X-ray exam of mastoids at Banner University Medical Center South
2800 East Ajo Way, Tucson, AZ · Banner Health · · NPI 1558759498
$73.00
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.
$237.00
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.
$47.40 with Aetna 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 |
|---|---|---|---|
| Aetna | Medicare Advantage | $47.40 | ↓ -35% |
| Aetna | Qualified Health Plan | $56.88 | ↓ -22% |
| Health Choice Arizona, Inc. | Medicare Advantage | $71.10 | ↓ -3% |
| Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Preferred | $71.50 | ↓ -2% |
| Aetna | Banner Employee Plans | $77.03 | ↑ +6% |
| Health Choice Arizona, Inc. | Medicaid | $79.00 | ↑ +8% |
| Arizona Physicians IPA | Medicaid | $79.00 | ↑ +8% |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $79.00 | ↑ +8% |
| Banner University Health Plan | University Family Plan | $79.00 | ↑ +8% |
| Mercy Care | Medicaid | $79.00 | ↑ +8% |
| Health Net | Medicaid | $79.00 | ↑ +8% |
| University of Arizona (Kasser Medical Treatment Center) | Commerical | $82.95 | ↑ +14% |
| Arizona Priority Care | Alignment Health Plans Medicare Advantage/Eternal Health Plan Medicare/SCAN Health Plan Medicare | $94.80 | ↑ +30% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $101.52 | ↑ +39% |
| Plotkin Health | Plotkin Health | $106.65 | ↑ +46% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $106.65 | ↑ +46% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $108.29 | ↑ +48% |
| Aetna | Joint Venture | $109.49 | ↑ +50% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $113.70 | ↑ +56% |
| Aetna | Designated Group | $116.37 | ↑ +59% |
| Health Choice Arizona, Inc. | ACA Health Plan | $118.50 | ↑ +62% |
| Health Net | Medicare | $118.50 | ↑ +62% |
| Oscar Health Plan | Commercial | $118.50 | ↑ +62% |
| Aetna | Medical Rental | $124.90 | ↑ +71% |
| Health Net | Commerical Exchange Product | $127.98 | ↑ +75% |
| Quiktrip Corporation | Commercial | $127.98 | ↑ +75% |
| Blue Cross Blue Shield of Arizona | Commercial | $135.36 | ↑ +85% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $135.36 | ↑ +85% |
| Aetna | Broad Network | $136.75 | ↑ +87% |
| Cigna Healthcare of Arizona, Inc. | Commerical/HMO Benefit Plan/Local Flex Plan/Network Benefit Plan/Open Access Plan | $145.75 | ↑ +100% |
| Provider Network of America | Commercial | $177.75 | ↑ +143% |
| Arizona Medical Network | Commercial | $189.60 | ↑ +160% |
| United Healthcare | Commercial | $551.65 | ↑ +656% |
| TriWest Healthcare Alliance Corp - VA CCN | Tricare | not published by hospital | — |
Visitor-reported prices
Comments
X-ray exam of mastoids at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner University Medical Center Tucson | Tucson | $71.10 | $47.40 – $551.65 |
| Banner University Medical Center Phoenix | Phoenix | $144.67 | $46.29 – $467.28 |
| Banner Baywood Medical Center | Mesa | $147.74 | $79.00 – $467.28 |
| Banner Desert Medical Center | Mesa | $143.64 | $79.00 – $467.28 |
| Banner Ironwood Medical Center | San Tan Valley | $120.55 | $79.00 – $467.28 |
| Banner Estrella Medical Center | Phoenix | $133.89 | $79.00 – $467.28 |
| Banner Gateway Medical Center | Gilbert | $152.36 | $79.00 – $467.28 |
| Banner Goldfield Medical Center | Apache Junction | $97.47 | $75.12 – $467.28 |