Allograft epieffect 2x3cm-q4186-cost per sq cm at Banner Payson Medical Center
807 South Ponderosa Street, Payson, AZ · Banner Health · · NPI 1063923340
$438.09
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.
$867.50
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.
$59.53 with Arizona Physicians IPA vs $1,131.29 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 | $59.53 | ↓ -86% |
| Aetna | Banner Employee Plans | $168.13 | ↓ -62% |
| Wellpoint | Medicare Advantage HMO | $169.37 | ↓ -61% |
| Aetna | Medicare Advantage | $169.37 | ↓ -61% |
| Arizona Physicians IPA | Medicare Advantage | $169.37 | ↓ -61% |
| Banner Health | Medicare Advantage | $169.37 | ↓ -61% |
| Banner University Health Plan | Medicare Advantage | $169.37 | ↓ -61% |
| Blue Cross Blue Shield of Arizona | Medicare Advantage | $169.37 | ↓ -61% |
| Care 1st | Medicare Advantage | $169.37 | ↓ -61% |
| Cigna Healthcare of Arizona, Inc. | HMO Medicare Advantage Plan/PPO Medicare Advantage Plan | $169.37 | ↓ -61% |
| Gila River Health Care Corporation | Managed Care Program | $169.37 | ↓ -61% |
| Health Choice Arizona, Inc. | Medicare Advantage | $169.37 | ↓ -61% |
| Health Net | Medicare | $169.37 | ↓ -61% |
| Kaiser Foundation Health Plan | Medicare Advantage | $169.37 | ↓ -61% |
| Mercy Care | Mercy Care Advantage | $169.37 | ↓ -61% |
| TriWest Healthcare Alliance Corp - VA CCN | Tricare | $169.37 | ↓ -61% |
| TriWest Healthcare Alliance Corp - VA CCN | VA Community Care Network | $169.37 | ↓ -61% |
| United Healthcare | UHC Medicare Advantage | $169.37 | ↓ -61% |
| UPMC Health Plan | Medicare Advantage | $169.37 | ↓ -61% |
| Carelon | Medicare Advantage | $177.84 | ↓ -59% |
| Humana | Medicare Advantage | $179.53 | ↓ -59% |
| Plotkin Health | Plotkin Health | $185.90 | ↓ -58% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $185.90 | ↓ -58% |
| Arizona Priority Care | Medicare Advantage | $186.31 | ↓ -57% |
| Devoted Health Services | Medicare Advantage | $186.31 | ↓ -57% |
| Gold Kidney Health Plan | Medicare Advantage | $186.31 | ↓ -57% |
| Aetna | Joint Venture | $218.94 | ↓ -50% |
| Aetna | Aetna Qualified Health Plan | $230.51 | ↓ -47% |
| Health Choice Arizona, Inc. | ACA Health Plan | $241.66 | ↓ -45% |
| Health Net | Commerical Exchange Product | $250.67 | ↓ -43% |
| Aetna | Medical Rental | $265.62 | ↓ -39% |
| Aetna | Broad Network | $273.47 | ↓ -38% |
| United Healthcare | UHC Individual Exchange | $276.78 | ↓ -37% |
| Oscar Health Plan | Commercial | $279.46 | ↓ -36% |
| Quiktrip Corporation | Commercial | $289.17 | ↓ -34% |
| Cigna Healthcare of Arizona, Inc. | Commerical/HMO Benefit Plan/Local Flex Plan/Network Benefit Plan/Open Access Plan | $328.83 | ↓ -25% |
| Arizona Medical Network | Commercial | $371.79 | ↓ -15% |
| Provider Network of America | Commercial | $371.79 | ↓ -15% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $848.46 | ↑ +94% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $905.03 | ↑ +107% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $950.28 | ↑ +117% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Medicare | $1,080.53 | ↑ +147% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $1,131.29 | ↑ +158% |
| Blue Cross Blue Shield of Arizona | Commercial | $1,131.29 | ↑ +158% |
Visitor-reported prices
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Allograft epieffect 2x3cm-q4186-cost per sq cm at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner University Medical Center Phoenix | Phoenix | $248.10 | $59.53 – $319.85 |
| Banner University Medical Center Tucson | Tucson | $196.57 | $96.35 – $701.40 |
| Banner Baywood Medical Center | Mesa | $235.96 | $59.53 – $822.13 |
| Banner Boswell Medical Center | Sun City | $213.40 | $59.53 – $627.75 |
| Banner Casa Grande Medical Center | Casa Grande | $212.54 | $59.53 – $481.46 |
| Banner Desert Medical Center | Mesa | $176.51 | $59.53 – $822.13 |
| Banner Gateway Medical Center | Gilbert | $260.25 | $59.53 – $822.13 |
| Banner Thunderbird Medical Center | Glendale | $228.15 | $24.68 – $319.85 |