Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet at Banner Payson Medical Center
807 South Ponderosa Street, Payson, AZ · Banner Health · · NPI 1063923340
$424.70
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.
$841.00
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.
$121.19 with Arizona Physicians IPA vs $1,281.43 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 →
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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 |
|---|---|---|---|
| Arizona Physicians IPA | Medicaid | $121.19 | ↓ -71% |
| Aetna | Banner Employee Plans | $342.29 | ↓ -19% |
| Wellpoint | Medicare Advantage HMO | $344.81 | ↓ -19% |
| Aetna | Medicare Advantage | $344.81 | ↓ -19% |
| Arizona Physicians IPA | Medicare Advantage | $344.81 | ↓ -19% |
| Banner Health | Medicare Advantage | $344.81 | ↓ -19% |
| Banner University Health Plan | Medicare Advantage | $344.81 | ↓ -19% |
| Blue Cross Blue Shield of Arizona | Medicare Advantage | $344.81 | ↓ -19% |
| Care 1st | Medicare Advantage | $344.81 | ↓ -19% |
| Cigna Healthcare of Arizona, Inc. | HMO Medicare Advantage Plan/PPO Medicare Advantage Plan | $344.81 | ↓ -19% |
| Gila River Health Care Corporation | Managed Care Program | $344.81 | ↓ -19% |
| Health Choice Arizona, Inc. | Medicare Advantage | $344.81 | ↓ -19% |
| Health Net | Medicare | $344.81 | ↓ -19% |
| Kaiser Foundation Health Plan | Medicare Advantage | $344.81 | ↓ -19% |
| Mercy Care | Mercy Care Advantage | $344.81 | ↓ -19% |
| TriWest Healthcare Alliance Corp - VA CCN | Tricare | $344.81 | ↓ -19% |
| TriWest Healthcare Alliance Corp - VA CCN | VA Community Care Network | $344.81 | ↓ -19% |
| United Healthcare | UHC Medicare Advantage | $344.81 | ↓ -19% |
| UPMC Health Plan | Medicare Advantage | $344.81 | ↓ -19% |
| Carelon | Medicare Advantage | $362.05 | ↓ -15% |
| Humana | Medicare Advantage | $365.50 | ↓ -14% |
| Plotkin Health | Plotkin Health | $378.45 | ↓ -11% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $378.45 | ↓ -11% |
| Arizona Priority Care | Medicare Advantage | $379.29 | ↓ -11% |
| Devoted Health Services | Medicare Advantage | $379.29 | ↓ -11% |
| Gold Kidney Health Plan | Medicare Advantage | $379.29 | ↓ -11% |
| Aetna | Joint Venture | $445.73 | ↑ +5% |
| Aetna | Aetna Qualified Health Plan | $469.28 | ↑ +10% |
| Health Choice Arizona, Inc. | ACA Health Plan | $491.99 | ↑ +16% |
| Health Net | Commerical Exchange Product | $510.32 | ↑ +20% |
| Aetna | Medical Rental | $540.76 | ↑ +27% |
| Aetna | Broad Network | $556.74 | ↑ +31% |
| United Healthcare | UHC Individual Exchange | $563.47 | ↑ +33% |
| Oscar Health Plan | Commercial | $568.94 | ↑ +34% |
| Quiktrip Corporation | Commercial | $588.70 | ↑ +39% |
| Cigna Healthcare of Arizona, Inc. | Commerical/HMO Benefit Plan/Local Flex Plan/Network Benefit Plan/Open Access Plan | $669.44 | ↑ +58% |
| Arizona Medical Network | Commercial | $756.90 | ↑ +78% |
| Provider Network of America | Commercial | $756.90 | ↑ +78% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $961.07 | ↑ +126% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $1,025.14 | ↑ +141% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $1,076.39 | ↑ +153% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Medicare | $1,223.93 | ↑ +188% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $1,281.43 | ↑ +202% |
| Blue Cross Blue Shield of Arizona | Commercial | $1,281.43 | ↑ +202% |
Visitor-reported prices
Comments
Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Gilbert Medical Center | Gilbert | $24,814.27 | $209.30 – $1,151.15 |
| Banner University Medical Center Phoenix | Phoenix | $1,999.54 | $121.19 – $630.75 |
| Banner University Medical Center Tucson | Tucson | $484.01 | $121.19 – $794.49 |
| Banner Baywood Medical Center | Mesa | $2,319.89 | $5.58 – $931.24 |
| Banner Ironwood Medical Center | San Tan Valley | $3,882.35 | $121.19 – $931.24 |
| Banner Estrella Medical Center | Phoenix | $1,915.64 | $121.19 – $931.24 |
| Banner Gateway Medical Center | Gilbert | $2,558.70 | $121.19 – $931.24 |
| Arizona General Hospital Laveen | Phoenix | $869.75 | $279.44 – $1,630.74 |