healthcosts.net
Established Patient Office Visit (level 1) at Banner University Medical Center South
2800 East Ajo Way, Tucson, AZ · Banner Health · · NPI 1558759498
$50.55
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.
$150.00
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.
$30.00 with Aetna vs $120.00 with Arizona Medical Network — 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 | $30.00 | ↓ -41% |
| Aetna | Qualified Health Plan | $36.00 | ↓ -29% |
| Health Choice Arizona, Inc. | Medicare Advantage | $45.00 | ↓ -11% |
| University of Arizona (Kasser Medical Treatment Center) | Commerical | $52.50 | ↑ +4% |
| Arizona Physicians IPA | Medicaid | $54.54 | ↑ +8% |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $54.54 | ↑ +8% |
| Banner University Health Plan | University Family Plan | $54.54 | ↑ +8% |
| Health Choice Arizona, Inc. | Medicaid | $54.54 | ↑ +8% |
| Health Net | Medicaid | $54.54 | ↑ +8% |
| Mercy Care | Medicaid | $54.54 | ↑ +8% |
| Arizona Priority Care | Alignment Health Plans Medicare Advantage/Eternal Health Plan Medicare/SCAN Health Plan Medicare | $60.00 | ↑ +19% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $67.50 | ↑ +34% |
| Plotkin Health | Plotkin Health | $67.50 | ↑ +34% |
| Health Choice Arizona, Inc. | ACA Health Plan | $75.00 | ↑ +48% |
| Health Net | Medicare | $75.00 | ↑ +48% |
| Oscar Health Plan | Commercial | $75.00 | ↑ +48% |
| Aetna | Medical Rental | $79.05 | ↑ +56% |
| Health Net | Commerical Exchange Product | $81.00 | ↑ +60% |
| Quiktrip Corporation | Commercial | $81.00 | ↑ +60% |
| United Healthcare | Commercial | $86.25 | ↑ +71% |
| Cigna Healthcare of Arizona, Inc. | Commerical/HMO Benefit Plan/Local Flex Plan/Network Benefit Plan/Open Access Plan | $92.25 | ↑ +82% |
| Provider Network of America | Commercial | $112.50 | ↑ +123% |
| Arizona Medical Network | Commercial | $120.00 | ↑ +137% |
Visitor-reported prices
Comments
Established Patient Office Visit (level 1) at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner University Medical Center Tucson | Tucson | $205.61 | $30.00 – $120.00 |
| Banner University Medical Center Phoenix | Phoenix | $220.69 | $27.00 – $101.25 |
| Banner Baywood Medical Center | Mesa | $126.50 | $8.00 – $54.54 |
| Banner Boswell Medical Center | Sun City | $32.56 | $27.00 – $108.00 |
| Banner Casa Grande Medical Center | Casa Grande | $157.18 | $8.00 – $54.54 |
| Banner Del Webb Medical Center | Sun City West | $209.67 | $27.00 – $108.00 |
| Banner Desert Medical Center | Mesa | $216.63 | $27.00 – $101.25 |
| Banner Estrella Medical Center | Phoenix | $225.91 | $27.00 – $101.25 |