In-111 pentetate dtpa / 0.5 mci 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

$396.25

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.

$1,585.00

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.

$554.75 with University of Arizona (Kasser Medical Treatment Center) vs $5,539.57 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
University of Arizona (Kasser Medical Treatment Center) Commerical $554.75 ↑ +40%
National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) NHSI VUMI $713.25 ↑ +80%
Plotkin Health Plotkin Health $713.25 ↑ +80%
United Healthcare UHC Medicare Advantage $715.29 ↑ +81%
UPMC Health Plan Medicare Advantage $715.29 ↑ +81%
Blue Cross Blue Shield of Arizona Medicare Advantage $715.29 ↑ +81%
Gila River Health Care Corporation Managed Care Program $715.29 ↑ +81%
Humana Medicare Advantage $715.29 ↑ +81%
Care 1st Medicare Advantage $715.29 ↑ +81%
Banner University Health Plan University Care Advantage $715.29 ↑ +81%
Mercy Care Mercy Care Advantage $715.29 ↑ +81%
Cigna Healthcare of Arizona, Inc. PPO Medicare Advantage Plan $715.29 ↑ +81%
Cigna Healthcare of Arizona, Inc. HMO Medicare Advantage Plans $715.29 ↑ +81%
Aetna Medicare Advantage $715.29 ↑ +81%
Banner Health Medicare Advantage $715.29 ↑ +81%
Health Choice Arizona, Inc. Medicare Advantage $715.29 ↑ +81%
Kaiser Foundation Health Plan Medicare Advantage $715.29 ↑ +81%
TriWest Healthcare Alliance Corp - VA CCN VA Community Care Network $715.29 ↑ +81%
Health Net Medicare $715.29 ↑ +81%
Wellpoint Medicare Advantage HMO $715.29 ↑ +81%
Arizona Physicians IPA Medicare Advantage $715.29 ↑ +81%
Devoted Health Services Medicare Advantage $751.05 ↑ +90%
Carelon Medicare Advantage $751.05 ↑ +90%
Gold Kidney Health Plan Medicare Advantage $786.82 ↑ +99%
Arizona Priority Care Medicare Advantage $786.82 ↑ +99%
Aetna Medical Rental $835.29 ↑ +111%
Quiktrip Corporation Commercial $855.90 ↑ +116%
Mercy Care Mercy Medicaid $885.50 ↑ +123%
Arizona Physicians IPA Medicaid $885.50 ↑ +123%
Health Net Medicaid $885.50 ↑ +123%
Banner University Health Plan AZ Medicaid - AHCCCS $885.50 ↑ +123%
Health Choice Arizona, Inc. Medicaid $885.50 ↑ +123%
NaphCare Federal Prison System $965.64 ↑ +144%
Aetna Qualified Health Plan $972.79 ↑ +145%
United Healthcare Individual Exchange $1,001.41 ↑ +153%
Health Net Commerical Exchange Product $1,058.63 ↑ +167%
Health Choice Arizona, Inc. ACA Health Plan $1,072.93 ↑ +171%
Oscar Health Plan Commercial $1,180.23 ↑ +198%
Provider Network of America Commercial $1,188.75 ↑ +200%
Arizona Medical Network Commercial $1,268.00 ↑ +220%
Cigna Healthcare of Arizona, Inc. Commerical/HMO Benefit Plan/Local Flex Plan/Network Benefit Plan/Open Access Plan $1,490.30 ↑ +276%
United Healthcare Commercial $1,947.38 ↑ +391%
Blue Cross Blue Shield of Arizona BXBSAZ Neighborhood $4,154.68 ↑ +948%
Blue Cross Blue Shield of Arizona BCBSAZ Alliance/Blue HPN $4,431.66 ↑ +1018%
Blue Cross Blue Shield of Arizona BXBSAZ Alliance CHS $4,653.24 ↑ +1074%
Blue Cross Blue Shield of Arizona BCBSAZ Workers Comp $5,539.57 ↑ +1298%
Blue Cross Blue Shield of Arizona Medicare Supplemental Senior Preferred $5,539.57 ↑ +1298%
Blue Cross Blue Shield of Arizona Commercial $5,539.57 ↑ +1298%

Visitor-reported prices

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In-111 pentetate dtpa / 0.5 mci at other Arizona hospitals

Hospital City Cash price Negotiated range
Mercy Gilbert Medical Center Gilbert $531.61 $100.00 – $1,663.97
Banner University Medical Center Phoenix Phoenix $567.43 $713.25 – $1,188.75
Banner Baywood Medical Center Mesa $517.04 $660.45 – $1,415.25
Banner Boswell Medical Center Sun City $176.13 $324.45 – $1,180.23
Banner Casa Grande Medical Center Casa Grande $367.79 $711.20 – $1,524.00
Banner Del Webb Medical Center Sun City West $201.85 $396.90 – $1,180.23
Banner Desert Medical Center Mesa $315.34 $429.45 – $1,180.23
Banner Estrella Medical Center Phoenix $409.00 $715.29 – $1,533.75

All Arizona hospitals for this procedure →