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Explor not followed by surg repair artery; low extrem 35703 at Banner University Medical Center Tucson
1625 N Campbell Ave, Tucson, AZ · Banner Health · · NPI 1265820179
$3,386.79
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.
$9,330.00
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.
$1,244.00 with Aetna vs $11,163.50 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 | $1,244.00 | ↓ -63% |
| Aetna | Qualified Health Plan | $1,492.80 | ↓ -56% |
| Health Net | Medicaid | $1,517.68 | ↓ -55% |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $1,517.68 | ↓ -55% |
| Mercy Care | Mercy Medicaid | $1,517.68 | ↓ -55% |
| Health Choice Arizona, Inc. | Medicaid | $1,517.68 | ↓ -55% |
| Arizona Physicians IPA | Medicaid | $1,517.68 | ↓ -55% |
| Health Choice Arizona, Inc. | Medicare Advantage | $1,866.00 | ↓ -45% |
| University of Arizona (Kasser Medical Treatment Center) | Commerical | $2,177.00 | ↓ -36% |
| Aetna | Banner Employee Plans | $2,479.00 | ↓ -27% |
| Arizona Priority Care | Medicare Advantage | $2,488.00 | ↓ -27% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $2,799.00 | ↓ -17% |
| Plotkin Health | Plotkin Health | $2,799.00 | ↓ -17% |
| Health Choice Arizona, Inc. | ACA Health Plan | $3,110.00 | ↓ -8% |
| Oscar Health Plan | Commercial | $3,110.00 | ↓ -8% |
| Health Net | Medicare | $3,110.00 | ↓ -8% |
| Cigna Healthcare of Arizona, Inc. | Commerical/HMO Benefit Plan/Local Flex Plan/Network Benefit Plan/Open Access Plan | $3,243.00 | ↓ -4% |
| Aetna | Medical Rental | $3,277.94 | ↓ -3% |
| Health Net | Commerical Exchange Product | $3,358.80 | ↓ -1% |
| Quiktrip Corporation | Commercial | $3,358.80 | ↓ -1% |
| Aetna | Joint Venture | $4,381.00 | ↑ +29% |
| United Healthcare | Commercial | $4,466.00 | ↑ +32% |
| Provider Network of America | Commercial | $4,665.00 | ↑ +38% |
| Aetna | Designated Group | $4,928.00 | ↑ +46% |
| Arizona Medical Network | Commercial | $4,976.00 | ↑ +47% |
| Aetna | Broad Network | $5,476.00 | ↑ +62% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $8,372.62 | ↑ +147% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $8,930.80 | ↑ +164% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $9,377.34 | ↑ +177% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $11,163.50 | ↑ +230% |
| Blue Cross Blue Shield of Arizona | Commercial | $11,163.50 | ↑ +230% |
| Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Preferred | $11,163.50 | ↑ +230% |