healthcosts.net
Abdominal CT scan (with contrast) at Banner Payson Medical Center
807 South Ponderosa Street, Payson, AZ · Banner Health · · NPI 1063923340
$778.23
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.
$1,538.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$129.45 with Mercy Care vs $1,384.20 with Provider Network of America — 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 |
|---|---|---|---|
| Mercy Care | Mercy Medicaid | $129.45 | ↓ -83% |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $129.45 | ↓ -83% |
| Health Net | Medicaid | $129.45 | ↓ -83% |
| Health Choice Arizona, Inc. | Medicaid | $129.45 | ↓ -83% |
| Arizona Physicians IPA | Medicaid | $129.45 | ↓ -83% |
| Aetna | Banner Employee Plans | $341.00 | ↓ -56% |
| UPMC Health Plan | Medicare Advantage | $630.58 | ↓ -19% |
| Gila River Health Care Corporation | Managed Care Program | $630.58 | ↓ -19% |
| TriWest Healthcare Alliance Corp - VA CCN | Tricare | $630.58 | ↓ -19% |
| Cigna Healthcare of Arizona, Inc. | HMO Medicare Advantage Plan/PPO Medicare Advantage Plan | $630.58 | ↓ -19% |
| TriWest Healthcare Alliance Corp - VA CCN | VA Community Care Network | $630.58 | ↓ -19% |
| Health Choice Arizona, Inc. | Medicare Advantage | $630.58 | ↓ -19% |
| Banner University Health Plan | Medicare Advantage | $630.58 | ↓ -19% |
| United Healthcare | UHC Medicare Advantage | $630.58 | ↓ -19% |
| Aetna | Medicare Advantage | $630.58 | ↓ -19% |
| Health Net | Medicare | $630.58 | ↓ -19% |
| Wellpoint | Medicare Advantage HMO | $630.58 | ↓ -19% |
| Blue Cross Blue Shield of Arizona | Medicare Advantage | $630.58 | ↓ -19% |
| Mercy Care | Mercy Care Advantage | $630.58 | ↓ -19% |
| Arizona Physicians IPA | Medicare Advantage | $630.58 | ↓ -19% |
| Banner Health | Medicare Advantage | $630.58 | ↓ -19% |
| Care 1st | Medicare Advantage | $630.58 | ↓ -19% |
| Kaiser Foundation Health Plan | Medicare Advantage | $630.58 | ↓ -19% |
| Carelon | Medicare Advantage | $662.11 | ↓ -15% |
| Humana | Medicare Advantage | $668.41 | ↓ -14% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $692.10 | ↓ -11% |
| Plotkin Health | Plotkin Health | $692.10 | ↓ -11% |
| Gold Kidney Health Plan | Medicare Advantage | $693.64 | ↓ -11% |
| Arizona Priority Care | Medicare Advantage | $693.64 | ↓ -11% |
| Devoted Health Services | Medicare Advantage | $693.64 | ↓ -11% |
| Aetna | Joint Venture | $815.14 | ↑ +5% |
| Aetna | Aetna Qualified Health Plan | $858.20 | ↑ +10% |
| Health Choice Arizona, Inc. | ACA Health Plan | $899.73 | ↑ +16% |
| Health Net | Commerical Exchange Product | $933.26 | ↑ +20% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $985.82 | ↑ +27% |
| Aetna | Medical Rental | $988.93 | ↑ +27% |
| Aetna | Broad Network | $1,018.16 | ↑ +31% |
| United Healthcare | UHC Individual Exchange | $1,030.46 | ↑ +32% |
| Oscar Health Plan | Commercial | $1,040.46 | ↑ +34% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $1,051.54 | ↑ +35% |
| Quiktrip Corporation | Commercial | $1,076.60 | ↑ +38% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $1,104.11 | ↑ +42% |
| Cigna Healthcare of Arizona, Inc. | Commerical/HMO Benefit Plan/Local Flex Plan/Network Benefit Plan/Open Access Plan | $1,224.25 | ↑ +57% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Medicare | $1,255.45 | ↑ +61% |
| Blue Cross Blue Shield of Arizona | Commercial | $1,314.42 | ↑ +69% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $1,314.42 | ↑ +69% |
| Arizona Medical Network | Commercial | $1,384.20 | ↑ +78% |
| Provider Network of America | Commercial | $1,384.20 | ↑ +78% |
Visitor-reported prices
Comments
Abdominal CT scan (with contrast) at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner University Medical Center Phoenix | Phoenix | $369.35 | $129.45 – $1,668.75 |
| Banner University Medical Center South | Tucson | $312.80 | $129.45 – $1,970.40 |
| Banner University Medical Center Tucson | Tucson | $320.19 | $129.45 – $1,970.40 |
| Banner Baywood Medical Center | Mesa | $349.32 | $129.45 – $1,668.75 |
| Banner Boswell Medical Center | Sun City | $353.78 | $129.45 – $1,780.00 |
| Banner Casa Grande Medical Center | Casa Grande | $367.12 | $129.45 – $1,668.75 |
| Banner Del Webb Medical Center | Sun City West | $389.38 | $129.45 – $1,780.00 |
| Banner Estrella Medical Center | Phoenix | $442.78 | $129.45 – $1,668.75 |