Ins pm gen exist dual lead at Banner University Medical Center South
2800 East Ajo Way, Tucson, AZ · Banner Health · · NPI 1558759498
$22,561.40
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.
$42,811.00
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.
$3,243.00 with Cigna Healthcare of Arizona, Inc. vs $42,902.00 with United Healthcare — 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 |
|---|---|---|---|
| Cigna Healthcare of Arizona, Inc. | Commerical/HMO Benefit Plan/Local Flex Plan/Network Benefit Plan/Open Access Plan | $3,243.00 | ↓ -86% |
| Aetna | Banner Employee Plans | $3,921.00 | ↓ -83% |
| Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Preferred | $4,382.36 | ↓ -81% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $6,221.97 | ↓ -72% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $6,636.77 | ↓ -71% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $6,968.61 | ↓ -69% |
| Blue Cross Blue Shield of Arizona | Commercial | $8,295.96 | ↓ -63% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $8,295.96 | ↓ -63% |
| University of Arizona (Kasser Medical Treatment Center) | Commerical | $14,983.85 | ↓ -34% |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $16,704.12 | ↓ -26% |
| Arizona Physicians IPA | Medicaid | $16,704.12 | ↓ -26% |
| Health Net | Medicaid | $16,704.12 | ↓ -26% |
| Mercy Care | Medicaid | $16,704.12 | ↓ -26% |
| Health Choice Arizona, Inc. | Medicaid | $16,704.12 | ↓ -26% |
| Banner University Health Plan | University Family Plan | $16,704.12 | ↓ -26% |
| Aetna | Joint Venture | $17,328.00 | ↓ -23% |
| Aetna | Designated Group | $18,411.00 | ↓ -18% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $19,264.95 | ↓ -15% |
| Plotkin Health | Plotkin Health | $19,264.95 | ↓ -15% |
| Aetna | Broad Network | $21,660.00 | ↓ -4% |
| Aetna | Medical Rental | $22,561.40 | ↑ +0% |
| Quiktrip Corporation | Commercial | $23,117.94 | ↑ +2% |
| Arizona Physicians IPA | Medicare Advantage | $23,923.60 | ↑ +6% |
| Gila River Health Care Corporation | Managed Care Program | $23,923.60 | ↑ +6% |
| United Healthcare | Medicare Advantage | $23,923.60 | ↑ +6% |
| UPMC Health Plan | Medicare Advantage | $23,923.60 | ↑ +6% |
| Blue Cross Blue Shield of Arizona | Medicare Advantage | $23,923.60 | ↑ +6% |
| Banner University Health Plan | Medicare Advantage | $23,923.60 | ↑ +6% |
| Mercy Care | Mercy Care Advantage | $23,923.60 | ↑ +6% |
| Cigna Healthcare of Arizona, Inc. | PPO Medicare Advantage Plan | $23,923.60 | ↑ +6% |
| Cigna Healthcare of Arizona, Inc. | HMO Medicare Advantage Plan | $23,923.60 | ↑ +6% |
| Aetna | Medicare Advantage | $23,923.60 | ↑ +6% |
| Banner Health | Medicare Advantage | $23,923.60 | ↑ +6% |
| Health Choice Arizona, Inc. | Medicare Advantage | $23,923.60 | ↑ +6% |
| Kaiser Foundation Health Plan | Medicare Advantage | $23,923.60 | ↑ +6% |
| TriWest Healthcare Alliance Corp - VA CCN | VA Community Care Network | $23,923.60 | ↑ +6% |
| Health Net | Medicare | $23,923.60 | ↑ +6% |
| Wellpoint | Medicare Advantage HMO | $23,923.60 | ↑ +6% |
| Care 1st | Medicare Advantage | $23,923.60 | ↑ +6% |
| Humana | Medicare Advantage | $24,641.31 | ↑ +9% |
| Devoted Health Services | Medicare Advantage | $25,119.78 | ↑ +11% |
| Carelon | Medicare Advantage | $25,119.78 | ↑ +11% |
| Gold Kidney Health Plan | Medicare Advantage | $26,315.96 | ↑ +17% |
| Arizona Priority Care | Alignment Health Plans Medicare Advantage/Eternal Health Plan Medicare/SCAN Health Plan Medicare | $26,315.96 | ↑ +17% |
| Provider Network of America | Commercial | $32,108.25 | ↑ +42% |
| NaphCare | Federal | $32,296.86 | ↑ +43% |
| Aetna | Qualified Health Plan | $32,536.10 | ↑ +44% |
| United Healthcare | Individual Exchange | $33,493.04 | ↑ +48% |
| Arizona Medical Network | Commercial | $34,248.80 | ↑ +52% |
| Health Net | Commerical Exchange Product | $35,406.93 | ↑ +57% |
| Health Choice Arizona, Inc. | ACA Health Plan | $35,885.40 | ↑ +59% |
| Oscar Health Plan | Commercial | $39,473.94 | ↑ +75% |
| United Healthcare | Commercial | $42,902.00 | ↑ +90% |
| TriWest Healthcare Alliance Corp - VA CCN | Tricare | not published by hospital | — |
Visitor-reported prices
Comments
Ins pm gen exist dual lead at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner University Medical Center Tucson | Tucson | $15,540.39 | $3,243.00 – $39,473.94 |
| Banner University Medical Center Phoenix | Phoenix | $5,672.15 | $2,837.28 – $39,473.94 |
| Banner Baywood Medical Center | Mesa | $5,418.65 | $4,018.00 – $39,473.94 |
| Banner Boswell Medical Center | Sun City | $4,578.92 | $4,018.00 – $39,473.94 |
| Banner Del Webb Medical Center | Sun City West | $5,054.24 | $2,837.28 – $39,473.94 |
| Banner Desert Medical Center | Mesa | $5,608.78 | $4,018.00 – $39,473.94 |
| Banner Estrella Medical Center | Phoenix | $6,131.63 | $4,018.00 – $39,473.94 |
| Banner Heart Hospital | Mesa | $4,483.85 | $4,018.00 – $39,473.94 |