Epoetin alfa, 100 units esrd at Banner University Medical Center South
2800 East Ajo Way, Tucson, AZ · Banner Health · · NPI 1558759498
$4.04
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.
$26.60
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.
$0.17 with Aetna vs $3.77 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 |
|---|---|---|---|
| Aetna | Medicare Advantage | $0.17 | ↓ -96% |
| Aetna | Qualified Health Plan | $0.20 | ↓ -95% |
| Health Choice Arizona, Inc. | Medicare Advantage | $0.25 | ↓ -94% |
| Aetna | Banner Employee Plans | $0.27 | ↓ -93% |
| University of Arizona (Kasser Medical Treatment Center) | Commerical | $0.29 | ↓ -93% |
| Arizona Priority Care | Alignment Health Plans Medicare Advantage/Eternal Health Plan Medicare/SCAN Health Plan Medicare | $0.34 | ↓ -92% |
| Plotkin Health | Plotkin Health | $0.38 | ↓ -91% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $0.38 | ↓ -91% |
| Health Net | Medicare | $0.42 | ↓ -90% |
| Health Choice Arizona, Inc. | ACA Health Plan | $0.42 | ↓ -90% |
| Oscar Health Plan | Commercial | $0.42 | ↓ -90% |
| Aetna | Medical Rental | $0.44 | ↓ -89% |
| Quiktrip Corporation | Commercial | $0.45 | ↓ -89% |
| Health Net | Commerical Exchange Product | $0.45 | ↓ -89% |
| United Healthcare | Commercial | $0.48 | ↓ -88% |
| Provider Network of America | Commercial | $0.63 | ↓ -84% |
| Arizona Medical Network | Commercial | $0.67 | ↓ -83% |
| Arizona Physicians IPA | Medicaid | $0.77 | ↓ -81% |
| Banner University Health Plan | University Family Plan | $0.77 | ↓ -81% |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $0.77 | ↓ -81% |
| Mercy Care | Medicaid | $0.77 | ↓ -81% |
| Health Choice Arizona, Inc. | Medicaid | $0.77 | ↓ -81% |
| Health Net | Medicaid | $0.77 | ↓ -81% |
| Cigna Healthcare of Arizona, Inc. | Commerical/HMO Benefit Plan/Local Flex Plan/Network Benefit Plan/Open Access Plan | $1.27 | ↓ -69% |
| Aetna | Joint Venture | $1.30 | ↓ -68% |
| Aetna | Broad Network | $1.30 | ↓ -68% |
| Aetna | Designated Group | $1.30 | ↓ -68% |
| Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Preferred | $1.99 | ↓ -51% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $2.82 | ↓ -30% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $3.01 | ↓ -25% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $3.16 | ↓ -22% |
| Blue Cross Blue Shield of Arizona | Commercial | $3.77 | ↓ -7% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $3.77 | ↓ -7% |
Visitor-reported prices
Comments
Epoetin alfa, 100 units esrd at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner University Medical Center Tucson | Tucson | $6.14 | $0.17 – $2.82 |
| Banner University Medical Center Phoenix | Phoenix | $8.75 | $0.17 – $1.29 |
| Banner Baywood Medical Center | Mesa | $6.70 | $0.77 – $6.22 |
| Banner Boswell Medical Center | Sun City | $22.32 | $0.77 – $6.64 |
| Banner Casa Grande Medical Center | Casa Grande | $6.54 | $0.17 – $1.94 |
| Banner Del Webb Medical Center | Sun City West | $3.72 | $0.77 – $6.64 |
| Banner Desert Medical Center | Mesa | $4.97 | $0.17 – $3.31 |
| Banner Ironwood Medical Center | San Tan Valley | $8.06 | $0.17 – $3.31 |