Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet at Banner University Medical Center Tucson

1625 N Campbell Ave, Tucson, AZ · Banner Health · · NPI 1265820179

Source: hospital's published price file ↗ · Published Mar 2, 2026 · Ingested Aug 12, 2026

$484.01

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$1,646.30

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$121.19 with Arizona Physicians IPA vs $1,059.32 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 →

Payer
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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
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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
Arizona Physicians IPA Medicaid $121.19 ↓ -75%
Aetna Medicare Advantage $168.20 ↓ -65%
Aetna Qualified Health Plan $201.84 ↓ -58%
Health Choice Arizona, Inc. Medicare Advantage $252.30 ↓ -48%
Aetna Banner Employee Plans $273.32 ↓ -44%
University of Arizona (Kasser Medical Treatment Center) Commerical $294.35 ↓ -39%
Aetna Joint Venture $296.87 ↓ -39%
Aetna Designated Group $334.72 ↓ -31%
Arizona Priority Care Medicare Advantage $336.40 ↓ -30%
Aetna Broad Network $371.72 ↓ -23%
National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) NHSI VUMI $378.45 ↓ -22%
Plotkin Health Plotkin Health $378.45 ↓ -22%
United Healthcare Commercial $414.61 ↓ -14%
Cigna Healthcare of Arizona, Inc. Commerical/HMO Benefit Plan/Local Flex Plan/Network Benefit Plan/Open Access Plan $416.30 ↓ -14%
Health Choice Arizona, Inc. ACA Health Plan $420.50 ↓ -13%
Health Net Medicare $420.50 ↓ -13%
Oscar Health Plan Commercial $420.50 ↓ -13%
Aetna Medical Rental $443.21 ↓ -8%
Quiktrip Corporation Commercial $454.14 ↓ -6%
Health Net Commerical Exchange Product $454.14 ↓ -6%
Provider Network of America Commercial $630.75 ↑ +30%
Arizona Medical Network Commercial $672.80 ↑ +39%
Blue Cross Blue Shield of Arizona BXBSAZ Neighborhood $794.49 ↑ +64%
Blue Cross Blue Shield of Arizona BCBSAZ Alliance/Blue HPN $847.46 ↑ +75%
Blue Cross Blue Shield of Arizona BXBSAZ Alliance CHS $889.83 ↑ +84%
Blue Cross Blue Shield of Arizona BCBSAZ Workers Comp $1,059.32 ↑ +119%
Blue Cross Blue Shield of Arizona Medicare Supplemental Senior Preferred $1,059.32 ↑ +119%
Blue Cross Blue Shield of Arizona Commercial $1,059.32 ↑ +119%

Visitor-reported prices

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Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet at other Arizona hospitals

Hospital City Cash price Negotiated range
Mercy Gilbert Medical Center Gilbert $24,814.27 $209.30 – $1,151.15
Banner University Medical Center Phoenix Phoenix $1,999.54 $121.19 – $630.75
Banner Baywood Medical Center Mesa $2,319.89 $5.58 – $931.24
Banner Ironwood Medical Center San Tan Valley $3,882.35 $121.19 – $931.24
Banner Estrella Medical Center Phoenix $1,915.64 $121.19 – $931.24
Banner Gateway Medical Center Gilbert $2,558.70 $121.19 – $931.24
Banner Payson Medical Center Payson $424.70 $121.19 – $756.90
Arizona General Hospital Laveen Phoenix $869.75 $279.44 – $1,630.74

All Arizona hospitals for this procedure →