Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm 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

$117.10

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.

$398.30

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.

$22.38 with Aetna vs $156.34 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
Aetna Medicare Advantage $22.38 ↓ -81%
Arizona Physicians IPA Medicaid $26.09 ↓ -78%
Health Net Medicaid $26.09 ↓ -78%
Banner University Health Plan AZ Medicaid - AHCCCS $26.09 ↓ -78%
Health Choice Arizona, Inc. Medicaid $26.09 ↓ -78%
Mercy Care Mercy Medicaid $26.09 ↓ -78%
Aetna Qualified Health Plan $26.86 ↓ -77%
Health Choice Arizona, Inc. Medicare Advantage $33.57 ↓ -71%
Aetna Banner Employee Plans $36.37 ↓ -69%
University of Arizona (Kasser Medical Treatment Center) Commerical $39.16 ↓ -67%
Aetna Joint Venture $39.50 ↓ -66%
Cigna Healthcare of Arizona, Inc. Commerical/HMO Benefit Plan/Local Flex Plan/Network Benefit Plan/Open Access Plan $43.05 ↓ -63%
Aetna Designated Group $44.54 ↓ -62%
Arizona Priority Care Medicare Advantage $44.76 ↓ -62%
Aetna Broad Network $49.46 ↓ -58%
Plotkin Health Plotkin Health $50.35 ↓ -57%
National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) NHSI VUMI $50.35 ↓ -57%
United Healthcare Commercial $55.17 ↓ -53%
Health Net Medicare $55.95 ↓ -52%
Health Choice Arizona, Inc. ACA Health Plan $55.95 ↓ -52%
Oscar Health Plan Commercial $55.95 ↓ -52%
Aetna Medical Rental $58.97 ↓ -50%
Health Net Commerical Exchange Product $60.43 ↓ -48%
Quiktrip Corporation Commercial $60.43 ↓ -48%
Provider Network of America Commercial $83.92 ↓ -28%
Arizona Medical Network Commercial $89.52 ↓ -24%
Blue Cross Blue Shield of Arizona BXBSAZ Neighborhood $117.26 ↑ +0%
Blue Cross Blue Shield of Arizona BCBSAZ Alliance/Blue HPN $125.07 ↑ +7%
Blue Cross Blue Shield of Arizona BXBSAZ Alliance CHS $131.33 ↑ +12%
Blue Cross Blue Shield of Arizona Commercial $156.34 ↑ +34%
Blue Cross Blue Shield of Arizona Medicare Supplemental Senior Preferred $156.34 ↑ +34%
Blue Cross Blue Shield of Arizona BCBSAZ Workers Comp $156.34 ↑ +34%

Visitor-reported prices

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Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm at other Arizona hospitals

Hospital City Cash price Negotiated range
Banner University Medical Center South Tucson $112.32 $26.09 – $111.12
Banner Baywood Medical Center Mesa $103.14 $26.09 – $284.40
Banner Boswell Medical Center Sun City $93.28 $26.09 – $303.36
Banner Thunderbird Medical Center Glendale $104.75 $26.09 – $104.17

All Arizona hospitals for this procedure →