healthcosts.net
Knee X-ray at Banner University Medical Center South
2800 East Ajo Way, Tucson, AZ · Banner Health · · NPI 1558759498
$173.71
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.
$564.00
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.
$79.00 with Banner University Health Plan vs $551.65 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 |
|---|---|---|---|
| Banner University Health Plan | AZ Medicaid - AHCCCS | $79.00 | ↓ -55% |
| Banner University Health Plan | University Family Plan | $79.00 | ↓ -55% |
| Health Net | Medicaid | $79.00 | ↓ -55% |
| Health Choice Arizona, Inc. | Medicaid | $79.00 | ↓ -55% |
| Arizona Physicians IPA | Medicaid | $79.00 | ↓ -55% |
| Mercy Care | Medicaid | $79.00 | ↓ -55% |
| Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Preferred | $87.59 | ↓ -50% |
| Aetna | Medicare Advantage | $112.80 | ↓ -35% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $124.36 | ↓ -28% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $132.65 | ↓ -24% |
| Aetna | Qualified Health Plan | $135.36 | ↓ -22% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $139.28 | ↓ -20% |
| Blue Cross Blue Shield of Arizona | Commercial | $165.81 | ↓ -5% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $165.81 | ↓ -5% |
| Health Choice Arizona, Inc. | Medicare Advantage | $169.20 | ↓ -3% |
| Aetna | Banner Employee Plans | $183.30 | ↑ +6% |
| University of Arizona (Kasser Medical Treatment Center) | Commerical | $197.40 | ↑ +14% |
| Arizona Priority Care | Alignment Health Plans Medicare Advantage/Eternal Health Plan Medicare/SCAN Health Plan Medicare | $225.60 | ↑ +30% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $253.80 | ↑ +46% |
| Plotkin Health | Plotkin Health | $253.80 | ↑ +46% |
| Aetna | Joint Venture | $260.57 | ↑ +50% |
| Aetna | Designated Group | $276.92 | ↑ +59% |
| Oscar Health Plan | Commercial | $282.00 | ↑ +62% |
| Health Net | Medicare | $282.00 | ↑ +62% |
| Health Choice Arizona, Inc. | ACA Health Plan | $282.00 | ↑ +62% |
| Aetna | Medical Rental | $297.23 | ↑ +71% |
| Health Net | Commerical Exchange Product | $304.56 | ↑ +75% |
| Quiktrip Corporation | Commercial | $304.56 | ↑ +75% |
| Aetna | Broad Network | $325.43 | ↑ +87% |
| Cigna Healthcare of Arizona, Inc. | Commerical/HMO Benefit Plan/Local Flex Plan/Network Benefit Plan/Open Access Plan | $346.86 | ↑ +100% |
| Provider Network of America | Commercial | $423.00 | ↑ +144% |
| Arizona Medical Network | Commercial | $451.20 | ↑ +160% |
| United Healthcare | Commercial | $551.65 | ↑ +218% |
| TriWest Healthcare Alliance Corp - VA CCN | Tricare | not published by hospital | — |
Visitor-reported prices
Comments
Knee X-ray at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner University Medical Center Tucson | Tucson | $169.20 | $79.00 – $551.65 |
| Banner University Medical Center Phoenix | Phoenix | $126.34 | $56.71 – $467.28 |
| Banner Behavioral Health Hospital | Scottsdale | $262.47 | $45.19 – $313.60 |
| Banner Baywood Medical Center | Mesa | $129.02 | $79.00 – $467.28 |
| Banner Casa Grande Medical Center | Casa Grande | $96.32 | $79.00 – $449.06 |
| Banner Boswell Medical Center | Sun City | $109.31 | $79.00 – $467.28 |
| Banner Del Webb Medical Center | Sun City West | $104.38 | $56.71 – $467.28 |
| Banner Desert Medical Center | Mesa | $125.44 | $79.00 – $467.28 |