Bx breast 1st lesion strtctc at Banner University Medical Center Tucson
1625 N Campbell Ave, Tucson, AZ · Banner Health · · NPI 1265820179
$1,017.49
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.
$2,803.00
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.
$560.60 with Aetna vs $5,476.00 with Aetna — 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 | $560.60 | ↓ -45% |
| Aetna | Qualified Health Plan | $672.72 | ↓ -34% |
| Health Choice Arizona, Inc. | Medicare Advantage | $840.90 | ↓ -17% |
| University of Arizona (Kasser Medical Treatment Center) | Commerical | $981.05 | ↓ -4% |
| Health Choice Arizona, Inc. | Medicaid | $1,020.08 | ↑ +0% |
| Arizona Physicians IPA | Medicaid | $1,020.08 | ↑ +0% |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $1,020.08 | ↑ +0% |
| Mercy Care | Mercy Medicaid | $1,020.08 | ↑ +0% |
| Health Net | Medicaid | $1,020.08 | ↑ +0% |
| Arizona Priority Care | Medicare Advantage | $1,121.20 | ↑ +10% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $1,261.35 | ↑ +24% |
| Plotkin Health | Plotkin Health | $1,261.35 | ↑ +24% |
| Health Choice Arizona, Inc. | ACA Health Plan | $1,401.50 | ↑ +38% |
| Oscar Health Plan | Commercial | $1,401.50 | ↑ +38% |
| Health Net | Medicare | $1,401.50 | ↑ +38% |
| Aetna | Medical Rental | $1,477.18 | ↑ +45% |
| Quiktrip Corporation | Commercial | $1,513.62 | ↑ +49% |
| Health Net | Commerical Exchange Product | $1,513.62 | ↑ +49% |
| Provider Network of America | Commercial | $2,102.25 | ↑ +107% |
| Arizona Medical Network | Commercial | $2,242.40 | ↑ +120% |
| Aetna | Banner Employee Plans | $2,479.00 | ↑ +144% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $2,788.18 | ↑ +174% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $2,974.06 | ↑ +192% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $3,122.77 | ↑ +207% |
| Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Preferred | $3,717.58 | ↑ +265% |
| Blue Cross Blue Shield of Arizona | Commercial | $3,717.58 | ↑ +265% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $3,717.58 | ↑ +265% |
| Aetna | Joint Venture | $4,381.00 | ↑ +331% |
| United Healthcare | Commercial | $4,466.00 | ↑ +339% |
| Cigna Healthcare of Arizona, Inc. | Commerical/HMO Benefit Plan/Local Flex Plan/Network Benefit Plan/Open Access Plan | $4,721.00 | ↑ +364% |
| Aetna | Designated Group | $4,928.00 | ↑ +384% |
| Aetna | Broad Network | $5,476.00 | ↑ +438% |
| TriWest Healthcare Alliance Corp - VA CCN | Tricare | not published by hospital | — |
Visitor-reported prices
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Bx breast 1st lesion strtctc at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Gilbert Medical Center | Gilbert | $1,079.21 | $168.44 – $3,377.99 |
| Banner University Medical Center Phoenix | Phoenix | $1,158.85 | $647.40 – $4,640.00 |
| Banner Baywood Medical Center | Mesa | $1,107.05 | $647.40 – $4,640.00 |
| Banner Del Webb Medical Center | Sun City West | $1,032.60 | $647.40 – $4,640.00 |
| Banner Gateway Medical Center | Gilbert | $993.76 | $647.40 – $4,982.00 |
| St. Joseph’s Hospital and Medical Center | Phoenix | $1,335.48 | $168.44 – $2,761.84 |
| Yavapai Regional Medical Center (East) | Prescott | $9,034.60 | $168.44 – $359.34 |
| Chandler Regional Medical Center | Chandler | $1,175.72 | $168.44 – $3,685.08 |