Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes at Banner University Medical Center Tucson
1625 N Campbell Ave, Tucson, AZ · Banner Health · · NPI 1265820179
$52.72
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.
$196.00
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.
$39.20 with Aetna vs $268.00 with United Healthcare — 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 | $39.20 | ↓ -26% |
| Aetna | Qualified Health Plan | $47.04 | ↓ -11% |
| Arizona Physicians IPA | Medicaid | $47.82 | ↓ -9% |
| Health Net | Medicaid | $47.82 | ↓ -9% |
| Mercy Care | Mercy Medicaid | $47.82 | ↓ -9% |
| Health Choice Arizona, Inc. | Medicare Advantage | $58.80 | ↑ +12% |
| University of Arizona (Kasser Medical Treatment Center) | Commerical | $68.60 | ↑ +30% |
| Aetna | Joint Venture | $70.17 | ↑ +33% |
| Arizona Priority Care | Medicare Advantage | $78.40 | ↑ +49% |
| Aetna | Designated Group | $78.79 | ↑ +49% |
| Aetna | Banner Employee Plans | $81.00 | ↑ +54% |
| Aetna | Broad Network | $87.61 | ↑ +66% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $88.20 | ↑ +67% |
| Plotkin Health | Plotkin Health | $88.20 | ↑ +67% |
| Oscar Health Plan | Commercial | $98.00 | ↑ +86% |
| Health Net | Medicare | $98.00 | ↑ +86% |
| Health Choice Arizona, Inc. | ACA Health Plan | $98.00 | ↑ +86% |
| Aetna | Medical Rental | $103.29 | ↑ +96% |
| Quiktrip Corporation | Commercial | $105.84 | ↑ +101% |
| Health Net | Commerical Exchange Product | $105.84 | ↑ +101% |
| Provider Network of America | Commercial | $147.00 | ↑ +179% |
| Arizona Medical Network | Commercial | $156.80 | ↑ +197% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $199.77 | ↑ +279% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $213.09 | ↑ +304% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $223.75 | ↑ +324% |
| Cigna Healthcare of Arizona, Inc. | Commerical/HMO Benefit Plan/Local Flex Plan/Network Benefit Plan/Open Access Plan | $225.00 | ↑ +327% |
| Blue Cross Blue Shield of Arizona | Commercial | $266.36 | ↑ +405% |
| Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Preferred | $266.36 | ↑ +405% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $266.36 | ↑ +405% |
| United Healthcare | Commercial | $268.00 | ↑ +408% |
Visitor-reported prices
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Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner University Medical Center South | Tucson | $37.04 | $39.20 – $268.00 |
| Banner University Medical Center Phoenix | Phoenix | $19.46 | $28.20 – $241.00 |
| Banner Baywood Medical Center | Mesa | $18.05 | $28.20 – $241.00 |
| Banner Boswell Medical Center | Sun City | $22.56 | $28.20 – $241.00 |
| Banner Casa Grande Medical Center | Casa Grande | $25.38 | $28.20 – $235.00 |
| Banner Del Webb Medical Center | Sun City West | $21.29 | $28.20 – $241.00 |
| Banner Desert Medical Center | Mesa | $21.15 | $28.20 – $241.00 |
| Banner Ironwood Medical Center | San Tan Valley | $12.55 | $28.20 – $241.00 |