Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm at Banner University Medical Center South
2800 East Ajo Way, Tucson, AZ · Banner Health · · NPI 1558759498
$112.32
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.
$398.30
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.
$26.09 with Mercy Care vs $156.34 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 |
|---|---|---|---|
| Mercy Care | Medicaid | $26.09 | ↓ -77% |
| Arizona Physicians IPA | Medicaid | $26.09 | ↓ -77% |
| Health Net | Medicaid | $26.09 | ↓ -77% |
| Banner University Health Plan | University Family Plan | $26.09 | ↓ -77% |
| Health Choice Arizona, Inc. | Medicaid | $26.09 | ↓ -77% |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $26.09 | ↓ -77% |
| Aetna | Medicare Advantage | $27.78 | ↓ -75% |
| Aetna | Qualified Health Plan | $33.34 | ↓ -70% |
| Health Choice Arizona, Inc. | Medicare Advantage | $41.67 | ↓ -63% |
| Cigna Healthcare of Arizona, Inc. | Commerical/HMO Benefit Plan/Local Flex Plan/Network Benefit Plan/Open Access Plan | $43.05 | ↓ -62% |
| Aetna | Banner Employee Plans | $45.14 | ↓ -60% |
| University of Arizona (Kasser Medical Treatment Center) | Commerical | $48.62 | ↓ -57% |
| Arizona Priority Care | Alignment Health Plans Medicare Advantage/Eternal Health Plan Medicare/SCAN Health Plan Medicare | $55.56 | ↓ -51% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $62.51 | ↓ -44% |
| Plotkin Health | Plotkin Health | $62.51 | ↓ -44% |
| Aetna | Joint Venture | $63.34 | ↓ -44% |
| Aetna | Designated Group | $67.23 | ↓ -40% |
| United Healthcare | Commercial | $68.48 | ↓ -39% |
| Oscar Health Plan | Commercial | $69.45 | ↓ -38% |
| Health Choice Arizona, Inc. | ACA Health Plan | $69.45 | ↓ -38% |
| Health Net | Medicare | $69.45 | ↓ -38% |
| Aetna | Medical Rental | $73.20 | ↓ -35% |
| Quiktrip Corporation | Commercial | $75.01 | ↓ -33% |
| Health Net | Commerical Exchange Product | $75.01 | ↓ -33% |
| Aetna | Broad Network | $79.17 | ↓ -30% |
| Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Preferred | $82.59 | ↓ -26% |
| Provider Network of America | Commercial | $104.17 | ↓ -7% |
| Arizona Medical Network | Commercial | $111.12 | ↓ -1% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $117.26 | ↑ +4% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $125.07 | ↑ +11% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $131.33 | ↑ +17% |
| Blue Cross Blue Shield of Arizona | Commercial | $156.34 | ↑ +39% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $156.34 | ↑ +39% |
Visitor-reported prices
Comments
Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner University Medical Center Tucson | Tucson | $117.10 | $22.38 – $117.26 |
| Banner Baywood Medical Center | Mesa | $103.14 | $26.09 – $284.40 |
| Banner Boswell Medical Center | Sun City | $93.28 | $26.09 – $303.36 |
| Banner Thunderbird Medical Center | Glendale | $104.75 | $26.09 – $104.17 |