Ghs simple repair 12.6 - 20.0 cm - 12005 at Banner University Medical Center Tucson
1625 N Campbell Ave, Tucson, AZ · Banner Health · · NPI 1265820179
$277.33
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.
$764.00
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.
$250.73 with Health Choice Arizona, Inc. 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 |
|---|---|---|---|
| Health Choice Arizona, Inc. | Medicaid | $250.73 | ↓ -10% |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $250.73 | ↓ -10% |
| Arizona Physicians IPA | Medicaid | $250.73 | ↓ -10% |
| Mercy Care | Mercy Medicaid | $250.73 | ↓ -10% |
| Health Net | Medicaid | $250.73 | ↓ -10% |
| University of Arizona (Kasser Medical Treatment Center) | Commerical | $267.40 | ↓ -4% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $343.80 | ↑ +24% |
| Plotkin Health | Plotkin Health | $343.80 | ↑ +24% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $349.83 | ↑ +26% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $373.16 | ↑ +35% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $391.81 | ↑ +41% |
| Aetna | Medical Rental | $402.63 | ↑ +45% |
| Quiktrip Corporation | Commercial | $412.56 | ↑ +49% |
| Arizona Physicians IPA | Medicare Advantage | $425.83 | ↑ +54% |
| Gila River Health Care Corporation | Managed Care Program | $425.83 | ↑ +54% |
| Humana | Medicare Advantage | $425.83 | ↑ +54% |
| United Healthcare | UHC Medicare Advantage | $425.83 | ↑ +54% |
| UPMC Health Plan | Medicare Advantage | $425.83 | ↑ +54% |
| Blue Cross Blue Shield of Arizona | Medicare Advantage | $425.83 | ↑ +54% |
| Banner University Health Plan | University Care Advantage | $425.83 | ↑ +54% |
| Mercy Care | Mercy Care Advantage | $425.83 | ↑ +54% |
| Cigna Healthcare of Arizona, Inc. | PPO Medicare Advantage Plan | $425.83 | ↑ +54% |
| Cigna Healthcare of Arizona, Inc. | HMO Medicare Advantage Plans | $425.83 | ↑ +54% |
| Aetna | Medicare Advantage | $425.83 | ↑ +54% |
| Banner Health | Medicare Advantage | $425.83 | ↑ +54% |
| Health Choice Arizona, Inc. | Medicare Advantage | $425.83 | ↑ +54% |
| Kaiser Foundation Health Plan | Medicare Advantage | $425.83 | ↑ +54% |
| TriWest Healthcare Alliance Corp - VA CCN | VA Community Care Network | $425.83 | ↑ +54% |
| Health Net | Medicare | $425.83 | ↑ +54% |
| Wellpoint | Medicare Advantage HMO | $425.83 | ↑ +54% |
| Care 1st | Medicare Advantage | $425.83 | ↑ +54% |
| Devoted Health Services | Medicare Advantage | $447.12 | ↑ +61% |
| Carelon | Medicare Advantage | $447.12 | ↑ +61% |
| Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Preferred | $466.45 | ↑ +68% |
| Blue Cross Blue Shield of Arizona | Commercial | $466.45 | ↑ +68% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $466.45 | ↑ +68% |
| Arizona Priority Care | Medicare Advantage | $468.41 | ↑ +69% |
| Gold Kidney Health Plan | Medicare Advantage | $468.41 | ↑ +69% |
| Provider Network of America | Commercial | $573.00 | ↑ +107% |
| NaphCare | Federal Prison System | $574.87 | ↑ +107% |
| Aetna | Qualified Health Plan | $579.13 | ↑ +109% |
| United Healthcare | Individual Exchange | $596.16 | ↑ +115% |
| Arizona Medical Network | Commercial | $611.20 | ↑ +120% |
| Health Net | Commerical Exchange Product | $630.23 | ↑ +127% |
| Health Choice Arizona, Inc. | ACA Health Plan | $638.75 | ↑ +130% |
| Oscar Health Plan | Commercial | $702.62 | ↑ +153% |
| United Healthcare | Commercial | $2,041.00 | ↑ +636% |
| Aetna | Banner Employee Plans | $2,479.00 | ↑ +794% |
| Cigna Healthcare of Arizona, Inc. | Commerical/HMO Benefit Plan/Local Flex Plan/Network Benefit Plan/Open Access Plan | $3,243.00 | ↑ +1069% |
| Aetna | Joint Venture | $4,381.00 | ↑ +1480% |
| Aetna | Designated Group | $4,928.00 | ↑ +1677% |
| Aetna | Broad Network | $5,476.00 | ↑ +1875% |
| TriWest Healthcare Alliance Corp - VA CCN | Tricare | not published by hospital | — |
Visitor-reported prices
Comments
Ghs simple repair 12.6 - 20.0 cm - 12005 at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner University Medical Center South | Tucson | not published | $246.40 – $250.73 |
| Banner University Medical Center Phoenix | Phoenix | $395.23 | $159.53 – $702.62 |
| Banner Baywood Medical Center | Mesa | $292.99 | $250.73 – $702.62 |
| Banner Boswell Medical Center | Sun City | $184.01 | $250.73 – $702.62 |
| Banner Casa Grande Medical Center | Casa Grande | $343.35 | $240.13 – $638.75 |
| Banner Desert Medical Center | Mesa | $270.10 | $250.73 – $702.62 |
| Banner Thunderbird Medical Center | Glendale | $235.00 | $72.99 – $702.62 |
| Yavapai Regional Medical Center (East) | Prescott | $1,004.67 | $98.70 – $200.34 |