Tc-99m exame autol wbc diag per dose 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

$1,396.00

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.

$5,584.00

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.

$1,040.32 with Blue Cross Blue Shield of Arizona vs $10,424.50 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
Blue Cross Blue Shield of Arizona Medicare Advantage $1,040.32 ↓ -25%
Gila River Health Care Corporation Managed Care Program $1,040.32 ↓ -25%
Humana Medicare Advantage $1,040.32 ↓ -25%
United Healthcare UHC Medicare Advantage $1,040.32 ↓ -25%
UPMC Health Plan Medicare Advantage $1,040.32 ↓ -25%
Care 1st Medicare Advantage $1,040.32 ↓ -25%
Banner University Health Plan University Care Advantage $1,040.32 ↓ -25%
Mercy Care Mercy Care Advantage $1,040.32 ↓ -25%
Cigna Healthcare of Arizona, Inc. PPO Medicare Advantage Plan $1,040.32 ↓ -25%
Cigna Healthcare of Arizona, Inc. HMO Medicare Advantage Plans $1,040.32 ↓ -25%
Aetna Medicare Advantage $1,040.32 ↓ -25%
Banner Health Medicare Advantage $1,040.32 ↓ -25%
Health Choice Arizona, Inc. Medicare Advantage $1,040.32 ↓ -25%
Kaiser Foundation Health Plan Medicare Advantage $1,040.32 ↓ -25%
TriWest Healthcare Alliance Corp - VA CCN VA Community Care Network $1,040.32 ↓ -25%
Health Net Medicare $1,040.32 ↓ -25%
Wellpoint Medicare Advantage HMO $1,040.32 ↓ -25%
Arizona Physicians IPA Medicare Advantage $1,040.32 ↓ -25%
Carelon Medicare Advantage $1,092.34 ↓ -22%
Devoted Health Services Medicare Advantage $1,092.34 ↓ -22%
Arizona Priority Care Medicare Advantage $1,144.35 ↓ -18%
Gold Kidney Health Plan Medicare Advantage $1,144.35 ↓ -18%
NaphCare Federal Prison System $1,404.43 ↑ +1%
Aetna Qualified Health Plan $1,414.84 ↑ +1%
United Healthcare Individual Exchange $1,456.45 ↑ +4%
Health Net Commerical Exchange Product $1,539.67 ↑ +10%
Health Choice Arizona, Inc. ACA Health Plan $1,560.48 ↑ +12%
Mercy Care Mercy Medicaid $1,713.97 ↑ +23%
Arizona Physicians IPA Medicaid $1,713.97 ↑ +23%
Health Net Medicaid $1,713.97 ↑ +23%
Health Choice Arizona, Inc. Medicaid $1,713.97 ↑ +23%
Banner University Health Plan AZ Medicaid - AHCCCS $1,713.97 ↑ +23%
Oscar Health Plan Commercial $1,716.53 ↑ +23%
University of Arizona (Kasser Medical Treatment Center) Commerical $1,954.40 ↑ +40%
National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) NHSI VUMI $2,512.80 ↑ +80%
Plotkin Health Plotkin Health $2,512.80 ↑ +80%
United Healthcare Commercial $2,832.27 ↑ +103%
Cigna Healthcare of Arizona, Inc. Commerical/HMO Benefit Plan/Local Flex Plan/Network Benefit Plan/Open Access Plan $2,884.61 ↑ +107%
Aetna Medical Rental $2,942.77 ↑ +111%
Quiktrip Corporation Commercial $3,015.36 ↑ +116%
Provider Network of America Commercial $4,188.00 ↑ +200%
Arizona Medical Network Commercial $4,467.20 ↑ +220%
Blue Cross Blue Shield of Arizona BXBSAZ Neighborhood $7,818.38 ↑ +460%
Blue Cross Blue Shield of Arizona BCBSAZ Alliance/Blue HPN $8,339.60 ↑ +497%
Blue Cross Blue Shield of Arizona BXBSAZ Alliance CHS $8,756.58 ↑ +527%
Blue Cross Blue Shield of Arizona Medicare Supplemental Senior Preferred $10,424.50 ↑ +647%
Blue Cross Blue Shield of Arizona BCBSAZ Workers Comp $10,424.50 ↑ +647%
Blue Cross Blue Shield of Arizona Commercial $10,424.50 ↑ +647%

Visitor-reported prices

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Tc-99m exame autol wbc diag per dose at other Arizona hospitals

Hospital City Cash price Negotiated range
Mercy Gilbert Medical Center Gilbert $1,368.01 $100.00 – $4,281.97
Banner University Medical Center Phoenix Phoenix $2,486.31 $1,040.32 – $5,208.75
Banner Baywood Medical Center Mesa $2,636.15 $1,040.32 – $7,215.75
Banner Casa Grande Medical Center Casa Grande $1,150.62 $1,040.32 – $4,767.75
Banner Del Webb Medical Center Sun City West $750.45 $1,040.32 – $3,372.80
Banner Desert Medical Center Mesa $1,899.23 $1,040.32 – $5,542.50
Banner Estrella Medical Center Phoenix $1,316.00 $1,040.32 – $4,935.00
Banner Gateway Medical Center Gilbert $2,213.16 $1,040.32 – $5,743.50

All Arizona hospitals for this procedure →