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Banner Payson Medical Center
807 South Ponderosa Street, Payson, AZ · Banner Health · · NPI 1063923340
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Abdominal ultrasound CPT 76700 | $356.66 | $579.00 | $79.00 – $521.10 | 27 |
| Blood count (CBC) test CPT 85025 | $22.23 | $45.00 | $7.77 – $21.60 | 27 |
| Brain MRI (without contrast) CPT 70551 | $867.00 | $1,700.00 | $166.84 – $1,530.00 | 27 |
| Chest X-ray CPT 71046 | $117.71 | $229.00 | $58.65 – $206.10 | 27 |
| Cholesterol (lipid) test CPT 80061 | $25.38 | $54.00 | $13.39 – $45.90 | 27 |
| Colonoscopy (diagnostic) CPT 45378 | not published | not published | $575.40 – $3,372.77 | 6 |
| ER visit (level 4) CPT 99284 | $1,191.40 | $565.00 | $231.65 – $508.50 | 27 |
| Gallbladder removal (laparoscopic) CPT 47562 | not published | not published | $3,668.82 – $10,128.08 | 6 |
| Head CT scan CPT 70450 | $488.75 | $964.00 | $79.00 – $867.60 | 27 |
| Hernia repair (inguinal) CPT 49505 | not published | not published | $2,307.97 – $4,768.74 | 6 |
| Knee arthroscopy CPT 29881 | not published | not published | $2,052.04 – $4,768.74 | 6 |
| Metabolic blood panel CPT 80053 | $22.56 | $48.00 | $10.56 – $43.20 | 27 |
| Screening mammogram CPT 77067 | $165.57 | $212.00 | $50.46 – $190.80 | 26 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.