Prcrd drg 0-5yr or w/anomly at Banner University Medical Center Tucson
1625 N Campbell Ave, Tucson, AZ · Banner Health · · NPI 1265820179
$595.32
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.
$1,640.00
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.
$328.00 with Aetna vs $4,466.00 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 | $328.00 | ↓ -45% |
| Aetna | Qualified Health Plan | $393.60 | ↓ -34% |
| Health Net | Medicaid | $400.16 | ↓ -33% |
| Health Choice Arizona, Inc. | Medicaid | $400.16 | ↓ -33% |
| Mercy Care | Mercy Medicaid | $400.16 | ↓ -33% |
| Arizona Physicians IPA | Medicaid | $400.16 | ↓ -33% |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $400.16 | ↓ -33% |
| Health Choice Arizona, Inc. | Medicare Advantage | $492.00 | ↓ -17% |
| University of Arizona (Kasser Medical Treatment Center) | Commerical | $574.00 | ↓ -4% |
| Arizona Priority Care | Medicare Advantage | $656.00 | ↑ +10% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $738.00 | ↑ +24% |
| Plotkin Health | Plotkin Health | $738.00 | ↑ +24% |
| Aetna | Banner Employee Plans | $808.00 | ↑ +36% |
| Health Choice Arizona, Inc. | ACA Health Plan | $820.00 | ↑ +38% |
| Oscar Health Plan | Commercial | $820.00 | ↑ +38% |
| Health Net | Medicare | $820.00 | ↑ +38% |
| Aetna | Medical Rental | $864.28 | ↑ +45% |
| Quiktrip Corporation | Commercial | $885.60 | ↑ +49% |
| Health Net | Commerical Exchange Product | $885.60 | ↑ +49% |
| Provider Network of America | Commercial | $1,230.00 | ↑ +107% |
| Arizona Medical Network | Commercial | $1,312.00 | ↑ +120% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $2,788.18 | ↑ +368% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $2,974.06 | ↑ +400% |
| Aetna | Joint Venture | $3,055.00 | ↑ +413% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $3,122.77 | ↑ +425% |
| Cigna Healthcare of Arizona, Inc. | Commerical/HMO Benefit Plan/Local Flex Plan/Network Benefit Plan/Open Access Plan | $3,243.00 | ↑ +445% |
| Aetna | Designated Group | $3,437.00 | ↑ +477% |
| Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Preferred | $3,717.58 | ↑ +524% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $3,717.58 | ↑ +524% |
| Blue Cross Blue Shield of Arizona | Commercial | $3,717.58 | ↑ +524% |
| Aetna | Broad Network | $3,819.00 | ↑ +542% |
| United Healthcare | Commercial | $4,466.00 | ↑ +650% |
Visitor-reported prices
Comments
Prcrd drg 0-5yr or w/anomly at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner University Medical Center South | Tucson | $864.28 | $328.00 – $4,466.00 |
| Banner University Medical Center Phoenix | Phoenix | $1,054.31 | $589.00 – $4,640.00 |
| Banner Baywood Medical Center | Mesa | $1,007.19 | $589.00 – $4,640.00 |
| Banner Boswell Medical Center | Sun City | $851.10 | $589.00 – $4,640.00 |
| Banner Casa Grande Medical Center | Casa Grande | $815.77 | $589.00 – $4,037.00 |
| Banner Desert Medical Center | Mesa | $1,042.53 | $589.00 – $4,640.00 |
| Banner Estrella Medical Center | Phoenix | $1,139.71 | $589.00 – $4,640.00 |
| Banner Heart Hospital | Mesa | $833.43 | $524.21 – $4,640.00 |