Prcrd drg 6+yr without anomly at Banner University Medical Center South
2800 East Ajo Way, Tucson, AZ · Banner Health · · NPI 1558759498
$757.30
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.
$1,437.00
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.
$287.40 with Aetna vs $13,030.36 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 | $287.40 | ↓ -62% |
| Aetna | Qualified Health Plan | $344.88 | ↓ -54% |
| Health Net | Medicaid | $372.18 | ↓ -51% |
| Mercy Care | Medicaid | $372.18 | ↓ -51% |
| Arizona Physicians IPA | Medicaid | $372.18 | ↓ -51% |
| Banner University Health Plan | University Family Plan | $372.18 | ↓ -51% |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $372.18 | ↓ -51% |
| Health Choice Arizona, Inc. | Medicaid | $372.18 | ↓ -51% |
| Health Choice Arizona, Inc. | Medicare Advantage | $431.10 | ↓ -43% |
| University of Arizona (Kasser Medical Treatment Center) | Commerical | $502.95 | ↓ -34% |
| Arizona Priority Care | Alignment Health Plans Medicare Advantage/Eternal Health Plan Medicare/SCAN Health Plan Medicare | $574.80 | ↓ -24% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $646.65 | ↓ -15% |
| Plotkin Health | Plotkin Health | $646.65 | ↓ -15% |
| Health Choice Arizona, Inc. | ACA Health Plan | $718.50 | ↓ -5% |
| Health Net | Medicare | $718.50 | ↓ -5% |
| Oscar Health Plan | Commercial | $718.50 | ↓ -5% |
| Aetna | Medical Rental | $757.30 | ↑ +0% |
| Quiktrip Corporation | Commercial | $775.98 | ↑ +2% |
| Health Net | Commerical Exchange Product | $775.98 | ↑ +2% |
| Aetna | Banner Employee Plans | $808.00 | ↑ +7% |
| Provider Network of America | Commercial | $1,077.75 | ↑ +42% |
| Arizona Medical Network | Commercial | $1,149.60 | ↑ +52% |
| Cigna Healthcare of Arizona, Inc. | Commerical/HMO Benefit Plan/Local Flex Plan/Network Benefit Plan/Open Access Plan | $3,243.00 | ↑ +328% |
| Aetna | Joint Venture | $3,617.00 | ↑ +378% |
| Aetna | Designated Group | $3,843.00 | ↑ +407% |
| United Healthcare | Commercial | $4,466.00 | ↑ +490% |
| Aetna | Broad Network | $4,521.00 | ↑ +497% |
| Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Preferred | $6,883.32 | ↑ +809% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $9,772.77 | ↑ +1190% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $10,424.29 | ↑ +1277% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $10,945.50 | ↑ +1345% |
| Blue Cross Blue Shield of Arizona | Commercial | $13,030.36 | ↑ +1621% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $13,030.36 | ↑ +1621% |
Visitor-reported prices
Comments
Prcrd drg 6+yr without anomly at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner University Medical Center Tucson | Tucson | $521.63 | $287.40 – $9,772.77 |
| Banner University Medical Center Phoenix | Phoenix | $929.01 | $519.00 – $4,640.00 |
| Banner Baywood Medical Center | Mesa | $887.49 | $519.00 – $11,454.85 |
| Banner Boswell Medical Center | Sun City | $749.95 | $519.00 – $8,746.57 |
| Banner Casa Grande Medical Center | Casa Grande | $718.82 | $519.00 – $6,708.21 |
| Banner Del Webb Medical Center | Sun City West | $827.81 | $519.00 – $4,640.00 |
| Banner Desert Medical Center | Mesa | $918.63 | $519.00 – $11,454.85 |
| Banner Estrella Medical Center | Phoenix | $1,004.26 | $519.00 – $11,454.85 |