Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604 at Banner University Medical Center South
2800 East Ajo Way, Tucson, AZ · Banner Health · · NPI 1558759498
$529.64
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.
$1,005.00
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.
$134.00 with Aetna vs $5,506.00 with Aetna — 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 |
|---|---|---|---|
| Aetna | Medicare Advantage | $134.00 | ↓ -75% |
| Aetna | Qualified Health Plan | $160.80 | ↓ -70% |
| Health Net | Medicaid | $189.35 | ↓ -64% |
| Mercy Care | Medicaid | $189.35 | ↓ -64% |
| Banner University Health Plan | University Family Plan | $189.35 | ↓ -64% |
| Arizona Physicians IPA | Medicaid | $189.35 | ↓ -64% |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $189.35 | ↓ -64% |
| Health Choice Arizona, Inc. | Medicaid | $189.35 | ↓ -64% |
| Health Choice Arizona, Inc. | Medicare Advantage | $201.00 | ↓ -62% |
| University of Arizona (Kasser Medical Treatment Center) | Commerical | $234.50 | ↓ -56% |
| Arizona Priority Care | Alignment Health Plans Medicare Advantage/Eternal Health Plan Medicare/SCAN Health Plan Medicare | $268.00 | ↓ -49% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $301.50 | ↓ -43% |
| Plotkin Health | Plotkin Health | $301.50 | ↓ -43% |
| Health Net | Medicare | $335.00 | ↓ -37% |
| Health Choice Arizona, Inc. | ACA Health Plan | $335.00 | ↓ -37% |
| Oscar Health Plan | Commercial | $335.00 | ↓ -37% |
| Aetna | Medical Rental | $353.09 | ↓ -33% |
| Health Net | Commerical Exchange Product | $361.80 | ↓ -32% |
| Quiktrip Corporation | Commercial | $361.80 | ↓ -32% |
| Cigna Healthcare of Arizona, Inc. | Commerical/HMO Benefit Plan/Local Flex Plan/Network Benefit Plan/Open Access Plan | $400.00 | ↓ -24% |
| Provider Network of America | Commercial | $502.50 | ↓ -5% |
| Arizona Medical Network | Commercial | $536.00 | ↑ +1% |
| Aetna | Banner Employee Plans | $1,038.00 | ↑ +96% |
| Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Preferred | $1,466.47 | ↑ +177% |
| United Healthcare | Commercial | $2,041.00 | ↑ +285% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $2,082.06 | ↑ +293% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $2,220.86 | ↑ +319% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $2,331.91 | ↑ +340% |
| Blue Cross Blue Shield of Arizona | Commercial | $2,776.08 | ↑ +424% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $2,776.08 | ↑ +424% |
| Aetna | Joint Venture | $4,405.00 | ↑ +732% |
| Aetna | Designated Group | $4,680.00 | ↑ +784% |
| Aetna | Broad Network | $5,506.00 | ↑ +940% |
| TriWest Healthcare Alliance Corp - VA CCN | Tricare | not published by hospital | — |
Visitor-reported prices
Comments
Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604 at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner University Medical Center Tucson | Tucson | $364.82 | $134.00 – $536.00 |
| Mercy Gilbert Medical Center | Gilbert | $456.09 | $47.92 – $1,427.58 |
| Banner University Medical Center Phoenix | Phoenix | $417.79 | $155.60 – $2,114.00 |
| Banner Baywood Medical Center | Mesa | $399.11 | $155.60 – $2,440.42 |
| Banner Del Webb Medical Center | Sun City West | $372.27 | $155.60 – $2,114.00 |
| Banner Desert Medical Center | Mesa | $413.12 | $155.60 – $2,440.42 |
| Banner Ironwood Medical Center | San Tan Valley | $450.46 | $155.60 – $2,440.42 |
| Banner Estrella Medical Center | Phoenix | $451.63 | $155.60 – $2,440.42 |