Ot evaluation low complexity patient/family at Banner University Medical Center South
2800 East Ajo Way, Tucson, AZ · Banner Health · · NPI 1558759498
$45.90
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.
$233.00
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.
$46.60 with Aetna vs $438.15 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 | $46.60 | ↑ +2% |
| Aetna | Qualified Health Plan | $55.92 | ↑ +22% |
| Arizona Physicians IPA | Medicaid | $60.35 | ↑ +31% |
| Health Net | Medicaid | $60.35 | ↑ +31% |
| Health Choice Arizona, Inc. | Medicaid | $60.35 | ↑ +31% |
| Mercy Care | Medicaid | $60.35 | ↑ +31% |
| Health Choice Arizona, Inc. | Medicare Advantage | $69.90 | ↑ +52% |
| Aetna | Banner Employee Plans | $81.00 | ↑ +76% |
| University of Arizona (Kasser Medical Treatment Center) | Commerical | $81.55 | ↑ +78% |
| Arizona Priority Care | Alignment Health Plans Medicare Advantage/Eternal Health Plan Medicare/SCAN Health Plan Medicare | $93.20 | ↑ +103% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $104.85 | ↑ +128% |
| Plotkin Health | Plotkin Health | $104.85 | ↑ +128% |
| Aetna | Joint Venture | $107.65 | ↑ +135% |
| Aetna | Designated Group | $114.40 | ↑ +149% |
| Oscar Health Plan | Commercial | $116.50 | ↑ +154% |
| Health Choice Arizona, Inc. | ACA Health Plan | $116.50 | ↑ +154% |
| Health Net | Medicare | $116.50 | ↑ +154% |
| Aetna | Medical Rental | $122.79 | ↑ +168% |
| Quiktrip Corporation | Commercial | $125.82 | ↑ +174% |
| Health Net | Commerical Exchange Product | $125.82 | ↑ +174% |
| Aetna | Broad Network | $134.44 | ↑ +193% |
| Provider Network of America | Commercial | $174.75 | ↑ +281% |
| Arizona Medical Network | Commercial | $186.40 | ↑ +306% |
| Cigna Healthcare of Arizona, Inc. | Commerical/HMO Benefit Plan/Local Flex Plan/Network Benefit Plan/Open Access Plan | $225.00 | ↑ +390% |
| Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Preferred | $231.45 | ↑ +404% |
| United Healthcare | Commercial | $268.00 | ↑ +484% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $328.61 | ↑ +616% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $350.52 | ↑ +664% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $368.04 | ↑ +702% |
| Blue Cross Blue Shield of Arizona | Commercial | $438.15 | ↑ +855% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $438.15 | ↑ +855% |
Visitor-reported prices
Comments
Ot evaluation low complexity patient/family at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner University Medical Center Tucson | Tucson | $36.58 | $46.60 – $328.61 |
| Banner University Medical Center Phoenix | Phoenix | $49.93 | $62.80 – $241.00 |
| Banner Baywood Medical Center | Mesa | $92.00 | $62.80 – $385.17 |
| Banner Boswell Medical Center | Sun City | $72.85 | $62.80 – $294.10 |
| Banner Casa Grande Medical Center | Casa Grande | $76.30 | $62.80 – $235.50 |
| Banner Del Webb Medical Center | Sun City West | $65.31 | $62.80 – $251.20 |
| Banner Desert Medical Center | Mesa | $59.03 | $62.80 – $385.17 |
| Banner Ironwood Medical Center | San Tan Valley | $95.14 | $62.80 – $385.17 |