healthcosts.net
Tonsillectomy (child under 12) at Banner University Medical Center Tucson
1625 N Campbell Ave, Tucson, AZ · Banner Health · · NPI 1265820179
not published by hospital
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.
?
What you pay up front if you don't use insurance.
not published by hospital
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.
?
The hospital's undiscounted list price — almost no one pays this.
$3,687.39 with Arizona Physicians IPA vs $5,256.26 with Blue Cross Blue Shield of Arizona — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Arizona Physicians IPA | Medicaid | $3,687.39 | — |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $3,687.39 | — |
| Health Choice Arizona, Inc. | Medicaid | $3,687.39 | — |
| Health Net | Medicaid | $3,687.39 | — |
| Mercy Care | Mercy Medicaid | $3,687.39 | — |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $3,942.20 | — |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $4,205.01 | — |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $4,415.26 | — |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $5,256.26 | — |
| Blue Cross Blue Shield of Arizona | Commercial | $5,256.26 | — |
| Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Preferred | $5,256.26 | — |
| TriWest Healthcare Alliance Corp - VA CCN | Tricare | not published by hospital | — |
Visitor-reported prices
Comments
Tonsillectomy (child under 12) at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Desert Medical Center | Mesa | not published | $3,687.39 – $4,620.72 |
| Banner Thunderbird Medical Center | Glendale | not published | $72.99 – $3,687.39 |