Copper cu 64 dotatate diag 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

$742.94

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.

$2,868.50

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.

$595.10 with Wellpoint vs $3,203.63 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
Wellpoint Medicare Advantage HMO $595.10 ↓ -20%
Aetna Medicare Advantage $595.10 ↓ -20%
Arizona Physicians IPA Medicare Advantage $595.10 ↓ -20%
Banner Health Medicare Advantage $595.10 ↓ -20%
Banner University Health Plan Medicare Advantage $595.10 ↓ -20%
Blue Cross Blue Shield of Arizona Medicare Advantage $595.10 ↓ -20%
Care 1st Medicare Advantage $595.10 ↓ -20%
Cigna Healthcare of Arizona, Inc. HMO Medicare Advantage Plan $595.10 ↓ -20%
Cigna Healthcare of Arizona, Inc. PPO Medicare Advantage Plan $595.10 ↓ -20%
Gila River Health Care Corporation Managed Care Program $595.10 ↓ -20%
Health Choice Arizona, Inc. Medicare Advantage $595.10 ↓ -20%
Health Net Medicare $595.10 ↓ -20%
Kaiser Foundation Health Plan Medicare Advantage $595.10 ↓ -20%
Mercy Care Mercy Care Advantage $595.10 ↓ -20%
TriWest Healthcare Alliance Corp - VA CCN VA Community Care Network $595.10 ↓ -20%
United Healthcare Medicare Advantage $595.10 ↓ -20%
UPMC Health Plan Medicare Advantage $595.10 ↓ -20%
Humana Medicare Advantage $612.95 ↓ -17%
Carelon Medicare Advantage $624.86 ↓ -16%
Devoted Health Services Medicare Advantage $624.86 ↓ -16%
Gold Kidney Health Plan Medicare Advantage $654.61 ↓ -12%
Arizona Priority Care Alignment Health Plans Medicare Advantage/Eternal Health Plan Medicare/SCAN Health Plan Medicare $654.61 ↓ -12%
NaphCare Federal $803.38 ↑ +8%
Aetna Qualified Health Plan $809.34 ↑ +9%
United Healthcare Individual Exchange $833.14 ↑ +12%
Health Net Commerical Exchange Product $880.75 ↑ +19%
Health Choice Arizona, Inc. ACA Health Plan $892.65 ↑ +20%
Aetna Banner Employee Plans $932.26 ↑ +25%
Mercy Care Medicaid $962.50 ↑ +30%
Health Choice Arizona, Inc. Medicaid $962.50 ↑ +30%
Banner University Health Plan University Family Plan $962.50 ↑ +30%
Health Net Medicaid $962.50 ↑ +30%
Banner University Health Plan AZ Medicaid - AHCCCS $962.50 ↑ +30%
Arizona Physicians IPA Medicaid $962.50 ↑ +30%
Oscar Health Plan Commercial $981.91 ↑ +32%
University of Arizona (Kasser Medical Treatment Center) Commerical $1,003.98 ↑ +35%
Plotkin Health Plotkin Health $1,290.83 ↑ +74%
National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) NHSI VUMI $1,290.83 ↑ +74%
Aetna Joint Venture $1,325.25 ↑ +78%
Aetna Designated Group $1,408.43 ↑ +90%
Aetna Medical Rental $1,511.70 ↑ +103%
Quiktrip Corporation Commercial $1,548.99 ↑ +108%
Cigna Healthcare of Arizona, Inc. Commerical/HMO Benefit Plan/Local Flex Plan/Network Benefit Plan/Open Access Plan $1,619.89 ↑ +118%
United Healthcare Commercial $1,620.17 ↑ +118%
Aetna Broad Network $1,655.12 ↑ +123%
Blue Cross Blue Shield of Arizona Medicare Supplemental Senior Preferred $1,692.33 ↑ +128%
Provider Network of America Commercial $2,151.38 ↑ +190%
Arizona Medical Network Commercial $2,294.80 ↑ +209%
Blue Cross Blue Shield of Arizona BXBSAZ Neighborhood $2,402.72 ↑ +223%
Blue Cross Blue Shield of Arizona BCBSAZ Alliance/Blue HPN $2,562.90 ↑ +245%
Blue Cross Blue Shield of Arizona BXBSAZ Alliance CHS $2,691.05 ↑ +262%
Blue Cross Blue Shield of Arizona Commercial $3,203.63 ↑ +331%
Blue Cross Blue Shield of Arizona BCBSAZ Workers Comp $3,203.63 ↑ +331%

Visitor-reported prices

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Copper cu 64 dotatate diag at other Arizona hospitals

Hospital City Cash price Negotiated range
Banner University Medical Center Phoenix Phoenix $1,026.92 $595.10 – $2,151.38
Banner Gateway Medical Center Gilbert $829.00 $595.10 – $2,151.38

All Arizona hospitals for this procedure →