201.84 | ↓ -15% |
| Health Choice Arizona, Inc. | Medicare Advantage | $252.30 | ↑ +6% |
| Aetna | Banner Employee Plans | $273.32 | ↑ +15% |
| University of Arizona (Kasser Medical Treatment Center) | Commerical | $294.35 | ↑ +24% |
| Arizona Priority Care | Alignment Health Plans Medicare Advantage/Eternal Health Plan Medicare/SCAN Health Plan Medicare | $336.40 | ↑ +42% |
| Plotkin Health | Plotkin Health | $378.45 | ↑ +60% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $378.45 | ↑ +60% |
| Aetna | Joint Venture | $383.50 | ↑ +62% |
| Aetna | Designated Group | $407.04 | ↑ +72% |
| United Healthcare | Commercial | $414.61 | ↑ +75% |
| Cigna Healthcare of Arizona, Inc. | Commerical/HMO Benefit Plan/Local Flex Plan/Network Benefit Plan/Open Access Plan | $416.30 | ↑ +76% |
| Health Choice Arizona, Inc. | ACA Health Plan | $420.50 | ↑ +77% |
| Oscar Health Plan | Commercial | $420.50 | ↑ +77% |
| Health Net | Medicare | $420.50 | ↑ +77% |
| Aetna | Medical Rental | $443.21 | ↑ +87% |
| Quiktrip Corporation | Commercial | $454.14 | ↑ +91% |
| Health Net | Commerical Exchange Product | $454.14 | ↑ +91% |
| Aetna | Broad Network | $479.37 | ↑ +102% |
| Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Preferred | $559.59 | ↑ +136% |
| Provider Network of America | Commercial | $630.75 | ↑ +166% |
| Arizona Medical Network | Commercial | $672.80 | ↑ +184% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $794.49 | ↑ +235% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $847.46 | ↑ +257% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $889.83 | ↑ +275% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $1,059.32 | ↑ +347% |
| Blue Cross Blue Shield of Arizona | Commercial | $1,059.32 | ↑ +347% |
Visitor-reported prices
Comments
Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner University Medical Center Tucson | Tucson | $484.01 | $121.19 – $794.49 |
| Mercy Gilbert Medical Center | Gilbert | $24,814.27 | $209.30 – $1,151.15 |
| Banner University Medical Center Phoenix | Phoenix | $1,999.54 | $121.19 – $630.75 |
| Banner Baywood Medical Center | Mesa | $2,319.89 | $5.58 – $931.24 |
| Banner Ironwood Medical Center | San Tan Valley | $3,882.35 | $121.19 – $931.24 |
| Banner Estrella Medical Center | Phoenix | $1,915.64 | $121.19 – $931.24 |
| Banner Gateway Medical Center | Gilbert | $2,558.70 | $121.19 – $931.24 |
| Banner Payson Medical Center | Payson | $424.70 | $121.19 – $756.90 |