Ot evaluation moderate complexity patient/family at Banner University Medical Center Tucson
1625 N Campbell Ave, Tucson, AZ · Banner Health · · NPI 1265820179
$38.78
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.
$247.00
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.
$49.40 with Aetna vs $438.15 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 | $49.40 | ↑ +27% |
| Aetna | Qualified Health Plan | $59.28 | ↑ +53% |
| Arizona Physicians IPA | Medicaid | $60.27 | ↑ +55% |
| Health Net | Medicaid | $60.27 | ↑ +55% |
| Mercy Care | Mercy Medicaid | $60.27 | ↑ +55% |
| Health Choice Arizona, Inc. | Medicare Advantage | $74.10 | ↑ +91% |
| Aetna | Banner Employee Plans | $81.00 | ↑ +109% |
| University of Arizona (Kasser Medical Treatment Center) | Commerical | $86.45 | ↑ +123% |
| Aetna | Joint Venture | $88.43 | ↑ +128% |
| Arizona Priority Care | Medicare Advantage | $98.80 | ↑ +155% |
| Aetna | Designated Group | $99.29 | ↑ +156% |
| Aetna | Broad Network | $110.41 | ↑ +185% |
| Plotkin Health | Plotkin Health | $111.15 | ↑ +187% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $111.15 | ↑ +187% |
| Health Choice Arizona, Inc. | ACA Health Plan | $123.50 | ↑ +218% |
| Health Net | Medicare | $123.50 | ↑ +218% |
| Oscar Health Plan | Commercial | $123.50 | ↑ +218% |
| Aetna | Medical Rental | $130.17 | ↑ +236% |
| Health Net | Commerical Exchange Product | $133.38 | ↑ +244% |
| Quiktrip Corporation | Commercial | $133.38 | ↑ +244% |
| Provider Network of America | Commercial | $185.25 | ↑ +378% |
| Arizona Medical Network | Commercial | $197.60 | ↑ +410% |
| Cigna Healthcare of Arizona, Inc. | Commerical/HMO Benefit Plan/Local Flex Plan/Network Benefit Plan/Open Access Plan | $225.00 | ↑ +480% |
| United Healthcare | Commercial | $268.00 | ↑ +591% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $328.61 | ↑ +747% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $350.52 | ↑ +804% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $368.04 | ↑ +849% |
| Blue Cross Blue Shield of Arizona | Commercial | $438.15 | ↑ +1030% |
| Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Preferred | $438.15 | ↑ +1030% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $438.15 | ↑ +1030% |
Visitor-reported prices
Comments
Ot evaluation moderate complexity patient/family at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner University Medical Center South | Tucson | $48.66 | $49.40 – $268.00 |
| Banner University Medical Center Phoenix | Phoenix | $66.30 | $81.00 – $312.75 |
| Banner Baywood Medical Center | Mesa | $122.18 | $81.00 – $385.17 |
| Banner Boswell Medical Center | Sun City | $96.74 | $81.00 – $333.60 |
| Banner Casa Grande Medical Center | Casa Grande | $101.33 | $81.00 – $312.75 |
| Banner Del Webb Medical Center | Sun City West | $86.74 | $81.00 – $333.60 |
| Banner Desert Medical Center | Mesa | $78.40 | $81.00 – $385.17 |
| Banner Ironwood Medical Center | San Tan Valley | $126.35 | $81.00 – $385.17 |